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\n \n \n\n \n \n \n \n Traumatic Brain Injury–Related Emergency Department Visits, Hospitalizations, and Deaths — United States, 2007 and 2013.\n \n\n\n \n Taylor, C., A.; Bell, J., M.; Breiding, M., J.; and Xu, L.\n \n\n\n \n\n\n\n MMWR. Surveillance Summaries, 66(9). 2017.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Traumatic Brain Injury–Related Emergency Department Visits, Hospitalizations, and Deaths — United States, 2007 and 2013},\n type = {article},\n year = {2017},\n identifiers = {[object Object]},\n volume = {66},\n id = {ded46652-c0e4-3d53-b978-54c7ba5e0ad9},\n created = {2017-07-27T11:53:53.331Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-07-27T11:53:53.449Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {PROBLEM/CONDITION Traumatic brain injury (TBI) has short- and long-term adverse clinical outcomes, including death and disability. TBI can be caused by a number of principal mechanisms, including motor-vehicle crashes, falls, and assaults. This report describes the estimated incidence of TBI-related emergency department (ED) visits, hospitalizations, and deaths during 2013 and makes comparisons to similar estimates from 2007. REPORTING PERIOD 2007 and 2013. DESCRIPTION OF SYSTEM State-based administrative health care data were used to calculate estimates of TBI-related ED visits and hospitalizations by principal mechanism of injury, age group, sex, and injury intent. Categories of injury intent included unintentional (motor-vehicle crashes, falls, being struck by or against an object, mechanism unspecified), intentional (self-harm and assault/homicide), and undetermined intent. These health records come from the Healthcare Cost and Utilization Project's National Emergency Department Sample and National Inpatient Sample. TBI-related death analyses used CDC multiple-cause-of-death public-use data files, which contain death certificate data from all 50 states and the District of Columbia. RESULTS In 2013, a total of approximately 2.8 million TBI-related ED visits, hospitalizations, and deaths (TBI-EDHDs) occurred in the United States. This consisted of approximately 2.5 million TBI-related ED visits, approximately 282,000 TBI-related hospitalizations, and approximately 56,000 TBI-related deaths. TBIs were diagnosed in nearly 2.8 million (1.9%) of the approximately 149 million total injury- and noninjury-related EDHDs that occurred in the United States during 2013. Rates of TBI-EDHDs varied by age, with the highest rates observed among persons aged ≥75 years (2,232.2 per 100,000 population), 0-4 years (1,591.5), and 15-24 years (1,080.7). Overall, males had higher age-adjusted rates of TBI-EDHDs (959.0) compared with females (810.8) and the most common principal mechanisms of injury for all age groups included falls (413.2, age-adjusted), being struck by or against an object (142.1, age-adjusted), and motor-vehicle crashes (121.7, age-adjusted). The age-adjusted rate of ED visits was higher in 2013 (787.1) versus 2007 (534.4), with fall-related TBIs among persons aged ≥75 years accounting for 17.9% of the increase in the number of TBI-related ED visits. The number and rate of TBI-related hospitalizations also increased among persons aged ≥75 years (from 356.9 in 2007 to 454.4 in 2013), primarily because of falls. Whereas motor-vehicle crashes were the leading cause of TBI-related deaths in 2007 in both number and rate, in 2013, intentional self-harm was the leading cause in number and rate. The overall age-adjusted rate of TBI-related deaths for all ages decreased from 17.9 in 2007 to 17.0 in 2013; however, age-adjusted TBI-related death rates attributable to falls increased from 3.8 in 2007 to 4.5 in 2013, primarily among older adults. Although the age-adjusted rate of TBI-related deaths attributable to motor-vehicle crashes decreased from 5.0 in 2007 to 3.4 in 2013, the age-adjusted rate of TBI-related ED visits attributable to motor-vehicle crashes increased from 83.8 in 2007 to 99.5 in 2013. The age-adjusted rate of TBI-related hospitalizations attributable to motor-vehicle crashes decreased from 23.5 in 2007 to 18.8 in 2013. INTERPRETATION Progress has been made to prevent motor-vehicle crashes, resulting in a decrease in the number of TBI-related hospitalizations and deaths from 2007 to 2013. However, during the same time, the number and rate of older adult fall-related TBIs have increased substantially. Although considerable public interest has focused on sports-related concussion in youth, the findings in this report suggest that TBIs attributable to older adult falls, many of which result in hospitalization and death, should receive public health attention. PUBLIC HEALTH ACTIONS The increase in the number of fall-related TBIs in older adults suggests an urgent need to enhance fall-prevention efforts in that population. Multiple effective interventions have been identified, and CDC has developed the STEADI initiative (Stopping Elderly Accidents Deaths and Injuries) as a comprehensive strategy that incorporates empirically supported clinical guidelines and scientifically tested interventions to help primary care providers address their patients' fall risk through the identification of modifiable risk factors and implementation of effective interventions (e.g., exercise, medication management, and Vitamin D supplementation).},\n bibtype = {article},\n author = {Taylor, Christopher A. and Bell, Jeneita M. and Breiding, Matthew J. and Xu, Likang},\n journal = {MMWR. Surveillance Summaries},\n number = {9}\n}
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\n PROBLEM/CONDITION Traumatic brain injury (TBI) has short- and long-term adverse clinical outcomes, including death and disability. TBI can be caused by a number of principal mechanisms, including motor-vehicle crashes, falls, and assaults. This report describes the estimated incidence of TBI-related emergency department (ED) visits, hospitalizations, and deaths during 2013 and makes comparisons to similar estimates from 2007. REPORTING PERIOD 2007 and 2013. DESCRIPTION OF SYSTEM State-based administrative health care data were used to calculate estimates of TBI-related ED visits and hospitalizations by principal mechanism of injury, age group, sex, and injury intent. Categories of injury intent included unintentional (motor-vehicle crashes, falls, being struck by or against an object, mechanism unspecified), intentional (self-harm and assault/homicide), and undetermined intent. These health records come from the Healthcare Cost and Utilization Project's National Emergency Department Sample and National Inpatient Sample. TBI-related death analyses used CDC multiple-cause-of-death public-use data files, which contain death certificate data from all 50 states and the District of Columbia. RESULTS In 2013, a total of approximately 2.8 million TBI-related ED visits, hospitalizations, and deaths (TBI-EDHDs) occurred in the United States. This consisted of approximately 2.5 million TBI-related ED visits, approximately 282,000 TBI-related hospitalizations, and approximately 56,000 TBI-related deaths. TBIs were diagnosed in nearly 2.8 million (1.9%) of the approximately 149 million total injury- and noninjury-related EDHDs that occurred in the United States during 2013. Rates of TBI-EDHDs varied by age, with the highest rates observed among persons aged ≥75 years (2,232.2 per 100,000 population), 0-4 years (1,591.5), and 15-24 years (1,080.7). Overall, males had higher age-adjusted rates of TBI-EDHDs (959.0) compared with females (810.8) and the most common principal mechanisms of injury for all age groups included falls (413.2, age-adjusted), being struck by or against an object (142.1, age-adjusted), and motor-vehicle crashes (121.7, age-adjusted). The age-adjusted rate of ED visits was higher in 2013 (787.1) versus 2007 (534.4), with fall-related TBIs among persons aged ≥75 years accounting for 17.9% of the increase in the number of TBI-related ED visits. The number and rate of TBI-related hospitalizations also increased among persons aged ≥75 years (from 356.9 in 2007 to 454.4 in 2013), primarily because of falls. Whereas motor-vehicle crashes were the leading cause of TBI-related deaths in 2007 in both number and rate, in 2013, intentional self-harm was the leading cause in number and rate. The overall age-adjusted rate of TBI-related deaths for all ages decreased from 17.9 in 2007 to 17.0 in 2013; however, age-adjusted TBI-related death rates attributable to falls increased from 3.8 in 2007 to 4.5 in 2013, primarily among older adults. Although the age-adjusted rate of TBI-related deaths attributable to motor-vehicle crashes decreased from 5.0 in 2007 to 3.4 in 2013, the age-adjusted rate of TBI-related ED visits attributable to motor-vehicle crashes increased from 83.8 in 2007 to 99.5 in 2013. The age-adjusted rate of TBI-related hospitalizations attributable to motor-vehicle crashes decreased from 23.5 in 2007 to 18.8 in 2013. INTERPRETATION Progress has been made to prevent motor-vehicle crashes, resulting in a decrease in the number of TBI-related hospitalizations and deaths from 2007 to 2013. However, during the same time, the number and rate of older adult fall-related TBIs have increased substantially. Although considerable public interest has focused on sports-related concussion in youth, the findings in this report suggest that TBIs attributable to older adult falls, many of which result in hospitalization and death, should receive public health attention. PUBLIC HEALTH ACTIONS The increase in the number of fall-related TBIs in older adults suggests an urgent need to enhance fall-prevention efforts in that population. Multiple effective interventions have been identified, and CDC has developed the STEADI initiative (Stopping Elderly Accidents Deaths and Injuries) as a comprehensive strategy that incorporates empirically supported clinical guidelines and scientifically tested interventions to help primary care providers address their patients' fall risk through the identification of modifiable risk factors and implementation of effective interventions (e.g., exercise, medication management, and Vitamin D supplementation).\n
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\n \n \n\n \n \n \n \n The First Six Years of Building and Implementing a Return-to-Work Service for Patients with Acquired Brain Injury. The Rapid-Return-to-Work-Cohort-Study.\n \n\n\n \n Haveraaen, L.; Brouwers, E., P., M.; Sveen, U.; Skarpaas, L., S.; Sagvaag, H.; and Aas, R., W.\n \n\n\n \n\n\n\n Journal of Occupational Rehabilitation, . 1 2017.\n \n\n\n\n
\n\n\n \n \n \n \"TheWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {The First Six Years of Building and Implementing a Return-to-Work Service for Patients with Acquired Brain Injury. The Rapid-Return-to-Work-Cohort-Study},\n type = {article},\n year = {2017},\n identifiers = {[object Object]},\n websites = {https://doi.org/10.1007/s10926-016-9693-7},\n month = {1},\n id = {22ef6bf0-98d2-379b-9e07-2f9ec09fffbb},\n created = {2017-08-25T10:10:33.105Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-08-25T10:10:33.204Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n source_type = {Article},\n private_publication = {false},\n abstract = {Background and objective Despite large activity worldwide in building and implementing new return-to-work (RTW) services, few studies have focused on how such implementation processes develop. The aim of this study was to examine the development in patient and service characteristics the first six years of implementing a RTW service for persons with acquired brain injury (ABI). Methods The study was designed as a cohort study (n=189). Data were collected by questionnaires, filled out by the service providers. The material was divided into, and analyzed with, two implementation phases. Non-parametrical statistical methods and hierarchical regression analyses were applied on the material. Results The number of patients increased significantly, and the patient group became more homogeneous. Both the duration of the service, and the number of consultations and group session days were significantly reduced. Conclusion The patient group became more homogenous, but also significantly larger during the first six years of building the RTW service. At the same time, the duration of the service decreased. This study therefore questions if there is a lack of consensus on the intensity of work rehabilitation for this group.},\n bibtype = {article},\n author = {Haveraaen, L. and Brouwers, E P M. and Sveen, U. and Skarpaas, L S. and Sagvaag, H. and Aas, R W},\n journal = {Journal of Occupational Rehabilitation}\n}
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\n Background and objective Despite large activity worldwide in building and implementing new return-to-work (RTW) services, few studies have focused on how such implementation processes develop. The aim of this study was to examine the development in patient and service characteristics the first six years of implementing a RTW service for persons with acquired brain injury (ABI). Methods The study was designed as a cohort study (n=189). Data were collected by questionnaires, filled out by the service providers. The material was divided into, and analyzed with, two implementation phases. Non-parametrical statistical methods and hierarchical regression analyses were applied on the material. Results The number of patients increased significantly, and the patient group became more homogeneous. Both the duration of the service, and the number of consultations and group session days were significantly reduced. Conclusion The patient group became more homogenous, but also significantly larger during the first six years of building the RTW service. At the same time, the duration of the service decreased. This study therefore questions if there is a lack of consensus on the intensity of work rehabilitation for this group.\n
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\n \n \n\n \n \n \n \n Return to Work After Severe Traumatic Brain Injury.\n \n\n\n \n Odgaard, L.; Johnsen, S., P.; Pedersen, A., R.; and Nielsen, J., F.\n \n\n\n \n\n\n\n Journal of Head Trauma Rehabilitation, 32(3): E57-E64. 2017.\n \n\n\n\n
\n\n\n \n \n \n \"ReturnWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Return to Work After Severe Traumatic Brain Injury},\n type = {article},\n year = {2017},\n identifiers = {[object Object]},\n pages = {E57-E64},\n volume = {32},\n websites = {http://Insights.ovid.com/crossref?an=00001199-201705000-00013},\n id = {33e9e5b3-3065-36ef-a03a-027d980fbf00},\n created = {2017-08-25T10:39:38.171Z},\n accessed = {2017-08-25},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-08-25T10:41:17.856Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {Abstract\r\nObjective:\r\nTo determine return to work (RTW) after severe traumatic brain injury (TBI) and to compare long-term labor market attachment (LMA) with the general population.\r\n\r\nParticipants:\r\nAll persons aged 18 to 64 years who received highly specialized neurorehabilitation after severe TBI between 2004 and 2012 (n = 637) were matched to general population controls on age, sex, preinjury employment status, educational level, and residence (n = 2497).\r\n\r\nDesign:\r\nNationwide follow-up study using weekly records on public assistance benefits.\r\n\r\nMain Measures:\r\nBoth RTW and LMA were defined as having no public assistance benefits except education grants/leave. Stable LMA was defined as weeks with LMA of 75% or more. LMA among persons with severe TBI and controls was compared using multivariable conditional logistic regression.\r\n\r\nResults:\r\nRTW mainly occurred within first 2 years after severe TBI, with 30% of the people attempting RTW and 16% achieving stable LMA within 2 years. The prevalence of people with LMA decreased to 11% from 2½ years to 5 years postinjury. Adjusted odds ratios were 0.01 for LMA up to 2 years postinjury and 0.05 for stable LMA for persons with severe TBI compared with the general population.\r\n\r\nConclusion:\r\nBoth RTW and long-term LMA after severe TBI were low in Denmark when compared with the general population and other countries.},\n bibtype = {article},\n author = {Odgaard, Lene and Johnsen, Søren Paaske and Pedersen, Asger Roer and Nielsen, Jørgen Feldbæk},\n journal = {Journal of Head Trauma Rehabilitation},\n number = {3}\n}
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\n Abstract\r\nObjective:\r\nTo determine return to work (RTW) after severe traumatic brain injury (TBI) and to compare long-term labor market attachment (LMA) with the general population.\r\n\r\nParticipants:\r\nAll persons aged 18 to 64 years who received highly specialized neurorehabilitation after severe TBI between 2004 and 2012 (n = 637) were matched to general population controls on age, sex, preinjury employment status, educational level, and residence (n = 2497).\r\n\r\nDesign:\r\nNationwide follow-up study using weekly records on public assistance benefits.\r\n\r\nMain Measures:\r\nBoth RTW and LMA were defined as having no public assistance benefits except education grants/leave. Stable LMA was defined as weeks with LMA of 75% or more. LMA among persons with severe TBI and controls was compared using multivariable conditional logistic regression.\r\n\r\nResults:\r\nRTW mainly occurred within first 2 years after severe TBI, with 30% of the people attempting RTW and 16% achieving stable LMA within 2 years. The prevalence of people with LMA decreased to 11% from 2½ years to 5 years postinjury. Adjusted odds ratios were 0.01 for LMA up to 2 years postinjury and 0.05 for stable LMA for persons with severe TBI compared with the general population.\r\n\r\nConclusion:\r\nBoth RTW and long-term LMA after severe TBI were low in Denmark when compared with the general population and other countries.\n
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\n \n \n\n \n \n \n \n Multidisciplinary outpatient treatment in patients with mild traumatic brain injury: A randomised controlled intervention study.\n \n\n\n \n Vikane, E.; Hellstrøm, T.; Røe, C.; Bautz-Holter, E.; Aßmus, J.; and Skouen, J., S.\n \n\n\n \n\n\n\n Brain Injury, 31(4): 475-484. 3 2017.\n \n\n\n\n
\n\n\n \n \n \n \"MultidisciplinaryWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Multidisciplinary outpatient treatment in patients with mild traumatic brain injury: A randomised controlled intervention study},\n type = {article},\n year = {2017},\n identifiers = {[object Object]},\n keywords = {Mild traumatic brain injury,post-concussion symptoms,randomised controlled trial,return-to-work,vocational rehabilitation},\n pages = {475-484},\n volume = {31},\n websites = {https://www.tandfonline.com/doi/full/10.1080/02699052.2017.1280852},\n month = {3},\n publisher = {Taylor & Francis},\n day = {21},\n id = {d3c5e934-0a20-3053-9d80-c864b1210bf8},\n created = {2017-08-25T10:44:21.517Z},\n accessed = {2017-08-25},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-08-25T10:44:21.517Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {ABSTRACTObjective: To evaluate the efficacy of a multidisciplinary outpatient follow-up programme compared to follow-up by a general practitioner for patients being at-risk or sick-listed with persistent post-concussion symptoms two months after a mild traumatic brain injury. Design: Randomised controlled trial. Patients: One hundred fifty-one patients, 16–56 years. Methods: Multidisciplinary outpatient rehabilitation with individual contacts and a psycho-educational group intervention at two outpatient rehabilitation clinics compared to follow-up by a general practitioner after the multidisciplinary examination. Primary outcome was sustainable return-to-work first year post-injury. Secondary outcomes were post-concussion symptoms, disability, the patient’s impressions of change and psychological distress. Results: Days to sustainable return-to-work was 90 in the intervention and 71 in the control group (p = 0.375). The number of post-concussion symptoms were fewer in the intervention (6) compared to the ...},\n bibtype = {article},\n author = {Vikane, Eirik and Hellstrøm, Torgeir and Røe, Cecilie and Bautz-Holter, Erik and Aßmus, Jörg and Skouen, Jan Sture},\n journal = {Brain Injury},\n number = {4}\n}
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\n ABSTRACTObjective: To evaluate the efficacy of a multidisciplinary outpatient follow-up programme compared to follow-up by a general practitioner for patients being at-risk or sick-listed with persistent post-concussion symptoms two months after a mild traumatic brain injury. Design: Randomised controlled trial. Patients: One hundred fifty-one patients, 16–56 years. Methods: Multidisciplinary outpatient rehabilitation with individual contacts and a psycho-educational group intervention at two outpatient rehabilitation clinics compared to follow-up by a general practitioner after the multidisciplinary examination. Primary outcome was sustainable return-to-work first year post-injury. Secondary outcomes were post-concussion symptoms, disability, the patient’s impressions of change and psychological distress. Results: Days to sustainable return-to-work was 90 in the intervention and 71 in the control group (p = 0.375). The number of post-concussion symptoms were fewer in the intervention (6) compared to the ...\n
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\n \n \n\n \n \n \n \n A systematic literature review of psychotherapeutic treatment of prolonged symptoms after mild traumatic brain injury.\n \n\n\n \n Bergersen, K.; Halvorsen, J., Ø.; Tryti, E., A.; Taylor, S., I.; and Olsen, A.\n \n\n\n \n\n\n\n Brain Injury, 31(3): 279-289. 2 2017.\n \n\n\n\n
\n\n\n \n \n \n \"AWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {A systematic literature review of psychotherapeutic treatment of prolonged symptoms after mild traumatic brain injury},\n type = {article},\n year = {2017},\n identifiers = {[object Object]},\n pages = {279-289},\n volume = {31},\n websites = {https://www.tandfonline.com/doi/full/10.1080/02699052.2016.1255779},\n month = {2},\n day = {23},\n id = {87ae5df2-4097-3b05-a27e-d8095c1e964f},\n created = {2017-08-25T10:44:21.527Z},\n accessed = {2017-08-25},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-08-25T10:45:30.198Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {Background: Mild traumatic brain injuries (mTBI) are the most common of traumatic brain injuries and patients often experience a wide range of symptoms such as headache, fatigue, dizziness, sleep problems and subjective cognitive deficits. While most symptomatic patients recover quickly, a sub-group of ~ 10–20% of patients experience prolonged symptoms. There is currently a lack of evidence-based treatment for these patients.\r\n\r\nObjective: The objective of the present paper was to conduct a systematic review of the literature on psychotherapeutic interventions specifically for patients with prolonged symptoms (> 3 months after injury) after mTBI.\r\n\r\nMethods: With a more precise definition of psychotherapy than previous reviews, an extensive literature search was conducted that yielded 2332 hits, of which five were considered to meet the criteria. Only two of the studies were randomized controlled trials.\r\n\r\nResults and conclusions: Results revealed several methodological limitations in the included studies, leading to the conclusion that it is premature to make any strong recommendations on psychotherapeutic treatment of prolonged symptoms after mTBI. With in-depth methodological analyses of the included studies and comprehensive recommendations for future research, the present review aims to inform clinicians and to encourage scientists to engage in collaborative effort towards increasing the number of methodologically sound clinical trials in the field.},\n bibtype = {article},\n author = {Bergersen, Kjersti and Halvorsen, Joar Øveraas and Tryti, Einar Aagaard and Taylor, Solveig Isabel and Olsen, Alexander},\n journal = {Brain Injury},\n number = {3}\n}
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\n Background: Mild traumatic brain injuries (mTBI) are the most common of traumatic brain injuries and patients often experience a wide range of symptoms such as headache, fatigue, dizziness, sleep problems and subjective cognitive deficits. While most symptomatic patients recover quickly, a sub-group of ~ 10–20% of patients experience prolonged symptoms. There is currently a lack of evidence-based treatment for these patients.\r\n\r\nObjective: The objective of the present paper was to conduct a systematic review of the literature on psychotherapeutic interventions specifically for patients with prolonged symptoms (> 3 months after injury) after mTBI.\r\n\r\nMethods: With a more precise definition of psychotherapy than previous reviews, an extensive literature search was conducted that yielded 2332 hits, of which five were considered to meet the criteria. Only two of the studies were randomized controlled trials.\r\n\r\nResults and conclusions: Results revealed several methodological limitations in the included studies, leading to the conclusion that it is premature to make any strong recommendations on psychotherapeutic treatment of prolonged symptoms after mTBI. With in-depth methodological analyses of the included studies and comprehensive recommendations for future research, the present review aims to inform clinicians and to encourage scientists to engage in collaborative effort towards increasing the number of methodologically sound clinical trials in the field.\n
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\n \n \n\n \n \n \n \n Adding insult to brain injury: young adults’ experiences of residing in nursing homes following acquired brain injury.\n \n\n\n \n Dwyer, A.; Heary, C.; Ward, M.; and MacNeela, P.\n \n\n\n \n\n\n\n Disability and Rehabilitation, 1-11. 8 2017.\n \n\n\n\n
\n\n\n \n \n \n \"AddingWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Adding insult to brain injury: young adults’ experiences of residing in nursing homes following acquired brain injury},\n type = {article},\n year = {2017},\n identifiers = {[object Object]},\n pages = {1-11},\n websites = {https://www.tandfonline.com/doi/full/10.1080/09638288.2017.1370732},\n month = {8},\n day = {28},\n id = {55193727-1a64-321c-8f64-5955fab38482},\n created = {2017-08-29T07:53:25.121Z},\n accessed = {2017-08-29},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-08-29T07:53:25.121Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {Purpose: There is general consensus that adults under age 65 with acquired brain injury residing in nursing homes is inappropriate, however there is a limited evidence base on the issue. Previous research has relied heavily on third-party informants and qualitative studies have been of questionable methodological quality, with no known study adopting a phenomenological approach. This study explored the lived experiences of young adults with brain injury residing in aged care facilities.\r\n\r\nMethods: Interpretative phenomenological analysis was employed to collect and analyze data from six semi-structured interviews with participants regarding their experiences of living in nursing homes.\r\n\r\nResults: Two themes were identified, including “Corporeal prison of acquired brain injury: broken selves” and “Existential prison of the nursing home: stagnated lives”. Results illustrated that young adults with acquired brain injury can experience aged care as an existential prison in which their lives feel at a standstill. This experience was characterized by feelings of not belonging in a terminal environment, confinement, disempowerment, emptiness and hope for greater autonomy through rehabilitation.\r\n\r\nConclusion: It is hoped that this study will provide relevant professionals, services and policy-makers with insight into the challenges and needs of young adults with brain injury facing these circumstances.\r\n\r\nImplications for rehabilitation\r\nThis study supports the contention that more home-like and age-appropriate residential rehabilitation services for young adults with acquired brain injury are needed.\r\n\r\nAs development of alternative accommodation is a lengthy process, the study findings suggest that the interim implementation of rehabilitative care in nursing homes should be considered.\r\n\r\nTaken together with existing research, it is proposed that nursing home staff may require training to deliver evidence-based rehabilitative interventions to those with brain injury.\r\n\r\nThe present findings add support to the call for systemic change in Ireland, to clarify the acquired brain injury care pathway and establish integrated rehabilitation services.},\n bibtype = {article},\n author = {Dwyer, Aoife and Heary, Caroline and Ward, Marcia and MacNeela, Pádraig},\n journal = {Disability and Rehabilitation}\n}
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\n Purpose: There is general consensus that adults under age 65 with acquired brain injury residing in nursing homes is inappropriate, however there is a limited evidence base on the issue. Previous research has relied heavily on third-party informants and qualitative studies have been of questionable methodological quality, with no known study adopting a phenomenological approach. This study explored the lived experiences of young adults with brain injury residing in aged care facilities.\r\n\r\nMethods: Interpretative phenomenological analysis was employed to collect and analyze data from six semi-structured interviews with participants regarding their experiences of living in nursing homes.\r\n\r\nResults: Two themes were identified, including “Corporeal prison of acquired brain injury: broken selves” and “Existential prison of the nursing home: stagnated lives”. Results illustrated that young adults with acquired brain injury can experience aged care as an existential prison in which their lives feel at a standstill. This experience was characterized by feelings of not belonging in a terminal environment, confinement, disempowerment, emptiness and hope for greater autonomy through rehabilitation.\r\n\r\nConclusion: It is hoped that this study will provide relevant professionals, services and policy-makers with insight into the challenges and needs of young adults with brain injury facing these circumstances.\r\n\r\nImplications for rehabilitation\r\nThis study supports the contention that more home-like and age-appropriate residential rehabilitation services for young adults with acquired brain injury are needed.\r\n\r\nAs development of alternative accommodation is a lengthy process, the study findings suggest that the interim implementation of rehabilitative care in nursing homes should be considered.\r\n\r\nTaken together with existing research, it is proposed that nursing home staff may require training to deliver evidence-based rehabilitative interventions to those with brain injury.\r\n\r\nThe present findings add support to the call for systemic change in Ireland, to clarify the acquired brain injury care pathway and establish integrated rehabilitation services.\n
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\n \n \n\n \n \n \n \n Music interventions for acquired brain injury.\n \n\n\n \n Magee, W., L.; Clark, I.; Tamplin, J.; and Bradt, J.\n \n\n\n \n\n\n\n 2017.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@misc{\n title = {Music interventions for acquired brain injury},\n type = {misc},\n year = {2017},\n source = {Cochrane Database of Systematic Reviews},\n identifiers = {[object Object]},\n volume = {2017},\n issue = {1},\n id = {636391d1-bbaf-3a96-b29f-2b25fa7a4d9e},\n created = {2017-08-31T09:13:51.600Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-08-31T09:13:51.600Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {BACKGROUND: Acquired brain injury (ABI) can result in impairments in motor function, language, cognition, and sensory processing, and in emotional disturbances, which can severely reduce a survivor's quality of life. Music interventions have been used in rehabilitation to stimulate brain functions involved in movement, cognition, speech, emotions, and sensory perceptions. An update of the systematic review published in 2010 was needed to gauge the efficacy of music interventions in rehabilitation for people with ABI. OBJECTIVES: To assess the effects of music interventions for functional outcomes in people with ABI. We expanded the criteria of our existing review to: 1) examine the efficacy of music interventions in addressing recovery in people with ABI including gait, upper extremity function, communication, mood and emotions, cognitive functioning, social skills, pain, behavioural outcomes, activities of daily living, and adverse events; 2) compare the efficacy of music interventions and standard care with a) standard care alone, b) standard care and placebo treatments, or c) standard care and other therapies; 3) compare the efficacy of different types of music interventions (music therapy delivered by trained music therapists versus music interventions delivered by other professionals). SEARCH METHODS: We searched the Cochrane Stroke Group Trials Register (January 2016), the Cochrane Central Register of Controlled Trials (CENTRAL) (2015, Issue 6), MEDLINE (1946 to June 2015), Embase (1980 to June 2015), CINAHL (1982 to June 2015), PsycINFO (1806 to June 2015), LILACS (1982 to January 2016), and AMED (1985 to June 2015). We handsearched music therapy journals and conference proceedings, searched dissertation and specialist music databases, trials and research registers, reference lists, and contacted relevant experts and music therapy associations to identify unpublished research. We imposed no language restriction. We performed the original search in 2009. SELECTION CRITERIA: We included all randomised controlled trials and controlled clinical trials that compared music interventions and standard care with standard care alone or combined with other therapies. We examined studies that included people older than 16 years of age who had ABI of a non-degenerative nature and were participating in treatment programmes offered in hospital, outpatient, or community settings. We included studies in any language, published and unpublished. DATA COLLECTION AND ANALYSIS: Two review authors independently extracted data and assessed the risk of bias of the included studies. We contacted trial researchers to obtain missing data or for additional information when necessary. Where possible, we presented results for continuous outcomes in meta-analyses using mean differences (MDs) and standardised mean differences (SMDs). We used post-test scores. In cases of significant baseline difference, we used change scores. We conducted a sensitivity analysis to assess the impact of the randomisation method. MAIN RESULTS: We identified 22 new studies for this update. The evidence for this update is based on 29 trials involving 775 participants. A music intervention known as rhythmic auditory stimulation may be beneficial for improving the following gait parameters after stroke. We found a reported increase in gait velocity of 11.34 metres per minute (95% confidence interval (CI) 8.40 to 14.28; 9 trials; 268 participants; P < 0.00001; moderate-quality evidence). Stride length of the affected side may also benefit, with a reported average of 0.12 metres more (95% CI 0.04 to 0.20; 5 trials; 129 participants; P = 0.003; moderate-quality evidence). We found a reported average improvement for general gait of 7.67 units on the Dynamic Gait Index (95% CI 5.67 to 9.67; 2 trials; 48 participants; P < 0.00001). There may also be an improvement in gait cadence, with a reported average increase of 10.77 steps per minute (95% CI 4.36 to 17.18; 7 trials; 223 participants; P = 0.001; low-quality evidence).Music interventions may be beneficial for improving the timing of upper extremity function after stroke as scored by a reduction of 1.08 seconds on the Wolf Motor Function Test (95% CI -1.69 to -0.47; 2 trials; 122 participants; very low-quality evidence).Music interventions may be beneficial for communication outcomes in people with aphasia following stroke. Overall, communication improved by 0.75 standard deviations in the intervention group, a moderate effect (95% CI 0.11 to 1.39; 3 trials; 67 participants; P = 0.02; very low-quality evidence). Naming was reported as improving by 9.79 units on the Aachen Aphasia Test (95% CI 1.37 to 18.21; 2 trials; 35 participants; P = 0.02). Music interventions may have a beneficial effect on speech repetition, reported as an average increase of 8.90 score on the Aachen Aphasia Test (95% CI 3.25 to 14.55; 2 trials; 35 participants; P = 0.002).There may be an improvement in quality of life following stroke using rhythmic auditory stimulation, reported at 0.89 standard deviations improvement on the Stroke Specific Quality of Life Scale, which is considered to be a large effect (95% CI 0.32 to 1.46; 2 trials; 53 participants; P = 0.002; low-quality evidence). We found no strong evidence for effects on memory and attention. Data were insufficient to examine the effect of music interventions on other outcomes.The majority of studies included in this review update presented a high risk of bias, therefore the quality of the evidence is low. AUTHORS' CONCLUSIONS: Music interventions may be beneficial for gait, the timing of upper extremity function, communication outcomes, and quality of life after stroke. These results are encouraging, but more high-quality randomised controlled trials are needed on all outcomes before recommendations can be made for clinical practice.},\n bibtype = {misc},\n author = {Magee, Wendy L. and Clark, Imogen and Tamplin, Jeanette and Bradt, Joke}\n}
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\n BACKGROUND: Acquired brain injury (ABI) can result in impairments in motor function, language, cognition, and sensory processing, and in emotional disturbances, which can severely reduce a survivor's quality of life. Music interventions have been used in rehabilitation to stimulate brain functions involved in movement, cognition, speech, emotions, and sensory perceptions. An update of the systematic review published in 2010 was needed to gauge the efficacy of music interventions in rehabilitation for people with ABI. OBJECTIVES: To assess the effects of music interventions for functional outcomes in people with ABI. We expanded the criteria of our existing review to: 1) examine the efficacy of music interventions in addressing recovery in people with ABI including gait, upper extremity function, communication, mood and emotions, cognitive functioning, social skills, pain, behavioural outcomes, activities of daily living, and adverse events; 2) compare the efficacy of music interventions and standard care with a) standard care alone, b) standard care and placebo treatments, or c) standard care and other therapies; 3) compare the efficacy of different types of music interventions (music therapy delivered by trained music therapists versus music interventions delivered by other professionals). SEARCH METHODS: We searched the Cochrane Stroke Group Trials Register (January 2016), the Cochrane Central Register of Controlled Trials (CENTRAL) (2015, Issue 6), MEDLINE (1946 to June 2015), Embase (1980 to June 2015), CINAHL (1982 to June 2015), PsycINFO (1806 to June 2015), LILACS (1982 to January 2016), and AMED (1985 to June 2015). We handsearched music therapy journals and conference proceedings, searched dissertation and specialist music databases, trials and research registers, reference lists, and contacted relevant experts and music therapy associations to identify unpublished research. We imposed no language restriction. We performed the original search in 2009. SELECTION CRITERIA: We included all randomised controlled trials and controlled clinical trials that compared music interventions and standard care with standard care alone or combined with other therapies. We examined studies that included people older than 16 years of age who had ABI of a non-degenerative nature and were participating in treatment programmes offered in hospital, outpatient, or community settings. We included studies in any language, published and unpublished. DATA COLLECTION AND ANALYSIS: Two review authors independently extracted data and assessed the risk of bias of the included studies. We contacted trial researchers to obtain missing data or for additional information when necessary. Where possible, we presented results for continuous outcomes in meta-analyses using mean differences (MDs) and standardised mean differences (SMDs). We used post-test scores. In cases of significant baseline difference, we used change scores. We conducted a sensitivity analysis to assess the impact of the randomisation method. MAIN RESULTS: We identified 22 new studies for this update. The evidence for this update is based on 29 trials involving 775 participants. A music intervention known as rhythmic auditory stimulation may be beneficial for improving the following gait parameters after stroke. We found a reported increase in gait velocity of 11.34 metres per minute (95% confidence interval (CI) 8.40 to 14.28; 9 trials; 268 participants; P < 0.00001; moderate-quality evidence). Stride length of the affected side may also benefit, with a reported average of 0.12 metres more (95% CI 0.04 to 0.20; 5 trials; 129 participants; P = 0.003; moderate-quality evidence). We found a reported average improvement for general gait of 7.67 units on the Dynamic Gait Index (95% CI 5.67 to 9.67; 2 trials; 48 participants; P < 0.00001). There may also be an improvement in gait cadence, with a reported average increase of 10.77 steps per minute (95% CI 4.36 to 17.18; 7 trials; 223 participants; P = 0.001; low-quality evidence).Music interventions may be beneficial for improving the timing of upper extremity function after stroke as scored by a reduction of 1.08 seconds on the Wolf Motor Function Test (95% CI -1.69 to -0.47; 2 trials; 122 participants; very low-quality evidence).Music interventions may be beneficial for communication outcomes in people with aphasia following stroke. Overall, communication improved by 0.75 standard deviations in the intervention group, a moderate effect (95% CI 0.11 to 1.39; 3 trials; 67 participants; P = 0.02; very low-quality evidence). Naming was reported as improving by 9.79 units on the Aachen Aphasia Test (95% CI 1.37 to 18.21; 2 trials; 35 participants; P = 0.02). Music interventions may have a beneficial effect on speech repetition, reported as an average increase of 8.90 score on the Aachen Aphasia Test (95% CI 3.25 to 14.55; 2 trials; 35 participants; P = 0.002).There may be an improvement in quality of life following stroke using rhythmic auditory stimulation, reported at 0.89 standard deviations improvement on the Stroke Specific Quality of Life Scale, which is considered to be a large effect (95% CI 0.32 to 1.46; 2 trials; 53 participants; P = 0.002; low-quality evidence). We found no strong evidence for effects on memory and attention. Data were insufficient to examine the effect of music interventions on other outcomes.The majority of studies included in this review update presented a high risk of bias, therefore the quality of the evidence is low. AUTHORS' CONCLUSIONS: Music interventions may be beneficial for gait, the timing of upper extremity function, communication outcomes, and quality of life after stroke. These results are encouraging, but more high-quality randomised controlled trials are needed on all outcomes before recommendations can be made for clinical practice.\n
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\n \n \n\n \n \n \n \n Strong evidence for activity of daily living interventions improving functional performance in home and community settings in stroke rehabilitation.\n \n\n\n \n George, S.; and Gustafsson, L.\n \n\n\n \n\n\n\n Australian Occupational Therapy Journal, 64(1): 87-88. 2017.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Strong evidence for activity of daily living interventions improving functional performance in home and community settings in stroke rehabilitation},\n type = {article},\n year = {2017},\n identifiers = {[object Object]},\n pages = {87-88},\n volume = {64},\n id = {57e428a7-2d8f-3066-8f57-efbefb615eef},\n created = {2017-08-31T09:13:51.603Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-08-31T09:13:51.603Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {A review of the article “Effectiveness of occupation-based interventions to improve areas of occupation and social participation after stroke: An evidence-based review” by Wolf, T. J., Chuh, A., Floyd, T., McInnis, K. & Williams, E., which appeared in the previous issue of the journal is presented.},\n bibtype = {article},\n author = {George, Stacey and Gustafsson, Louise},\n journal = {Australian Occupational Therapy Journal},\n number = {1}\n}
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\n A review of the article “Effectiveness of occupation-based interventions to improve areas of occupation and social participation after stroke: An evidence-based review” by Wolf, T. J., Chuh, A., Floyd, T., McInnis, K. & Williams, E., which appeared in the previous issue of the journal is presented.\n
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\n \n \n\n \n \n \n \n Community-Based Rehabilitation to Improve Stroke Survivors' Rehabilitation Participation and Functional Recovery.\n \n\n\n \n Ru, X.; Dai, H.; Jiang, B.; Li, N.; Zhao, X.; Hong, Z.; He, L.; and Wang, W.\n \n\n\n \n\n\n\n American journal of physical medicine & rehabilitation, 96(7): e123-e129. 2017.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Community-Based Rehabilitation to Improve Stroke Survivors' Rehabilitation Participation and Functional Recovery.},\n type = {article},\n year = {2017},\n identifiers = {[object Object]},\n pages = {e123-e129},\n volume = {96},\n id = {8cb7a363-0bd5-3e6c-83c6-4c8999862632},\n created = {2017-08-31T09:13:51.614Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-08-31T09:13:51.614Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {OBJECTIVE: The aim of this study was to evaluate the effectiveness of a community-based rehabilitation appropriate technique (CRAT) intervention program in increasing rehabilitation participation and improving functional recovery of stroke survivors. DESIGN: This study followed a quasi-experimental design. In each of 5 centers servicing approximately 50,000 individuals, 2 communities were designated as either the intervention or control community. A CRAT intervention program, including 2-year rehabilitation education and 3-month CRAT treatment, was regularly implemented in the intervention communities, whereas there was no special intervention in the control community. Two sampling surveys, at baseline and after intervention, were administered to evaluate the rehabilitation activity undertaken. In intervention communities, stroke survivor's motor function, daily activity, and social activity were evaluated pretreatment and posttreatment, using the Fugl-Meyer Motor Function Assessment, Barthel index, and Social Functional Activities Questionnaire. RESULTS: The proportion of individuals participating in rehabilitation-related activity was increased significantly (P < 0.05) in intervention communities, as compared with control communities. In intervention communities, the patients' Fugl-Meyer Motor Function Assessment, Barthel index, and Social Functional Activities Questionnaire scores were significantly improved after rehabilitation (P < 0.05) across all ages and disease courses, except for the FAQ scores in patients younger than 50 years (P > 0.05). CONCLUSIONS: Community-based rehabilitation appropriate technique increases rehabilitation participation rates and enhances motor function, daily activity, and social activity of stroke survivors.},\n bibtype = {article},\n author = {Ru, Xiaojuan and Dai, Hong and Jiang, Bin and Li, Ninghua and Zhao, Xingquan and Hong, Zhen and He, Li and Wang, Wenzhi},\n journal = {American journal of physical medicine & rehabilitation},\n number = {7}\n}
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\n OBJECTIVE: The aim of this study was to evaluate the effectiveness of a community-based rehabilitation appropriate technique (CRAT) intervention program in increasing rehabilitation participation and improving functional recovery of stroke survivors. DESIGN: This study followed a quasi-experimental design. In each of 5 centers servicing approximately 50,000 individuals, 2 communities were designated as either the intervention or control community. A CRAT intervention program, including 2-year rehabilitation education and 3-month CRAT treatment, was regularly implemented in the intervention communities, whereas there was no special intervention in the control community. Two sampling surveys, at baseline and after intervention, were administered to evaluate the rehabilitation activity undertaken. In intervention communities, stroke survivor's motor function, daily activity, and social activity were evaluated pretreatment and posttreatment, using the Fugl-Meyer Motor Function Assessment, Barthel index, and Social Functional Activities Questionnaire. RESULTS: The proportion of individuals participating in rehabilitation-related activity was increased significantly (P < 0.05) in intervention communities, as compared with control communities. In intervention communities, the patients' Fugl-Meyer Motor Function Assessment, Barthel index, and Social Functional Activities Questionnaire scores were significantly improved after rehabilitation (P < 0.05) across all ages and disease courses, except for the FAQ scores in patients younger than 50 years (P > 0.05). CONCLUSIONS: Community-based rehabilitation appropriate technique increases rehabilitation participation rates and enhances motor function, daily activity, and social activity of stroke survivors.\n
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\n \n \n\n \n \n \n \n Outcomes of a community-based treatment programme for people with acquired brain injury in the chronic phase: a pilot study.\n \n\n\n \n Middag-van Spanje, M.; Smeets, S.; van Haastregt, J.; and van Heugten, C.\n \n\n\n \n\n\n\n Neuropsychological rehabilitation, 1-17. 2017.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Outcomes of a community-based treatment programme for people with acquired brain injury in the chronic phase: a pilot study.},\n type = {article},\n year = {2017},\n identifiers = {[object Object]},\n pages = {1-17},\n id = {a72f1bba-01ec-3226-a18a-8681a72984fc},\n created = {2017-08-31T09:13:51.629Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-08-31T09:13:51.629Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {The objective of the study was to evaluate the outcomes of Brainz, a low intensity community-based treatment programme for people with acquired brain injury (ABI). Participants were 62 people with sustained ABI (5.2 years post-injury, SD = 4.5) and 35 family caregivers. Participants attended two to five cognitive and physical group modules and received two hours of individual home treatment every two weeks. Primary outcomes for people with ABI were participation, perceived difficulties in daily life and need of care, level of goal attainment, and self-esteem. Primary family caregiver outcome was perceived burden of care. Attrition rate of people with ABI was 24% (n = 15), and of family caregivers was 31% (n = 11). People with ABI were more satisfied with the level of their participation after completing Brainz (p < .01), but showed no change in participation frequency or in restrictions (both ps > .01). They perceived fewer difficulties in daily life and less need of care (both ps < .01). Also, in two cognitive modules people improved on their goal achievement (p < .01). However, their self-esteem was reduced (p < .01). Caregiver burden was reduced (p < .01). This study has provided preliminary evidence of the effectiveness of a combined group-based clinical and individual home-based treatment programme, but more research is needed, preferably in larger controlled studies.},\n bibtype = {article},\n author = {Middag-van Spanje, Marij and Smeets, Sanne and van Haastregt, Jolanda and van Heugten, Caroline},\n journal = {Neuropsychological rehabilitation}\n}
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\n The objective of the study was to evaluate the outcomes of Brainz, a low intensity community-based treatment programme for people with acquired brain injury (ABI). Participants were 62 people with sustained ABI (5.2 years post-injury, SD = 4.5) and 35 family caregivers. Participants attended two to five cognitive and physical group modules and received two hours of individual home treatment every two weeks. Primary outcomes for people with ABI were participation, perceived difficulties in daily life and need of care, level of goal attainment, and self-esteem. Primary family caregiver outcome was perceived burden of care. Attrition rate of people with ABI was 24% (n = 15), and of family caregivers was 31% (n = 11). People with ABI were more satisfied with the level of their participation after completing Brainz (p < .01), but showed no change in participation frequency or in restrictions (both ps > .01). They perceived fewer difficulties in daily life and less need of care (both ps < .01). Also, in two cognitive modules people improved on their goal achievement (p < .01). However, their self-esteem was reduced (p < .01). Caregiver burden was reduced (p < .01). This study has provided preliminary evidence of the effectiveness of a combined group-based clinical and individual home-based treatment programme, but more research is needed, preferably in larger controlled studies.\n
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\n  \n 2016\n \n \n (5)\n \n \n
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\n \n \n\n \n \n \n \n Epidemiology of traumatic brain injuries in Europe: a cross-sectional analysis.\n \n\n\n \n Majdan, M.; Plancikova, D.; Brazinova, A.; Rusnak, M.; Nieboer, D.; Feigin, V.; and Maas, A.\n \n\n\n \n\n\n\n The Lancet Public Health, 1(2). 2016.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Epidemiology of traumatic brain injuries in Europe: a cross-sectional analysis},\n type = {article},\n year = {2016},\n identifiers = {[object Object]},\n volume = {1},\n id = {2a55399f-4165-32f5-877b-f02dde33b05e},\n created = {2017-06-28T11:28:37.162Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:28:37.162Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {INTRODUCTION Traumatic brain injuries (TBI) are a major medical and socioeconomic problem. We aimed to estimate the hospital-based incidence, population-wide mortality, and the contribution of TBI to injury-related mortalities in European countries, and to provide European summary estimates for these indicators. METHODS For this cross-sectional analysis, we obtained population data from Eurostat for hospital discharges and causes of death in European countries in 2012. Outcomes of interest were TBIs that required hospital admission or were fatal. We calculated age-adjusted hospital discharge rates and mortality rates and extrapolated data to 28 European Union countries and all 48 states in Europe. We present between-country comparisons, pooled age-adjusted rates, and comparisons with all-injury rates. FINDINGS In 2012, 1 375 974 hospital discharges (data from 24 countries) and 33 415 deaths (25 countries) related to TBI were identified. The pooled age-adjusted hospital discharge rate was 287·2 per 100 000 (95% CI 232·9–341·5) and the pooled age-adjusted mortality rate was 11·7 per 100 000 (9·9–13·6). TBI caused 37% (95% CI 36–38) of all injury-related deaths in the analysed countries. Extrapolating our results, we estimate 56 946 (95% CI 47 286–66 099) TBI-related deaths and 1 445 526 (1 172 996–1 717 039) hospital discharges occurred in 2012 in the European Union (population 508·5 million) and about 82 000 deaths and about 2·1 million hospital discharges in the whole of Europe (population 737 million). We noted substantial between-country differences. INTERPRETATION TBI is an important cause of death and hospital admissions in Europe. The substantial between-country differences observed warrant further study and suggest that the true burden of TBI in Europe has not yet been captured. Rigorous epidemiological studies are needed to fully quantify the effect of TBI on society. Despite a great degree of consistency in data reporting across countries already being achieved, further efforts in this respect could improve the validity of between-country comparisons. FUNDING European Union, FP7.},\n bibtype = {article},\n author = {Majdan, Marek and Plancikova, Dominika and Brazinova, Alexandra and Rusnak, Martin and Nieboer, Daan and Feigin, Valery and Maas, Andrew},\n journal = {The Lancet Public Health},\n number = {2}\n}
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\n INTRODUCTION Traumatic brain injuries (TBI) are a major medical and socioeconomic problem. We aimed to estimate the hospital-based incidence, population-wide mortality, and the contribution of TBI to injury-related mortalities in European countries, and to provide European summary estimates for these indicators. METHODS For this cross-sectional analysis, we obtained population data from Eurostat for hospital discharges and causes of death in European countries in 2012. Outcomes of interest were TBIs that required hospital admission or were fatal. We calculated age-adjusted hospital discharge rates and mortality rates and extrapolated data to 28 European Union countries and all 48 states in Europe. We present between-country comparisons, pooled age-adjusted rates, and comparisons with all-injury rates. FINDINGS In 2012, 1 375 974 hospital discharges (data from 24 countries) and 33 415 deaths (25 countries) related to TBI were identified. The pooled age-adjusted hospital discharge rate was 287·2 per 100 000 (95% CI 232·9–341·5) and the pooled age-adjusted mortality rate was 11·7 per 100 000 (9·9–13·6). TBI caused 37% (95% CI 36–38) of all injury-related deaths in the analysed countries. Extrapolating our results, we estimate 56 946 (95% CI 47 286–66 099) TBI-related deaths and 1 445 526 (1 172 996–1 717 039) hospital discharges occurred in 2012 in the European Union (population 508·5 million) and about 82 000 deaths and about 2·1 million hospital discharges in the whole of Europe (population 737 million). We noted substantial between-country differences. INTERPRETATION TBI is an important cause of death and hospital admissions in Europe. The substantial between-country differences observed warrant further study and suggest that the true burden of TBI in Europe has not yet been captured. Rigorous epidemiological studies are needed to fully quantify the effect of TBI on society. Despite a great degree of consistency in data reporting across countries already being achieved, further efforts in this respect could improve the validity of between-country comparisons. FUNDING European Union, FP7.\n
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\n \n \n\n \n \n \n \n Community integration questionnaire norms for persons with acquired brain injury.\n \n\n\n \n Matian, D.\n \n\n\n \n\n\n\n 2016.\n \n\n\n\n
\n\n\n \n \n \n \"CommunityWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@misc{\n title = {Community integration questionnaire norms for persons with acquired brain injury.},\n type = {misc},\n year = {2016},\n source = {Dissertation Abstracts International: Section B: The Sciences and Engineering},\n identifiers = {[object Object]},\n keywords = {*Brain Disorders,*Cognitive Rehabilitation,*Treatment Outcomes,Health Behavior},\n pages = {No-Specified},\n volume = {76},\n issue = {11-B(E)},\n websites = {http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=psyc13&NEWS=N&AN=2016-17134-270},\n id = {f41f5d55-e71a-31a9-a4a2-7d2605aa049a},\n created = {2017-07-27T11:53:53.330Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-07-27T11:53:53.440Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {Functional assessment of patients with acquired brain injury has become a focus in brain injury rehabilitation. Despite the Community Integration Questionnaire's (CIQ) wide usage, to date no research has been conducted to establish norms for the questionnaire's four groupings, namely CIQ Total, Home Integration, Social Integration, and Productivity (Dijkers, 2000; Willer, Ottenbacher & Coad, 1994). These clinically and theoretically significant groupings are useful for determining patient functional outcome in various domains of living (Sander et al., 1999). Though the questionnaire has established validity and reliability, without norms, interpretation of CIQ scores is skewed (Zhang et al., 2002). The CIQ, like many other measures of outcome (MOO), is influenced by demographic variables such as age at testing, gender, education, race, time since injury, type of injury (i.e. traumatic or non-traumatic), and place in cognitive rehabilitation (Schmidt, Garvin, Heinemann, & Kelly, 1995; Heinemann & Whiteneck, 1995; Zhang et al., 2002). This study establishes such norms based on a population of adults with acquired brain injuries seeking cognitive rehabilitation at the Acquired Brain Injury Program of Coastline Community College. (PsycINFO Database Record (c) 2016 APA, all rights reserved)},\n bibtype = {misc},\n author = {Matian, Deborah}\n}
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\n Functional assessment of patients with acquired brain injury has become a focus in brain injury rehabilitation. Despite the Community Integration Questionnaire's (CIQ) wide usage, to date no research has been conducted to establish norms for the questionnaire's four groupings, namely CIQ Total, Home Integration, Social Integration, and Productivity (Dijkers, 2000; Willer, Ottenbacher & Coad, 1994). These clinically and theoretically significant groupings are useful for determining patient functional outcome in various domains of living (Sander et al., 1999). Though the questionnaire has established validity and reliability, without norms, interpretation of CIQ scores is skewed (Zhang et al., 2002). The CIQ, like many other measures of outcome (MOO), is influenced by demographic variables such as age at testing, gender, education, race, time since injury, type of injury (i.e. traumatic or non-traumatic), and place in cognitive rehabilitation (Schmidt, Garvin, Heinemann, & Kelly, 1995; Heinemann & Whiteneck, 1995; Zhang et al., 2002). This study establishes such norms based on a population of adults with acquired brain injuries seeking cognitive rehabilitation at the Acquired Brain Injury Program of Coastline Community College. (PsycINFO Database Record (c) 2016 APA, all rights reserved)\n
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\n \n \n\n \n \n \n \n Traumatic Brain Injury Epidemiology in Brazil.\n \n\n\n \n De Almeida, C., E., R.; De Sousa Filho, J., L.; Dourado, J., C.; Gontijo, P., A., M.; Dellaretti, M., A.; and Costa, B., S.\n \n\n\n \n\n\n\n World Neurosurgery, 87. 2016.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Traumatic Brain Injury Epidemiology in Brazil},\n type = {article},\n year = {2016},\n identifiers = {[object Object]},\n volume = {87},\n id = {a114e7d3-d70c-3f74-b02f-80dfc2fe5384},\n created = {2017-07-27T11:53:53.524Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-07-27T11:53:53.641Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {Background Traumatic brain injury (TBI) stands out as a grave social and economic problem. Emerging countries possess few epidemiologic studies on the range and impact of TBI. Objective Our study aimed to characterize the demographic, social, and economic profile of people suffering from TBI in Brazil. Methods Data on TBI cases in Brazil between 2008 and 2012 were collected through the website of the Information Technology Department of the Unified Health System (DATASUS) maintained by the Brazilian Ministry of Health. This database is fed by public hospital admission authorization forms provided nationwide. Results There were around 125,000 hospital admissions due to TBI a year, an incidence of 65.7 admissions per 100,000 inhabitants per year. Hospital mortality was 5.1/100,000/year, and the case fatality rate was 7.7%. The average annual cost of hospital expenses was US$ 70,960,000, with an average cost per admission of US$ 568. The age group 20-29, frequently admitted to the hospital due to TBI, presented the largest number of hospital deaths; however, the population >80 years of age showed the highest admission rate per age group, around 138/100,000/year, followed by the age group 70-79. Conclusions TBI should be recognized as an important public health problem in Brazil because it is responsible for considerable social and economic costs. Besides the young adult age group (20-29 years old), the geriatric age group is especially vulnerable to the frequent and devastating consequences of TBI. The implementation of a system of effective epidemiologic vigilance for neurotrauma is urgent in Brazil and other countries worldwide.},\n bibtype = {article},\n author = {De Almeida, Carlos Eduardo Romeu and De Sousa Filho, José Lopes and Dourado, Jules Carlos and Gontijo, Pollyana Anício Magalhães and Dellaretti, Marcos Antônio and Costa, Bruno Silva},\n journal = {World Neurosurgery}\n}
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\n Background Traumatic brain injury (TBI) stands out as a grave social and economic problem. Emerging countries possess few epidemiologic studies on the range and impact of TBI. Objective Our study aimed to characterize the demographic, social, and economic profile of people suffering from TBI in Brazil. Methods Data on TBI cases in Brazil between 2008 and 2012 were collected through the website of the Information Technology Department of the Unified Health System (DATASUS) maintained by the Brazilian Ministry of Health. This database is fed by public hospital admission authorization forms provided nationwide. Results There were around 125,000 hospital admissions due to TBI a year, an incidence of 65.7 admissions per 100,000 inhabitants per year. Hospital mortality was 5.1/100,000/year, and the case fatality rate was 7.7%. The average annual cost of hospital expenses was US$ 70,960,000, with an average cost per admission of US$ 568. The age group 20-29, frequently admitted to the hospital due to TBI, presented the largest number of hospital deaths; however, the population >80 years of age showed the highest admission rate per age group, around 138/100,000/year, followed by the age group 70-79. Conclusions TBI should be recognized as an important public health problem in Brazil because it is responsible for considerable social and economic costs. Besides the young adult age group (20-29 years old), the geriatric age group is especially vulnerable to the frequent and devastating consequences of TBI. The implementation of a system of effective epidemiologic vigilance for neurotrauma is urgent in Brazil and other countries worldwide.\n
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\n \n \n\n \n \n \n \n Traumatic brain injury in England and Wales: prospective audit of epidemiology, complications and standardised mortality.\n \n\n\n \n Lawrence, T.; Helmy, A.; Bouamra, O.; Woodford, M.; Lecky, F.; and Hutchinson, P., J.\n \n\n\n \n\n\n\n BMJ Open, 6(11). 2016.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Traumatic brain injury in England and Wales: prospective audit of epidemiology, complications and standardised mortality},\n type = {article},\n year = {2016},\n identifiers = {[object Object]},\n volume = {6},\n id = {50eddb3e-18ab-3a74-ab0f-33effc109baa},\n created = {2017-08-25T09:15:33.437Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-08-25T09:15:33.535Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {OBJECTIVES: To provide a comprehensive assessment of the management of traumatic brain injury (TBI) relating to epidemiology, complications and standardised mortality across specialist units. DESIGN: The Trauma Audit and Research Network collects data prospectively on patients suffering trauma across England and Wales. We analysed all data collected on patients with TBI between April 2014 and June 2015. SETTING: Data were collected on patients presenting to emergency departments across 187 hospitals including 26 with specialist neurosurgical services, incorporating factors previously identified in the Ps14 multivariate logistic regression (Ps14n) model multivariate TBI outcome prediction model. The frequency and timing of secondary transfer to neurosurgical centres was assessed. RESULTS: We identified 15 820 patients with TBI presenting to neurosurgical centres directly (6258), transferred from a district hospital to a neurosurgical centre (3682) and remaining in a district general hospital (5880). The commonest mechanisms of injury were falls in the elderly and road traffic collisions in the young, which were more likely to present in coma. In severe TBI (Glasgow Coma Score (GCS) </=8), the median time from admission to imaging with CT scan is 0.5 hours. Median time to craniotomy from admission is 2.6 hours and median time to intracranial pressure monitoring is 3 hours. The most frequently documented complication of severe TBI is bronchopneumonia in 5% of patients. Risk-adjusted W scores derived from the Ps14n model indicate that no neurosurgical unit fell outside the 3 SD limits on a funnel plot. CONCLUSIONS: We provide the first comprehensive report of the management of TBI in England and Wales, including data from all neurosurgical units. These data provide transparency and suggests equity of access to high-quality TBI management provided in England and Wales.},\n bibtype = {article},\n author = {Lawrence, T and Helmy, A and Bouamra, O and Woodford, M and Lecky, F and Hutchinson, P J},\n journal = {BMJ Open},\n number = {11}\n}
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\n OBJECTIVES: To provide a comprehensive assessment of the management of traumatic brain injury (TBI) relating to epidemiology, complications and standardised mortality across specialist units. DESIGN: The Trauma Audit and Research Network collects data prospectively on patients suffering trauma across England and Wales. We analysed all data collected on patients with TBI between April 2014 and June 2015. SETTING: Data were collected on patients presenting to emergency departments across 187 hospitals including 26 with specialist neurosurgical services, incorporating factors previously identified in the Ps14 multivariate logistic regression (Ps14n) model multivariate TBI outcome prediction model. The frequency and timing of secondary transfer to neurosurgical centres was assessed. RESULTS: We identified 15 820 patients with TBI presenting to neurosurgical centres directly (6258), transferred from a district hospital to a neurosurgical centre (3682) and remaining in a district general hospital (5880). The commonest mechanisms of injury were falls in the elderly and road traffic collisions in the young, which were more likely to present in coma. In severe TBI (Glasgow Coma Score (GCS) \n\n\n
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\n \n \n\n \n \n \n \n The International Incidence of Traumatic Brain Injury: A Systematic Review and Meta-Analysis.\n \n\n\n \n Nguyen, R.; Fiest, K., M.; McChesney, J.; Kwon, C.; Jette, N.; Frolkis, A., D.; Atta, C.; Mah, S.; Dhaliwal, H.; Reid, A.; Pringsheim, T.; Dykeman, J.; and Gallagher, C.\n \n\n\n \n\n\n\n Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques, 43(06). 2016.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {The International Incidence of Traumatic Brain Injury: A Systematic Review and Meta-Analysis},\n type = {article},\n year = {2016},\n identifiers = {[object Object]},\n volume = {43},\n id = {e7c81a1e-ca4d-310f-ae71-bd960fbf8d05},\n created = {2017-10-05T10:23:17.114Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-10-05T10:23:17.272Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {<p> <bold> <italic>Background:</italic> </bold> Understanding the epidemiology of traumatic brain injury (TBI) is essential to shape public health policy, implement prevention strategies, and justify allocation of resources toward research, education, and rehabilitation in TBI. There is not, to our knowledge, a systematic review of population-based studies addressing the epidemiology of TBI that includes all subtypes. We performed a comprehensive systematic review and meta-analysis of the worldwide incidence of TBI. <bold> <italic>Methods:</italic> </bold> A search was conducted on May 23, 2014, in Medline and EMBASE according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Abstracts were screened independently and in duplicate to identify original research. Study quality and ascertainment bias were assessed in duplicate using a previously published tool. Demographic data and incidence estimates from each study were recorded, along with stratification by age, gender, year of data collection, and severity. <bold> <italic>Results:</italic> </bold> The search strategy yielded 4944 citations. Two hundred and sixteen articles met criteria for full-text review; 144 were excluded. Hand searching resulted in ten additional articles. Eighty-two studies met all eligibility criteria. The pooled annual incidence proportion for all ages was 295 per 100,000 (95% confidence interval: 274-317). The pooled incidence rate for all ages was 349 (95% confidence interval: 96.2-1266) per 100,000 person-years. Incidence proportion and incidence rate were examined to see if associated with age, sex, country, or severity. <bold> <italic>Conclusions:</italic> </bold> We conclude that most TBIs are mild and most TBIs occur in males among the adult population. The incidence of TBI varies widely by ages and between countries. Despite being an important medical, economic, and social problem, the global epidemiology of TBI is still not well-characterized in the current literature. Understanding the incidence of TBI, particularly mild TBI, remains challenging because of nonstandardized reporting among neuroepidemiological studies. </p>},\n bibtype = {article},\n author = {Nguyen, Rita and Fiest, Kirsten M. and McChesney, Jane and Kwon, Churl-Su and Jette, Nathalie and Frolkis, Alexandra D. and Atta, Callie and Mah, Sarah and Dhaliwal, Harinder and Reid, Aylin and Pringsheim, Tamara and Dykeman, Jonathan and Gallagher, Clare},\n journal = {Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques},\n number = {06}\n}
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Background: Understanding the epidemiology of traumatic brain injury (TBI) is essential to shape public health policy, implement prevention strategies, and justify allocation of resources toward research, education, and rehabilitation in TBI. There is not, to our knowledge, a systematic review of population-based studies addressing the epidemiology of TBI that includes all subtypes. We performed a comprehensive systematic review and meta-analysis of the worldwide incidence of TBI. Methods: A search was conducted on May 23, 2014, in Medline and EMBASE according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Abstracts were screened independently and in duplicate to identify original research. Study quality and ascertainment bias were assessed in duplicate using a previously published tool. Demographic data and incidence estimates from each study were recorded, along with stratification by age, gender, year of data collection, and severity. Results: The search strategy yielded 4944 citations. Two hundred and sixteen articles met criteria for full-text review; 144 were excluded. Hand searching resulted in ten additional articles. Eighty-two studies met all eligibility criteria. The pooled annual incidence proportion for all ages was 295 per 100,000 (95% confidence interval: 274-317). The pooled incidence rate for all ages was 349 (95% confidence interval: 96.2-1266) per 100,000 person-years. Incidence proportion and incidence rate were examined to see if associated with age, sex, country, or severity. Conclusions: We conclude that most TBIs are mild and most TBIs occur in males among the adult population. The incidence of TBI varies widely by ages and between countries. Despite being an important medical, economic, and social problem, the global epidemiology of TBI is still not well-characterized in the current literature. Understanding the incidence of TBI, particularly mild TBI, remains challenging because of nonstandardized reporting among neuroepidemiological studies.

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\n \n \n\n \n \n \n \n Epidemiology of traumatic brain injury in Europe.\n \n\n\n \n Peeters, W.; van den Brande, R.; Polinder, S.; Brazinova, A.; Steyerberg, E., W.; Lingsma, H., F.; and Maas, A., I., R.\n \n\n\n \n\n\n\n Acta Neurochirurgica, 157(10). 2015.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Epidemiology of traumatic brain injury in Europe},\n type = {article},\n year = {2015},\n identifiers = {[object Object]},\n volume = {157},\n id = {988afd00-811e-39d6-9d84-c5dc269e4b7e},\n created = {2017-06-28T11:28:37.059Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:28:37.059Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {BACKGROUND: Traumatic brain injury (TBI) is a critical public health and socio-economic problem throughout the world, making epidemiological monitoring of incidence, prevalence and outcome of TBI necessary. We aimed to describe the epidemiology of traumatic brain injury in Europe and to evaluate the methodology of incidence studies.\\n\\nMETHOD: We performed a systematic review and meta-analyses of articles describing the epidemiology of TBI in European countries. A search was conducted in the PubMed electronic database using the terms: epidemiology, incidence, brain injur*, head injur* and Europe. Only articles published in English and reporting on data collected in Europe between 1990 and 2014 were included.\\n\\nRESULTS: In total, 28 epidemiological studies on TBI from 16 European countries were identified in the literature. A great variation was found in case definitions and case ascertainment between studies. Falls and road traffic accidents (RTA) were the two most frequent causes of TBI, with falls being reported more frequently than RTA. In most of the studies a peak TBI incidence was seen in the oldest age groups. In the meta-analysis, an overall incidence rate of 262 per 100,000 for admitted TBI was derived.\\n\\nCONCLUSIONS: Interpretation of published epidemiologic studies is confounded by differences in inclusion criteria and case ascertainment. Nevertheless, changes in epidemiological patterns are found: falls are now the most common cause of TBI, most notably in elderly patients. Improvement of the quality of standardised data collection for TBI is mandatory for reliable monitoring of epidemiological trends and to inform appropriate targeting of prevention campaigns.},\n bibtype = {article},\n author = {Peeters, Wouter and van den Brande, Ruben and Polinder, Suzanne and Brazinova, Alexandra and Steyerberg, Ewout W. and Lingsma, Hester F. and Maas, Andrew I R},\n journal = {Acta Neurochirurgica},\n number = {10}\n}
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\n BACKGROUND: Traumatic brain injury (TBI) is a critical public health and socio-economic problem throughout the world, making epidemiological monitoring of incidence, prevalence and outcome of TBI necessary. We aimed to describe the epidemiology of traumatic brain injury in Europe and to evaluate the methodology of incidence studies.\\n\\nMETHOD: We performed a systematic review and meta-analyses of articles describing the epidemiology of TBI in European countries. A search was conducted in the PubMed electronic database using the terms: epidemiology, incidence, brain injur*, head injur* and Europe. Only articles published in English and reporting on data collected in Europe between 1990 and 2014 were included.\\n\\nRESULTS: In total, 28 epidemiological studies on TBI from 16 European countries were identified in the literature. A great variation was found in case definitions and case ascertainment between studies. Falls and road traffic accidents (RTA) were the two most frequent causes of TBI, with falls being reported more frequently than RTA. In most of the studies a peak TBI incidence was seen in the oldest age groups. In the meta-analysis, an overall incidence rate of 262 per 100,000 for admitted TBI was derived.\\n\\nCONCLUSIONS: Interpretation of published epidemiologic studies is confounded by differences in inclusion criteria and case ascertainment. Nevertheless, changes in epidemiological patterns are found: falls are now the most common cause of TBI, most notably in elderly patients. Improvement of the quality of standardised data collection for TBI is mandatory for reliable monitoring of epidemiological trends and to inform appropriate targeting of prevention campaigns.\n
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\n \n \n\n \n \n \n \n Health-related quality of life after TBI: a systematic review of study design, instruments, measurement properties, and outcome.\n \n\n\n \n Polinder, S.; Haagsma, J., A.; van Klaveren, D.; Steyerberg, E., W.; and van Beeck, E., F.\n \n\n\n \n\n\n\n Population Health Metrics, 13(1). 2015.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Health-related quality of life after TBI: a systematic review of study design, instruments, measurement properties, and outcome},\n type = {article},\n year = {2015},\n identifiers = {[object Object]},\n volume = {13},\n id = {ee5bac9d-9ec3-3070-8b77-a427415ac2c1},\n created = {2017-06-28T11:28:37.062Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:28:37.062Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {Measurement of health-related quality of life (HRQL) is essential to quantify the subjective burden of traumatic brain injury (TBI) in survivors. We performed a systematic review of HRQL studies in TBI to evaluate study design, instruments used, methodological quality, and outcome. Fifty-eight studies were included, showing large variation in HRQL instruments and assessment time points used. The Short Form-36 (SF-36) was most frequently used. A high prevalence of health problems during and after the first year of TBI was a common finding of the studies included. In the long term, patients with a TBI still showed large deficits from full recovery compared to population norms. Positive results for internal consistency and interpretability of the SF-36 were reported in validity studies. The Quality of Life after Brain Injury instrument (QOLIBRI), European Brain Injury Questionnaire (EBIQ), Child Health Questionnaire (CHQ), and the World Health Organization Quality of Life short version (WHOQOL-BREF) showed positive results, but evidence was limited. Meta-analysis of SF-36 showed that TBI outcome is heterogeneous, encompassing a broad spectrum of HRQL, with most problems reported in the physical, emotional, and social functioning domain. The use of SF-36 in combination with a TBI-specific instrument, i.e., QOLIBRI, seems promising. Consensus on preferred methodologies of HRQL measurement in TBI would facilitate comparability across studies, resulting in improved insights in recovery patterns and better estimates of the burden of TBI.},\n bibtype = {article},\n author = {Polinder, Suzanne and Haagsma, Juanita A and van Klaveren, David and Steyerberg, Ewout W and van Beeck, Ed F},\n journal = {Population Health Metrics},\n number = {1}\n}
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\n Measurement of health-related quality of life (HRQL) is essential to quantify the subjective burden of traumatic brain injury (TBI) in survivors. We performed a systematic review of HRQL studies in TBI to evaluate study design, instruments used, methodological quality, and outcome. Fifty-eight studies were included, showing large variation in HRQL instruments and assessment time points used. The Short Form-36 (SF-36) was most frequently used. A high prevalence of health problems during and after the first year of TBI was a common finding of the studies included. In the long term, patients with a TBI still showed large deficits from full recovery compared to population norms. Positive results for internal consistency and interpretability of the SF-36 were reported in validity studies. The Quality of Life after Brain Injury instrument (QOLIBRI), European Brain Injury Questionnaire (EBIQ), Child Health Questionnaire (CHQ), and the World Health Organization Quality of Life short version (WHOQOL-BREF) showed positive results, but evidence was limited. Meta-analysis of SF-36 showed that TBI outcome is heterogeneous, encompassing a broad spectrum of HRQL, with most problems reported in the physical, emotional, and social functioning domain. The use of SF-36 in combination with a TBI-specific instrument, i.e., QOLIBRI, seems promising. Consensus on preferred methodologies of HRQL measurement in TBI would facilitate comparability across studies, resulting in improved insights in recovery patterns and better estimates of the burden of TBI.\n
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\n \n \n\n \n \n \n \n Burden of traumatic brain injury in New Zealand: Incidence, prevalence and disability-adjusted life years.\n \n\n\n \n Te Ao, B.; Tobias, M.; Ameratunga, S.; McPherson, K.; Theadom, A.; Dowell, A.; Starkey, N.; Jones, K.; Barker-Collo, S.; Brown, P.; and Feigin, V.\n \n\n\n \n\n\n\n Neuroepidemiology, 44(4). 2015.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Burden of traumatic brain injury in New Zealand: Incidence, prevalence and disability-adjusted life years},\n type = {article},\n year = {2015},\n identifiers = {[object Object]},\n volume = {44},\n id = {8c241876-cb22-3afa-9f75-ff375f197890},\n created = {2017-06-28T11:28:37.069Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:28:37.069Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {OBJECTIVE: The study aimed to estimate the incidence, prevalence and disability-adjusted life years (DALY) for traumatic brain injury (TBI) in New Zealand (NZ) in 2010.\\n\\nMETHODS: A multi-state life table model was constructed using inputs from the Brain Injury Outcomes New Zealand in the Community study for the first-ever incidence of TBI in a lifetime and its severity distribution, from the NZ Ministry of Health's Mortality Collection for the data on TBI mortality and from Statistics of NZ for the population data. The modeled estimate of prevalence was combined with the disability weights for TBI (by stage and severity level) from the Global Burden of Disease 2010 study to obtain estimates of health loss (DALYs) for TBI.\\n\\nRESULTS: Approximately, 11,300 first-ever incident TBIs occurred in NZ during 2010, with 527,000 New Zealanders estimated to have ever experienced a TBI (prevalent cases). The estimated 20,300 DALYs attributable to TBI accounted for 27% of total injury-related health loss and 2.4% of DALYs from all causes. Of the total DALYs attributable to TBI, 71% resulted from fatal injuries. However, non-fatal outcomes accounted for a substantial share of the burden (29%) with mild TBI making the greater contribution of non-fatal outcomes (56%).\\n\\nCONCLUSIONS: The burden of TBI in NZ is substantial, and mild TBI contributes to a major part of non-fatal outcomes. © 2015 S. Karger AG, Basel.},\n bibtype = {article},\n author = {Te Ao, Braden and Tobias, Martin and Ameratunga, Shanthi and McPherson, Kathryn and Theadom, Alice and Dowell, Anthony and Starkey, Nicola and Jones, Kelly and Barker-Collo, Suzanne and Brown, Paul and Feigin, Valery},\n journal = {Neuroepidemiology},\n number = {4}\n}
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\n OBJECTIVE: The study aimed to estimate the incidence, prevalence and disability-adjusted life years (DALY) for traumatic brain injury (TBI) in New Zealand (NZ) in 2010.\\n\\nMETHODS: A multi-state life table model was constructed using inputs from the Brain Injury Outcomes New Zealand in the Community study for the first-ever incidence of TBI in a lifetime and its severity distribution, from the NZ Ministry of Health's Mortality Collection for the data on TBI mortality and from Statistics of NZ for the population data. The modeled estimate of prevalence was combined with the disability weights for TBI (by stage and severity level) from the Global Burden of Disease 2010 study to obtain estimates of health loss (DALYs) for TBI.\\n\\nRESULTS: Approximately, 11,300 first-ever incident TBIs occurred in NZ during 2010, with 527,000 New Zealanders estimated to have ever experienced a TBI (prevalent cases). The estimated 20,300 DALYs attributable to TBI accounted for 27% of total injury-related health loss and 2.4% of DALYs from all causes. Of the total DALYs attributable to TBI, 71% resulted from fatal injuries. However, non-fatal outcomes accounted for a substantial share of the burden (29%) with mild TBI making the greater contribution of non-fatal outcomes (56%).\\n\\nCONCLUSIONS: The burden of TBI in NZ is substantial, and mild TBI contributes to a major part of non-fatal outcomes. © 2015 S. Karger AG, Basel.\n
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\n \n \n\n \n \n \n \n Diagnosis, prognosis, and clinical management of mild traumatic brain injury.\n \n\n\n \n Levin, H., S.; and Diaz-Arrastia, R., R.\n \n\n\n \n\n\n\n 2015.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@misc{\n title = {Diagnosis, prognosis, and clinical management of mild traumatic brain injury},\n type = {misc},\n year = {2015},\n source = {The Lancet Neurology},\n identifiers = {[object Object]},\n volume = {14},\n issue = {5},\n id = {65f7cd09-451d-3826-947e-d7ed6f110756},\n created = {2017-06-28T11:28:37.083Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:28:37.083Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {Concussion and mild traumatic brain injury (TBI) are interchangeable terms to describe a common disorder with substantial effects on public health. Advances in brain imaging, non-imaging biomarkers, and neuropathology during the past 15 years have required researchers, clinicians, and policy makers to revise their views about mild TBI as a fully reversible insult that can be repeated without consequences. These advances have led to guidelines on management of mild TBI in civilians, military personnel, and athletes, but their widespread dissemination to clinical management in emergency departments and community-based health care is still needed. The absence of unity on the definition of mild TBI, the scarcity of prospective data concerning the long-term effects of repeated mild TBI and subconcussive impacts, and the need to further develop evidence-based interventions to mitigate the long-term sequelae are areas for future research that will improve outcomes, reduce morbidity and costs, and alleviate delayed consequences that have only recently come to light.},\n bibtype = {misc},\n author = {Levin, Harvey S. and Diaz-Arrastia, Ramon R.}\n}
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\n Concussion and mild traumatic brain injury (TBI) are interchangeable terms to describe a common disorder with substantial effects on public health. Advances in brain imaging, non-imaging biomarkers, and neuropathology during the past 15 years have required researchers, clinicians, and policy makers to revise their views about mild TBI as a fully reversible insult that can be repeated without consequences. These advances have led to guidelines on management of mild TBI in civilians, military personnel, and athletes, but their widespread dissemination to clinical management in emergency departments and community-based health care is still needed. The absence of unity on the definition of mild TBI, the scarcity of prospective data concerning the long-term effects of repeated mild TBI and subconcussive impacts, and the need to further develop evidence-based interventions to mitigate the long-term sequelae are areas for future research that will improve outcomes, reduce morbidity and costs, and alleviate delayed consequences that have only recently come to light.\n
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\n \n \n\n \n \n \n \n Global neurotrauma research challenges and opportunities.\n \n\n\n \n Rubiano, A., M.; Carney, N.; Chesnut, R.; and Puyana, J., C.\n \n\n\n \n\n\n\n Nature, 527(7578). 2015.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Global neurotrauma research challenges and opportunities},\n type = {article},\n year = {2015},\n identifiers = {[object Object]},\n volume = {527},\n id = {8e7ad3af-4a22-3d49-9b36-2aa88661e041},\n created = {2017-06-28T11:28:37.085Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:28:37.085Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {Traumatic injury to the brain or spinal cord is one of the most serious public health problems worldwide. The devastating im- pact of ‘trauma’, a term used to define the global burden of disease related to all injuries, is the leading cause of loss of human potential across the globe, especially in low- and middle-income countries. Enormous challenges must be met to significantly advance neurotrauma research around the world, specifically in underserved and austere environments. Neurotrauma research at the global level needs to be contextualized: different regions have their own needs and obstacles. Interventions that are not considered a priority in some regions could be a priority for others. The introduction of inexpensive and innovative interventions, including mobile technologies and e-health applications, focused on policy management improvement are essential and should be applicable to the needs of the local environment. The simple transfer of a clinical question from resource-rich environments to those of low- and middle-income countries that lack sophisticated interventions may not be the best strategy to address these countries’ needs. Emphasis on promoting the design of true ‘ecological’ studies that include the evaluation of human factors in relation to the process of care, analytical descriptions of health systems, and how leadership is best applied in medical communi- ties and society as a whole will become crucial.},\n bibtype = {article},\n author = {Rubiano, Andrés M. and Carney, Nancy and Chesnut, Randall and Puyana, Juan Carlos},\n journal = {Nature},\n number = {7578}\n}
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\n Traumatic injury to the brain or spinal cord is one of the most serious public health problems worldwide. The devastating im- pact of ‘trauma’, a term used to define the global burden of disease related to all injuries, is the leading cause of loss of human potential across the globe, especially in low- and middle-income countries. Enormous challenges must be met to significantly advance neurotrauma research around the world, specifically in underserved and austere environments. Neurotrauma research at the global level needs to be contextualized: different regions have their own needs and obstacles. Interventions that are not considered a priority in some regions could be a priority for others. The introduction of inexpensive and innovative interventions, including mobile technologies and e-health applications, focused on policy management improvement are essential and should be applicable to the needs of the local environment. The simple transfer of a clinical question from resource-rich environments to those of low- and middle-income countries that lack sophisticated interventions may not be the best strategy to address these countries’ needs. Emphasis on promoting the design of true ‘ecological’ studies that include the evaluation of human factors in relation to the process of care, analytical descriptions of health systems, and how leadership is best applied in medical communi- ties and society as a whole will become crucial.\n
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\n \n \n\n \n \n \n \n Systematic Review of Multivariable Prognostic Models for Mild Traumatic Brain Injury.\n \n\n\n \n Silverberg, N., D.; Gardner, A., J.; Brubacher, J., R.; Panenka, W., J.; Li, J., J.; and Iverson, G., L.\n \n\n\n \n\n\n\n Journal of Neurotrauma, 32(8). 2015.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Systematic Review of Multivariable Prognostic Models for Mild Traumatic Brain Injury},\n type = {article},\n year = {2015},\n identifiers = {[object Object]},\n volume = {32},\n id = {1aae43da-0eb9-3c20-a112-67c4f38a4fa7},\n created = {2017-06-28T11:28:37.087Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:28:37.087Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {Prognostic models can guide clinical management and increase statistical power in clinical trials. The availability and adequacy of prognostic models for mild traumatic brain injury (MTBI) is uncertain. The present study aimed to (1) identify and evaluate multivariable prognostic models for MTBI, and (2) determine which pre-, peri-, and early post-injury variables have independent prognostic value in the context of multivariable models. An electronic search of MEDLINE, PsycINFO, PubMed, EMBASE, and CINAHL databases for English-language MTBI cohort studies from 1970-2013 was supplemented by Web of Science citation and hand searching. This search strategy identified 7789 articles after removing duplicates. Of 182 full-text articles reviewed, 26 met eligibility criteria including (1) prospective inception cohort design, (2) prognostic information collected within 1 month post-injury, and (3) 2+variables combined to predict clinical outcome (e.g., post-concussion syndrome) at least 1 month later. Independent reviewers extracted sample characteristics, study design features, clinical outcome variables, predictor selection methods, and prognostic model discrimination, calibration, and cross-validation. These data elements were synthesized qualitatively. The present review found no multivariable prognostic model that adequately predicts individual patient outcomes from MTBI. Suboptimal methodology limits their reproducibility and clinical usefulness. The most robust prognostic factors in the context of multivariable models were pre-injury mental health and early post-injury neuropsychological functioning. Women and adults with early post-injury anxiety also have worse prognoses. Relative to these factors, the severity of MTBI had little long-term prognostic value. Future prognostic studies should consider a broad range of biopsychosocial predictors in large inception cohorts.},\n bibtype = {article},\n author = {Silverberg, Noah D. and Gardner, Andrew J. and Brubacher, Jeffrey R. and Panenka, William J. and Li, Jun Jian and Iverson, Grant L.},\n journal = {Journal of Neurotrauma},\n number = {8}\n}
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\n Prognostic models can guide clinical management and increase statistical power in clinical trials. The availability and adequacy of prognostic models for mild traumatic brain injury (MTBI) is uncertain. The present study aimed to (1) identify and evaluate multivariable prognostic models for MTBI, and (2) determine which pre-, peri-, and early post-injury variables have independent prognostic value in the context of multivariable models. An electronic search of MEDLINE, PsycINFO, PubMed, EMBASE, and CINAHL databases for English-language MTBI cohort studies from 1970-2013 was supplemented by Web of Science citation and hand searching. This search strategy identified 7789 articles after removing duplicates. Of 182 full-text articles reviewed, 26 met eligibility criteria including (1) prospective inception cohort design, (2) prognostic information collected within 1 month post-injury, and (3) 2+variables combined to predict clinical outcome (e.g., post-concussion syndrome) at least 1 month later. Independent reviewers extracted sample characteristics, study design features, clinical outcome variables, predictor selection methods, and prognostic model discrimination, calibration, and cross-validation. These data elements were synthesized qualitatively. The present review found no multivariable prognostic model that adequately predicts individual patient outcomes from MTBI. Suboptimal methodology limits their reproducibility and clinical usefulness. The most robust prognostic factors in the context of multivariable models were pre-injury mental health and early post-injury neuropsychological functioning. Women and adults with early post-injury anxiety also have worse prognoses. Relative to these factors, the severity of MTBI had little long-term prognostic value. Future prognostic studies should consider a broad range of biopsychosocial predictors in large inception cohorts.\n
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\n \n \n\n \n \n \n \n Development of a fidelity measure for community integration programmes for people with acquired brain injury.\n \n\n\n \n Parvaneh, S.; Cocks, E.; Buchanan, A.; and Ghahari, S.\n \n\n\n \n\n\n\n Brain injury, 29(3). 2015.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Development of a fidelity measure for community integration programmes for people with acquired brain injury.},\n type = {article},\n year = {2015},\n identifiers = {[object Object]},\n volume = {29},\n id = {1a120e97-5f57-3a87-b78d-156268cee2ea},\n created = {2017-06-28T11:28:37.155Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:28:37.155Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {OBJECTIVE: The paper describes development of the Assessment of Community Integration Programme Attributes (ACIPA) measure based on a descriptive community integration framework. The purpose of this measure is to allow evaluation of community integration programmes for adults with acquired brain injury (ABI). METHODS: The Community Integration Framework (CIF) was used to design a fidelity evaluation measure through consultation with 37 participants from five stakeholder groups (practitioners, researchers, policy-makers, people with ABI and family members of people with ABI) using semi-structured interviews, focus groups, iterative surveys and a multi-attribute utility (MAU) method. RESULTS: The resultant measure included seven themes and 21 attributes. Each attribute included indicators and probing questions. Weights were assigned to each theme and constituent attributes. CONCLUSION: Programme evaluation commonly focuses on outcomes, often overlooking analysis of programme processes. Although it requires further psychometric (reliability and validity) development, the Assessment of Community Integration Programme Attributes may be used to assess the relationship between programme processes and specific outcomes and also to inform the development of programmes aiming to enhance community integration for adults with ABI.},\n bibtype = {article},\n author = {Parvaneh, Shahriar and Cocks, Errol and Buchanan, Angus and Ghahari, Setareh},\n journal = {Brain injury},\n number = {3}\n}
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\n OBJECTIVE: The paper describes development of the Assessment of Community Integration Programme Attributes (ACIPA) measure based on a descriptive community integration framework. The purpose of this measure is to allow evaluation of community integration programmes for adults with acquired brain injury (ABI). METHODS: The Community Integration Framework (CIF) was used to design a fidelity evaluation measure through consultation with 37 participants from five stakeholder groups (practitioners, researchers, policy-makers, people with ABI and family members of people with ABI) using semi-structured interviews, focus groups, iterative surveys and a multi-attribute utility (MAU) method. RESULTS: The resultant measure included seven themes and 21 attributes. Each attribute included indicators and probing questions. Weights were assigned to each theme and constituent attributes. CONCLUSION: Programme evaluation commonly focuses on outcomes, often overlooking analysis of programme processes. Although it requires further psychometric (reliability and validity) development, the Assessment of Community Integration Programme Attributes may be used to assess the relationship between programme processes and specific outcomes and also to inform the development of programmes aiming to enhance community integration for adults with ABI.\n
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\n \n \n\n \n \n \n \n Bicycle helmets are highly protective against traumatic brain injury within a dense urban setting.\n \n\n\n \n Sethi, M.; Heidenberg, J.; Wall, S., P.; Ayoung-Chee, P.; Slaughter, D.; Levine, D., A.; Jacko, S.; Wilson, C.; Marshall, G.; Leon Pachter, H.; and Frangos, S., G.\n \n\n\n \n\n\n\n Injury, 46(12). 2015.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Bicycle helmets are highly protective against traumatic brain injury within a dense urban setting},\n type = {article},\n year = {2015},\n identifiers = {[object Object]},\n volume = {46},\n id = {3b0147da-0058-3ced-85a3-ef4d92ffad9d},\n created = {2017-06-28T11:28:37.169Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:28:37.169Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {Background New York City (NYC) has made significant roadway infrastructure improvements, initiated a bicycle share program, and enacted Vision Zero, an action plan to reduce traffic deaths and serious injuries. The objective of this study was to examine whether bicycle helmets offer a protective advantage against traumatic brain injury (TBI) within a contemporary dense urban setting with a commitment to road safety. Methods A prospective observational study of injured bicyclists presenting to a Level I trauma centre was performed. All bicyclists arriving within 24 h of injury were included. Data were collected between February, 2012 and August, 2014 and included demographics, imaging studies (e.g. computed tomography (CT)), injury patterns, and outcomes including Glasgow Coma Scale (GCS) and Injury Severity Score. Results Of 699 patients, 273 (39.1%) were wearing helmets at the time of injury. Helmeted bicyclists were more likely to have a GCS of 15 (96.3% [95% Confidence Interval (CI), 93.3-98.2] vs. 87.6 [95% CI, 84.1-90.6]) at presentation. Helmeted bicyclists underwent fewer head CTs (40.3% [95% CI, 34.4-46.4] vs. 52.8% [95% CI, 48.0-57.6]) and were less likely to sustain intracranial injury (6.3% [95% CI, 2.6-12.5] vs. 19.7% [14.7-25.6]), including skull fracture (0.9% [95% CI, 0.0-4.9] vs. 15.3% [95% CI, 10.8-20.7]) and subdural hematoma (0.0% [95% CI, 0.0-3.2] vs. 8.1% [95% CI, 4.9-12.5]). Helmeted bicyclists were significantly less likely to sustain significant TBI, i.e. Head AIS ≥3 (2.6% [95% CI: 0.7-4.5] vs.10.6% [7.6-12.5]). Four patients underwent craniotomy while three died; all were un-helmeted. A multivariable logistic regression model showed that helmeted bicyclists were 72% less likely to sustain TBI compared with un-helmeted bicyclists (Adjusted Odds Ratio 0.28, 95% CI 0.12-0.61). Conclusions Despite substantial road safety measures in NYC, the protective impact of simple bicycle helmets in the event of a crash remains significant. A re-assessment of helmet laws for urban bicyclists is advisable to most effectively translate Vision Zero from a political action plan to public safety reality.},\n bibtype = {article},\n author = {Sethi, Monica and Heidenberg, Jessica and Wall, Stephen P. and Ayoung-Chee, Patricia and Slaughter, Dekeya and Levine, Deborah A. and Jacko, Sally and Wilson, Chad and Marshall, Gary and Leon Pachter, H. and Frangos, Spiros G.},\n journal = {Injury},\n number = {12}\n}
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\n Background New York City (NYC) has made significant roadway infrastructure improvements, initiated a bicycle share program, and enacted Vision Zero, an action plan to reduce traffic deaths and serious injuries. The objective of this study was to examine whether bicycle helmets offer a protective advantage against traumatic brain injury (TBI) within a contemporary dense urban setting with a commitment to road safety. Methods A prospective observational study of injured bicyclists presenting to a Level I trauma centre was performed. All bicyclists arriving within 24 h of injury were included. Data were collected between February, 2012 and August, 2014 and included demographics, imaging studies (e.g. computed tomography (CT)), injury patterns, and outcomes including Glasgow Coma Scale (GCS) and Injury Severity Score. Results Of 699 patients, 273 (39.1%) were wearing helmets at the time of injury. Helmeted bicyclists were more likely to have a GCS of 15 (96.3% [95% Confidence Interval (CI), 93.3-98.2] vs. 87.6 [95% CI, 84.1-90.6]) at presentation. Helmeted bicyclists underwent fewer head CTs (40.3% [95% CI, 34.4-46.4] vs. 52.8% [95% CI, 48.0-57.6]) and were less likely to sustain intracranial injury (6.3% [95% CI, 2.6-12.5] vs. 19.7% [14.7-25.6]), including skull fracture (0.9% [95% CI, 0.0-4.9] vs. 15.3% [95% CI, 10.8-20.7]) and subdural hematoma (0.0% [95% CI, 0.0-3.2] vs. 8.1% [95% CI, 4.9-12.5]). Helmeted bicyclists were significantly less likely to sustain significant TBI, i.e. Head AIS ≥3 (2.6% [95% CI: 0.7-4.5] vs.10.6% [7.6-12.5]). Four patients underwent craniotomy while three died; all were un-helmeted. A multivariable logistic regression model showed that helmeted bicyclists were 72% less likely to sustain TBI compared with un-helmeted bicyclists (Adjusted Odds Ratio 0.28, 95% CI 0.12-0.61). Conclusions Despite substantial road safety measures in NYC, the protective impact of simple bicycle helmets in the event of a crash remains significant. A re-assessment of helmet laws for urban bicyclists is advisable to most effectively translate Vision Zero from a political action plan to public safety reality.\n
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\n \n \n\n \n \n \n \n Telephone and in-person cognitive behavioral therapy for major depression after traumatic brain injury: a randomized controlled trial.\n \n\n\n \n Fann, J., R.; Bombardier, C., H.; Vannoy, S.; Dyer, J.; Ludman, E.; Dikmen, S.; Marshall, K.; Barber, J.; and Temkin, N.\n \n\n\n \n\n\n\n Journal of neurotrauma, 32(1). 2015.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Telephone and in-person cognitive behavioral therapy for major depression after traumatic brain injury: a randomized controlled trial.},\n type = {article},\n year = {2015},\n identifiers = {[object Object]},\n volume = {32},\n id = {af60d622-de7b-3f85-af9c-b4766d16e090},\n created = {2017-06-28T11:28:37.209Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:28:37.209Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {Major depressive disorder (MDD) is prevalent after traumatic brain injury (TBI); however, there is a lack of evidence regarding effective treatment approaches. We conducted a choice-stratified randomized controlled trial in 100 adults with MDD within 10 years of complicated mild to severe TBI to test the effectiveness of brief cognitive behavioral therapy administered over the telephone (CBT-T) (n = 40) or in-person (CBT-IP) (n = 18), compared with usual care (UC) (n = 42). Participants were recruited from clinical and community settings throughout the United States. The main outcomes were change in depression severity on the clinician-rated 17 item Hamilton Depression Rating Scale (HAMD-17) and the patient-reported Symptom Checklist-20 (SCL-20) over 16 weeks. There was no significant difference between the combined CBT and UC groups over 16 weeks on the HAMD-17 (treatment effect = 1.2, 95% CI: -1.5-4.0; p = 0.37) and a nonsignificant trend favoring CBT on the SCL-20 (treatment effect = 0.28, 95% CI: -0.03-0.59; p = 0.074). In follow-up comparisons, the CBT-T group had significantly more improvement on the SCL-20 than the UC group (treatment effect = 0.36, 95% CI: 0.01-0.70; p = 0.043) and completers of eight or more CBT sessions had significantly improved SCL-20 scores compared with the UC group (treatment effect = 0.43, 95% CI: 0.10-0.76; p = 0.011). CBT participants reported significantly more symptom improvement (p = 0.010) and greater satisfaction with depression care (p < 0.001), than did the UC group. In-person and telephone-administered CBT are acceptable and feasible in persons with TBI. Although further research is warranted, telephone CBT holds particular promise for enhancing access and adherence to effective depression treatment.},\n bibtype = {article},\n author = {Fann, Jesse R and Bombardier, Charles H and Vannoy, Steven and Dyer, Joshua and Ludman, Evette and Dikmen, Sureyya and Marshall, Kenneth and Barber, Jason and Temkin, Nancy},\n journal = {Journal of neurotrauma},\n number = {1}\n}
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\n Major depressive disorder (MDD) is prevalent after traumatic brain injury (TBI); however, there is a lack of evidence regarding effective treatment approaches. We conducted a choice-stratified randomized controlled trial in 100 adults with MDD within 10 years of complicated mild to severe TBI to test the effectiveness of brief cognitive behavioral therapy administered over the telephone (CBT-T) (n = 40) or in-person (CBT-IP) (n = 18), compared with usual care (UC) (n = 42). Participants were recruited from clinical and community settings throughout the United States. The main outcomes were change in depression severity on the clinician-rated 17 item Hamilton Depression Rating Scale (HAMD-17) and the patient-reported Symptom Checklist-20 (SCL-20) over 16 weeks. There was no significant difference between the combined CBT and UC groups over 16 weeks on the HAMD-17 (treatment effect = 1.2, 95% CI: -1.5-4.0; p = 0.37) and a nonsignificant trend favoring CBT on the SCL-20 (treatment effect = 0.28, 95% CI: -0.03-0.59; p = 0.074). In follow-up comparisons, the CBT-T group had significantly more improvement on the SCL-20 than the UC group (treatment effect = 0.36, 95% CI: 0.01-0.70; p = 0.043) and completers of eight or more CBT sessions had significantly improved SCL-20 scores compared with the UC group (treatment effect = 0.43, 95% CI: 0.10-0.76; p = 0.011). CBT participants reported significantly more symptom improvement (p = 0.010) and greater satisfaction with depression care (p < 0.001), than did the UC group. In-person and telephone-administered CBT are acceptable and feasible in persons with TBI. Although further research is warranted, telephone CBT holds particular promise for enhancing access and adherence to effective depression treatment.\n
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\n \n \n\n \n \n \n \n Comparison of long-term outcomes following traumatic injury: What is the unique experience for those with brain injury compared with orthopaedic injury?.\n \n\n\n \n Dahm, J.; and Ponsford, J.\n \n\n\n \n\n\n\n Injury, 46(1). 2015.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Comparison of long-term outcomes following traumatic injury: What is the unique experience for those with brain injury compared with orthopaedic injury?},\n type = {article},\n year = {2015},\n identifiers = {[object Object]},\n volume = {46},\n id = {0f5e7796-2ef9-3523-8f75-c0f33b56fcd8},\n created = {2017-07-27T11:53:53.500Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-07-27T11:53:53.639Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {Objective Whilst it has been well-demonstrated that traumatic brain injury (TBI) results in long-term cognitive, behavioural and emotional difficulties, less is understood about how these outcomes differ from those following traumatic orthopaedic injury (TOI). The aim of this study was to compare self-reported outcomes at 5-10 years post-injury for those with TBI, TOI, and uninjured controls. It was hypothesised that participants with TBI would have greater cognitive difficulties; participants with TOI and TBI would have similar functional and physical outcomes, both being poorer than controls; and participants with TBI would have poorer psychosocial outcomes than those with TOI. Participants and methods Eighty-eight individuals with complicated mild to severe TBI and 96 with TOI recruited during inpatient rehabilitation were followed up 5-10 years post-injury, together with 48 controls followed over a similar period. Self-report measures of global functioning (GOS-E), quality of life (SF-36), psychological wellbeing (SCL-90-R, HADS, PCL-S), psychosocial difficulties (SIP), cognitive difficulties (SF-36 COG), pain (BPI), and fatigue (FSS) were administered. Results Outcomes for individuals with TBI and TOI differed significantly from controls, with poorer global functioning, and greater psychological distress and interference from pain. Only participants with TBI reported greater cognitive difficulties and anxiety than controls, and were less likely to be employed or in a relationship. Participants with TBI reported greater anxiety, PTSD, psychological distress and psychosocial difficulties than those with TOI. Conclusions Both TOI and TBI cause long-term disability, interference from pain, and psychological distress. However, cognitive impairments, unemployment, lack of long-term relationships, anxiety and PTSD are more substantial long-term problems following TBI. Findings from this study have implications for managing risks associated with these injury groups and tailoring rehabilitation to improve long-term outcomes.},\n bibtype = {article},\n author = {Dahm, Jane and Ponsford, Jennie},\n journal = {Injury},\n number = {1}\n}
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\n Objective Whilst it has been well-demonstrated that traumatic brain injury (TBI) results in long-term cognitive, behavioural and emotional difficulties, less is understood about how these outcomes differ from those following traumatic orthopaedic injury (TOI). The aim of this study was to compare self-reported outcomes at 5-10 years post-injury for those with TBI, TOI, and uninjured controls. It was hypothesised that participants with TBI would have greater cognitive difficulties; participants with TOI and TBI would have similar functional and physical outcomes, both being poorer than controls; and participants with TBI would have poorer psychosocial outcomes than those with TOI. Participants and methods Eighty-eight individuals with complicated mild to severe TBI and 96 with TOI recruited during inpatient rehabilitation were followed up 5-10 years post-injury, together with 48 controls followed over a similar period. Self-report measures of global functioning (GOS-E), quality of life (SF-36), psychological wellbeing (SCL-90-R, HADS, PCL-S), psychosocial difficulties (SIP), cognitive difficulties (SF-36 COG), pain (BPI), and fatigue (FSS) were administered. Results Outcomes for individuals with TBI and TOI differed significantly from controls, with poorer global functioning, and greater psychological distress and interference from pain. Only participants with TBI reported greater cognitive difficulties and anxiety than controls, and were less likely to be employed or in a relationship. Participants with TBI reported greater anxiety, PTSD, psychological distress and psychosocial difficulties than those with TOI. Conclusions Both TOI and TBI cause long-term disability, interference from pain, and psychological distress. However, cognitive impairments, unemployment, lack of long-term relationships, anxiety and PTSD are more substantial long-term problems following TBI. Findings from this study have implications for managing risks associated with these injury groups and tailoring rehabilitation to improve long-term outcomes.\n
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\n \n \n\n \n \n \n \n The value of normalization: Group therapy for individuals with brain injury.\n \n\n\n \n von Mensenkampff, B.; Ward, M.; Kelly, G.; Cadogan, S.; Fawsit, F.; and Lowe, N.\n \n\n\n \n\n\n\n Brain Injury, 29(11): 1292-1299. 9 2015.\n \n\n\n\n
\n\n\n \n \n \n \"TheWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {The value of normalization: Group therapy for individuals with brain injury},\n type = {article},\n year = {2015},\n identifiers = {[object Object]},\n keywords = {Brain injury,group therapy,psychology,psychotherapy,rehabilitation},\n pages = {1292-1299},\n volume = {29},\n websites = {http://www.tandfonline.com/doi/full/10.3109/02699052.2015.1042407},\n month = {9},\n publisher = {Informa Healthcare},\n day = {19},\n id = {d14a5870-18fe-3083-877f-f0c72f548849},\n created = {2017-08-25T10:52:41.032Z},\n accessed = {2017-08-25},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-08-25T10:52:41.032Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {AbstractPrimary objective: This paper reports on a client-driven therapy group designed to help clients actively process changes and equip them with the psychological skills necessary to facilitate rehabilitation.Research design: This is an exploratory mixed methods research design based in clinical practice.Methods and procedures: This study documents results from five therapy groups, each group consisting of 2-hour sessions over an average of 6 weeks with a review session 6 weeks later. Forty-five clients (13 female, 32 male, average age = 40.54, SD = 11.87) with brain injury attended the group with Headway psychological services, Cork. Clients’ pre- and post-measures of functioning were gathered to assess the potential therapeutic benefits. Thematic analysis was used to evaluate the qualitative data.Main outcomes and results: Results illustrate a number of benefits to the participants, including normalizing effects, helping with acceptance, finding a new identity and positive mental health changes.Conc...},\n bibtype = {article},\n author = {von Mensenkampff, Barbara and Ward, Marcia and Kelly, Grace and Cadogan, Sam and Fawsit, Feargus and Lowe, Niamh},\n journal = {Brain Injury},\n number = {11}\n}
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\n AbstractPrimary objective: This paper reports on a client-driven therapy group designed to help clients actively process changes and equip them with the psychological skills necessary to facilitate rehabilitation.Research design: This is an exploratory mixed methods research design based in clinical practice.Methods and procedures: This study documents results from five therapy groups, each group consisting of 2-hour sessions over an average of 6 weeks with a review session 6 weeks later. Forty-five clients (13 female, 32 male, average age = 40.54, SD = 11.87) with brain injury attended the group with Headway psychological services, Cork. Clients’ pre- and post-measures of functioning were gathered to assess the potential therapeutic benefits. Thematic analysis was used to evaluate the qualitative data.Main outcomes and results: Results illustrate a number of benefits to the participants, including normalizing effects, helping with acceptance, finding a new identity and positive mental health changes.Conc...\n
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\n \n \n\n \n \n \n \n Multi-disciplinary rehabilitation for acquired brain injury in adults of working age.\n \n\n\n \n Turner-Stokes, L.; Pick, A.; Nair, A.; Disler, P., B.; and Wade, D., T.\n \n\n\n \n\n\n\n 2015.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@misc{\n title = {Multi-disciplinary rehabilitation for acquired brain injury in adults of working age},\n type = {misc},\n year = {2015},\n source = {The Cochrane database of systematic reviews},\n identifiers = {[object Object]},\n volume = {12},\n id = {b7d1ec68-6f41-3cd2-ac36-b63a1f2f5e4e},\n created = {2017-09-07T07:57:17.390Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-09-07T07:57:17.502Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {BACKGROUND Evidence from systematic reviews demonstrates that multi-disciplinary rehabilitation is effective in the stroke population, in which older adults predominate. However, the evidence base for the effectiveness of rehabilitation following acquired brain injury (ABI) in younger adults has not been established, perhaps because this scenario presents different methodological challenges in research. OBJECTIVES To assess the effects of multi-disciplinary rehabilitation following ABI in adults 16 to 65 years of age. SEARCH METHODS We ran the most recent search on 14 September 2015. We searched the Cochrane Injuries Group Specialised Register, The Cochrane Library, Ovid MEDLINE(R), Ovid MEDLINE(R) In-Process & Other Non-Indexed Citations, Ovid MEDLINE(R) Daily and Ovid OLDMEDLINE(R), Embase Classic+Embase (OvidSP), Web of Science (ISI WOS) databases, clinical trials registers, and we screened reference lists. SELECTION CRITERIA Randomised controlled trials (RCTs) comparing multi-disciplinary rehabilitation versus routinely available local services or lower levels of intervention; or trials comparing an intervention in different settings, of different intensities or of different timing of onset. Controlled clinical trials were included, provided they met pre-defined methodological criteria. DATA COLLECTION AND ANALYSIS Three review authors independently selected trials and rated their methodological quality. A fourth review author would have arbitrated if consensus could not be reached by discussion, but in fact, this did not occur. As in previous versions of this review, we used the method described by Van Tulder 1997 to rate the quality of trials and to perform a 'best evidence' synthesis by attributing levels of evidence on the basis of methodological quality. Risk of bias assessments were performed in parallel using standard Cochrane methodology. However, the Van Tulder system provided a more discriminative evaluation of rehabilitation trials, so we have continued to use it for our primary synthesis of evidence. We subdivided trials in terms of severity of brain injury, setting and type and timing of rehabilitation offered. MAIN RESULTS We identified a total of 19 studies involving 3480 people. Twelve studies were of good methodological quality and seven were of lower quality, according to the van Tulder scoring system. Within the subgroup of predominantly mild brain injury, 'strong evidence' suggested that most individuals made a good recovery when appropriate information was provided, without the need for additional specific interventions. For moderate to severe injury, 'strong evidence' showed benefit from formal intervention, and 'limited evidence' indicated that commencing rehabilitation early after injury results in better outcomes. For participants with moderate to severe ABI already in rehabilitation, 'strong evidence' revealed that more intensive programmes are associated with earlier functional gains, and 'moderate evidence' suggested that continued outpatient therapy could help to sustain gains made in early post-acute rehabilitation. The context of multi-disciplinary rehabilitation appears to influence outcomes. 'Strong evidence' supports the use of a milieu-oriented model for patients with severe brain injury, in which comprehensive cognitive rehabilitation takes place in a therapeutic environment and involves a peer group of patients. 'Limited evidence' shows that specialist in-patient rehabilitation and specialist multi-disciplinary community rehabilitation may provide additional functional gains, but studies serve to highlight the particular practical and ethical restraints imposed on randomisation of severely affected individuals for whom no realistic alternatives to specialist intervention are available. AUTHORS' CONCLUSIONS Problems following ABI vary. Consequently, different interventions and combinations of interventions are required to meet the needs of patients with different problems. Patients who present acutely to hospital with mild brain injury benefit from follow-up and appropriate information and advice. Those with moderate to severe brain injury benefit from routine follow-up so their needs for rehabilitation can be assessed. Intensive intervention appears to lead to earlier gains, and earlier intervention whilst still in emergency and acute care has been supported by limited evidence. The balance between intensity and cost-effectiveness has yet to be determined. Patients discharged from in-patient rehabilitation benefit from access to out-patient or community-based services appropriate to their needs. Group-based rehabilitation in a therapeutic milieu (where patients undergo neuropsychological rehabilitation in a therapeutic environment with a peer group of individuals facing similar challenges) represents an effective approach for patients requiring neuropsychological rehabilitation following severe brain injury. Not all questions in rehabilitation can be addressed by randomised controlled trials or other experimental approaches. For example, trial-based literature does not tell us which treatments work best for which patients over the long term, and which models of service represent value for money in the context of life-long care. In the future, such questions will need to be considered alongside practice-based evidence gathered from large systematic longitudinal cohort studies conducted in the context of routine clinical practice.},\n bibtype = {misc},\n author = {Turner-Stokes, Lynne and Pick, Anton and Nair, Ajoy and Disler, Peter B. and Wade, Derick T.}\n}
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\n BACKGROUND Evidence from systematic reviews demonstrates that multi-disciplinary rehabilitation is effective in the stroke population, in which older adults predominate. However, the evidence base for the effectiveness of rehabilitation following acquired brain injury (ABI) in younger adults has not been established, perhaps because this scenario presents different methodological challenges in research. OBJECTIVES To assess the effects of multi-disciplinary rehabilitation following ABI in adults 16 to 65 years of age. SEARCH METHODS We ran the most recent search on 14 September 2015. We searched the Cochrane Injuries Group Specialised Register, The Cochrane Library, Ovid MEDLINE(R), Ovid MEDLINE(R) In-Process & Other Non-Indexed Citations, Ovid MEDLINE(R) Daily and Ovid OLDMEDLINE(R), Embase Classic+Embase (OvidSP), Web of Science (ISI WOS) databases, clinical trials registers, and we screened reference lists. SELECTION CRITERIA Randomised controlled trials (RCTs) comparing multi-disciplinary rehabilitation versus routinely available local services or lower levels of intervention; or trials comparing an intervention in different settings, of different intensities or of different timing of onset. Controlled clinical trials were included, provided they met pre-defined methodological criteria. DATA COLLECTION AND ANALYSIS Three review authors independently selected trials and rated their methodological quality. A fourth review author would have arbitrated if consensus could not be reached by discussion, but in fact, this did not occur. As in previous versions of this review, we used the method described by Van Tulder 1997 to rate the quality of trials and to perform a 'best evidence' synthesis by attributing levels of evidence on the basis of methodological quality. Risk of bias assessments were performed in parallel using standard Cochrane methodology. However, the Van Tulder system provided a more discriminative evaluation of rehabilitation trials, so we have continued to use it for our primary synthesis of evidence. We subdivided trials in terms of severity of brain injury, setting and type and timing of rehabilitation offered. MAIN RESULTS We identified a total of 19 studies involving 3480 people. Twelve studies were of good methodological quality and seven were of lower quality, according to the van Tulder scoring system. Within the subgroup of predominantly mild brain injury, 'strong evidence' suggested that most individuals made a good recovery when appropriate information was provided, without the need for additional specific interventions. For moderate to severe injury, 'strong evidence' showed benefit from formal intervention, and 'limited evidence' indicated that commencing rehabilitation early after injury results in better outcomes. For participants with moderate to severe ABI already in rehabilitation, 'strong evidence' revealed that more intensive programmes are associated with earlier functional gains, and 'moderate evidence' suggested that continued outpatient therapy could help to sustain gains made in early post-acute rehabilitation. The context of multi-disciplinary rehabilitation appears to influence outcomes. 'Strong evidence' supports the use of a milieu-oriented model for patients with severe brain injury, in which comprehensive cognitive rehabilitation takes place in a therapeutic environment and involves a peer group of patients. 'Limited evidence' shows that specialist in-patient rehabilitation and specialist multi-disciplinary community rehabilitation may provide additional functional gains, but studies serve to highlight the particular practical and ethical restraints imposed on randomisation of severely affected individuals for whom no realistic alternatives to specialist intervention are available. AUTHORS' CONCLUSIONS Problems following ABI vary. Consequently, different interventions and combinations of interventions are required to meet the needs of patients with different problems. Patients who present acutely to hospital with mild brain injury benefit from follow-up and appropriate information and advice. Those with moderate to severe brain injury benefit from routine follow-up so their needs for rehabilitation can be assessed. Intensive intervention appears to lead to earlier gains, and earlier intervention whilst still in emergency and acute care has been supported by limited evidence. The balance between intensity and cost-effectiveness has yet to be determined. Patients discharged from in-patient rehabilitation benefit from access to out-patient or community-based services appropriate to their needs. Group-based rehabilitation in a therapeutic milieu (where patients undergo neuropsychological rehabilitation in a therapeutic environment with a peer group of individuals facing similar challenges) represents an effective approach for patients requiring neuropsychological rehabilitation following severe brain injury. Not all questions in rehabilitation can be addressed by randomised controlled trials or other experimental approaches. For example, trial-based literature does not tell us which treatments work best for which patients over the long term, and which models of service represent value for money in the context of life-long care. In the future, such questions will need to be considered alongside practice-based evidence gathered from large systematic longitudinal cohort studies conducted in the context of routine clinical practice.\n
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\n  \n 2014\n \n \n (8)\n \n \n
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\n \n \n\n \n \n \n \n Organising health care services for people with an acquired brain injury: an overview of systematic reviews and randomised controlled trials.\n \n\n\n \n Laver, K.; Lannin, N., A.; Bragge, P.; Hunter, P.; Holland, A., E.; Tavender, E.; O¿Connor, D.; Khan, F.; Teasell, R.; and Gruen, R.\n \n\n\n \n\n\n\n BMC Health Services Research, 14(1): 397. 2014.\n \n\n\n\n
\n\n\n \n \n \n \"OrganisingWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Organising health care services for people with an acquired brain injury: an overview of systematic reviews and randomised controlled trials},\n type = {article},\n year = {2014},\n identifiers = {[object Object]},\n pages = {397},\n volume = {14},\n websites = {http://www.biomedcentral.com/1472-6963/14/397},\n id = {6821a3cd-4615-3908-91a4-d511ba7016fe},\n created = {2017-06-28T11:33:39.475Z},\n accessed = {2014-09-17},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:33:39.475Z},\n tags = {Healthcare policy},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {BACKGROUND:Acquired brain injury (ABI) is the leading cause of disability worldwide yet there is little information regarding the most effective way to organise ABI health care services. The aim of this review was to identify the most up-to-date high quality evidence to answer specific questions regarding the organisation of health care services for people with an ABI.METHODS:We conducted a systematic review of English papers using MEDLINE, EMBASE, PsycINFO, CINAHL and the Cochrane Library. We included the most recently published high quality systematic reviews and any randomised controlled trials, non-randomised controlled trials, controlled before after studies or interrupted time series studies published subsequent to the systematic review. We searched for papers that evaluated pre-defined organisational interventions for adults with an ABI. Organisational interventions of interest included fee-for-service care, integrated care, integrated care pathways, continuity of care, consumer engagement in governance and quality monitoring interventions. Data extraction and appraisal of included reviews and studies was completed independently by two reviewers.RESULTS:A total of five systematic reviews and 21 studies were included in the review; eight of the papers (31%) included people with a traumatic brain injury (TBI) or ABI and the remaining papers (69%) included only participants with a diagnosis of stroke. We found evidence supporting the use of integrated care to improve functional outcome and reduce length of stay and evidence supporting early supported discharge teams for reducing morbidity and mortality and reducing length of stay for stroke survivors. There was little evidence to support case management or the use of integrated care pathways for people with ABI. We found evidence that a quality monitoring intervention can lead to improvements in process outcomes in acute and rehabilitation settings. We were unable to find any studies meeting our inclusion criteria regarding fee-for-service care or engaging consumers in the governance of the health care organisation.CONCLUSIONS:The review found evidence to support integrated care, early supported discharge and quality monitoring interventions however, this evidence was based on studies conducted with people following stroke and may not be appropriate for all people with an ABI.},\n bibtype = {article},\n author = {Laver, Kate and Lannin, Natasha A and Bragge, Peter and Hunter, Peter and Holland, Anne E and Tavender, Emma and O¿Connor, Denise and Khan, Fary and Teasell, Robert and Gruen, Russell},\n journal = {BMC Health Services Research},\n number = {1}\n}
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\n BACKGROUND:Acquired brain injury (ABI) is the leading cause of disability worldwide yet there is little information regarding the most effective way to organise ABI health care services. The aim of this review was to identify the most up-to-date high quality evidence to answer specific questions regarding the organisation of health care services for people with an ABI.METHODS:We conducted a systematic review of English papers using MEDLINE, EMBASE, PsycINFO, CINAHL and the Cochrane Library. We included the most recently published high quality systematic reviews and any randomised controlled trials, non-randomised controlled trials, controlled before after studies or interrupted time series studies published subsequent to the systematic review. We searched for papers that evaluated pre-defined organisational interventions for adults with an ABI. Organisational interventions of interest included fee-for-service care, integrated care, integrated care pathways, continuity of care, consumer engagement in governance and quality monitoring interventions. Data extraction and appraisal of included reviews and studies was completed independently by two reviewers.RESULTS:A total of five systematic reviews and 21 studies were included in the review; eight of the papers (31%) included people with a traumatic brain injury (TBI) or ABI and the remaining papers (69%) included only participants with a diagnosis of stroke. We found evidence supporting the use of integrated care to improve functional outcome and reduce length of stay and evidence supporting early supported discharge teams for reducing morbidity and mortality and reducing length of stay for stroke survivors. There was little evidence to support case management or the use of integrated care pathways for people with ABI. We found evidence that a quality monitoring intervention can lead to improvements in process outcomes in acute and rehabilitation settings. We were unable to find any studies meeting our inclusion criteria regarding fee-for-service care or engaging consumers in the governance of the health care organisation.CONCLUSIONS:The review found evidence to support integrated care, early supported discharge and quality monitoring interventions however, this evidence was based on studies conducted with people following stroke and may not be appropriate for all people with an ABI.\n
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\n \n \n\n \n \n \n \n The epidemiology of hospital treated traumatic brain injury in Scotland.\n \n\n\n \n Shivaji, T.; Lee, A.; Dougall, N.; McMillan, T.; and Stark, C.\n \n\n\n \n\n\n\n BMC Neurology, 14. 2014.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {The epidemiology of hospital treated traumatic brain injury in Scotland},\n type = {article},\n year = {2014},\n identifiers = {[object Object]},\n volume = {14},\n id = {e493f883-709b-3db0-8b42-99634a4fd844},\n created = {2017-06-28T11:43:14.661Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:43:14.661Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {Background: Traumatic Brain Injury (TBI) is an important global public health problem made all the more important by the increased likelihood of disability following a hospital admission for TBI. Understanding those groups most at risk will help inform interventions designed to prevent causes of TBI, such as falls prevention measures. This study identifies the rate of hospitalisation episodes of TBI in Scotland, explores causes of TBI admissions, and trends in hospitalisation episodes by age and gender over a twelve year period using routinely collected hospital data. Methods: A retrospective analysis of routine hospital episode data identified records relating to TBI for the twelve years between 1998 and 2009. Descriptive and joinpoint regression analysis were used, average annual percentage changes (AAPC) and annual percentage change (APC) in rates were calculated. Results: Between 1998 and 2009 there were 208,195 recorded episodes of continuous hospital care in Scotland as a result of TBI. Almost half (47%) of all TBIs were the result of falls, with marked peaks observed in the very young and the oldest groups. The AAPC of hospitalization episode rates over the study period for boys and girls aged 0-14 were -4.9% (95% CI -3.5 to-6.3) and -4.7% (95% CI -2.6 to -6.8) respectively. This reduction was not observed in older age groups. In women aged 65 and over there was an APC of 3.9% (95% CI 1.2 to 6.6) between 2004 and 2009. Conclusions: Hospitalisation for TBI is relatively common in Scotland. The rise in the age-adjusted rate of hospitalisation episodes observed in older people indicates that reduction of TBI should be a public health priority in countries with an ageing population. Public health interventions such as falls prevention measures are well advised and evaluations of such interventions should consider including TBI hospitalisation as an alternative or supplementary outcome measure to fractured neck of femur. Further research is needed to advance understanding of the associations of risk factors with increased incidence of TBI hospital episodes in the elderly population.},\n bibtype = {article},\n author = {Shivaji, T and Lee, A and Dougall, N and McMillan, T and Stark, C},\n journal = {BMC Neurology}\n}
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\n Background: Traumatic Brain Injury (TBI) is an important global public health problem made all the more important by the increased likelihood of disability following a hospital admission for TBI. Understanding those groups most at risk will help inform interventions designed to prevent causes of TBI, such as falls prevention measures. This study identifies the rate of hospitalisation episodes of TBI in Scotland, explores causes of TBI admissions, and trends in hospitalisation episodes by age and gender over a twelve year period using routinely collected hospital data. Methods: A retrospective analysis of routine hospital episode data identified records relating to TBI for the twelve years between 1998 and 2009. Descriptive and joinpoint regression analysis were used, average annual percentage changes (AAPC) and annual percentage change (APC) in rates were calculated. Results: Between 1998 and 2009 there were 208,195 recorded episodes of continuous hospital care in Scotland as a result of TBI. Almost half (47%) of all TBIs were the result of falls, with marked peaks observed in the very young and the oldest groups. The AAPC of hospitalization episode rates over the study period for boys and girls aged 0-14 were -4.9% (95% CI -3.5 to-6.3) and -4.7% (95% CI -2.6 to -6.8) respectively. This reduction was not observed in older age groups. In women aged 65 and over there was an APC of 3.9% (95% CI 1.2 to 6.6) between 2004 and 2009. Conclusions: Hospitalisation for TBI is relatively common in Scotland. The rise in the age-adjusted rate of hospitalisation episodes observed in older people indicates that reduction of TBI should be a public health priority in countries with an ageing population. Public health interventions such as falls prevention measures are well advised and evaluations of such interventions should consider including TBI hospitalisation as an alternative or supplementary outcome measure to fractured neck of femur. Further research is needed to advance understanding of the associations of risk factors with increased incidence of TBI hospital episodes in the elderly population.\n
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\n \n \n\n \n \n \n \n Cost of traumatic brain injury in New Zealand: evidence from a population-based study.\n \n\n\n \n Te Ao, B.; Brown, P.; Tobias, M.; Ameratunga, S.; Barker-Collo, S.; Theadom, A.; McPherson, K.; Starkey, N.; Dowell, A.; Jones, K.; and Feigin, V., L.\n \n\n\n \n\n\n\n Neurology, 83(18). 2014.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Cost of traumatic brain injury in New Zealand: evidence from a population-based study.},\n type = {article},\n year = {2014},\n identifiers = {[object Object]},\n volume = {83},\n id = {369cacda-f497-3d6f-a6f9-608af35779c6},\n created = {2017-06-28T11:44:57.886Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:44:57.886Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {OBJECTIVE: We aimed to estimate from a societal perspective the 1-year and lifetime direct and indirect costs of traumatic brain injury (TBI) for New Zealand (NZ) in 2010 projected to 2020. METHODS: An incidence-based cost of illness model was developed using data from the Brain Injury Outcomes New Zealand in the Community Study. Details of TBI-related resource use during the first 12 months after injury were obtained for 725 cases using resource utilization information from participant surveys and medical records. Total costs are presented in US dollars year 2010 value. RESULTS: In 2010, 11,301 first-ever TBI cases were estimated to have occurred in NZ; total first-year cost of all new TBI cases was estimated to be US $47.9 million with total prevalence costs of US $101.4 million. The average cost per new TBI case during the first 12 months and over a lifetime was US $5,922 (95% confidence interval [CI] $4,777-$7,858), varying from US $4,636 (95% CI $3,756-$5,561) for mild cases to US $36,648 (95% CI $16,348-$65,350) for moderate/severe cases. Because of the unexpectedly large number of mild TBI cases (95% of all TBI cases), the total cost of treating these cases is nearly 3 times that of moderate/severe. The total lifetime cost of all TBI survivors in 2010 was US $146.5 million and is expected to increase to US $177.1 million in 2020. CONCLUSION: The results suggest that there is an urgent need to develop effective interventions to prevent both mild and moderate/severe TBI.},\n bibtype = {article},\n author = {Te Ao, Braden and Brown, Paul and Tobias, Martin and Ameratunga, Shanthi and Barker-Collo, Suzanne and Theadom, Alice and McPherson, Kathryn and Starkey, Nicola and Dowell, Anthony and Jones, Kelly and Feigin, Valery L},\n journal = {Neurology},\n number = {18}\n}
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\n OBJECTIVE: We aimed to estimate from a societal perspective the 1-year and lifetime direct and indirect costs of traumatic brain injury (TBI) for New Zealand (NZ) in 2010 projected to 2020. METHODS: An incidence-based cost of illness model was developed using data from the Brain Injury Outcomes New Zealand in the Community Study. Details of TBI-related resource use during the first 12 months after injury were obtained for 725 cases using resource utilization information from participant surveys and medical records. Total costs are presented in US dollars year 2010 value. RESULTS: In 2010, 11,301 first-ever TBI cases were estimated to have occurred in NZ; total first-year cost of all new TBI cases was estimated to be US $47.9 million with total prevalence costs of US $101.4 million. The average cost per new TBI case during the first 12 months and over a lifetime was US $5,922 (95% confidence interval [CI] $4,777-$7,858), varying from US $4,636 (95% CI $3,756-$5,561) for mild cases to US $36,648 (95% CI $16,348-$65,350) for moderate/severe cases. Because of the unexpectedly large number of mild TBI cases (95% of all TBI cases), the total cost of treating these cases is nearly 3 times that of moderate/severe. The total lifetime cost of all TBI survivors in 2010 was US $146.5 million and is expected to increase to US $177.1 million in 2020. CONCLUSION: The results suggest that there is an urgent need to develop effective interventions to prevent both mild and moderate/severe TBI.\n
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\n \n \n\n \n \n \n \n Functional outcomes of community-based brain injury rehabilitation clients.\n \n\n\n \n Curran, C.; Dorstyn, D.; Polychronis, C.; and Denson, L.\n \n\n\n \n\n\n\n Brain injury : [BI], 9052(November). 2014.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Functional outcomes of community-based brain injury rehabilitation clients.},\n type = {article},\n year = {2014},\n identifiers = {[object Object]},\n volume = {9052},\n id = {2f4fe89a-5994-37ca-b000-f99498cbbb2a},\n created = {2017-06-28T11:50:07.734Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:07.734Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {Abstract Background: Community-based rehabilitation can help to maximize function following acquired brain injury (ABI); however, data on treatment outcome is limited in quantity. Objective: To describe and evaluate client outcomes of an outpatient programme for adults with moderate-to-severe traumatic and non-traumatic ABI. Methods: Two phase design involving retrospective and longitudinal study of programme completers with ABI (n = 47). Changes in functioning were measured with the Mayo-Portland Inventory (MPAI-4), administered pre- and immediately post-rehabilitation and at 3 years follow-up. Self-ratings were supplemented with MPAI-4 data from significant others (n = 32) and staff (n = 32). Results: Injured individuals and informants reported improved physical and psychosocial functioning immediately following the completion of community rehabilitation, with medium-to-large and significant treatment gains noted on the MPAI-4 ability, adjustment and participation sub-scales (Cohen's d range = 0.31-1.10). A deterioration in individuals' adjustment was further reported at follow-up, although this was based on limited data. Issues with longer-term rehabilitation service provision were additionally noted. Conclusions: The data support the need for continuity of care, including ongoing emotional support, to cater to the complex and dynamic needs of the ABI population. However, these results need to be considered in the context of a small sample size and quasi-experimental design.},\n bibtype = {article},\n author = {Curran, Christine and Dorstyn, Diana and Polychronis, Con and Denson, Linley},\n journal = {Brain injury : [BI]},\n number = {November}\n}
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\n Abstract Background: Community-based rehabilitation can help to maximize function following acquired brain injury (ABI); however, data on treatment outcome is limited in quantity. Objective: To describe and evaluate client outcomes of an outpatient programme for adults with moderate-to-severe traumatic and non-traumatic ABI. Methods: Two phase design involving retrospective and longitudinal study of programme completers with ABI (n = 47). Changes in functioning were measured with the Mayo-Portland Inventory (MPAI-4), administered pre- and immediately post-rehabilitation and at 3 years follow-up. Self-ratings were supplemented with MPAI-4 data from significant others (n = 32) and staff (n = 32). Results: Injured individuals and informants reported improved physical and psychosocial functioning immediately following the completion of community rehabilitation, with medium-to-large and significant treatment gains noted on the MPAI-4 ability, adjustment and participation sub-scales (Cohen's d range = 0.31-1.10). A deterioration in individuals' adjustment was further reported at follow-up, although this was based on limited data. Issues with longer-term rehabilitation service provision were additionally noted. Conclusions: The data support the need for continuity of care, including ongoing emotional support, to cater to the complex and dynamic needs of the ABI population. However, these results need to be considered in the context of a small sample size and quasi-experimental design.\n
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\n \n \n\n \n \n \n \n Traumatic brain injury in the netherlands: Incidence, costs and disability-adjusted life years.\n \n\n\n \n Scholten, A., C.; Haagsma, J., A.; Panneman, M., J., M.; Van Beeck, E., F.; and Polinder, S.\n \n\n\n \n\n\n\n PLoS ONE, 9(10). 2014.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Traumatic brain injury in the netherlands: Incidence, costs and disability-adjusted life years},\n type = {article},\n year = {2014},\n identifiers = {[object Object]},\n volume = {9},\n id = {d44e3a62-a060-37fc-b185-83fd617543e4},\n created = {2017-06-28T11:50:10.050Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:10.050Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {OBJECTIVE: Traumatic brain injury (TBI) is a major cause of death and disability, leading to great personal suffering and huge costs to society. Integrated knowledge on epidemiology, economic consequences and disease burden of TBI is scarce but essential for optimizing healthcare policy and preventing TBI. This study aimed to estimate incidence, cost-of-illness and disability-adjusted life years (DALYs) of TBI in the Netherlands.\\n\\nMETHODS: This study included data on all TBI patients who were treated at an Emergency Department (ED - National Injury Surveillance System), hospitalized (National Medical Registration), or died due to their injuries in the Netherlands between 2010-2012. Direct healthcare costs and indirect costs were determined using the incidence-based Dutch Burden of Injury Model. Disease burden was assessed by calculating years of life lost (YLL) owing to premature death, years lived with disability (YLD) and DALYs. Incidence, costs and disease burden were stratified by age and gender.\\n\\nRESULTS: TBI incidence was 213.6 per 100,000 person years. Total costs were €314.6 (USD $433.8) million per year and disease burden resulted in 171,200 DALYs (on average 7.1 DALYs per case). Men had highest mean costs per case (€19,540 versus €14,940), driven by indirect costs. 0-24-year-olds had high incidence and disease burden but low economic costs, whereas 25-64-year-olds had relatively low incidence but high economic costs. Patients aged 65+ had highest incidence, leading to considerable direct healthcare costs. 0-24-year-olds, men aged 25-64 years, traffic injury victims (especially bicyclists) and home and leisure injury victims (especially 0-5-year-old and elderly fallers) are identified as risk groups in TBI.\\n\\nCONCLUSIONS: The economic and health consequences of TBI are substantial. The integrated approach of assessing incidence, costs and disease burden enables detection of important risk groups in TBI, development of prevention programs that target these risk groups and assessment of the benefits of these programs.},\n bibtype = {article},\n author = {Scholten, Annemieke C. and Haagsma, Juanita A. and Panneman, Martien J M and Van Beeck, Ed F. and Polinder, Suzanne},\n journal = {PLoS ONE},\n number = {10}\n}
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\n OBJECTIVE: Traumatic brain injury (TBI) is a major cause of death and disability, leading to great personal suffering and huge costs to society. Integrated knowledge on epidemiology, economic consequences and disease burden of TBI is scarce but essential for optimizing healthcare policy and preventing TBI. This study aimed to estimate incidence, cost-of-illness and disability-adjusted life years (DALYs) of TBI in the Netherlands.\\n\\nMETHODS: This study included data on all TBI patients who were treated at an Emergency Department (ED - National Injury Surveillance System), hospitalized (National Medical Registration), or died due to their injuries in the Netherlands between 2010-2012. Direct healthcare costs and indirect costs were determined using the incidence-based Dutch Burden of Injury Model. Disease burden was assessed by calculating years of life lost (YLL) owing to premature death, years lived with disability (YLD) and DALYs. Incidence, costs and disease burden were stratified by age and gender.\\n\\nRESULTS: TBI incidence was 213.6 per 100,000 person years. Total costs were €314.6 (USD $433.8) million per year and disease burden resulted in 171,200 DALYs (on average 7.1 DALYs per case). Men had highest mean costs per case (€19,540 versus €14,940), driven by indirect costs. 0-24-year-olds had high incidence and disease burden but low economic costs, whereas 25-64-year-olds had relatively low incidence but high economic costs. Patients aged 65+ had highest incidence, leading to considerable direct healthcare costs. 0-24-year-olds, men aged 25-64 years, traffic injury victims (especially bicyclists) and home and leisure injury victims (especially 0-5-year-old and elderly fallers) are identified as risk groups in TBI.\\n\\nCONCLUSIONS: The economic and health consequences of TBI are substantial. The integrated approach of assessing incidence, costs and disease burden enables detection of important risk groups in TBI, development of prevention programs that target these risk groups and assessment of the benefits of these programs.\n
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\n \n \n\n \n \n \n \n Epidemiology of traumatic brain injury in Austria.\n \n\n\n \n Mauritz, W.; Brazinova, A.; Majdan, M.; and Leitgeb, J.\n \n\n\n \n\n\n\n Wiener Klinische Wochenschrift, 126(1-2). 2014.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Epidemiology of traumatic brain injury in Austria},\n type = {article},\n year = {2014},\n identifiers = {[object Object]},\n volume = {126},\n id = {09be73fb-8204-32cd-8894-a89d86de04b6},\n created = {2017-06-28T11:50:12.719Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:12.719Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {BACKGROUND: Traumatic brain injury (TBI) is an important cause of preventable deaths. The goal of this study was to provide data on epidemiology of TBI in Austria.\\n\\nMETHODS: Data on all hospital discharges, outpatients, and extra- as well as in-hospital deaths due to TBI were collected from various sources for the years 2009-2011. Population data (number of male/female people per age-group, population of Austrian cities, towns, and villages) for 2009-2011 were collected from the national statistical office. Incidence, case fatality rate(s) (CFR), and mortality rate(s) (MR) were calculated for the whole population and for age groups.\\n\\nRESULTS: Incidence (303/100,000/year), CFR (3.6 %), and MR (11/100,000/year) of TBI in Austria are comparable with those from other European countries. We found a high rate of geriatric TBI. The ratio between male and female cases was 1.4:1 for all cases, and was 2.2:1 for fatal cases. The most common mechanism was falls; traffic accidents accounted for only 7 % of the cases. Males died more frequently from traffic accidents and suicides, and females died more frequently from falls. CFRs and MRs increased with increasing age. CFRs were higher in patients from less populated areas, and MRs were lower in cases who lived closer to hospitals that admitted TBI.\\n\\nCONCLUSIONS: The high rate of geriatric TBI warrants better prevention of falls in this age group.},\n bibtype = {article},\n author = {Mauritz, Walter and Brazinova, Alexandra and Majdan, Marek and Leitgeb, Johannes},\n journal = {Wiener Klinische Wochenschrift},\n number = {1-2}\n}
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\n BACKGROUND: Traumatic brain injury (TBI) is an important cause of preventable deaths. The goal of this study was to provide data on epidemiology of TBI in Austria.\\n\\nMETHODS: Data on all hospital discharges, outpatients, and extra- as well as in-hospital deaths due to TBI were collected from various sources for the years 2009-2011. Population data (number of male/female people per age-group, population of Austrian cities, towns, and villages) for 2009-2011 were collected from the national statistical office. Incidence, case fatality rate(s) (CFR), and mortality rate(s) (MR) were calculated for the whole population and for age groups.\\n\\nRESULTS: Incidence (303/100,000/year), CFR (3.6 %), and MR (11/100,000/year) of TBI in Austria are comparable with those from other European countries. We found a high rate of geriatric TBI. The ratio between male and female cases was 1.4:1 for all cases, and was 2.2:1 for fatal cases. The most common mechanism was falls; traffic accidents accounted for only 7 % of the cases. Males died more frequently from traffic accidents and suicides, and females died more frequently from falls. CFRs and MRs increased with increasing age. CFRs were higher in patients from less populated areas, and MRs were lower in cases who lived closer to hospitals that admitted TBI.\\n\\nCONCLUSIONS: The high rate of geriatric TBI warrants better prevention of falls in this age group.\n
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\n \n \n\n \n \n \n \n Postconcussion syndrome (PCS) in the emergency department: predicting and pre-empting persistent symptoms following a mild traumatic brain injury.\n \n\n\n \n Reuben, A.; Sampson, P.; Harris, A., R.; Williams, H.; and Yates, P.\n \n\n\n \n\n\n\n Emergency Medicine Journal, 31(1). 2014.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Postconcussion syndrome (PCS) in the emergency department: predicting and pre-empting persistent symptoms following a mild traumatic brain injury},\n type = {article},\n year = {2014},\n identifiers = {[object Object]},\n volume = {31},\n id = {1758c3d4-07a6-329d-b010-5d2f52abf422},\n created = {2017-06-28T11:50:14.380Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:14.380Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {Head injuries across all age groups represent an extremely common emergency department (ED) presentation. The main focus of initial assessment and management rightly concentrates on the need to exclude significant pathology, that may or may not require neurosurgical intervention. Relatively little focus, however, is given to the potential for development of post-concussion syndrome (PCS), a constellation of symptoms of varying severity, which may bear little correlation to the nature or magnitude of the precipitating insult. This review aims to clarify the aetiology and terminology surrounding PCS and to examine the mechanisms for diagnosing and treating.},\n bibtype = {article},\n author = {Reuben, Adam and Sampson, Paul and Harris, Adrian Ralph and Williams, Huw and Yates, Phil},\n journal = {Emergency Medicine Journal},\n number = {1}\n}
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\n Head injuries across all age groups represent an extremely common emergency department (ED) presentation. The main focus of initial assessment and management rightly concentrates on the need to exclude significant pathology, that may or may not require neurosurgical intervention. Relatively little focus, however, is given to the potential for development of post-concussion syndrome (PCS), a constellation of symptoms of varying severity, which may bear little correlation to the nature or magnitude of the precipitating insult. This review aims to clarify the aetiology and terminology surrounding PCS and to examine the mechanisms for diagnosing and treating.\n
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\n \n \n\n \n \n \n \n A systematic review of fatigue in patients with traumatic brain injury: The course, predictors and consequences.\n \n\n\n \n Mollayeva, T.; Kendzerska, T.; Mollayeva, S.; Shapiro, C., M.; Colantonio, A.; and Cassidy, J., D.\n \n\n\n \n\n\n\n 2014.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@misc{\n title = {A systematic review of fatigue in patients with traumatic brain injury: The course, predictors and consequences},\n type = {misc},\n year = {2014},\n source = {Neuroscience and Biobehavioral Reviews},\n identifiers = {[object Object]},\n volume = {47},\n id = {0c3488a4-916b-3209-b0a4-61d38e33d9f6},\n created = {2017-06-28T11:50:16.536Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:16.536Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {Background: Fatigue is common after traumatic brain injury (TBI). Its risk factors, natural history and consequences are uncertain. Best-evidence synthesis was used to address the gaps. Methods: Five databases were searched for relevant peer-reviewed studies. Of the 33 articles appraised, 22 longitudinal studies were selected. Results were reported separately based on their timing of baseline assessment. Results: All studies document changes in fatigue frequency and severity with time, irrespective of setting or TBI severity. There is limited evidence for certain clinical and psychosocial variables as predictors of fatigue severity at follow-up. Early fatigue severity predicted persistent post-concussive symptoms and Glasgow outcome score at follow-up. Conclusions: Fatigue is present before and immediately following injury, and can persist long term. The variation in findings supports the idea of fatigue in TBI as a nonhomogeneous entity, with different factors influencing the course of new onset or chronic fatigue. To decrease the heterogeneity, we emphasize the need for agreement on a core set of relevant fatigue predictors, definitions and outcome criteria.PROSPERO registry number: CRD42013004262.},\n bibtype = {misc},\n author = {Mollayeva, Tatyana and Kendzerska, Tetyana and Mollayeva, Shirin and Shapiro, Colin M. and Colantonio, Angela and Cassidy, J. David}\n}
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\n Background: Fatigue is common after traumatic brain injury (TBI). Its risk factors, natural history and consequences are uncertain. Best-evidence synthesis was used to address the gaps. Methods: Five databases were searched for relevant peer-reviewed studies. Of the 33 articles appraised, 22 longitudinal studies were selected. Results were reported separately based on their timing of baseline assessment. Results: All studies document changes in fatigue frequency and severity with time, irrespective of setting or TBI severity. There is limited evidence for certain clinical and psychosocial variables as predictors of fatigue severity at follow-up. Early fatigue severity predicted persistent post-concussive symptoms and Glasgow outcome score at follow-up. Conclusions: Fatigue is present before and immediately following injury, and can persist long term. The variation in findings supports the idea of fatigue in TBI as a nonhomogeneous entity, with different factors influencing the course of new onset or chronic fatigue. To decrease the heterogeneity, we emphasize the need for agreement on a core set of relevant fatigue predictors, definitions and outcome criteria.PROSPERO registry number: CRD42013004262.\n
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\n \n \n\n \n \n \n \n Costs of care after traumatic brain injury.\n \n\n\n \n Ponsford, J., L.; Spitz, G.; Cromarty, F.; Gifford, D.; and Attwood, D.\n \n\n\n \n\n\n\n Journal of neurotrauma, 30. 2013.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Costs of care after traumatic brain injury.},\n type = {article},\n year = {2013},\n identifiers = {[object Object]},\n volume = {30},\n id = {2cec77a1-ab86-3896-94e3-b8aafb7194f5},\n created = {2017-06-28T11:50:07.827Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:07.827Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {Traumatic brain injuries (TBI) impose a significant burden on the health care system. The aim of the current study was to explore variation in costs in a group of rehabilitation patients in Victoria, Australia, following complicated mild-to-severe TBI treated under the accident compensation system administered by the Transport Accident Commission. Study participants included 1237 individuals with mild-to-severe TBI recruited consecutively from a TBI rehabilitation program. Long-term care, hospital, medical, and paramedical costs were obtained 10 years post-injury and their association with demographic and injury-related variables were examined. Significant variability in costs was evident. Long-term care costs were highest, followed by hospital, paramedical, and medical costs. Duration of post-traumatic amnesia (PTA) was a strong predictor of all costs, and stronger than Glasgow Coma Score (GCS). Longer acute hospital stay was related to higher costs. In addition to PTA duration and GCS, other factors associated with higher long-term costs were having an abnormal CT scan and epilepsy early after injury. Higher hospital and medical costs were associated with these factors, but also with other physical injuries, lower education, pre-injury unemployment, living outside the city, speaking English at home, and, in the case of medical costs, older age and having had pre-injury psychiatric treatment. Higher paramedical costs were associated with most of these variables, but also with being employed prior to injury and being female. In line with the multifaceted nature of TBI, the current findings suggest that both injury-related and demographic factors determine costs following injury.},\n bibtype = {article},\n author = {Ponsford, Jennie L and Spitz, Gershon and Cromarty, Fiona and Gifford, David and Attwood, David},\n journal = {Journal of neurotrauma}\n}
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\n Traumatic brain injuries (TBI) impose a significant burden on the health care system. The aim of the current study was to explore variation in costs in a group of rehabilitation patients in Victoria, Australia, following complicated mild-to-severe TBI treated under the accident compensation system administered by the Transport Accident Commission. Study participants included 1237 individuals with mild-to-severe TBI recruited consecutively from a TBI rehabilitation program. Long-term care, hospital, medical, and paramedical costs were obtained 10 years post-injury and their association with demographic and injury-related variables were examined. Significant variability in costs was evident. Long-term care costs were highest, followed by hospital, paramedical, and medical costs. Duration of post-traumatic amnesia (PTA) was a strong predictor of all costs, and stronger than Glasgow Coma Score (GCS). Longer acute hospital stay was related to higher costs. In addition to PTA duration and GCS, other factors associated with higher long-term costs were having an abnormal CT scan and epilepsy early after injury. Higher hospital and medical costs were associated with these factors, but also with other physical injuries, lower education, pre-injury unemployment, living outside the city, speaking English at home, and, in the case of medical costs, older age and having had pre-injury psychiatric treatment. Higher paramedical costs were associated with most of these variables, but also with being employed prior to injury and being female. In line with the multifaceted nature of TBI, the current findings suggest that both injury-related and demographic factors determine costs following injury.\n
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\n \n \n\n \n \n \n \n Video feedback on functional task performance improves self-awareness after traumatic brain injury: a randomized controlled trial.\n \n\n\n \n Schmidt, J.; Fleming, J.; Ownsworth, T.; and Lannin, N., A.\n \n\n\n \n\n\n\n Neurorehabil Neural Repair, 27(4). 2013.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Video feedback on functional task performance improves self-awareness after traumatic brain injury: a randomized controlled trial},\n type = {article},\n year = {2013},\n identifiers = {[object Object]},\n volume = {27},\n id = {a081412e-af03-3896-aa20-1ac16b6c7ca2},\n created = {2017-06-28T11:50:07.966Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:07.966Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {BACKGROUND: Feedback is used in rehabilitation to improve self-awareness in people with traumatic brain injury (TBI), but there have been no comparisons of the different methods of providing feedback. OBJECTIVE: To compare the effect of different methods of feedback on impaired self-awareness after TBI. METHOD: This was a randomized, assessor-blinded trial with concealed allocation. A total of 54 participants with TBI and impaired self-awareness (85% male) were recruited from inpatient and community rehabilitation settings. Participants performed a meal preparation task on 4 occasions and were randomly assigned to 1 of 3 feedback intervention groups: video plus verbal feedback, verbal feedback, or experiential feedback. The primary outcome was improvement in online awareness measured by the number of errors made during task completion. Secondary outcomes included level of intellectual awareness, self-perception of rehabilitation, and emotional status. RESULTS: Receiving video plus verbal feedback reduced the number of errors more than verbal feedback alone (mean difference = 19.7 errors; 95% confidence interval [CI] = 9.2-30.1) and experiential feedback alone (mean difference = 12.4 errors; 95% CI = 1.8-23.0). CONCLUSION: The results suggest that the video plus verbal feedback approach used in this study was effective in improving self-awareness in people with TBI. The results also provide evidence that improvement in self-awareness was not accompanied by deterioration in emotional status.},\n bibtype = {article},\n author = {Schmidt, J and Fleming, J and Ownsworth, T and Lannin, N A},\n journal = {Neurorehabil Neural Repair},\n number = {4}\n}
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\n BACKGROUND: Feedback is used in rehabilitation to improve self-awareness in people with traumatic brain injury (TBI), but there have been no comparisons of the different methods of providing feedback. OBJECTIVE: To compare the effect of different methods of feedback on impaired self-awareness after TBI. METHOD: This was a randomized, assessor-blinded trial with concealed allocation. A total of 54 participants with TBI and impaired self-awareness (85% male) were recruited from inpatient and community rehabilitation settings. Participants performed a meal preparation task on 4 occasions and were randomly assigned to 1 of 3 feedback intervention groups: video plus verbal feedback, verbal feedback, or experiential feedback. The primary outcome was improvement in online awareness measured by the number of errors made during task completion. Secondary outcomes included level of intellectual awareness, self-perception of rehabilitation, and emotional status. RESULTS: Receiving video plus verbal feedback reduced the number of errors more than verbal feedback alone (mean difference = 19.7 errors; 95% confidence interval [CI] = 9.2-30.1) and experiential feedback alone (mean difference = 12.4 errors; 95% CI = 1.8-23.0). CONCLUSION: The results suggest that the video plus verbal feedback approach used in this study was effective in improving self-awareness in people with TBI. The results also provide evidence that improvement in self-awareness was not accompanied by deterioration in emotional status.\n
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\n \n \n\n \n \n \n \n Reflections on life: experiences of individuals with brain injury during the transition from hospital to home.\n \n\n\n \n Nalder, E.; Fleming, J.; Cornwell, P.; Shields, C.; and Foster, M.\n \n\n\n \n\n\n\n Brain injury : [BI], 27(11): 1294-303. 1 2013.\n \n\n\n\n
\n\n\n \n \n \n \"ReflectionsWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Reflections on life: experiences of individuals with brain injury during the transition from hospital to home.},\n type = {article},\n year = {2013},\n identifiers = {[object Object]},\n keywords = {Adaptation, Psychological,Adolescent,Adult,Attitude to Health,Australia,Australia: epidemiology,Brain Injuries,Brain Injuries: epidemiology,Brain Injuries: psychology,Brain Injuries: rehabilitation,Caregivers,Female,Humans,Interview, Psychological,Life Change Events,Male,Middle Aged,Motivation,Patient Discharge,Patient Discharge: statistics & numerical data,Qualitative Research,Quality of Life,Questionnaires,Social Environment},\n pages = {1294-303},\n volume = {27},\n websites = {http://informahealthcare.com/doi/abs/10.3109/02699052.2013.823560},\n month = {1},\n publisher = {Informa UK Ltd. London},\n day = {10},\n id = {45e1fafd-964a-3e72-9f65-3e58659ccb23},\n created = {2017-06-28T11:50:10.240Z},\n accessed = {2014-10-21},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:10.240Z},\n tags = {discharge},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n language = {en},\n private_publication = {false},\n abstract = {BACKGROUND: The transition from hospital to home has been described as a distinct rehabilitation phase for individuals with brain injury. As most research to date has quantitatively measured outcomes or used a sample with mixed brain injury diagnoses, less is known about the experience of transition following traumatic brain injury (TBI).\n\nAIMS: This study aimed to examine the lived experiences of individuals with TBI during the first 6 months following discharge from hospital.\n\nDESIGN: A qualitative investigation was conducted with 16 individuals with TBI using semi-structured interviews.\n\nDATA ANALYSIS: Data were analysed thematically using a Framework approach.\n\nRESULTS: Transition experiences were characterized by a desire to return to normality and a changed perspective on life, by accepting change or altering priorities. The process of transition was dynamic as individuals experienced the dominant themes in cyclical patterns.\n\nCONCLUSIONS: Research has highlighted the significant adjustment for individuals with TBI, particularly in relation to identity change, appraisal and coping. The themes of wanting normality and changing life perspective which were dominant in the current study highlight the significance of the transition phase in the process of adjustment and that transition is characterized by adapting to a new normality.},\n bibtype = {article},\n author = {Nalder, Emily and Fleming, Jennifer and Cornwell, Petrea and Shields, Cassandra and Foster, Michele},\n journal = {Brain injury : [BI]},\n number = {11}\n}
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\n BACKGROUND: The transition from hospital to home has been described as a distinct rehabilitation phase for individuals with brain injury. As most research to date has quantitatively measured outcomes or used a sample with mixed brain injury diagnoses, less is known about the experience of transition following traumatic brain injury (TBI).\n\nAIMS: This study aimed to examine the lived experiences of individuals with TBI during the first 6 months following discharge from hospital.\n\nDESIGN: A qualitative investigation was conducted with 16 individuals with TBI using semi-structured interviews.\n\nDATA ANALYSIS: Data were analysed thematically using a Framework approach.\n\nRESULTS: Transition experiences were characterized by a desire to return to normality and a changed perspective on life, by accepting change or altering priorities. The process of transition was dynamic as individuals experienced the dominant themes in cyclical patterns.\n\nCONCLUSIONS: Research has highlighted the significant adjustment for individuals with TBI, particularly in relation to identity change, appraisal and coping. The themes of wanting normality and changing life perspective which were dominant in the current study highlight the significance of the transition phase in the process of adjustment and that transition is characterized by adapting to a new normality.\n
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\n \n \n\n \n \n \n \n A systematic review of assessment tools for adults used in traumatic brain injury research and their relationship to the ICF.\n \n\n\n \n Tate, R., L.; Godbee, K.; and Sigmundsdottir, L.\n \n\n\n \n\n\n\n 2013.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@misc{\n title = {A systematic review of assessment tools for adults used in traumatic brain injury research and their relationship to the ICF},\n type = {misc},\n year = {2013},\n source = {NeuroRehabilitation},\n identifiers = {[object Object]},\n volume = {32},\n issue = {4},\n id = {573d2071-44b8-3de9-8278-43b1c42ed039},\n created = {2017-06-28T11:50:11.648Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:11.648Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {BACKGROUND AND AIMS: Good assessment is an essential component of effective patient management. Yet the sheer volume of available assessment instruments presents a barrier for the clinician or researcher to (a) be knowledgeable about suitable measures and (b) keep up-to-date with new measures that are published. In order to create a resource of currently-used measures, we conducted a systematic review of assessment tools used in the research literature on traumatic brain injury (TBI). METHODS: We used two electronic databases (Medline and PsycINFO) to identify full-length, English-language articles published between 2000 and 2012 in which outcome in adults with TBI was assessed with behavioural tests or questionnaires. RESULTS: The searches yielded 5,735 articles and after deletion of duplicates (n = 1,383) and articles not meeting selection criteria (n = 1,759), 2,593 articles were further examined. The articles contained 910 behavioural instruments, with a final set of 728 unique instruments. Each instrument was classified against the International Classification of Functioning, Disability and Health (ICF). Half of the instruments (n = 370, 50.8%) evaluated the mental functions domain of the ICF body functions component, with a substantially smaller proportion (n = 64, 8.8%) examining specific motor-sensory and other body functions. Instruments also covered domains of activities/participation (n = 109, 15.0%), environmental factors (n = 22, 3.0%) and personal factors (n = 36, 4.9%). A substantial number of scales (n = 93, 12.8%) were multidimensional across the body function domains (n = 32), as well as the functioning and disability part of the ICF (n = 60). The remaining 5% of instruments addressed concepts not covered by the ICF, including quality of life (n = 19, 2.6%) and rehabilitation process tools (such as therapeutic alliance). The 728 instruments were listed and more than 70 of the most common, spread across 20 domains, were highlighted. CONCLUSION: These data provide a comprehensive and up-to-date resource that gives the researcher or clinician a very large selection of assessment instruments covering the major areas of function pertinent to TBI.},\n bibtype = {misc},\n author = {Tate, Robyn L. and Godbee, Kali and Sigmundsdottir, Linda}\n}
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\n BACKGROUND AND AIMS: Good assessment is an essential component of effective patient management. Yet the sheer volume of available assessment instruments presents a barrier for the clinician or researcher to (a) be knowledgeable about suitable measures and (b) keep up-to-date with new measures that are published. In order to create a resource of currently-used measures, we conducted a systematic review of assessment tools used in the research literature on traumatic brain injury (TBI). METHODS: We used two electronic databases (Medline and PsycINFO) to identify full-length, English-language articles published between 2000 and 2012 in which outcome in adults with TBI was assessed with behavioural tests or questionnaires. RESULTS: The searches yielded 5,735 articles and after deletion of duplicates (n = 1,383) and articles not meeting selection criteria (n = 1,759), 2,593 articles were further examined. The articles contained 910 behavioural instruments, with a final set of 728 unique instruments. Each instrument was classified against the International Classification of Functioning, Disability and Health (ICF). Half of the instruments (n = 370, 50.8%) evaluated the mental functions domain of the ICF body functions component, with a substantially smaller proportion (n = 64, 8.8%) examining specific motor-sensory and other body functions. Instruments also covered domains of activities/participation (n = 109, 15.0%), environmental factors (n = 22, 3.0%) and personal factors (n = 36, 4.9%). A substantial number of scales (n = 93, 12.8%) were multidimensional across the body function domains (n = 32), as well as the functioning and disability part of the ICF (n = 60). The remaining 5% of instruments addressed concepts not covered by the ICF, including quality of life (n = 19, 2.6%) and rehabilitation process tools (such as therapeutic alliance). The 728 instruments were listed and more than 70 of the most common, spread across 20 domains, were highlighted. CONCLUSION: These data provide a comprehensive and up-to-date resource that gives the researcher or clinician a very large selection of assessment instruments covering the major areas of function pertinent to TBI.\n
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\n \n \n\n \n \n \n \n Trends in outcomes and hospitalization costs for traumatic brain injury in adult patients in the United States.\n \n\n\n \n Farhad, K.; Khan, H., M., R.; Ji, A., B.; Yacoub, H., a.; Qureshi, A., I.; and Souayah, N.\n \n\n\n \n\n\n\n Journal of neurotrauma, 30(2). 2013.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Trends in outcomes and hospitalization costs for traumatic brain injury in adult patients in the United States.},\n type = {article},\n year = {2013},\n identifiers = {[object Object]},\n volume = {30},\n id = {a3fc260f-21ff-30a5-8a5d-ca02600e7412},\n created = {2017-06-28T11:50:12.345Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:12.345Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {Several new therapeutic strategies have been introduced for the management of adult traumatic brain injury (TBI) over the last decade, such as the development of management pathways and specialized TBI units and improved treatment of cerebral perfusion. The purpose of this study is to compare TBI-related hospitalization outcomes in the United States between two time periods, 1993-1994 and 2006-2007. We determined the rates of occurrence, in-hospital outcomes, and mean hospital charges for patients hospitalized with adult TBI in 1993-1994 using the nationally representative all-payer Nationwide Inpatient Survey (NIS) database, and compared these outcomes with homologous data from 2006-2007. The incidence of TBI admissions was reduced by 35% in 2006-2007 compared with 1993-1994; (22/100,000 versus 34/100,000 population; p<0.0001). The mean length of hospitalization (mean±SD, in days) was significantly lower in 2006-2007 than in 1993-1994 (2.5±2.4 days versus 2.7±2.6 days; p<0.0001). In-hospital mortality increased significantly in 2006-2007 compared with 1993-1994 (0.8% versus 0.4%, p<0.0001). Average hospitalization charges were significantly higher in 2006-2007 compared with 19993-1994 ($21,460±$21,212 versus $5,142±$4,625; p<0.0001), even after adjusting for inflation. In both time periods, most hospitalized adult TBI patients were graded as mild (98.2% in 1993-1994 versus 98.0% in 2006-2007; p=0.20). There was a significant increase in average hospitalization charges and death rates in all TBI severity subgroups in 2006-2007 compared with 1993-1994. The decline in rate of hospitalization between the two time periods was predominantly related to the decline in the number of admissions of patients with mild TBI. Although the number of TBI admissions was reduced, a significant increase in average hospitalization charges and in-hospital mortality rate was observed in 2006-2007 compared with 1993-1994.},\n bibtype = {article},\n author = {Farhad, Khosro and Khan, Hafiz M R and Ji, Andrew B and Yacoub, Hussam a and Qureshi, Adnan I and Souayah, Nizar},\n journal = {Journal of neurotrauma},\n number = {2}\n}
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\n Several new therapeutic strategies have been introduced for the management of adult traumatic brain injury (TBI) over the last decade, such as the development of management pathways and specialized TBI units and improved treatment of cerebral perfusion. The purpose of this study is to compare TBI-related hospitalization outcomes in the United States between two time periods, 1993-1994 and 2006-2007. We determined the rates of occurrence, in-hospital outcomes, and mean hospital charges for patients hospitalized with adult TBI in 1993-1994 using the nationally representative all-payer Nationwide Inpatient Survey (NIS) database, and compared these outcomes with homologous data from 2006-2007. The incidence of TBI admissions was reduced by 35% in 2006-2007 compared with 1993-1994; (22/100,000 versus 34/100,000 population; p<0.0001). The mean length of hospitalization (mean±SD, in days) was significantly lower in 2006-2007 than in 1993-1994 (2.5±2.4 days versus 2.7±2.6 days; p<0.0001). In-hospital mortality increased significantly in 2006-2007 compared with 1993-1994 (0.8% versus 0.4%, p<0.0001). Average hospitalization charges were significantly higher in 2006-2007 compared with 19993-1994 ($21,460±$21,212 versus $5,142±$4,625; p<0.0001), even after adjusting for inflation. In both time periods, most hospitalized adult TBI patients were graded as mild (98.2% in 1993-1994 versus 98.0% in 2006-2007; p=0.20). There was a significant increase in average hospitalization charges and death rates in all TBI severity subgroups in 2006-2007 compared with 1993-1994. The decline in rate of hospitalization between the two time periods was predominantly related to the decline in the number of admissions of patients with mild TBI. Although the number of TBI admissions was reduced, a significant increase in average hospitalization charges and in-hospital mortality rate was observed in 2006-2007 compared with 1993-1994.\n
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\n \n \n\n \n \n \n \n Post-traumatic amnesia.\n \n\n\n \n Marshman, L., A., G.; Jakabek, D.; Hennessy, M.; Quirk, F.; and Guazzo, E., P.\n \n\n\n \n\n\n\n 2013.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@misc{\n title = {Post-traumatic amnesia},\n type = {misc},\n year = {2013},\n source = {Journal of Clinical Neuroscience},\n identifiers = {[object Object]},\n volume = {20},\n issue = {11},\n id = {d9160c27-83b2-39b6-9abd-a8b1d216c4a8},\n created = {2017-06-28T11:50:12.429Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:12.429Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {Of patients hospitalised for traumatic brain injury (TBI), most pass through a state of altered consciousness known as "post-traumatic amnesia" (PTA). Despite the lack of a consistent definition, PTA is widely used as a construct in neurosurgical practice to guide decision-making and prognosis. Accurate PTA assessment is important, because over-evaluation leads to excess social, financial and opportunity costs, whilst under-evaluation risks patient welfare. Whilst anterograde memory is certainly disrupted in PTA, PTA in fact involves a far more extensive memory disturbance. More instructively, the complete "post-TBI syndrome" also comprises an extensive cognitive deficit which includes a confusional state, as well as a behavioural disturbance characterised by acute agitation. Recently, impairments in attention and executive functioning have also been emphasised; indeed, some consider these the primary disturbance with PTA. Although all of these features were fully described (or implied) by the earliest pioneers, most current PTA scores do not assess the complete "post-TBI syndrome". Currently, the Westmead PTA scale (WPTAS) directs most in-hospital TBI management throughout Australasia: however, in addition to general defects, specific limitations have been identified in the levels of evidence for WPTAS validity. We review the literature regarding PTA and, in particular, the continued role of the WPTAS in directing neurosurgical practice. ?? 2013 Elsevier Ltd. All rights reserved.},\n bibtype = {misc},\n author = {Marshman, Laurence A G and Jakabek, David and Hennessy, Maria and Quirk, Frances and Guazzo, Eric P.}\n}
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\n Of patients hospitalised for traumatic brain injury (TBI), most pass through a state of altered consciousness known as \"post-traumatic amnesia\" (PTA). Despite the lack of a consistent definition, PTA is widely used as a construct in neurosurgical practice to guide decision-making and prognosis. Accurate PTA assessment is important, because over-evaluation leads to excess social, financial and opportunity costs, whilst under-evaluation risks patient welfare. Whilst anterograde memory is certainly disrupted in PTA, PTA in fact involves a far more extensive memory disturbance. More instructively, the complete \"post-TBI syndrome\" also comprises an extensive cognitive deficit which includes a confusional state, as well as a behavioural disturbance characterised by acute agitation. Recently, impairments in attention and executive functioning have also been emphasised; indeed, some consider these the primary disturbance with PTA. Although all of these features were fully described (or implied) by the earliest pioneers, most current PTA scores do not assess the complete \"post-TBI syndrome\". Currently, the Westmead PTA scale (WPTAS) directs most in-hospital TBI management throughout Australasia: however, in addition to general defects, specific limitations have been identified in the levels of evidence for WPTAS validity. We review the literature regarding PTA and, in particular, the continued role of the WPTAS in directing neurosurgical practice. ?? 2013 Elsevier Ltd. All rights reserved.\n
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\n \n \n\n \n \n \n \n Incidence of traumatic brain injury in New Zealand: A population-based study.\n \n\n\n \n Feigin, V., L.; Theadom, A.; Barker-Collo, S.; Starkey, N., J.; McPherson, K.; Kahan, M.; Dowell, A.; Brown, P.; Parag, V.; Kydd, R.; Jones, K.; Jones, A.; and Ameratunga, S.\n \n\n\n \n\n\n\n The Lancet Neurology, 12(1). 2013.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Incidence of traumatic brain injury in New Zealand: A population-based study},\n type = {article},\n year = {2013},\n identifiers = {[object Object]},\n volume = {12},\n id = {e06985e7-4020-300c-89b4-b8058a0eb927},\n created = {2017-06-28T11:50:13.724Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.724Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {Background: Traumatic brain injury (TBI) is the leading cause of long-term disability in children and young adults worldwide. However, accurate information about its incidence does not exist. We aimed to estimate the burden of TBI in rural and urban populations in New Zealand across all ages and TBI severities. Methods: We did a population-based incidence study in an urban (Hamilton) and rural (Waikato District) population in New Zealand. We registered all cases of TBI (admitted to hospital or not, fatal or non-fatal) that occurred in the population between March 1, 2010, and Feb 28, 2011, using multiple overlapping sources of information. We calculated incidence per 100 000 person-years with 95% CIs using a Poisson distribution. We calculated rate ratios [RRs] to compare the age-standardised rates between sex, ethnicity, and residency (urban, rural) groups. We used direct standardisation to age-standardise the rates to the world population. Results: The total incidence of TBI per 100 000 person-years was 790 cases (95% CI 749-832); incidence per 100 000 person-years of mild TBI was 749 cases (709-790) and of moderate to severe TBI was 41 cases (31-51). Children (aged 0-14 years) and adolescents and young adults (aged 15-34 years) constituted almost 70% of all TBI cases. TBI affected boys and men more than women and girls (RR 1??77, 95% CI 1??58-1??97). Most TBI cases were due to falls (38% [516 of 1369]), mechanical forces (21% [288 of 1369]), transport accidents (20% [277 of 1369]), and assaults (17% [228 of 1369]). Compared with people of European origin, Maori people had a greater risk of mild TBI (RR 1??23, 95% CI 1??08-1??39). Incidence of moderate to severe TBI in the rural population (73 per 100 000 person-years [95% CI 50-107) was almost 2??5 times greater than in the urban population (31 per 100 000 person-years [23-42]). Interpretation: Our findings suggest that the incidence of TBI, especially mild TBI, in New Zealand is far greater than would be estimated from the findings of previous studies done in other high-income countries. Our age-specific and residency-specific data for TBI incidence overall and by mechanism of injury should be considered when planning prevention and TBI care services. Funding: Health Research Council of New Zealand. ?? 2013 Elsevier Ltd.},\n bibtype = {article},\n author = {Feigin, Valery L. and Theadom, Alice and Barker-Collo, Suzanne and Starkey, Nicola J. and McPherson, Kathryn and Kahan, Michael and Dowell, Anthony and Brown, Paul and Parag, Varsha and Kydd, Robert and Jones, Kelly and Jones, Amy and Ameratunga, Shanthi},\n journal = {The Lancet Neurology},\n number = {1}\n}
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\n Background: Traumatic brain injury (TBI) is the leading cause of long-term disability in children and young adults worldwide. However, accurate information about its incidence does not exist. We aimed to estimate the burden of TBI in rural and urban populations in New Zealand across all ages and TBI severities. Methods: We did a population-based incidence study in an urban (Hamilton) and rural (Waikato District) population in New Zealand. We registered all cases of TBI (admitted to hospital or not, fatal or non-fatal) that occurred in the population between March 1, 2010, and Feb 28, 2011, using multiple overlapping sources of information. We calculated incidence per 100 000 person-years with 95% CIs using a Poisson distribution. We calculated rate ratios [RRs] to compare the age-standardised rates between sex, ethnicity, and residency (urban, rural) groups. We used direct standardisation to age-standardise the rates to the world population. Results: The total incidence of TBI per 100 000 person-years was 790 cases (95% CI 749-832); incidence per 100 000 person-years of mild TBI was 749 cases (709-790) and of moderate to severe TBI was 41 cases (31-51). Children (aged 0-14 years) and adolescents and young adults (aged 15-34 years) constituted almost 70% of all TBI cases. TBI affected boys and men more than women and girls (RR 1??77, 95% CI 1??58-1??97). Most TBI cases were due to falls (38% [516 of 1369]), mechanical forces (21% [288 of 1369]), transport accidents (20% [277 of 1369]), and assaults (17% [228 of 1369]). Compared with people of European origin, Maori people had a greater risk of mild TBI (RR 1??23, 95% CI 1??08-1??39). Incidence of moderate to severe TBI in the rural population (73 per 100 000 person-years [95% CI 50-107) was almost 2??5 times greater than in the urban population (31 per 100 000 person-years [23-42]). Interpretation: Our findings suggest that the incidence of TBI, especially mild TBI, in New Zealand is far greater than would be estimated from the findings of previous studies done in other high-income countries. Our age-specific and residency-specific data for TBI incidence overall and by mechanism of injury should be considered when planning prevention and TBI care services. Funding: Health Research Council of New Zealand. ?? 2013 Elsevier Ltd.\n
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\n \n \n\n \n \n \n \n Toward an international initiative for traumatic brain injury research.\n \n\n\n \n Tosetti, P.; Hicks, R., R.; Theriault, E.; Phillips, A.; Koroshetz, W.; Draghia-Akli, R.; and Workshop Participants\n \n\n\n \n\n\n\n Journal of neurotrauma, 30(14). 2013.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Toward an international initiative for traumatic brain injury research.},\n type = {article},\n year = {2013},\n identifiers = {[object Object]},\n volume = {30},\n id = {b7964654-2a29-3dce-a19a-6d6c211469ee},\n created = {2017-06-28T11:50:15.901Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:15.901Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {The European Commission (EC) and the National Institutes of Health (NIH) jointly sponsored a workshop on October 18-20, 2011 in Brussels to discuss the feasibility and benefits of an international collaboration in the field of traumatic brain injury (TBI) research. The workshop brought together scientists, clinicians, patients, and industry representatives from around the globe as well as funding agencies from the EU, Spain, the United States, and Canada. Sessions tackled both the possible goals and governance of a future initiative and the scientific questions that would most benefit from an integrated international effort: how to optimize data collection and sharing; injury classification; outcome measures; clinical study design; and statistical analysis. There was a clear consensus that increased dialogue and coordination of research at an international level would be beneficial for advancing TBI research, treatment, and care. To this end, the EC, the NIH, and the Canadian Institutes of Health Research expressed interest in developing a framework for an international initiative for TBI Research (InTBIR). The workshop participants recommended that InTBIR initially focus on collecting, standardizing, and sharing clinical TBI data for comparative effectiveness research, which will ultimately result in better management and treatments for TBI.},\n bibtype = {article},\n author = {Tosetti, Patrizia and Hicks, Ramona R and Theriault, Elizabeth and Phillips, Anthony and Koroshetz, Walter and Draghia-Akli, Ruxandra and Workshop Participants, undefined},\n journal = {Journal of neurotrauma},\n number = {14}\n}
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\n The European Commission (EC) and the National Institutes of Health (NIH) jointly sponsored a workshop on October 18-20, 2011 in Brussels to discuss the feasibility and benefits of an international collaboration in the field of traumatic brain injury (TBI) research. The workshop brought together scientists, clinicians, patients, and industry representatives from around the globe as well as funding agencies from the EU, Spain, the United States, and Canada. Sessions tackled both the possible goals and governance of a future initiative and the scientific questions that would most benefit from an integrated international effort: how to optimize data collection and sharing; injury classification; outcome measures; clinical study design; and statistical analysis. There was a clear consensus that increased dialogue and coordination of research at an international level would be beneficial for advancing TBI research, treatment, and care. To this end, the EC, the NIH, and the Canadian Institutes of Health Research expressed interest in developing a framework for an international initiative for TBI Research (InTBIR). The workshop participants recommended that InTBIR initially focus on collecting, standardizing, and sharing clinical TBI data for comparative effectiveness research, which will ultimately result in better management and treatments for TBI.\n
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\n \n \n\n \n \n \n \n Understanding the neuropsychiatric consequences associated with significant traumatic brain injury.\n \n\n\n \n Bhalerao, S., U.; Geurtjens, C.; Thomas, G., R.; Kitamura, C., R.; Zhou, C.; and Marlborough, M.\n \n\n\n \n\n\n\n Brain injury : [BI], 27(7-8). 2013.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Understanding the neuropsychiatric consequences associated with significant traumatic brain injury.},\n type = {article},\n year = {2013},\n identifiers = {[object Object]},\n volume = {27},\n id = {74a4fc6d-6921-35c2-9c4d-a14dff215af2},\n created = {2017-06-28T11:50:16.532Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:16.532Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {BACKGROUND: Traumatic brain injury (TBI) can give rise to a variety of neuropsychiatric syndromes. The objective of this review is to describe the neurobiological mechanisms that have been proposed to underlie many of these post-TBI syndromes, explore the utility of various investigative modalities and review the mechanisms of treatment available for them.\\n\\nMETHODS: Six authors reviewed PubMed and Ovid literature that addressed TBI in the context of the neuropsychiatric sequelae, evaluation and management.\\n\\nRESULTS: Depressed mood, anxiety, impulsive/aggressive behaviour, impaired memory and sleep disturbances are among the most prevalent sequelae of severe TBI. Delirium, while less common, can also result from TBI, predisposing individuals to other psychiatric conditions, while psychosis, usually presenting with atypical features, is relatively rare. The evaluation of the brain following TBI has often relied on traditional structural imaging which, according to recent studies, is less sensitive than chemical and functional neuroimaging. A variety of pharmacologic and non-pharmacologic treatments have been investigated with varying degrees of success in managing the spectrum of post-TBI psychiatric illnesses.\\n\\nCONCLUSIONS: Neuropsychiatric sequelae are common following TBI. Several of these syndromes are amenable to treatment. Further investigations are required, however, to better understand the mechanistic aetiology of these conditions and the effectiveness of various therapeutic modalities.},\n bibtype = {article},\n author = {Bhalerao, Shree Uddhav and Geurtjens, Carly and Thomas, Garry Robert and Kitamura, Christopher Ross and Zhou, Carrol and Marlborough, Michelle},\n journal = {Brain injury : [BI]},\n number = {7-8}\n}
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\n BACKGROUND: Traumatic brain injury (TBI) can give rise to a variety of neuropsychiatric syndromes. The objective of this review is to describe the neurobiological mechanisms that have been proposed to underlie many of these post-TBI syndromes, explore the utility of various investigative modalities and review the mechanisms of treatment available for them.\\n\\nMETHODS: Six authors reviewed PubMed and Ovid literature that addressed TBI in the context of the neuropsychiatric sequelae, evaluation and management.\\n\\nRESULTS: Depressed mood, anxiety, impulsive/aggressive behaviour, impaired memory and sleep disturbances are among the most prevalent sequelae of severe TBI. Delirium, while less common, can also result from TBI, predisposing individuals to other psychiatric conditions, while psychosis, usually presenting with atypical features, is relatively rare. The evaluation of the brain following TBI has often relied on traditional structural imaging which, according to recent studies, is less sensitive than chemical and functional neuroimaging. A variety of pharmacologic and non-pharmacologic treatments have been investigated with varying degrees of success in managing the spectrum of post-TBI psychiatric illnesses.\\n\\nCONCLUSIONS: Neuropsychiatric sequelae are common following TBI. Several of these syndromes are amenable to treatment. Further investigations are required, however, to better understand the mechanistic aetiology of these conditions and the effectiveness of various therapeutic modalities.\n
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\n \n \n\n \n \n \n \n Changing patterns in the epidemiology of traumatic brain injury.\n \n\n\n \n Roozenbeek, B.; Maas, A., I., R.; and Menon, D., K.\n \n\n\n \n\n\n\n Nature reviews. Neurology, 9(4). 2013.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Changing patterns in the epidemiology of traumatic brain injury.},\n type = {article},\n year = {2013},\n identifiers = {[object Object]},\n volume = {9},\n id = {6f08dffa-a457-38d8-9c75-2a470bd339ec},\n created = {2017-06-28T11:50:16.831Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:16.831Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {Traumatic brain injury (TBI) is a critical public health and socio-economic problem throughout the world. Reliable quantification of the burden caused by TBI is difficult owing to inadequate standardization and incomplete capture of data on the incidence and outcome of brain injury, with variability in the definition of TBI being partly to blame. Reports show changes in epidemiological patterns of TBI: the median age of individuals who experience TBI is increasing, and falls have now surpassed road traffic incidents as the leading cause of this injury. Despite claims to the contrary, no clear decrease in TBI-related mortality or improvement of overall outcome has been observed over the past two decades. In this Perspectives article, we discuss the strengths and limitations of epidemiological studies, address the variability in its definition, and highlight changing epidemiological patterns. Taken together, these analyses identify a great need for standardized epidemiological monitoring in TBI.},\n bibtype = {article},\n author = {Roozenbeek, Bob and Maas, Andrew I R and Menon, David K},\n journal = {Nature reviews. Neurology},\n number = {4}\n}
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\n Traumatic brain injury (TBI) is a critical public health and socio-economic problem throughout the world. Reliable quantification of the burden caused by TBI is difficult owing to inadequate standardization and incomplete capture of data on the incidence and outcome of brain injury, with variability in the definition of TBI being partly to blame. Reports show changes in epidemiological patterns of TBI: the median age of individuals who experience TBI is increasing, and falls have now surpassed road traffic incidents as the leading cause of this injury. Despite claims to the contrary, no clear decrease in TBI-related mortality or improvement of overall outcome has been observed over the past two decades. In this Perspectives article, we discuss the strengths and limitations of epidemiological studies, address the variability in its definition, and highlight changing epidemiological patterns. Taken together, these analyses identify a great need for standardized epidemiological monitoring in TBI.\n
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\n \n \n\n \n \n \n \n Predicting health-related quality of life 2 years after moderate-to-severe traumatic brain injury.\n \n\n\n \n Forslund, M., V.; Roe, C.; Sigurdardottir, S.; and Andelic, N.\n \n\n\n \n\n\n\n Acta Neurologica Scandinavica, 128(4). 2013.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Predicting health-related quality of life 2 years after moderate-to-severe traumatic brain injury},\n type = {article},\n year = {2013},\n identifiers = {[object Object]},\n volume = {128},\n id = {2fe9ee1c-5ef8-3093-9351-16fb3b135c89},\n created = {2017-07-27T11:53:53.332Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-07-27T11:53:53.449Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {AIMS: To describe health-related quality of life (HRQL) 2 years after moderate-to-severe traumatic brain injury (TBI) and to assess predictors of HRQL.\\n\\nMATERIALS AND METHODS: A prospective cohort study of 91 patients, aged 16-55 years, admitted with moderate-to-severe TBI to a trauma referral centre between 2005 and 2007, with follow-up at 1 and 2 years. Mean age was 31.1 (SD = 11.3) years, and 77% were men. Injury severity was evaluated by the Glasgow Coma Scale (GCS), head CT scan (using a modified Marshall Classification), Injury Severity Score (ISS) and post-traumatic amnesia (PTA). The Functional Independence Measure (FIM), Community Integration Questionnaire (CIQ), Beck Depression Inventory (BDI) and Medical Outcomes 36-item Short Form Health Survey (SF-36) were administered at follow-up visits. The main outcome measures were the Physical Component Summary (PCS) and Mental Component Summary (MCS) of the SF-36.\\n\\nRESULTS: HRQL appears to be relatively stable between 1 and 2 years after injury. In the multivariate linear regression, younger age (β = -0.20, P = 0.032), more severe TBI (β = 0.28, P = 0.016), more severe overall trauma (β = 0.22, P = 0.026), higher levels of community integration (β = 0.36, P = 0.019) and higher positive change in PCS scores from 1 to 2 years (β = 0.41, P < 0.001) predicted better self-reported physical health 2 years post-TBI. Lower scores for depression (β = -0.70, P < 0.001) and a higher positive change in MCS scores (β = 0.62, P < 0.001) predicted better self-reported mental health.\\n\\nCONCLUSIONS: Future interventions should focus on aspects related to HRQL that are more easily modified, such as physical functioning, home and social integration, productivity, and mental and emotional status.},\n bibtype = {article},\n author = {Forslund, M. V. and Roe, C. and Sigurdardottir, S. and Andelic, N.},\n journal = {Acta Neurologica Scandinavica},\n number = {4}\n}
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\n AIMS: To describe health-related quality of life (HRQL) 2 years after moderate-to-severe traumatic brain injury (TBI) and to assess predictors of HRQL.\\n\\nMATERIALS AND METHODS: A prospective cohort study of 91 patients, aged 16-55 years, admitted with moderate-to-severe TBI to a trauma referral centre between 2005 and 2007, with follow-up at 1 and 2 years. Mean age was 31.1 (SD = 11.3) years, and 77% were men. Injury severity was evaluated by the Glasgow Coma Scale (GCS), head CT scan (using a modified Marshall Classification), Injury Severity Score (ISS) and post-traumatic amnesia (PTA). The Functional Independence Measure (FIM), Community Integration Questionnaire (CIQ), Beck Depression Inventory (BDI) and Medical Outcomes 36-item Short Form Health Survey (SF-36) were administered at follow-up visits. The main outcome measures were the Physical Component Summary (PCS) and Mental Component Summary (MCS) of the SF-36.\\n\\nRESULTS: HRQL appears to be relatively stable between 1 and 2 years after injury. In the multivariate linear regression, younger age (β = -0.20, P = 0.032), more severe TBI (β = 0.28, P = 0.016), more severe overall trauma (β = 0.22, P = 0.026), higher levels of community integration (β = 0.36, P = 0.019) and higher positive change in PCS scores from 1 to 2 years (β = 0.41, P < 0.001) predicted better self-reported physical health 2 years post-TBI. Lower scores for depression (β = -0.70, P < 0.001) and a higher positive change in MCS scores (β = 0.62, P < 0.001) predicted better self-reported mental health.\\n\\nCONCLUSIONS: Future interventions should focus on aspects related to HRQL that are more easily modified, such as physical functioning, home and social integration, productivity, and mental and emotional status.\n
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\n \n \n\n \n \n \n \n The Community Approach to Participation (CAP) model for community integration in people with acquired brain injury.\n \n\n\n \n Looker, H.\n \n\n\n \n\n\n\n pages 135-154. 2013.\n \n\n\n\n
\n\n\n \n \n \n \"TheWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@inBook{\n title = {The Community Approach to Participation (CAP) model for community integration in people with acquired brain injury.},\n type = {inBook},\n year = {2013},\n identifiers = {[object Object]},\n keywords = {Community Approach to Participation model,Community Services,Costs and Cost Analysis,Funding,Intervention,Models,Program Development,Program Evaluation,Therapeutic Processes,Traumatic Brain Injury,Treatment Outcomes,acquired brain injury,community integration,program development,program implementation,program outcomes.,program resources,therapeutic intervention},\n pages = {135-154},\n websites = {http://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2013-32465-007&site=ehost-live},\n id = {30ad2309-649a-3c24-87e4-e3e4dba30b91},\n created = {2017-07-27T11:53:53.337Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-07-27T11:53:53.429Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {Due to the prevailing trend in developed countries to reduce institutional care, community-based interventions for acquired brain injury (ABI) that are successful, beneficial to individuals, and cost-effective are urgently needed. Meeting the demand for individuals with ABI and challenging behaviour to receive timely therapeutic intervention must be a priority. In Australia, community-based programs such as the Community Approach to Participation (CAP) model at Osborn Sloan & Associates and Neuroskills gained enhanced sustainability due to policies in government and the Transport Accident Commission supporting community-based care and acknowledging long-term commitment to the ABI population. Scarcity of resources coupled with rising demand for ABI services calls for collaborative effort from all stakeholders to allow community-based models such as the CAP to be implemented and funded in a way that makes service continuity possible and integrated with complementary health and social services regardless of whether operation is in the public or private sector. The CAP model of community integration has proven to be effective in practice and meets the goals of many health care systems where ABI interventions are a high priority on the public health agenda. This chapter focuses on the CAP model development, resources, implementation, and outcomes. (PsycINFO Database Record (c) 2015 APA, all rights reserved). (chapter)},\n bibtype = {inBook},\n author = {Looker, Helen},\n book = {Casebook of exemplary evidence-informed programs that foster community participation after acquired brain injury.}\n}
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\n Due to the prevailing trend in developed countries to reduce institutional care, community-based interventions for acquired brain injury (ABI) that are successful, beneficial to individuals, and cost-effective are urgently needed. Meeting the demand for individuals with ABI and challenging behaviour to receive timely therapeutic intervention must be a priority. In Australia, community-based programs such as the Community Approach to Participation (CAP) model at Osborn Sloan & Associates and Neuroskills gained enhanced sustainability due to policies in government and the Transport Accident Commission supporting community-based care and acknowledging long-term commitment to the ABI population. Scarcity of resources coupled with rising demand for ABI services calls for collaborative effort from all stakeholders to allow community-based models such as the CAP to be implemented and funded in a way that makes service continuity possible and integrated with complementary health and social services regardless of whether operation is in the public or private sector. The CAP model of community integration has proven to be effective in practice and meets the goals of many health care systems where ABI interventions are a high priority on the public health agenda. This chapter focuses on the CAP model development, resources, implementation, and outcomes. (PsycINFO Database Record (c) 2015 APA, all rights reserved). (chapter)\n
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\n \n \n\n \n \n \n \n Factors Associated With Strain in Carers of People With Traumatic Brain Injury.\n \n\n\n \n Boycott, N.; Yeoman, P.; and Vesey, P.\n \n\n\n \n\n\n\n Journal of Head Trauma Rehabilitation, 28(2): 106-115. 2013.\n \n\n\n\n
\n\n\n \n \n \n \"FactorsWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Factors Associated With Strain in Carers of People With Traumatic Brain Injury},\n type = {article},\n year = {2013},\n identifiers = {[object Object]},\n pages = {106-115},\n volume = {28},\n websites = {http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00001199-201303000-00004},\n id = {ed284093-dda9-38b1-ac6f-cb26eb7e3a41},\n created = {2017-08-25T10:55:46.529Z},\n accessed = {2017-08-25},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-08-25T10:55:46.529Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {Objective: To explore factors associated with strain in carers of patients with traumatic brain injury.\r\n\r\nDesign: Cross-sectional cohort study.\r\n\r\nParticipants: Forty-eight carers of patients with traumatic brain injury admitted to a neurosurgical unit over a 9-year period were assessed an average of 9.3 years after injury.\r\n\r\nMeasures: Caregiver Strain Index (CSI), Neurobehavioral Functioning Inventory (NFI), Glasgow Outcome Scale (GOS), Virginia Prediction Tree Score, and carer and patient demographics.\r\n\r\nProcedure: Carers were assessed via postal survey for levels of strain using the CSI and for their perception of the patients' disabilities using the NFI.\r\n\r\nResults: Elevated levels of strain were found in 42% of carers. Using logistic regression, outcome as rated by the patients' general practitioner on the GOS and all subscales of the NFI (except Somatic) explained 41% to 57% of the variance in strain and predicted group membership correctly in 72.9% of cases. No individual variable contributed significantly to the explained variance in the model.\r\n\r\nConclusion: A number of factors appear to combine to result in feelings of strain, but the GOS could be used as a crude screening tool. Interventions for cognitive, behavioral, and emotional difficulties may be most useful for carers.},\n bibtype = {article},\n author = {Boycott, Naomi and Yeoman, Paddy and Vesey, Patrick},\n journal = {Journal of Head Trauma Rehabilitation},\n number = {2}\n}
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\n Objective: To explore factors associated with strain in carers of patients with traumatic brain injury.\r\n\r\nDesign: Cross-sectional cohort study.\r\n\r\nParticipants: Forty-eight carers of patients with traumatic brain injury admitted to a neurosurgical unit over a 9-year period were assessed an average of 9.3 years after injury.\r\n\r\nMeasures: Caregiver Strain Index (CSI), Neurobehavioral Functioning Inventory (NFI), Glasgow Outcome Scale (GOS), Virginia Prediction Tree Score, and carer and patient demographics.\r\n\r\nProcedure: Carers were assessed via postal survey for levels of strain using the CSI and for their perception of the patients' disabilities using the NFI.\r\n\r\nResults: Elevated levels of strain were found in 42% of carers. Using logistic regression, outcome as rated by the patients' general practitioner on the GOS and all subscales of the NFI (except Somatic) explained 41% to 57% of the variance in strain and predicted group membership correctly in 72.9% of cases. No individual variable contributed significantly to the explained variance in the model.\r\n\r\nConclusion: A number of factors appear to combine to result in feelings of strain, but the GOS could be used as a crude screening tool. Interventions for cognitive, behavioral, and emotional difficulties may be most useful for carers.\n
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\n \n \n\n \n \n \n \n Referral to Rehabilitation After Severe Traumatic Brain Injury: Results From the PariS-TBI Study.\n \n\n\n \n Jourdan, C.; Bayen, E.; Bosserelle, V.; Azerad, S.; Genet, F.; Fermanian, C.; Aegerter, P.; Pradat-Diehl, P.; Weiss, J.; Azouvi, P.; and PariS-TBI Study, M., O., T., S., C., O., T.\n \n\n\n \n\n\n\n Neurorehabilitation and Neural Repair, 27(1). 2013.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Referral to Rehabilitation After Severe Traumatic Brain Injury: Results From the PariS-TBI Study},\n type = {article},\n year = {2013},\n identifiers = {[object Object]},\n volume = {27},\n id = {7c8560d0-608a-34a5-a0f4-1dbcd0bd266d},\n created = {2017-09-07T07:57:17.390Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-09-07T07:57:17.492Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {BACKGROUND: After a severe traumatic brain injury (TBI), some patients are discharged home without rehabilitation, although rehabilitation is assumed to improve outcome. OBJECTIVE: To assess factors that predict referral to rehabilitation following acute care. This study is part of a larger inception cohort study assessing the care network in the Parisian area (France). METHODS: Between July 2005 and April 2007, 504 adults with severe TBI (Glasgow Coma Scale score ≤ 8) were prospectively recruited by mobile emergency services. This study included 254 acute care survivors (80% male, median age 32 years). Data regarding demographics, injury severity, and acute care pathway were collected. The first analysis compared patients referred to a rehabilitation facility with patients discharged to a living place. The second analysis compared patients referred to a specialized neurorehabilitation (NR) facility with patients referred to nonspecialized rehabilitation. Univariate and multivariate statistics were computed. RESULTS: . In all, 162 patients (64%) were referred to rehabilitation, 115 (45%) of which were referred to NR and 47 (19%) to nonspecialized rehabilitation. The following factors were significantly predictive of nonreferral to rehabilitation: living alone, a lower income professional category, pretraumatic alcohol abuse, lower TBI severity, and transfer through a nonspecialized medical ward before discharge. Patients referred to specialized NR were significantly younger and from a higher income professional category. CONCLUSIONS: These results raise concern regarding care pathways because many patients were discharged to living places, probably without adequate assessment and management of rehabilitation needs. Injury severity and social characteristics influenced discharge destination.},\n bibtype = {article},\n author = {Jourdan, C. and Bayen, E. and Bosserelle, V. and Azerad, S. and Genet, F. and Fermanian, C. and Aegerter, P. and Pradat-Diehl, P. and Weiss, J.-J. and Azouvi, P. and PariS-TBI Study, M. O. T. S. C. O. T.},\n journal = {Neurorehabilitation and Neural Repair},\n number = {1}\n}
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\n BACKGROUND: After a severe traumatic brain injury (TBI), some patients are discharged home without rehabilitation, although rehabilitation is assumed to improve outcome. OBJECTIVE: To assess factors that predict referral to rehabilitation following acute care. This study is part of a larger inception cohort study assessing the care network in the Parisian area (France). METHODS: Between July 2005 and April 2007, 504 adults with severe TBI (Glasgow Coma Scale score ≤ 8) were prospectively recruited by mobile emergency services. This study included 254 acute care survivors (80% male, median age 32 years). Data regarding demographics, injury severity, and acute care pathway were collected. The first analysis compared patients referred to a rehabilitation facility with patients discharged to a living place. The second analysis compared patients referred to a specialized neurorehabilitation (NR) facility with patients referred to nonspecialized rehabilitation. Univariate and multivariate statistics were computed. RESULTS: . In all, 162 patients (64%) were referred to rehabilitation, 115 (45%) of which were referred to NR and 47 (19%) to nonspecialized rehabilitation. The following factors were significantly predictive of nonreferral to rehabilitation: living alone, a lower income professional category, pretraumatic alcohol abuse, lower TBI severity, and transfer through a nonspecialized medical ward before discharge. Patients referred to specialized NR were significantly younger and from a higher income professional category. CONCLUSIONS: These results raise concern regarding care pathways because many patients were discharged to living places, probably without adequate assessment and management of rehabilitation needs. Injury severity and social characteristics influenced discharge destination.\n
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\n \n \n\n \n \n \n \n Journey in trying to achieve eligibility level 1 rehabilitation service.\n \n\n\n \n Poppleton, R.\n \n\n\n \n\n\n\n Social Care and Neurodisability, 3(3): 131-139. 10 2012.\n \n\n\n\n
\n\n\n \n \n \n \"JourneyWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Journey in trying to achieve eligibility level 1 rehabilitation service},\n type = {article},\n year = {2012},\n identifiers = {[object Object]},\n keywords = {Health and Social Care},\n pages = {131-139},\n volume = {3},\n websites = {http://www.emeraldinsight.com/journals.htm?issn=2042-0919&volume=3&issue=3&articleid=17053918&show=html},\n month = {10},\n publisher = {Emerald Group Publishing Limited},\n day = {8},\n id = {1809ea0d-0421-34e4-ba1a-e7e10d3c5132},\n created = {2017-06-28T11:50:11.800Z},\n accessed = {2012-09-14},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:11.800Z},\n tags = {level_1},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n language = {en},\n private_publication = {false},\n abstract = {Journey in trying to achieve eligibility level 1 rehabilitation service},\n bibtype = {article},\n author = {Poppleton, Rob},\n journal = {Social Care and Neurodisability},\n number = {3}\n}
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\n Journey in trying to achieve eligibility level 1 rehabilitation service\n
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\n \n \n\n \n \n \n \n Health Care Costs Associated with Traumatic Brain Injury and Psychiatric Illness in Adults.\n \n\n\n \n Rockhill, C., M., M.; Jaffe, K.; Zhou, C.; Fan, M., Y.; Katon, W.; and Fann, J., R.\n \n\n\n \n\n\n\n Journal of neurotrauma, . 1 2012.\n \n\n\n\n
\n\n\n \n \n \n \"HealthWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Health Care Costs Associated with Traumatic Brain Injury and Psychiatric Illness in Adults.},\n type = {article},\n year = {2012},\n identifiers = {[object Object]},\n keywords = {cost,costs,psychiatric_conditions,psychiatric_disorders},\n websites = {http://dx.doi.org/10.1089/neu.2010.1562},\n month = {1},\n day = {13},\n id = {386fe6e2-ec56-3122-bce5-128691cf4889},\n created = {2017-06-28T11:50:12.754Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:12.754Z},\n tags = {Costs,cost,psychiatric_conditions,psychiatric_disorders},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:10449744},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Abstract A cohort design was used to determine the contribution of traumatic brain injury (TBI) and psychiatric illness to health care costs for adolescents and adults in the 3 years following mild or moderate-to-severe TBI compared to a matched cohort without TBI, controlling for confounders. In all, 3756 subjects 15 years or older from a large health maintenance organization database were examined. We identified subjects who sustained a TBI in 1993 (n=939) and selected three control subjects per TBI-exposed subject (n=2817), matched for age, sex, and enrollment at the time of injury. Unadjusted mean costs in 2009-adjusted dollars were compared using Kruskal-Wallis tests and Mann-Whitney U tests, and adjusted mean costs were compared using gamma regression analyses. Average costs were 76% higher in the 3 years after injury for the mild TBI group, and 5.75 times greater for the moderate-to-severe TBI group compared to controls. The presence of psychiatric illness was associated with more than doubling of total costs for both inpatient and outpatient non-mental health care. Gamma regression analyses confirmed significantly higher costs in patients with TBI or psychiatric illness. A significant interaction between moderate-to-severe TBI and psychiatric illness indicated a 3.39 times greater cost among patients with both exposures compared with those exposed to moderate-to-severe TBI without psychiatric illness. TBI and psychiatric illness were each associated with significant increases in health care costs; those with the combination of moderate-to-severe TBI and psychiatric illness had much higher costs than any other group.},\n bibtype = {article},\n author = {Rockhill, Carol Mary M and Jaffe, Kenneth and Zhou, Chuan and Fan, Ming-Yu Y and Katon, Wayne and Fann, Jesse R},\n journal = {Journal of neurotrauma}\n}
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\n Abstract A cohort design was used to determine the contribution of traumatic brain injury (TBI) and psychiatric illness to health care costs for adolescents and adults in the 3 years following mild or moderate-to-severe TBI compared to a matched cohort without TBI, controlling for confounders. In all, 3756 subjects 15 years or older from a large health maintenance organization database were examined. We identified subjects who sustained a TBI in 1993 (n=939) and selected three control subjects per TBI-exposed subject (n=2817), matched for age, sex, and enrollment at the time of injury. Unadjusted mean costs in 2009-adjusted dollars were compared using Kruskal-Wallis tests and Mann-Whitney U tests, and adjusted mean costs were compared using gamma regression analyses. Average costs were 76% higher in the 3 years after injury for the mild TBI group, and 5.75 times greater for the moderate-to-severe TBI group compared to controls. The presence of psychiatric illness was associated with more than doubling of total costs for both inpatient and outpatient non-mental health care. Gamma regression analyses confirmed significantly higher costs in patients with TBI or psychiatric illness. A significant interaction between moderate-to-severe TBI and psychiatric illness indicated a 3.39 times greater cost among patients with both exposures compared with those exposed to moderate-to-severe TBI without psychiatric illness. TBI and psychiatric illness were each associated with significant increases in health care costs; those with the combination of moderate-to-severe TBI and psychiatric illness had much higher costs than any other group.\n
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\n \n \n\n \n \n \n \n Return to work after acquired brain injury: A patient perspective.\n \n\n\n \n Lundqvist, A.; and Samuelsson, K.\n \n\n\n \n\n\n\n Brain injury : [BI], . 7 2012.\n \n\n\n\n
\n\n\n \n \n \n \"ReturnWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Return to work after acquired brain injury: A patient perspective.},\n type = {article},\n year = {2012},\n identifiers = {[object Object]},\n websites = {http://www.ncbi.nlm.nih.gov/pubmed/22759203},\n month = {7},\n day = {3},\n id = {dda3f4ef-ecb6-317d-817f-62dd0d586a73},\n created = {2017-06-28T11:50:13.116Z},\n accessed = {2012-07-09},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.116Z},\n tags = {return_to_work,vocational_rehabilitation},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Primary objective: To study significant factors supporting vocational rehabilitation after acquired brain injury from a patient perspective. Methods: Two focus group interviews were accomplished with former patients. One focus group interview with professional rehabilitation personnel was performed to review the correspondence between patients' and professionals' opinion. Subjects: Fourteen informants with acquired brain injury (ABI) were interviewed. All were working at the time of the focus group interviews. Three occupational therapists and two psychologists participated in the professional group. Results: Two themes were identified as significant for returning to work: Personal and Society factors. Identified meaningful units could be categorized into sub-categories, which were grouped into six main- and 14 sub-categories. The main categories were: Self-continuity, Coping, Social factors, Rehabilitation intervention, Professionalism and Health insurance. Length of treatment time was described as crucial for the rehabilitation process and for utilizing individual resources. Conclusions: The effects of various synergies and processes form the basis for a successful return to work, which are dependent on, influence and reinforce each other. Society factors support personal factors to be used for returning to work after acquired brain injury. The impact of individual resources and rehabilitation highlights that vocational rehabilitation is inseparable from the individual's capacity, society and the context in which the individual lives.},\n bibtype = {article},\n author = {Lundqvist, Anna and Samuelsson, Kersti},\n journal = {Brain injury : [BI]}\n}
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\n Primary objective: To study significant factors supporting vocational rehabilitation after acquired brain injury from a patient perspective. Methods: Two focus group interviews were accomplished with former patients. One focus group interview with professional rehabilitation personnel was performed to review the correspondence between patients' and professionals' opinion. Subjects: Fourteen informants with acquired brain injury (ABI) were interviewed. All were working at the time of the focus group interviews. Three occupational therapists and two psychologists participated in the professional group. Results: Two themes were identified as significant for returning to work: Personal and Society factors. Identified meaningful units could be categorized into sub-categories, which were grouped into six main- and 14 sub-categories. The main categories were: Self-continuity, Coping, Social factors, Rehabilitation intervention, Professionalism and Health insurance. Length of treatment time was described as crucial for the rehabilitation process and for utilizing individual resources. Conclusions: The effects of various synergies and processes form the basis for a successful return to work, which are dependent on, influence and reinforce each other. Society factors support personal factors to be used for returning to work after acquired brain injury. The impact of individual resources and rehabilitation highlights that vocational rehabilitation is inseparable from the individual's capacity, society and the context in which the individual lives.\n
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\n \n \n\n \n \n \n \n The prevalence of traumatic brain injury in the homeless community in a UK city.\n \n\n\n \n Oddy, M.; Moir, J., F.; Fortescue, D.; and Chadwick, S.\n \n\n\n \n\n\n\n Brain injury : [BI], 26(9): 1058-64. 1 2012.\n \n\n\n\n
\n\n\n \n \n \n \"TheWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {The prevalence of traumatic brain injury in the homeless community in a UK city.},\n type = {article},\n year = {2012},\n identifiers = {[object Object]},\n keywords = {Prevalence,homeless,traumatic brain injury},\n pages = {1058-64},\n volume = {26},\n websites = {http://informahealthcare.com/doi/abs/10.3109/02699052.2012.667595},\n month = {1},\n publisher = {Informa UK, Ltd. London},\n day = {9},\n id = {bf9c34ac-d212-3b2b-ae4a-ce261f6aa849},\n created = {2017-06-28T11:50:13.186Z},\n accessed = {2012-07-13},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.186Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n language = {en},\n private_publication = {false},\n abstract = {Primary objective: The main aim of the study was to investigate the prevalence of traumatic brain injury in a sample of homeless individuals. Research design: The researchers employed a cross-sectional survey design and contacted 12 organizations providing services for homeless individuals across a city in the UK. Methods and procedures: The sample included 100 homeless participants (75 males and 25 females) who met the inclusion criteria. A matched control group (n = 100) of individuals who were not homeless was also recruited. A questionnaire was administered to all participants to elicit information relating to history of possible traumatic brain injury. Main outcomes and results: Results indicated that a significantly higher number of homeless participants (48%) reported a history of traumatic brain injury than control participants (21%). Of those homeless participants, 90% indicated they had sustained their first traumatic brain injury before they were homeless. Conclusions: These findings suggest that rates of traumatic brain injury are much higher among the homeless population than in the general population and that sustaining a traumatic brain injury may be a risk factor for homelessness.},\n bibtype = {article},\n author = {Oddy, Michael and Moir, Jane Frances and Fortescue, Deborah and Chadwick, Sarah},\n journal = {Brain injury : [BI]},\n number = {9}\n}
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\n Primary objective: The main aim of the study was to investigate the prevalence of traumatic brain injury in a sample of homeless individuals. Research design: The researchers employed a cross-sectional survey design and contacted 12 organizations providing services for homeless individuals across a city in the UK. Methods and procedures: The sample included 100 homeless participants (75 males and 25 females) who met the inclusion criteria. A matched control group (n = 100) of individuals who were not homeless was also recruited. A questionnaire was administered to all participants to elicit information relating to history of possible traumatic brain injury. Main outcomes and results: Results indicated that a significantly higher number of homeless participants (48%) reported a history of traumatic brain injury than control participants (21%). Of those homeless participants, 90% indicated they had sustained their first traumatic brain injury before they were homeless. Conclusions: These findings suggest that rates of traumatic brain injury are much higher among the homeless population than in the general population and that sustaining a traumatic brain injury may be a risk factor for homelessness.\n
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\n \n \n\n \n \n \n \n A Review of 21 iPad Applications for Augmentative and Alternative Communication Purposes.\n \n\n\n \n Alliano, A.; Herriger, K.; Koutsoftas, A., D.; and Bartolotta, T., E.\n \n\n\n \n\n\n\n Perspectives on Augmentative and Alternative Communication, 21(2): 60-71. 6 2012.\n \n\n\n\n
\n\n\n \n \n \n \"AWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {A Review of 21 iPad Applications for Augmentative and Alternative Communication Purposes},\n type = {article},\n year = {2012},\n identifiers = {[object Object]},\n pages = {60-71},\n volume = {21},\n websites = {http://div12perspectives.asha.org/cgi/content/abstract/21/2/60},\n month = {6},\n day = {1},\n id = {5cd417d4-71c9-30c2-a16b-98f499309be1},\n created = {2017-06-28T11:50:13.228Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.228Z},\n tags = {augementative,communication,speech},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Using the iPad tablet for Augmentative and Alternative Communication (AAC) purposes can facilitate many communicative needs, is cost-effective, and is socially acceptable. Many individuals with communication difficulties can use iPad applications (apps) to augment communication, provide an alternative form of communication, or target receptive and expressive language goals. In this paper, we will review a collection of iPad apps that can be used to address a variety of receptive and expressive communication needs. Based on recommendations from Gosnell, Costello, and Shane (2011), we describe the features of 21 apps that can serve as a reference guide for speech-language pathologists.We systematically identified 21 apps that use symbols only, symbols and text-to-speech, and text-to-speech only. We provide descriptions of the purpose of each app, along with the following feature descriptions: speech settings, representation, display, feedback features, rate enhancement, access, motor competencies, and cost.In this review, we describe these apps and how individuals with complex communication needs can use them for a variety of communication purposes and to target a variety of treatment goals. We present information in a user-friendly table format that clinicians can use as a reference guide.},\n bibtype = {article},\n author = {Alliano, Ashley and Herriger, Kimberly and Koutsoftas, Anthony D. and Bartolotta, Theresa E.},\n journal = {Perspectives on Augmentative and Alternative Communication},\n number = {2}\n}
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\n Using the iPad tablet for Augmentative and Alternative Communication (AAC) purposes can facilitate many communicative needs, is cost-effective, and is socially acceptable. Many individuals with communication difficulties can use iPad applications (apps) to augment communication, provide an alternative form of communication, or target receptive and expressive language goals. In this paper, we will review a collection of iPad apps that can be used to address a variety of receptive and expressive communication needs. Based on recommendations from Gosnell, Costello, and Shane (2011), we describe the features of 21 apps that can serve as a reference guide for speech-language pathologists.We systematically identified 21 apps that use symbols only, symbols and text-to-speech, and text-to-speech only. We provide descriptions of the purpose of each app, along with the following feature descriptions: speech settings, representation, display, feedback features, rate enhancement, access, motor competencies, and cost.In this review, we describe these apps and how individuals with complex communication needs can use them for a variety of communication purposes and to target a variety of treatment goals. We present information in a user-friendly table format that clinicians can use as a reference guide.\n
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\n \n \n\n \n \n \n \n Identifying Factors Associated With Perceived Success in the Transition From Hospital to Home After Brain Injury.\n \n\n\n \n Nalder, E.; Fleming, J.; Foster, M.; Cornwell, P.; Shields, C.; and Khan, A.\n \n\n\n \n\n\n\n Journal of Head Trauma Rehabilitation, 27(2). 2012.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Identifying Factors Associated With Perceived Success in the Transition From Hospital to Home After Brain Injury},\n type = {article},\n year = {2012},\n identifiers = {[object Object]},\n volume = {27},\n id = {5e4eb7a3-e2c9-36ab-bb46-6258a7f6275e},\n created = {2017-06-28T11:50:13.354Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.354Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {: To identify the factors associated with perceived success of the transition from hospital to home after traumatic brain injury (TBI).},\n bibtype = {article},\n author = {Nalder, Emily and Fleming, Jennifer and Foster, Michele and Cornwell, Petrea and Shields, Cassandra and Khan, Asad},\n journal = {Journal of Head Trauma Rehabilitation},\n number = {2}\n}
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\n : To identify the factors associated with perceived success of the transition from hospital to home after traumatic brain injury (TBI).\n
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\n \n \n\n \n \n \n \n An effective community-based mentoring program for return to work and school after brain and spinal cord injury.\n \n\n\n \n Kolakowsky-Hayner, S., A.; Wright, J.; Shem, K.; Medel, R.; and Duong, T.\n \n\n\n \n\n\n\n NeuroRehabilitation, 31(1): 63-73. 2012.\n \n\n\n\n
\n\n\n \n \n \n \"AnWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {An effective community-based mentoring program for return to work and school after brain and spinal cord injury},\n type = {article},\n year = {2012},\n identifiers = {[object Object]},\n keywords = {based,community,mentoring},\n pages = {63-73},\n volume = {31},\n websites = {http://dx.doi.org/10.3233/NRE-2012-0775,http://iospress.metapress.com/content/400055148536h825},\n id = {6ec44d93-a44a-3dc7-9822-aa0fedac568a},\n created = {2017-06-28T11:50:13.541Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.541Z},\n tags = {communities,community_based_rehabilitation,mentoring},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:10681360},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Information is presented on a community-based mentoring program, developed to work with existing community agencies and provide structure to the frequently confusing network of services for young adults, ages 16 to 26 years, with a recently acquired disability including TBI, SCI, and other neurological disorders. The over-arching goal of the Mentoring Program was to improve the ability of individuals with disabilities to access and maximally utilize the services and programs that are available in the community. The two objectives of this study were: 1) to demonstrate continuing increases in standardized measures of community integration from the time of enrollment in the program to the time of exit from the program, and 2) to improve the percentage of youth and young adults with disabilities who successfully access post-secondary education or employment opportunities. 53 participants had post-secondary education as a goal. 12 participants had an employment goal. 12 participants had both education and employment as a combined goal. It was not uncommon for participants to change goals. Of those with education goals, 23/53 achieved educational goals and 7/53 achieved employment goals. Of those with vocational goals, 5/12 achieved vocational goals and 1/12 achieved educational goals. Of those with both goals, 5/12 achieved educational goals and 1/12 achieved vocational goals. Significant community integration and independence improvements were noted for program participants (CHART Mobility and Cognitive Independence, M2PI, DRS, and SRS). Overall, findings suggest that mentoring can be beneficial toward achieving the goals of post-secondary education, employment and community independence for individuals with disabilities; specifically those with traumatic brain injury, spinal cord injury and other neurological disorders.},\n bibtype = {article},\n author = {Kolakowsky-Hayner, Stephanie A. and Wright, Jerry and Shem, Kazuko and Medel, Robert and Duong, Thao},\n journal = {NeuroRehabilitation},\n number = {1}\n}
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\n Information is presented on a community-based mentoring program, developed to work with existing community agencies and provide structure to the frequently confusing network of services for young adults, ages 16 to 26 years, with a recently acquired disability including TBI, SCI, and other neurological disorders. The over-arching goal of the Mentoring Program was to improve the ability of individuals with disabilities to access and maximally utilize the services and programs that are available in the community. The two objectives of this study were: 1) to demonstrate continuing increases in standardized measures of community integration from the time of enrollment in the program to the time of exit from the program, and 2) to improve the percentage of youth and young adults with disabilities who successfully access post-secondary education or employment opportunities. 53 participants had post-secondary education as a goal. 12 participants had an employment goal. 12 participants had both education and employment as a combined goal. It was not uncommon for participants to change goals. Of those with education goals, 23/53 achieved educational goals and 7/53 achieved employment goals. Of those with vocational goals, 5/12 achieved vocational goals and 1/12 achieved educational goals. Of those with both goals, 5/12 achieved educational goals and 1/12 achieved vocational goals. Significant community integration and independence improvements were noted for program participants (CHART Mobility and Cognitive Independence, M2PI, DRS, and SRS). Overall, findings suggest that mentoring can be beneficial toward achieving the goals of post-secondary education, employment and community independence for individuals with disabilities; specifically those with traumatic brain injury, spinal cord injury and other neurological disorders.\n
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\n \n \n\n \n \n \n \n Progress Assessed With the Mayo-Portland Adaptability Inventory in 604 Participants in 4 Types of Post–Inpatient Rehabilitation Brain Injury Programs.\n \n\n\n \n Eicher, V.; Murphy, M., P.; Murphy, T., F.; and Malec, J., F.\n \n\n\n \n\n\n\n Archives of Physical Medicine and Rehabilitation, 93(1): 100-107. 1 2012.\n \n\n\n\n
\n\n\n \n \n \n \"ProgressWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Progress Assessed With the Mayo-Portland Adaptability Inventory in 604 Participants in 4 Types of Post–Inpatient Rehabilitation Brain Injury Programs},\n type = {article},\n year = {2012},\n identifiers = {[object Object]},\n pages = {100-107},\n volume = {93},\n websites = {http://dx.doi.org/10.1016/j.apmr.2011.06.038},\n month = {1},\n id = {25c5a98d-44d0-35fd-8e2c-68886432f26a},\n created = {2017-06-28T11:50:14.517Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:14.517Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:10431565},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Abstract Eicher V, Murphy MP, Murphy TF, Malec JF. Progress assessed with the Mayo-Portland Adaptability Inventory in 604 participants in 4 types of post–inpatient rehabilitation brain injury programs. Objective To compare progress in 4 types of post–inpatient rehabilitation brain injury programs. Design Quasiexperimental observational cohort study. Setting Community and residential. Participants Individuals (N=604) with acquired brain injury. Interventions Four program types within the Pennsylvania Association of Rehabilitation Facilities were compared: intensive outpatient and community-based rehabilitation (IRC; n=235), intensive residential rehabilitation (IRR; n=78), long-term residential supported living (SLR; n=246), and long-term community-based supported living (SLC; n=45). With the use of a commercial web-based data management system developed with federal grant support, progress was examined on 2 consecutive assessments. Main Outcome Measure Mayo-Portland Adaptability Inventory (MPAI-4). Results Program types differed in participant age (F=10.69, P<.001), sex (χ2=22.38, P<.001), time from first to second assessment (F=20.71, P<.001), initial MPAI-4 score (F=6.89, P<.001), and chronicity (F=13.43, P<.001). However, only initial MPAI-4 score and chronicity were significantly associated with the second MPAI-4 rating. On average, SLR participants were 9.1 years postinjury compared with 5.1 years for IRR, 6.0 years for IRC, and 6.8 years for SLC programs. IRR participants were more severely disabled per MPAI-4 total score on admission than the other groups. Controlling for these variables, program types varied significantly on second MPAI-4 total score (F=5.14, P=.002). Both the IRR and IRC programs resulted in significant functional improvement across assessments. In contrast, both the SLR and SLC programs demonstrated relatively stable MPAI-4 scores. Conclusions Results are consistent with stated goals of the programs; that is, intensive programs resulted in functional improvements, whereas supported living programs produced stable functioning. Further studies using data from this large, multiprovider measurement collaboration will potentially provide the foundation for developing outcome expectations for various types of postacute brain injury programs.},\n bibtype = {article},\n author = {Eicher, Vicki and Murphy, Mary Pat and Murphy, Thomas F. and Malec, James F.},\n journal = {Archives of Physical Medicine and Rehabilitation},\n number = {1}\n}
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\n Abstract Eicher V, Murphy MP, Murphy TF, Malec JF. Progress assessed with the Mayo-Portland Adaptability Inventory in 604 participants in 4 types of post–inpatient rehabilitation brain injury programs. Objective To compare progress in 4 types of post–inpatient rehabilitation brain injury programs. Design Quasiexperimental observational cohort study. Setting Community and residential. Participants Individuals (N=604) with acquired brain injury. Interventions Four program types within the Pennsylvania Association of Rehabilitation Facilities were compared: intensive outpatient and community-based rehabilitation (IRC; n=235), intensive residential rehabilitation (IRR; n=78), long-term residential supported living (SLR; n=246), and long-term community-based supported living (SLC; n=45). With the use of a commercial web-based data management system developed with federal grant support, progress was examined on 2 consecutive assessments. Main Outcome Measure Mayo-Portland Adaptability Inventory (MPAI-4). Results Program types differed in participant age (F=10.69, P<.001), sex (χ2=22.38, P<.001), time from first to second assessment (F=20.71, P<.001), initial MPAI-4 score (F=6.89, P<.001), and chronicity (F=13.43, P<.001). However, only initial MPAI-4 score and chronicity were significantly associated with the second MPAI-4 rating. On average, SLR participants were 9.1 years postinjury compared with 5.1 years for IRR, 6.0 years for IRC, and 6.8 years for SLC programs. IRR participants were more severely disabled per MPAI-4 total score on admission than the other groups. Controlling for these variables, program types varied significantly on second MPAI-4 total score (F=5.14, P=.002). Both the IRR and IRC programs resulted in significant functional improvement across assessments. In contrast, both the SLR and SLC programs demonstrated relatively stable MPAI-4 scores. Conclusions Results are consistent with stated goals of the programs; that is, intensive programs resulted in functional improvements, whereas supported living programs produced stable functioning. Further studies using data from this large, multiprovider measurement collaboration will potentially provide the foundation for developing outcome expectations for various types of postacute brain injury programs.\n
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\n \n \n\n \n \n \n \n The epidemiology of traumatic brain injury.\n \n\n\n \n Andelic, N.\n \n\n\n \n\n\n\n The Lancet Neurology, . 11 2012.\n \n\n\n\n
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@article{\n title = {The epidemiology of traumatic brain injury},\n type = {article},\n year = {2012},\n identifiers = {[object Object]},\n month = {11},\n id = {0fd95699-8c2c-38b1-a0f2-3c75bd424fb7},\n created = {2017-06-28T11:50:14.840Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:14.840Z},\n tags = {epidemiology},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n bibtype = {article},\n author = {Andelic, Nada},\n journal = {The Lancet Neurology}\n}
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\n \n \n\n \n \n \n \n The economic cost of brain disorders in Europe.\n \n\n\n \n Olesen, J.; Gustavsson, A.; Svensson, M.; Wittchen, H.; and Jönsson, B.\n \n\n\n \n\n\n\n European journal of neurology : the official journal of the European Federation of Neurological Societies, 19(1): 155-62. 1 2012.\n \n\n\n\n
\n\n\n \n \n \n \"TheWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {The economic cost of brain disorders in Europe.},\n type = {article},\n year = {2012},\n identifiers = {[object Object]},\n keywords = {Brain Diseases,Brain Diseases: economics,Brain Diseases: epidemiology,Europe,Europe: epidemiology,Health Care Costs,Health Care Costs: statistics & numerical data,Humans},\n pages = {155-62},\n volume = {19},\n websites = {http://www.ncbi.nlm.nih.gov/pubmed/22175760},\n month = {1},\n id = {40de9710-05ae-39fa-af2f-9c4bc101f6f1},\n created = {2017-06-28T11:50:15.137Z},\n accessed = {2013-08-15},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:15.137Z},\n tags = {Cost,Costs},\n read = {true},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {BACKGROUND AND PURPOSE: In 2005, we presented for the first time overall estimates of annual costs for brain disorders (mental and neurologic disorders) in Europe. This new report presents updated, more accurate, and comprehensive 2010 estimates for 30 European countries. METHODS: One-year prevalence and annual cost per person of 19 major groups of disorders are based on 'best estimates' derived from systematic literature reviews by panels of experts in epidemiology and health economics. Our cost estimation model was populated with national statistics from Eurostat to adjust to 2010 values, converting all local currencies to Euros (€), imputing cost for countries where no data were available, and aggregating country estimates to purchasing power parity-adjusted estimates of the total cost of brain disorders in Europe in 2010. RESULTS: Total European 2010 cost of brain disorders was €798 billion, of which direct health care cost 37%, direct non-medical cost 23%, and indirect cost 40%. Average cost per inhabitant was €5.550. The European average cost per person with a disorder of the brain ranged between €285 for headache and €30 000 for neuromuscular disorders. Total annual cost per disorder (in billion € 2010) was as follows: addiction 65.7; anxiety disorders 74.4; brain tumor 5.2; child/adolescent disorders 21.3; dementia 105.2; eating disorders 0.8; epilepsy 13.8; headache 43.5; mental retardation 43.3; mood disorders 113.4; multiple sclerosis 14.6; neuromuscular disorders 7.7; Parkinson's disease 13.9; personality disorders 27.3; psychotic disorders 93.9; sleep disorders 35.4; somatoform disorder 21.2; stroke 64.1; and traumatic brain injury 33.0. CONCLUSION: Our cost model revealed that brain disorders overall are much more costly than previously estimated constituting a major health economic challenge for Europe. Our estimate should be regarded as conservative because many disorders or cost items could not be included because of lack of data.},\n bibtype = {article},\n author = {Olesen, J and Gustavsson, A and Svensson, M and Wittchen, H-U and Jönsson, B},\n journal = {European journal of neurology : the official journal of the European Federation of Neurological Societies},\n number = {1}\n}
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\n BACKGROUND AND PURPOSE: In 2005, we presented for the first time overall estimates of annual costs for brain disorders (mental and neurologic disorders) in Europe. This new report presents updated, more accurate, and comprehensive 2010 estimates for 30 European countries. METHODS: One-year prevalence and annual cost per person of 19 major groups of disorders are based on 'best estimates' derived from systematic literature reviews by panels of experts in epidemiology and health economics. Our cost estimation model was populated with national statistics from Eurostat to adjust to 2010 values, converting all local currencies to Euros (€), imputing cost for countries where no data were available, and aggregating country estimates to purchasing power parity-adjusted estimates of the total cost of brain disorders in Europe in 2010. RESULTS: Total European 2010 cost of brain disorders was €798 billion, of which direct health care cost 37%, direct non-medical cost 23%, and indirect cost 40%. Average cost per inhabitant was €5.550. The European average cost per person with a disorder of the brain ranged between €285 for headache and €30 000 for neuromuscular disorders. Total annual cost per disorder (in billion € 2010) was as follows: addiction 65.7; anxiety disorders 74.4; brain tumor 5.2; child/adolescent disorders 21.3; dementia 105.2; eating disorders 0.8; epilepsy 13.8; headache 43.5; mental retardation 43.3; mood disorders 113.4; multiple sclerosis 14.6; neuromuscular disorders 7.7; Parkinson's disease 13.9; personality disorders 27.3; psychotic disorders 93.9; sleep disorders 35.4; somatoform disorder 21.2; stroke 64.1; and traumatic brain injury 33.0. CONCLUSION: Our cost model revealed that brain disorders overall are much more costly than previously estimated constituting a major health economic challenge for Europe. Our estimate should be regarded as conservative because many disorders or cost items could not be included because of lack of data.\n
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\n \n \n\n \n \n \n \n The Clinical Practice of a Community Rehabilitation Team for People with Acquired Brain Injury.\n \n\n\n \n Tate, R., L.; Strettles, B.; and Osoteo, T.\n \n\n\n \n\n\n\n Brain Impairment, 5(01): 81-92. 2012.\n \n\n\n\n
\n\n\n \n \n \n \"TheWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {The Clinical Practice of a Community Rehabilitation Team for People with Acquired Brain Injury},\n type = {article},\n year = {2012},\n identifiers = {[object Object]},\n pages = {81-92},\n volume = {5},\n websites = {http://journals.cambridge.org/abstract_S1443964600000620},\n id = {64f73bd7-8b16-31d2-8fd5-8d5c32f67219},\n created = {2017-07-27T11:53:53.329Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-07-27T11:53:53.426Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {The aim of this study was to examine the clinical practice of a community team that is one component of the statewide, government-funded, specialist Brain Injury Rehabilitation Program for New South Wales, Australia. The 467 clients served by the community team of the Brain Injury Rehabilitation Service at Liverpool Hospital, Sydney during the calendar year 2000 were identified and their use of clinical services described. A random sample of 50 clients from this group was studied in further detail, with specific reference to the type of therapy interventions they received. This was compared with the therapy interventions received 2 years later, in 2002. A total of 8046 occasions of service (OoS) were recorded for the 467 clients during 2000, with a median number of 8 OoS per client. All disciplines contributed to this number, with case managers providing the largest number of OoS (n = 2734). Between 65–75% of clients attended medical clinics and received services from case managers, with between 15–30% of clients receiving services from allied health disciplines. The random sample received a median of 9 OoS during 2000, and a median of 3 therapy interventions per client. Therapy interventions pertaining to living skills were addressed in 66% of the group, interpersonal relationships in 54%, and occupational activity in 44%. Although the community team continued to provide a comparable number of OoS in 2000 and 2002, 56% of the random sample had been discharged by 2002. There were significant group differences between those who were discharged and those who remained in the service. Additionally, for those who remained in the service, there was a significant reduction of OoS and therapy interventions between 2000 and 2002. The data were used to draw together a model of clinical practice of the community team.},\n bibtype = {article},\n author = {Tate, Robyn L. and Strettles, Barbara and Osoteo, Thelma},\n journal = {Brain Impairment},\n number = {01}\n}
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\n The aim of this study was to examine the clinical practice of a community team that is one component of the statewide, government-funded, specialist Brain Injury Rehabilitation Program for New South Wales, Australia. The 467 clients served by the community team of the Brain Injury Rehabilitation Service at Liverpool Hospital, Sydney during the calendar year 2000 were identified and their use of clinical services described. A random sample of 50 clients from this group was studied in further detail, with specific reference to the type of therapy interventions they received. This was compared with the therapy interventions received 2 years later, in 2002. A total of 8046 occasions of service (OoS) were recorded for the 467 clients during 2000, with a median number of 8 OoS per client. All disciplines contributed to this number, with case managers providing the largest number of OoS (n = 2734). Between 65–75% of clients attended medical clinics and received services from case managers, with between 15–30% of clients receiving services from allied health disciplines. The random sample received a median of 9 OoS during 2000, and a median of 3 therapy interventions per client. Therapy interventions pertaining to living skills were addressed in 66% of the group, interpersonal relationships in 54%, and occupational activity in 44%. Although the community team continued to provide a comparable number of OoS in 2000 and 2002, 56% of the random sample had been discharged by 2002. There were significant group differences between those who were discharged and those who remained in the service. Additionally, for those who remained in the service, there was a significant reduction of OoS and therapy interventions between 2000 and 2002. The data were used to draw together a model of clinical practice of the community team.\n
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\n \n \n\n \n \n \n \n Framework for describing community integration for people with acquired brain injury.\n \n\n\n \n Parvaneh, S.; and Cocks, E.\n \n\n\n \n\n\n\n Australian Occupational Therapy Journal, 59(2): 131-137. 2012.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Framework for describing community integration for people with acquired brain injury},\n type = {article},\n year = {2012},\n identifiers = {[object Object]},\n keywords = {Brain injury,Delphi technique,Qualitative research,Rehabilitation service},\n pages = {131-137},\n volume = {59},\n id = {43b71357-986a-32d5-ad5f-c27287679034},\n created = {2017-07-27T11:53:53.329Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-07-27T11:53:53.432Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {BACKGROUND/AIM: Community integration is the ultimate goal of rehabilitation of adults with acquired brain injury which has a high incidence in the Australian population. The literature shows a need for a more comprehensive framework for community integration. This study developed a descriptive community integration framework drawn from views of five stakeholder groups and was compared with four similar frameworks. METHODS: Thirty-seven experts in acquired brain injury, including practitioners, researchers, policy makers, people with acquired brain injury and family members participated. Using a Delphi method, an iterative process of surveys, interviews, and focus groups sought their views on community integration. Responses were analysed in three stages systematically to reduce a large quantity of raw data into a core set of descriptive themes. A final member checking process rated participants' agreement with the importance of each theme. RESULTS: Seven themes were identified and described: Relationships, Community Access, Acceptance, Occupation, Being at Home, Picking up Life Again, and Heightened Risks and Vulnerability. Themes were congruent with elements of the frameworks from the literature. CONCLUSIONS: Rich data came from the diverse stakeholders in the participant groups. Two unique themes reflected the importance of re-integration and recovering important aspects of previous lives, and identifying risks and vulnerabilities and providing safeguards. The framework reflected emphases that may be specific to acquired brain injury. It can be used as a basis for development of community integration programmes and outcome measures.},\n bibtype = {article},\n author = {Parvaneh, Shahriar and Cocks, Errol},\n journal = {Australian Occupational Therapy Journal},\n number = {2}\n}
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\n BACKGROUND/AIM: Community integration is the ultimate goal of rehabilitation of adults with acquired brain injury which has a high incidence in the Australian population. The literature shows a need for a more comprehensive framework for community integration. This study developed a descriptive community integration framework drawn from views of five stakeholder groups and was compared with four similar frameworks. METHODS: Thirty-seven experts in acquired brain injury, including practitioners, researchers, policy makers, people with acquired brain injury and family members participated. Using a Delphi method, an iterative process of surveys, interviews, and focus groups sought their views on community integration. Responses were analysed in three stages systematically to reduce a large quantity of raw data into a core set of descriptive themes. A final member checking process rated participants' agreement with the importance of each theme. RESULTS: Seven themes were identified and described: Relationships, Community Access, Acceptance, Occupation, Being at Home, Picking up Life Again, and Heightened Risks and Vulnerability. Themes were congruent with elements of the frameworks from the literature. CONCLUSIONS: Rich data came from the diverse stakeholders in the participant groups. Two unique themes reflected the importance of re-integration and recovering important aspects of previous lives, and identifying risks and vulnerabilities and providing safeguards. The framework reflected emphases that may be specific to acquired brain injury. It can be used as a basis for development of community integration programmes and outcome measures.\n
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\n  \n 2011\n \n \n (23)\n \n \n
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\n \n \n\n \n \n \n \n Training of goal-directed attention regulation enhances control over neural processing for individuals with brain injury.\n \n\n\n \n Chen, A., J., W.; Novakovic-Agopian, T.; Nycum, T., J.; Song, S.; Turner, G., R.; Hills, N., K.; Rome, S.; Abrams, G., M.; D’Esposito, M.; and D'Esposito, M.\n \n\n\n \n\n\n\n Brain, . 4 2011.\n \n\n\n\n
\n\n\n \n \n \n \"TrainingWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Training of goal-directed attention regulation enhances control over neural processing for individuals with brain injury},\n type = {article},\n year = {2011},\n identifiers = {[object Object]},\n websites = {http://dx.doi.org/10.1093/brain/awr067,http://brain.oxfordjournals.org/content/early/2011/04/22/brain.awr067.abstract,http://brain.oxfordjournals.org/content/early/2011/04/22/brain.awr067.full.pdf},\n month = {4},\n day = {22},\n id = {2ff1d85d-bff8-3139-ac33-36ccc32c644d},\n created = {2017-06-28T11:50:06.392Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:06.392Z},\n tags = {attention,challenging_behaviour},\n read = {true},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:9276344},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Deficits in attention and executive control are some of the most common, debilitating and persistent consequences of brain injuries. Understanding neural mechanisms that support clinically significant improvements, when they do occur, may help advance treatment development. Intervening via rehabilitation provides an opportunity to probe such mechanisms. Our objective was to identify neural mechanisms that underlie improvements in attention and executive control with rehabilitation training. We tested the hypothesis that intensive training enhances modulatory control of neural processing of perceptual information in patients with acquired brain injuries. Patients (n = 12) participated either in standardized training designed to target goal-directed attention regulation, or a comparison condition (brief education). Training resulted in significant improvements on behavioural measures of attention and executive control. Functional magnetic resonance imaging methods adapted for testing the effects of intervention for patients with varied injury pathology were used to index modulatory control of neural processing. Pattern classification was utilized to decode individual functional magnetic resonance imaging data acquired during a visual selective attention task. Results showed that modulation of neural processing in extrastriate cortex was significantly enhanced by attention regulation training. Neural changes in prefrontal cortex, a candidate mediator for attention regulation, appeared to depend on individual baseline state. These behavioural and neural effects did not occur with the comparison condition. These results suggest that enhanced modulatory control over visual processing and a rebalancing of prefrontal functioning may underlie improvements in attention and executive control.},\n bibtype = {article},\n author = {Chen, Anthony J.-W. W and Novakovic-Agopian, Tatjana and Nycum, Terrence J. and Song, Shawn and Turner, Gary R. and Hills, Nancy K. and Rome, Scott and Abrams, Gary M. and D’Esposito, Mark and D'Esposito, Mark},\n journal = {Brain}\n}
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\n Deficits in attention and executive control are some of the most common, debilitating and persistent consequences of brain injuries. Understanding neural mechanisms that support clinically significant improvements, when they do occur, may help advance treatment development. Intervening via rehabilitation provides an opportunity to probe such mechanisms. Our objective was to identify neural mechanisms that underlie improvements in attention and executive control with rehabilitation training. We tested the hypothesis that intensive training enhances modulatory control of neural processing of perceptual information in patients with acquired brain injuries. Patients (n = 12) participated either in standardized training designed to target goal-directed attention regulation, or a comparison condition (brief education). Training resulted in significant improvements on behavioural measures of attention and executive control. Functional magnetic resonance imaging methods adapted for testing the effects of intervention for patients with varied injury pathology were used to index modulatory control of neural processing. Pattern classification was utilized to decode individual functional magnetic resonance imaging data acquired during a visual selective attention task. Results showed that modulation of neural processing in extrastriate cortex was significantly enhanced by attention regulation training. Neural changes in prefrontal cortex, a candidate mediator for attention regulation, appeared to depend on individual baseline state. These behavioural and neural effects did not occur with the comparison condition. These results suggest that enhanced modulatory control over visual processing and a rebalancing of prefrontal functioning may underlie improvements in attention and executive control.\n
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\n \n \n\n \n \n \n \n The correlates of aggression in people with acquired brain injury: A preliminary retrospective study.\n \n\n\n \n Kerr, K.; Oram, J.; Tinson, H.; and Shum, D.\n \n\n\n \n\n\n\n Brain Inj, 1-13. 5 2011.\n \n\n\n\n
\n\n\n \n \n \n \"TheWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {The correlates of aggression in people with acquired brain injury: A preliminary retrospective study},\n type = {article},\n year = {2011},\n identifiers = {[object Object]},\n keywords = {aggression},\n pages = {1-13},\n websites = {http://www.informahealthcare.com/doi/abs/10.3109/02699052.2011.580315,http://dx.doi.org/10.3109/02699052.2011.580315},\n month = {5},\n publisher = {Informa Allied Health},\n day = {11},\n id = {8931bc3b-f4a3-3261-992b-a5ddcaac767f},\n created = {2017-06-28T11:50:06.474Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:06.474Z},\n tags = {aggression},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:9318828},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Primary objective: To identify correlates of aggressive behaviours in patients with acquired brain injury (ABI). Methods and procedures: During a 16 month period, patients who had ABI and who had been aggressive during hospitalization (n?=?32) were identified by hospital staff. A comprehensive chart review of these patients was completed. Results were compared against results of a matched patient sample who had not been aggressive (32). Main outcomes and results: Five variables which were significantly correlated with aggression were entered into a standard logistic regression. The model explained 61.4% of the total variance and successfully predicted 87.5% of the non-aggressive group and 78.1% of the aggressive group. The overall correct prediction rate was 82.8%. Of the five variables, four were found to significantly contribute to the predictive ability of the model: An education of 10 years or less, a history of aggression, dependence on staff for assistance with activities of daily living and a hospitalization period of 51 days or more. Conclusions: The results highlight some variables related to aggression by patients with ABI in the hospital environment and can be utilized in staff education and training programmes to increase the awareness of risk factors. Primary objective: To identify correlates of aggressive behaviours in patients with acquired brain injury (ABI). Methods and procedures: During a 16 month period, patients who had ABI and who had been aggressive during hospitalization (n?=?32) were identified by hospital staff. A comprehensive chart review of these patients was completed. Results were compared against results of a matched patient sample who had not been aggressive (32). Main outcomes and results: Five variables which were significantly correlated with aggression were entered into a standard logistic regression. The model explained 61.4% of the total variance and successfully predicted 87.5% of the non-aggressive group and 78.1% of the aggressive group. The overall correct prediction rate was 82.8%. Of the five variables, four were found to significantly contribute to the predictive ability of the model: An education of 10 years or less, a history of aggression, dependence on staff for assistance with activities of daily living and a hospitalization period of 51 days or more. Conclusions: The results highlight some variables related to aggression by patients with ABI in the hospital environment and can be utilized in staff education and training programmes to increase the awareness of risk factors.},\n bibtype = {article},\n author = {Kerr, Katelyn and Oram, Joanne and Tinson, Helen and Shum, David},\n journal = {Brain Inj}\n}
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\n Primary objective: To identify correlates of aggressive behaviours in patients with acquired brain injury (ABI). Methods and procedures: During a 16 month period, patients who had ABI and who had been aggressive during hospitalization (n?=?32) were identified by hospital staff. A comprehensive chart review of these patients was completed. Results were compared against results of a matched patient sample who had not been aggressive (32). Main outcomes and results: Five variables which were significantly correlated with aggression were entered into a standard logistic regression. The model explained 61.4% of the total variance and successfully predicted 87.5% of the non-aggressive group and 78.1% of the aggressive group. The overall correct prediction rate was 82.8%. Of the five variables, four were found to significantly contribute to the predictive ability of the model: An education of 10 years or less, a history of aggression, dependence on staff for assistance with activities of daily living and a hospitalization period of 51 days or more. Conclusions: The results highlight some variables related to aggression by patients with ABI in the hospital environment and can be utilized in staff education and training programmes to increase the awareness of risk factors. Primary objective: To identify correlates of aggressive behaviours in patients with acquired brain injury (ABI). Methods and procedures: During a 16 month period, patients who had ABI and who had been aggressive during hospitalization (n?=?32) were identified by hospital staff. A comprehensive chart review of these patients was completed. Results were compared against results of a matched patient sample who had not been aggressive (32). Main outcomes and results: Five variables which were significantly correlated with aggression were entered into a standard logistic regression. The model explained 61.4% of the total variance and successfully predicted 87.5% of the non-aggressive group and 78.1% of the aggressive group. The overall correct prediction rate was 82.8%. Of the five variables, four were found to significantly contribute to the predictive ability of the model: An education of 10 years or less, a history of aggression, dependence on staff for assistance with activities of daily living and a hospitalization period of 51 days or more. Conclusions: The results highlight some variables related to aggression by patients with ABI in the hospital environment and can be utilized in staff education and training programmes to increase the awareness of risk factors.\n
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\n \n \n\n \n \n \n \n Psychological contributions to functional independence: a longitudinal investigation of spinal cord injury rehabilitation.\n \n\n\n \n Kennedy, P.; Lude, P.; Elfström, M., L.; and Smithson, E., F.\n \n\n\n \n\n\n\n Archives of physical medicine and rehabilitation, 92(4): 597-602. 4 2011.\n \n\n\n\n
\n\n\n \n \n \n \"PsychologicalWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Psychological contributions to functional independence: a longitudinal investigation of spinal cord injury rehabilitation.},\n type = {article},\n year = {2011},\n identifiers = {[object Object]},\n keywords = {Activities of Daily Living,Adaptation, Psychological,Adolescent,Adult,Disability Evaluation,England,Female,Germany,Humans,Ireland,Longitudinal Studies,Male,Middle Aged,Questionnaires,Recovery of Function,Spinal Cord Injuries,Spinal Cord Injuries: physiopathology,Spinal Cord Injuries: psychology,Spinal Cord Injuries: rehabilitation,Switzerland},\n pages = {597-602},\n volume = {92},\n websites = {http://www.ncbi.nlm.nih.gov/pubmed/21440705},\n month = {4},\n publisher = {Elsevier Inc.},\n id = {0753e3bb-b9d0-3ec4-96c0-f22595006182},\n created = {2017-06-28T11:50:08.433Z},\n accessed = {2012-07-09},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:08.433Z},\n tags = {anxiety},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {To investigate the contribution of prerehabilitation appraisals of spinal cord injury (SCI) and patient's coping strategies to the variance in functional independence postdischarge.},\n bibtype = {article},\n author = {Kennedy, Paul and Lude, Peter and Elfström, Magnus L and Smithson, Emilie F},\n journal = {Archives of physical medicine and rehabilitation},\n number = {4}\n}
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\n To investigate the contribution of prerehabilitation appraisals of spinal cord injury (SCI) and patient's coping strategies to the variance in functional independence postdischarge.\n
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\n \n \n\n \n \n \n \n Casebook of Exemplary Evidence-Informed Programs that Foster Community Participation After Acquired Brain Injury.\n \n\n\n \n Volpe, R.\n \n\n\n \n\n\n\n . 2011.\n \n\n\n\n
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@article{\n title = {Casebook of Exemplary Evidence-Informed Programs that Foster Community Participation After Acquired Brain Injury},\n type = {article},\n year = {2011},\n id = {86297104-d1fd-35bf-839b-af8ca6bf5e59},\n created = {2017-06-28T11:50:09.025Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:09.025Z},\n tags = {best practice,challenging_behaviour},\n read = {true},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n bibtype = {article},\n author = {Volpe, Richard}\n}
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\n \n \n\n \n \n \n \n Thalamic Resting-State Functional Networks: Disruption in Patients with Mild Traumatic Brain Injury.\n \n\n\n \n Tang, L.; Ge, Y.; Sodickson, D., K.; Miles, L.; Zhou, Y.; Reaume, J.; and Grossman, R., I.\n \n\n\n \n\n\n\n Radiology, . 7 2011.\n \n\n\n\n
\n\n\n \n \n \n \"ThalamicWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Thalamic Resting-State Functional Networks: Disruption in Patients with Mild Traumatic Brain Injury},\n type = {article},\n year = {2011},\n identifiers = {[object Object]},\n keywords = {concussion,mild_traumatic_brain_injury,post_concussion,radiology},\n websites = {http://dx.doi.org/10.1148/radiol.11110014,http://radiology.rsna.org/content/early/2011/07/13/radiol.11110014.abstract,http://radiology.rsna.org/content/early/2011/07/13/radiol.11110014.full.pdf},\n month = {7},\n day = {20},\n id = {28b3703d-e0f5-3eaf-83df-101691a8da35},\n created = {2017-06-28T11:50:09.756Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:09.756Z},\n tags = {concussion,mild_traumatic_brain_injury,post_concussion,radiology},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:9567896},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Purpose: To explore the neural correlates of the thalamus by using resting-state functional magnetic resonance (MR) imaging and to investigate whether thalamic resting-state networks (RSNs) are disrupted in patients with mild traumatic brain injury (MTBI).Materials and Methods: This HIPAA-compliant study was approved by the institutional review board, and written informed consent was obtained from 24 patients with MTBI and 17 healthy control subjects. The patients had varying degrees of symptoms, with a mean disease duration of 22 days. The resting-state functional MR imaging data were analyzed by using a standard seed-based whole-brain correlation method to characterize thalamic RSNs. Student t tests were used to perform comparisons. The association between thalamic RSNs and performance on neuropsychologic and neurobehavioral measures was also investigated in patients with MTBI by using Spearman rank correlation.Results: A normal pattern of thalamic RSNs was demonstrated in healthy subjects. This pattern was characterized as representing relatively symmetric and restrictive functional thalamocortical connectivity, suggesting an inhibitory property of the thalamic neurons during the resting state. This pattern was disrupted, with significantly increased thalamic RSNs (P ≤ .005) and decreased symmetry (P = .03) in patients with MTBI compared with healthy control subjects. Increased functional thalamocortical redistributive connectivity was correlated with diminished neurocognitive functions and clinical symptoms in patients with MTBI.Conclusion: These findings of abnormal thalamic RSNs lend further support to the presumed subtle thalamic injury in patients with MTBI. Resting-state functional MR imaging can be used as an additional imaging modality for detection of thalamocortical connectivity abnormalities and for better understanding of the complex persistent postconcussive syndrome.© RSNA, 2011},\n bibtype = {article},\n author = {Tang, Lin and Ge, Yulin and Sodickson, Daniel K. and Miles, Laura and Zhou, Yongxia and Reaume, Joseph and Grossman, Robert I.},\n journal = {Radiology}\n}
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\n Purpose: To explore the neural correlates of the thalamus by using resting-state functional magnetic resonance (MR) imaging and to investigate whether thalamic resting-state networks (RSNs) are disrupted in patients with mild traumatic brain injury (MTBI).Materials and Methods: This HIPAA-compliant study was approved by the institutional review board, and written informed consent was obtained from 24 patients with MTBI and 17 healthy control subjects. The patients had varying degrees of symptoms, with a mean disease duration of 22 days. The resting-state functional MR imaging data were analyzed by using a standard seed-based whole-brain correlation method to characterize thalamic RSNs. Student t tests were used to perform comparisons. The association between thalamic RSNs and performance on neuropsychologic and neurobehavioral measures was also investigated in patients with MTBI by using Spearman rank correlation.Results: A normal pattern of thalamic RSNs was demonstrated in healthy subjects. This pattern was characterized as representing relatively symmetric and restrictive functional thalamocortical connectivity, suggesting an inhibitory property of the thalamic neurons during the resting state. This pattern was disrupted, with significantly increased thalamic RSNs (P ≤ .005) and decreased symmetry (P = .03) in patients with MTBI compared with healthy control subjects. Increased functional thalamocortical redistributive connectivity was correlated with diminished neurocognitive functions and clinical symptoms in patients with MTBI.Conclusion: These findings of abnormal thalamic RSNs lend further support to the presumed subtle thalamic injury in patients with MTBI. Resting-state functional MR imaging can be used as an additional imaging modality for detection of thalamocortical connectivity abnormalities and for better understanding of the complex persistent postconcussive syndrome.© RSNA, 2011\n
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\n \n \n\n \n \n \n \n Brain Injury Rehabilitation – A Health Technology Assessment.\n \n\n\n \n DACEHTA\n \n\n\n \n\n\n\n 13(1). 2011.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Brain Injury Rehabilitation – A Health Technology Assessment},\n type = {article},\n year = {2011},\n identifiers = {[object Object]},\n keywords = {acquired brain injury,assessment,bilitation,brain embolism,brain injury rehabilitation,cerebral hemorrhage,client-centred,cost analysis,economic evaluation,economy,health services,health services research,health technology,hta,organisation,patient,reha-,relative,research,significant other,stroke,technology,traumatic brain injury},\n volume = {13},\n id = {1342b0d3-5655-375c-a494-d494f6330895},\n created = {2017-06-28T11:50:09.866Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:09.866Z},\n tags = {Costs,best practice,denmark,international},\n read = {true},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n bibtype = {article},\n author = {DACEHTA, undefined},\n number = {1}\n}
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\n \n \n\n \n \n \n \n Clinical Validation of a Virtual Environment Test for Safe Street Crossing in the Assessment of Acquired Brain Injury Patients with and without Neglect.\n \n\n\n \n Mesa-Gresa, P.; Lozano, J., A.; Llor{é}ns, R.; Raya, M., A.; Navarro, M., D.; and No{é}, E.\n \n\n\n \n\n\n\n In volume 6947, of Lecture Notes in Computer Science, pages 44-51, 2011. Springer\n \n\n\n\n
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@inProceedings{\n title = {Clinical Validation of a Virtual Environment Test for Safe Street Crossing in the Assessment of Acquired Brain Injury Patients with and without Neglect},\n type = {inProceedings},\n year = {2011},\n pages = {44-51},\n volume = {6947},\n publisher = {Springer},\n series = {Lecture Notes in Computer Science},\n editors = {[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]},\n id = {6c6d88c6-32f9-3ff6-b105-d9de5707df83},\n created = {2017-06-28T11:50:10.368Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:10.368Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {DBLP:conf/interact/Mesa-GresaLLRNN11},\n source_type = {citeulike:INCONF},\n user_context = {Conference proceedings (article)},\n private_publication = {false},\n bibtype = {inProceedings},\n author = {Mesa-Gresa, Patricia and Lozano, José Antonio and Lloréns, Roberto and Raya, Mariano Alcañiz and Navarro, Mar'ıa Dolores and Noé, Enrique}\n}
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\n \n \n\n \n \n \n \n Does rehabilitation after traumatic brain injury have to be so complicated?.\n \n\n\n \n Allanson, J.; Seeley, H., M.; Psaila, K.; Bateman, A.; Gardner, A.; Pickar, J., D.; and Hutchinson, P., J.\n \n\n\n \n\n\n\n Journal of Neurology, Neurosurgery & Psychiatry, 82(3): e1-e1. 3 2011.\n \n\n\n\n
\n\n\n \n \n \n \"DoesWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Does rehabilitation after traumatic brain injury have to be so complicated?},\n type = {article},\n year = {2011},\n identifiers = {[object Object]},\n keywords = {pathways,rehabilitation,rehabilitation_plan,uk},\n pages = {e1-e1},\n volume = {82},\n websites = {http://jnnp.bmj.com/cgi/content/abstract/82/3/e1-n,http://dx.doi.org/10.1136/jnnp.2010.235572.14},\n month = {3},\n day = {1},\n id = {3bb913f0-baea-38e6-ab6d-4d8deb34114f},\n created = {2017-06-28T11:50:12.039Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:12.039Z},\n tags = {pathways,rehabilitation,rehabilitation_plan,uk},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:8836237},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Historical benchmarking to determine the rehabilitation pathways of Neurotrauma clinic attendees in a PCT where there is no community head injury service. Although national guidelines recommend neurological rehabilitation after head injury, acquiring funding for new services still demands evidence of effectiveness. Therefore, before developing a new service we performed an historical benchmarking exercise to understand current service provision. Over 2 years, 86 adults (70% of admissions with intracranial injury and 5% of all admissions with head injury from our PCT) had been admitted to regional neurosurgical beds and 30 of these then referred to the neuro-trauma clinic. Using the clinic data base, 46 PCT residents injured between 1.1.07 and 12.31.08 were identified. 35 % of those seen had not been inpatients but were referred with problems up to 3 years after injury. After notes review and a semi-structured interview their rehabilitation pathway was documented using previously published rehabilitation codes. Only 4 of the 30 admitted had a documented rehabilitation plan on discharge. Patients had accessed up to 6 services each. Five had been assessed in considerable detail meeting up to six psychologists within 2 years. Intensive daily neuropsychological rehabilitation had been received by 3 of 14 referred from clinic, starting between 18 and 30 months after injury.Conclusion Excellent specialised services exist but access was very limited and often significantly delayed. Solutions will be discussed.},\n bibtype = {article},\n author = {Allanson, J and Seeley, H M and Psaila, K and Bateman, A and Gardner, A and Pickar, J D and Hutchinson, P J},\n journal = {Journal of Neurology, Neurosurgery & Psychiatry},\n number = {3}\n}
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\n Historical benchmarking to determine the rehabilitation pathways of Neurotrauma clinic attendees in a PCT where there is no community head injury service. Although national guidelines recommend neurological rehabilitation after head injury, acquiring funding for new services still demands evidence of effectiveness. Therefore, before developing a new service we performed an historical benchmarking exercise to understand current service provision. Over 2 years, 86 adults (70% of admissions with intracranial injury and 5% of all admissions with head injury from our PCT) had been admitted to regional neurosurgical beds and 30 of these then referred to the neuro-trauma clinic. Using the clinic data base, 46 PCT residents injured between 1.1.07 and 12.31.08 were identified. 35 % of those seen had not been inpatients but were referred with problems up to 3 years after injury. After notes review and a semi-structured interview their rehabilitation pathway was documented using previously published rehabilitation codes. Only 4 of the 30 admitted had a documented rehabilitation plan on discharge. Patients had accessed up to 6 services each. Five had been assessed in considerable detail meeting up to six psychologists within 2 years. Intensive daily neuropsychological rehabilitation had been received by 3 of 14 referred from clinic, starting between 18 and 30 months after injury.Conclusion Excellent specialised services exist but access was very limited and often significantly delayed. Solutions will be discussed.\n
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\n \n \n\n \n \n \n \n Feedback Interventions for Impaired Self-awareness Following Brain Injury: a Systematic Review.\n \n\n\n \n Schmidt, J.; Lannin, N.; Fleming, J.; and Ownsworth, T.\n \n\n\n \n\n\n\n Journal of Rehabilitation Medicine, 673-680. 7 2011.\n \n\n\n\n
\n\n\n \n \n \n \"FeedbackWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Feedback Interventions for Impaired Self-awareness Following Brain Injury: a Systematic Review},\n type = {article},\n year = {2011},\n identifiers = {[object Object]},\n keywords = {brain_injury,brain_injury_rehabilitation,feedback,self-awareness,self_awareness},\n pages = {673-680},\n websites = {http://www.ingentaconnect.com/content/mjl/sreh/2011/00000043/00000008/art00001,http://dx.doi.org/10.2340/16501977-0846},\n month = {7},\n publisher = {Medical Journals Limited},\n id = {1afd8924-9b79-3883-8a33-9d455e5d7f77},\n created = {2017-06-28T11:50:12.731Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:12.731Z},\n tags = {brain_injury,feedback,rehabilitation,self_awareness},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:10431303},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Objective: To determine the effectiveness of self-awareness interventions that involve a component of feedback for adults with brain injury. Design: Systematic review. Data sources: Randomized and non-randomized studies identified by searching CINAHL, Cochrane Systematic Review Database, Embase, Medline, OTSeeker, PsycBITE, PsycINFO, Web of Science, clinical trial registries, and reference lists of eligible articles. Results: Twelve studies of varied methodological quality met the inclusion criteria, of which 3 were randomized controlled trials involving a total of 62 people with brain injury of mixed aetiology. The type of feedback intervention and outcomes assessed were heterogeneous. The pooled estimate of improvement in self-awareness after completing a feedback intervention was of moderate effect size (Hedges' adjusted g = 0.64; 95% confidence interval: 0.11-1.16). Conclusion: Feedback interventions produced modest improvements in self-awareness. Further research is required to determine the effects of integrating feedback interventions into rehabilitation programmes and the impact of this on functional outcome.},\n bibtype = {article},\n author = {Schmidt, Julia and Lannin, Natasha and Fleming, Jennifer and Ownsworth, Tamara},\n journal = {Journal of Rehabilitation Medicine}\n}
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\n Objective: To determine the effectiveness of self-awareness interventions that involve a component of feedback for adults with brain injury. Design: Systematic review. Data sources: Randomized and non-randomized studies identified by searching CINAHL, Cochrane Systematic Review Database, Embase, Medline, OTSeeker, PsycBITE, PsycINFO, Web of Science, clinical trial registries, and reference lists of eligible articles. Results: Twelve studies of varied methodological quality met the inclusion criteria, of which 3 were randomized controlled trials involving a total of 62 people with brain injury of mixed aetiology. The type of feedback intervention and outcomes assessed were heterogeneous. The pooled estimate of improvement in self-awareness after completing a feedback intervention was of moderate effect size (Hedges' adjusted g = 0.64; 95% confidence interval: 0.11-1.16). Conclusion: Feedback interventions produced modest improvements in self-awareness. Further research is required to determine the effects of integrating feedback interventions into rehabilitation programmes and the impact of this on functional outcome.\n
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\n \n \n\n \n \n \n \n Marriage after brain injury: review, analysis, and research recommendations.\n \n\n\n \n Godwin, E., E.; Kreutzer, J., S.; Arango-Lasprilla, J., C., C.; and Lehan, T., J.\n \n\n\n \n\n\n\n The Journal of head trauma rehabilitation, 26(1): 43-55. 2011.\n \n\n\n\n
\n\n\n \n \n \n \"MarriageWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Marriage after brain injury: review, analysis, and research recommendations.},\n type = {article},\n year = {2011},\n identifiers = {[object Object]},\n keywords = {carer,counselling,family,marriage,relationship,spouse},\n pages = {43-55},\n volume = {26},\n websites = {http://dx.doi.org/10.1097/HTR.0b013e3182048f54},\n id = {f3ab9e40-3b38-3a5f-9c98-019fa51c27f6},\n created = {2017-06-28T11:50:12.795Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:12.795Z},\n tags = {caregiver,counselling,family,marriage,relationship,spouse},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:8793970},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {This critical review of the literature examines marriage after traumatic brain injury. Studies reporting information on marital stability rates and studies examining the quality of marriages through the assessment of at least 1 relational domain have been included for review. Available findings are presented along with information on methodological limitations and knowledge gaps. A rationale for the adoption of a marriage and family therapy framework to clarify remaining inconsistencies is presented. Furthermore, specific marriage and family therapy relational models and corresponding measurement instruments are outlined. Finally, suggestions for future research and potential implications for brain injury rehabilitation outcomes are discussed.},\n bibtype = {article},\n author = {Godwin, Emilie E and Kreutzer, Jeffrey S and Arango-Lasprilla, Juan Carlos C and Lehan, Tara J},\n journal = {The Journal of head trauma rehabilitation},\n number = {1}\n}
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\n This critical review of the literature examines marriage after traumatic brain injury. Studies reporting information on marital stability rates and studies examining the quality of marriages through the assessment of at least 1 relational domain have been included for review. Available findings are presented along with information on methodological limitations and knowledge gaps. A rationale for the adoption of a marriage and family therapy framework to clarify remaining inconsistencies is presented. Furthermore, specific marriage and family therapy relational models and corresponding measurement instruments are outlined. Finally, suggestions for future research and potential implications for brain injury rehabilitation outcomes are discussed.\n
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\n \n \n\n \n \n \n \n European Models of Multidisciplinary Rehabilitation Services for Traumatic Brain Injury.\n \n\n\n \n McElligott, J.; Carroll, A.; Morgan, J.; Macdonnell, C.; Neumann, V.; Gutenbrunner, C.; Fialka-Moser, V.; Christodoulou, N.; Varela, E.; Giustini, A.; Delarque, A.; Assucena, A.; Lukmann, A.; Tuulik-Leisi, V.; and Zoltan, D.\n \n\n\n \n\n\n\n American Journal of Physical Medicine & Rehabilitation, 90(1): 74-78. 1 2011.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {European Models of Multidisciplinary Rehabilitation Services for Traumatic Brain Injury},\n type = {article},\n year = {2011},\n identifiers = {[object Object]},\n keywords = {european,rehabilitation,rehabilitation_models},\n pages = {74-78},\n volume = {90},\n month = {1},\n id = {f4eaff1b-78ea-3c2d-9f66-eefb662e3167},\n created = {2017-06-28T11:50:13.186Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.186Z},\n tags = {european,rehabilitation,rehabilitation_models},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:8822877},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {(C) 2011 Lippincott Williams & Wilkins, Inc.},\n bibtype = {article},\n author = {McElligott, Jacinta and Carroll, A and Morgan, J and Macdonnell, C and Neumann, V. and Gutenbrunner, C and Fialka-Moser, V and Christodoulou, N and Varela, E and Giustini, A and Delarque, A and Assucena, A and Lukmann, A and Tuulik-Leisi, V and Zoltan, D.},\n journal = {American Journal of Physical Medicine & Rehabilitation},\n number = {1}\n}
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\n (C) 2011 Lippincott Williams & Wilkins, Inc.\n
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\n \n \n\n \n \n \n \n The impact of acquired brain damage in terms of epidemiology, economics and loss in quality of life.\n \n\n\n \n Mar, J.; Arrospide, A.; Begiristain, J., M.; Larrañaga, I.; Elosegui, E.; and Oliva-Moreno, J.\n \n\n\n \n\n\n\n BMC neurology, 11: 46. 1 2011.\n \n\n\n\n
\n\n\n \n \n \n \"TheWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {The impact of acquired brain damage in terms of epidemiology, economics and loss in quality of life.},\n type = {article},\n year = {2011},\n identifiers = {[object Object]},\n keywords = {Adult,Age Factors,Aged,Aged, 80 and over,Brain,Brain Injuries,Brain Injuries: economics,Brain Injuries: epidemiology,Brain Injuries: psychology,Brain: pathology,Brain: physiopathology,Cross-Sectional Studies,Female,Health Status,Humans,Male,Middle Aged,Models, Theoretical,Quality of Life,Questionnaires,Spain,Spain: epidemiology,Stroke,Stroke: economics,Stroke: epidemiology,Stroke: psychology},\n pages = {46},\n volume = {11},\n websites = {http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3098775&tool=pmcentrez&rendertype=abstract},\n month = {1},\n id = {e0f3c808-e71f-3045-b70e-5d1aec80bdb6},\n created = {2017-06-28T11:50:13.229Z},\n accessed = {2012-05-21},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.229Z},\n tags = {Costs,caregiver},\n read = {true},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {Patients with acquired brain damage (ABD) have suffered a brain lesion that interrupts vital development in the physical, psychological and social spheres. Stroke and traumatic brain injury (TBI) are the two main causes. The objectives of this study were to estimate the incidence and prevalence of ABD in the population of the Basque Country and Navarre in 2008, to calculate the associated cost of the care required and finally to assess the loss in health-related quality of life.},\n bibtype = {article},\n author = {Mar, Javier and Arrospide, Arantzazu and Begiristain, José María and Larrañaga, Isabel and Elosegui, Elena and Oliva-Moreno, Juan},\n journal = {BMC neurology}\n}
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\n Patients with acquired brain damage (ABD) have suffered a brain lesion that interrupts vital development in the physical, psychological and social spheres. Stroke and traumatic brain injury (TBI) are the two main causes. The objectives of this study were to estimate the incidence and prevalence of ABD in the population of the Basque Country and Navarre in 2008, to calculate the associated cost of the care required and finally to assess the loss in health-related quality of life.\n
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\n \n \n\n \n \n \n \n Using a Clinical Approach To Answer “What Communication Apps Should We Use?”.\n \n\n\n \n Gosnell, J.; Costello, J.; and Shane, H.\n \n\n\n \n\n\n\n Perspectives on Augmentative and Alternative Communication, 20(3): 87-96. 9 2011.\n \n\n\n\n
\n\n\n \n \n \n \"UsingWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Using a Clinical Approach To Answer “What Communication Apps Should We Use?”},\n type = {article},\n year = {2011},\n identifiers = {[object Object]},\n pages = {87-96},\n volume = {20},\n websites = {http://div12perspectives.asha.org/content/20/3/87.abstract,http://div12perspectives.asha.org/content/20/3/87.full.pdf,http://div12perspectives.asha.org/cgi/content/abstract/20/3/87},\n month = {9},\n publisher = {American Speech-Language-Hearing Association},\n day = {1},\n id = {cc4b75e8-4822-38c4-b1b6-4879429d1cc0},\n created = {2017-06-28T11:50:13.547Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.547Z},\n tags = {augmentative,communication,speech},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {It would be impossible (and not the intent of this paper) to conduct a comprehensive review of every communication application (app) that exists as of this writing. Rather, a clinical framework for comparing and selecting apps will be offered to assist speech-language pathologists in answering the popular question “What communication apps should we use?” While this platform and certain apps may indeed represent a reasonable match to the strengths and needs of some individuals, it is important that the needs of an individual be considered on a case-by-case basis using a thorough and clinically based approach. To this end, the clinical application of a chart detailing features believed to represent critical and fundamental considerations for a broad profile of people evidencing complex communication needs will be discussed and highlighted through case examples.},\n bibtype = {article},\n author = {Gosnell, Jessica and Costello, John and Shane, Howard},\n journal = {Perspectives on Augmentative and Alternative Communication},\n number = {3}\n}
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\n It would be impossible (and not the intent of this paper) to conduct a comprehensive review of every communication application (app) that exists as of this writing. Rather, a clinical framework for comparing and selecting apps will be offered to assist speech-language pathologists in answering the popular question “What communication apps should we use?” While this platform and certain apps may indeed represent a reasonable match to the strengths and needs of some individuals, it is important that the needs of an individual be considered on a case-by-case basis using a thorough and clinically based approach. To this end, the clinical application of a chart detailing features believed to represent critical and fundamental considerations for a broad profile of people evidencing complex communication needs will be discussed and highlighted through case examples.\n
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\n \n \n\n \n \n \n \n Evidence-based cognitive rehabilitation: updated review of the literature from 2003 through 2008.\n \n\n\n \n Cicerone, K., D.; Langenbahn, D., M.; Braden, C.; Malec, J., F.; Kalmar, K.; Fraas, M.; Felicetti, T.; Laatsch, L.; Harley, J., P.; Bergquist, T.; Azulay, J.; Cantor, J.; and Ashman, T.\n \n\n\n \n\n\n\n Archives of physical medicine and rehabilitation, 92(4): 519-30. 4 2011.\n \n\n\n\n
\n\n\n \n \n \n \"Evidence-basedWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Evidence-based cognitive rehabilitation: updated review of the literature from 2003 through 2008.},\n type = {article},\n year = {2011},\n identifiers = {[object Object]},\n keywords = {Attention,Brain Injuries,Brain Injuries: rehabilitation,Cognition Disorders,Cognition Disorders: rehabilitation,Communication,Evidence-Based Medicine,Executive Function,Humans,Memory,Problem Solving,Randomized Controlled Trials as Topic,Stroke,Stroke: rehabilitation},\n pages = {519-30},\n volume = {92},\n websites = {http://www.ncbi.nlm.nih.gov/pubmed/21440699},\n month = {4},\n publisher = {Elsevier Inc.},\n id = {95e71f36-cd2b-33ea-8aaa-15b92b86881d},\n created = {2017-06-28T11:50:13.710Z},\n accessed = {2012-03-19},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.710Z},\n tags = {attention,best practice},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {To update our clinical recommendations for cognitive rehabilitation of people with traumatic brain injury (TBI) and stroke, based on a systematic review of the literature from 2003 through 2008.},\n bibtype = {article},\n author = {Cicerone, Keith D and Langenbahn, Donna M and Braden, Cynthia and Malec, James F and Kalmar, Kathleen and Fraas, Michael and Felicetti, Thomas and Laatsch, Linda and Harley, J Preston and Bergquist, Thomas and Azulay, Joanne and Cantor, Joshua and Ashman, Teresa},\n journal = {Archives of physical medicine and rehabilitation},\n number = {4}\n}
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\n To update our clinical recommendations for cognitive rehabilitation of people with traumatic brain injury (TBI) and stroke, based on a systematic review of the literature from 2003 through 2008.\n
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\n \n \n\n \n \n \n \n Multi-disciplinary rehabilitation for acquired brain injury in adults of working age ( Review ).\n \n\n\n \n Nair, A.; Sedki, I.; Pb, D.; and Dt, W.\n \n\n\n \n\n\n\n (1). 2011.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Multi-disciplinary rehabilitation for acquired brain injury in adults of working age ( Review )},\n type = {article},\n year = {2011},\n id = {5dc6d7ca-babf-3b6b-a10c-15f4c0102dd1},\n created = {2017-06-28T11:50:14.030Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:14.030Z},\n tags = {best practice},\n read = {true},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n bibtype = {article},\n author = {Nair, A and Sedki, I and Pb, Disler and Dt, Wade},\n number = {1}\n}
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\n \n \n\n \n \n \n \n Cost of disorders of the brain in Europe 2010.\n \n\n\n \n Gustavsson, A.; Svensson, M.; Jacobi, F.; Allgulander, C.; Alonso, J.; Beghi, E.; Dodel, R.; Ekman, M.; Faravelli, C.; Fratiglioni, L.; Gannon, B.; Jones, D., H.; Jennum, P.; Jordanova, A.; Jönsson, L.; Karampampa, K.; Knapp, M.; Kobelt, G.; Kurth, T.; Lieb, R.; Linde, M.; Ljungcrantz, C.; Maercker, A.; Melin, B.; Moscarelli, M.; Musayev, A.; Norwood, F.; Preisig, M.; Pugliatti, M.; Rehm, J.; Salvador-Carulla, L.; Schlehofer, B.; Simon, R.; Steinhausen, H., C.; Stovner, L., J.; Vallat, J., M.; den Bergh, P., V.; van Os, J.; Vos, P.; Xu, W.; Wittchen, H., U.; Jönsson, B.; and Olesen, J.\n \n\n\n \n\n\n\n European Neuropsychopharmacology, 21(10). 2011.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Cost of disorders of the brain in Europe 2010},\n type = {article},\n year = {2011},\n identifiers = {[object Object]},\n volume = {21},\n id = {0da71fa9-f5d6-3297-bf0a-bf304e635193},\n created = {2017-06-28T11:50:14.548Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:14.548Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {Background: The spectrum of disorders of the brain is large, covering hundreds of disorders that are listed in either the mental or neurological disorder chapters of the established international diagnostic classification systems. These disorders have a high prevalence as well as short- and long-term impairments and disabilities. Therefore they are an emotional, financial and social burden to the patients, their families and their social network. In a 2005 landmark study, we estimated for the first time the annual cost of 12 major groups of disorders of the brain in Europe and gave a conservative estimate of €386. billion for the year 2004. This estimate was limited in scope and conservative due to the lack of sufficiently comprehensive epidemiological and/or economic data on several important diagnostic groups. We are now in a position to substantially improve and revise the 2004 estimates. In the present report we cover 19 major groups of disorders, 7 more than previously, of an increased range of age groups and more cost items. We therefore present much improved cost estimates. Our revised estimates also now include the new EU member states, and hence a population of 514. million people. Aims: To estimate the number of persons with defined disorders of the brain in Europe in 2010, the total cost per person related to each disease in terms of direct and indirect costs, and an estimate of the total cost per disorder and country. Methods: The best available estimates of the prevalence and cost per person for 19 groups of disorders of the brain (covering well over 100 specific disorders) were identified via a systematic review of the published literature. Together with the twelve disorders included in 2004, the following range of mental and neurologic groups of disorders is covered: addictive disorders, affective disorders, anxiety disorders, brain tumor, childhood and adolescent disorders (developmental disorders), dementia, eating disorders, epilepsy, mental retardation, migraine, multiple sclerosis, neuromuscular disorders, Parkinson's disease, personality disorders, psychotic disorders, sleep disorders, somatoform disorders, stroke, and traumatic brain injury. Epidemiologic panels were charged to complete the literature review for each disorder in order to estimate the 12-month prevalence, and health economic panels were charged to estimate best cost-estimates. A cost model was developed to combine the epidemiologic and economic data and estimate the total cost of each disorder in each of 30 European countries (EU27. +. Iceland, Norway and Switzerland). The cost model was populated with national statistics from Eurostat to adjust all costs to 2010 values, converting all local currencies to Euro, imputing costs for countries where no data were available, and aggregating country estimates to purchasing power parity adjusted estimates for the total cost of disorders of the brain in Europe 2010. Results: The total cost of disorders of the brain was estimated at €798. billion in 2010. Direct costs constitute the majority of costs (37% direct healthcare costs and 23% direct non-medical costs) whereas the remaining 40% were indirect costs associated with patients' production losses. On average, the estimated cost per person with a disorder of the brain in Europe ranged between €285 for headache and €30,000 for neuromuscular disorders. The European per capita cost of disorders of the brain was €1550 on average but varied by country. The cost (in billion €PPP 2010) of the disorders of the brain included in this study was as follows: addiction: €65.7; anxiety disorders: €74.4; brain tumor: €5.2; child/adolescent disorders: €21.3; dementia: €105.2; eating disorders: €0.8; epilepsy: €13.8; headache: €43.5; mental retardation: €43.3; mood disorders: €113.4; multiple sclerosis: €14.6; neuromuscular disorders: €7.7; Parkinson's disease: €13.9; personality disorders: €27.3; psychotic disorders: €93.9; sleep disorders: €35.4; somatoform disorder: €21.2; stroke: €64.1; traumatic brain injury: €33.0. It should be noted that the revised estimate of those disorders included in the previous 2004 report constituted €477. billion, by and large confirming our previous study results after considering the inflation and population increase since 2004. Further, our results were consistent with administrative data on the health care expenditure in Europe, and comparable to previous studies on the cost of specific disorders in Europe. Our estimates were lower than comparable estimates from the US. Discussion: This study was based on the best currently available data in Europe and our model enabled extrapolation to countries where no data could be found. Still, the scarcity of data is an important source of uncertainty in our estimates and may imply over- or underestimations in some disorders and countries. Even though this review included many disorders, diagnoses, age groups and cost items that were omitted in 2004, there are still remaining disorders that could not be included due to limitations in the available data. We therefore consider our estimate of the total cost of the disorders of the brain in Europe to be conservative. In terms of the health economic burden outlined in this report, disorders of the brain likely constitute the number one economic challenge for European health care, now and in the future. Data presented in this report should be considered by all stakeholder groups, including policy makers, industry and patient advocacy groups, to reconsider the current science, research and public health agenda and define a coordinated plan of action of various levels to address the associated challenges. Recommendations: Political action is required in light of the present high cost of disorders of the brain. Funding of brain research must be increased; care for patients with brain disorders as well as teaching at medical schools and other health related educations must be quantitatively and qualitatively improved, including psychological treatments. The current move of the pharmaceutical industry away from brain related indications must be halted and reversed. Continued research into the cost of the many disorders not included in the present study is warranted. It is essential that not only the EU but also the national governments forcefully support these initiatives. © 2011.},\n bibtype = {article},\n author = {Gustavsson, Anders and Svensson, Mikael and Jacobi, Frank and Allgulander, Christer and Alonso, Jordi and Beghi, Ettore and Dodel, Richard and Ekman, Mattias and Faravelli, Carlo and Fratiglioni, Laura and Gannon, Brenda and Jones, David Hilton and Jennum, Poul and Jordanova, Albena and Jönsson, Linus and Karampampa, Korinna and Knapp, Martin and Kobelt, Gisela and Kurth, Tobias and Lieb, Roselind and Linde, Mattias and Ljungcrantz, Christina and Maercker, Andreas and Melin, Beatrice and Moscarelli, Massimo and Musayev, Amir and Norwood, Fiona and Preisig, Martin and Pugliatti, Maura and Rehm, Juergen and Salvador-Carulla, Luis and Schlehofer, Brigitte and Simon, Roland and Steinhausen, Hans Christoph and Stovner, Lars Jacob and Vallat, Jean Michel and den Bergh, Peter Van and van Os, Jim and Vos, Pieter and Xu, Weili and Wittchen, Hans Ulrich and Jönsson, Bengt and Olesen, Jes},\n journal = {European Neuropsychopharmacology},\n number = {10}\n}
\n
\n\n\n
\n Background: The spectrum of disorders of the brain is large, covering hundreds of disorders that are listed in either the mental or neurological disorder chapters of the established international diagnostic classification systems. These disorders have a high prevalence as well as short- and long-term impairments and disabilities. Therefore they are an emotional, financial and social burden to the patients, their families and their social network. In a 2005 landmark study, we estimated for the first time the annual cost of 12 major groups of disorders of the brain in Europe and gave a conservative estimate of €386. billion for the year 2004. This estimate was limited in scope and conservative due to the lack of sufficiently comprehensive epidemiological and/or economic data on several important diagnostic groups. We are now in a position to substantially improve and revise the 2004 estimates. In the present report we cover 19 major groups of disorders, 7 more than previously, of an increased range of age groups and more cost items. We therefore present much improved cost estimates. Our revised estimates also now include the new EU member states, and hence a population of 514. million people. Aims: To estimate the number of persons with defined disorders of the brain in Europe in 2010, the total cost per person related to each disease in terms of direct and indirect costs, and an estimate of the total cost per disorder and country. Methods: The best available estimates of the prevalence and cost per person for 19 groups of disorders of the brain (covering well over 100 specific disorders) were identified via a systematic review of the published literature. Together with the twelve disorders included in 2004, the following range of mental and neurologic groups of disorders is covered: addictive disorders, affective disorders, anxiety disorders, brain tumor, childhood and adolescent disorders (developmental disorders), dementia, eating disorders, epilepsy, mental retardation, migraine, multiple sclerosis, neuromuscular disorders, Parkinson's disease, personality disorders, psychotic disorders, sleep disorders, somatoform disorders, stroke, and traumatic brain injury. Epidemiologic panels were charged to complete the literature review for each disorder in order to estimate the 12-month prevalence, and health economic panels were charged to estimate best cost-estimates. A cost model was developed to combine the epidemiologic and economic data and estimate the total cost of each disorder in each of 30 European countries (EU27. +. Iceland, Norway and Switzerland). The cost model was populated with national statistics from Eurostat to adjust all costs to 2010 values, converting all local currencies to Euro, imputing costs for countries where no data were available, and aggregating country estimates to purchasing power parity adjusted estimates for the total cost of disorders of the brain in Europe 2010. Results: The total cost of disorders of the brain was estimated at €798. billion in 2010. Direct costs constitute the majority of costs (37% direct healthcare costs and 23% direct non-medical costs) whereas the remaining 40% were indirect costs associated with patients' production losses. On average, the estimated cost per person with a disorder of the brain in Europe ranged between €285 for headache and €30,000 for neuromuscular disorders. The European per capita cost of disorders of the brain was €1550 on average but varied by country. The cost (in billion €PPP 2010) of the disorders of the brain included in this study was as follows: addiction: €65.7; anxiety disorders: €74.4; brain tumor: €5.2; child/adolescent disorders: €21.3; dementia: €105.2; eating disorders: €0.8; epilepsy: €13.8; headache: €43.5; mental retardation: €43.3; mood disorders: €113.4; multiple sclerosis: €14.6; neuromuscular disorders: €7.7; Parkinson's disease: €13.9; personality disorders: €27.3; psychotic disorders: €93.9; sleep disorders: €35.4; somatoform disorder: €21.2; stroke: €64.1; traumatic brain injury: €33.0. It should be noted that the revised estimate of those disorders included in the previous 2004 report constituted €477. billion, by and large confirming our previous study results after considering the inflation and population increase since 2004. Further, our results were consistent with administrative data on the health care expenditure in Europe, and comparable to previous studies on the cost of specific disorders in Europe. Our estimates were lower than comparable estimates from the US. Discussion: This study was based on the best currently available data in Europe and our model enabled extrapolation to countries where no data could be found. Still, the scarcity of data is an important source of uncertainty in our estimates and may imply over- or underestimations in some disorders and countries. Even though this review included many disorders, diagnoses, age groups and cost items that were omitted in 2004, there are still remaining disorders that could not be included due to limitations in the available data. We therefore consider our estimate of the total cost of the disorders of the brain in Europe to be conservative. In terms of the health economic burden outlined in this report, disorders of the brain likely constitute the number one economic challenge for European health care, now and in the future. Data presented in this report should be considered by all stakeholder groups, including policy makers, industry and patient advocacy groups, to reconsider the current science, research and public health agenda and define a coordinated plan of action of various levels to address the associated challenges. Recommendations: Political action is required in light of the present high cost of disorders of the brain. Funding of brain research must be increased; care for patients with brain disorders as well as teaching at medical schools and other health related educations must be quantitatively and qualitatively improved, including psychological treatments. The current move of the pharmaceutical industry away from brain related indications must be halted and reversed. Continued research into the cost of the many disorders not included in the present study is warranted. It is essential that not only the EU but also the national governments forcefully support these initiatives. © 2011.\n
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\n \n \n\n \n \n \n \n Coping Following Acquired Brain Injury: Predictors and Correlates.\n \n\n\n \n Wolters, G.; Stapert, S.; Brands, I.; and van Heugten, C.\n \n\n\n \n\n\n\n The Journal of Head Trauma Rehabilitation, 26(2). 2011.\n \n\n\n\n
\n\n\n \n \n \n \"CopingWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Coping Following Acquired Brain Injury: Predictors and Correlates},\n type = {article},\n year = {2011},\n identifiers = {[object Object]},\n keywords = {*file-import-11-03-15,brain,coping,education,injuries,neuropsychological,symptoms,tests},\n volume = {26},\n websites = {http://journals.lww.com/headtraumarehab/Fulltext/2011/03000/Coping_Following_Acquired_Brain_Injury__.5.aspx},\n id = {866d5701-747c-3732-a8c1-625d09627b9b},\n created = {2017-06-28T11:50:14.650Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:14.650Z},\n tags = {brain,coping,education,injuries,neuropsychological,symptoms,tests},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {00001199-201103000-00005},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Objective: To examine the determinants and correlates of coping styles in the chronic phase following acquired brain injury. Design: Chart review. Setting: Outpatient rehabilitation center. Participants: One hundred thirty-six persons with an acquired brain injury who were more than 6 months postinjury. Measures: Utrecht Coping List, Symptom Checklist 90, Stroop Color Word Test, and the 15-Word Learning Test. Results: Neuropsychological performance did not influence the use of coping styles. Persons with higher levels of educational attainment most often reported active problem-focused coping styles. Persons with a long time period since injury most often used passive reactions. More use of passive coping styles and less seeking of social support contributed significantly to higher levels of subjective complaints. Conclusions: Cognitive functions do not influence coping style. Passive emotion-focused coping styles in the chronic phase after injury are maladaptive. These findings emphasize the importance of training of adaptive coping styles as rehabilitation targets in the chronic phase, especially for persons with lower educational attainment.},\n bibtype = {article},\n author = {Wolters, Gisela and Stapert, Sven and Brands, Ingrid and van Heugten, Caroline},\n journal = {The Journal of Head Trauma Rehabilitation},\n number = {2}\n}
\n
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\n Objective: To examine the determinants and correlates of coping styles in the chronic phase following acquired brain injury. Design: Chart review. Setting: Outpatient rehabilitation center. Participants: One hundred thirty-six persons with an acquired brain injury who were more than 6 months postinjury. Measures: Utrecht Coping List, Symptom Checklist 90, Stroop Color Word Test, and the 15-Word Learning Test. Results: Neuropsychological performance did not influence the use of coping styles. Persons with higher levels of educational attainment most often reported active problem-focused coping styles. Persons with a long time period since injury most often used passive reactions. More use of passive coping styles and less seeking of social support contributed significantly to higher levels of subjective complaints. Conclusions: Cognitive functions do not influence coping style. Passive emotion-focused coping styles in the chronic phase after injury are maladaptive. These findings emphasize the importance of training of adaptive coping styles as rehabilitation targets in the chronic phase, especially for persons with lower educational attainment.\n
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\n \n \n\n \n \n \n \n The impact of acquired brain damage in terms of epidemiology, economics and loss in quality of life.\n \n\n\n \n Mar, J.; Arrospide, A.; Begiristain, J., M.; Larranaga, I.; Elosegui, E.; and Moreno, J., O.\n \n\n\n \n\n\n\n BMC Neurology, 11(1): 46+. 2011.\n \n\n\n\n
\n\n\n \n \n \n \"TheWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {The impact of acquired brain damage in terms of epidemiology, economics and loss in quality of life},\n type = {article},\n year = {2011},\n identifiers = {[object Object]},\n keywords = {costs,economic_costs,epidemiology},\n pages = {46+},\n volume = {11},\n websites = {http://dx.doi.org/10.1186/1471-2377-11-46},\n id = {9e4d336e-f3ca-33cc-9e28-d0f349f6d49c},\n created = {2017-06-28T11:50:15.234Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:15.234Z},\n tags = {Costs,caregiver,economic_costs,epidemiology},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:9170466},\n source_type = {article},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {BACKGROUND:Patients with acquired brain damage (ABD) have suffered a brain lesion that interrupts vital development in the physical, psychological and social spheres. Stroke and traumatic brain injury (TBI) are the two main causes. The objectives of this study were to estimated the incidence and prevalence of ABD in the population of the Basque Country and Navarre in 2008, to calculate the associated cost of the care required and finally to assess the loss in health-related quality of life.METHODS:On the one hand, a cross-sectional survey was carried out, in order to estimate the incidence of ABD and its consequences in terms of costs and loss in quality of life from the evolution of a sample of patients diagnosed with stroke and TBI. On the other hand, a discrete event simulation model was built that enabled the prevalence of ABD to be estimated. Finally, a calculation was made of the formal and informal costs of ABD in the population of the Basque Country and Navarre (2,750,000 people).RESULTS:The cross-sectional study showed that the incidences of ABD caused by stroke and TBI were 61.8 and 12.5 cases per 100,000 per year respectively, while the overall prevalence was 657 cases per 100,000 people. The SF-36 physical and mental component scores were 28.9 and 44.5 respectively. The total economic burden was calculated to be 382.14 million euro per year, distributed between 215.27 and 166.87 of formal and informal burden respectively. The average cost per individual was 21,040 E per year.CONCLUSIONS:The main conclusion of this study is that ABD has a high impact in both epidemiological and economic terms as well as loss in quality of life. The overall prevalence obtained is equivalent to 0.7% of the total population. The substantial economic burden is distributed nearly evenly between formal and informal costs. Specifically, it was found that the physical dimensions of quality of life are the most severely affected. The prevalence-based approach showed adequate to estimate the population impact of ABD and the resources needed to compensate the disability.},\n bibtype = {article},\n author = {Mar, Javier and Arrospide, Arantzazu and Begiristain, Jose Maria and Larranaga, Isabel and Elosegui, Elena and Moreno, Juan Oliva},\n journal = {BMC Neurology},\n number = {1}\n}
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\n BACKGROUND:Patients with acquired brain damage (ABD) have suffered a brain lesion that interrupts vital development in the physical, psychological and social spheres. Stroke and traumatic brain injury (TBI) are the two main causes. The objectives of this study were to estimated the incidence and prevalence of ABD in the population of the Basque Country and Navarre in 2008, to calculate the associated cost of the care required and finally to assess the loss in health-related quality of life.METHODS:On the one hand, a cross-sectional survey was carried out, in order to estimate the incidence of ABD and its consequences in terms of costs and loss in quality of life from the evolution of a sample of patients diagnosed with stroke and TBI. On the other hand, a discrete event simulation model was built that enabled the prevalence of ABD to be estimated. Finally, a calculation was made of the formal and informal costs of ABD in the population of the Basque Country and Navarre (2,750,000 people).RESULTS:The cross-sectional study showed that the incidences of ABD caused by stroke and TBI were 61.8 and 12.5 cases per 100,000 per year respectively, while the overall prevalence was 657 cases per 100,000 people. The SF-36 physical and mental component scores were 28.9 and 44.5 respectively. The total economic burden was calculated to be 382.14 million euro per year, distributed between 215.27 and 166.87 of formal and informal burden respectively. The average cost per individual was 21,040 E per year.CONCLUSIONS:The main conclusion of this study is that ABD has a high impact in both epidemiological and economic terms as well as loss in quality of life. The overall prevalence obtained is equivalent to 0.7% of the total population. The substantial economic burden is distributed nearly evenly between formal and informal costs. Specifically, it was found that the physical dimensions of quality of life are the most severely affected. The prevalence-based approach showed adequate to estimate the population impact of ABD and the resources needed to compensate the disability.\n
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\n \n \n\n \n \n \n \n When care is left to roam: Carers’ experiences of grassroots nonprofit services in Ireland.\n \n\n\n \n Power, A.; and Kenny, K.\n \n\n\n \n\n\n\n Health & Place, 17(2): 422-429. 3 2011.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {When care is left to roam: Carers’ experiences of grassroots nonprofit services in Ireland},\n type = {article},\n year = {2011},\n identifiers = {[object Object]},\n pages = {422-429},\n volume = {17},\n month = {3},\n day = {20},\n id = {19edf6d4-2806-3169-a330-3f867bd301fa},\n created = {2017-06-28T11:50:15.527Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:15.527Z},\n tags = {caregiver,disability,policy},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Increasingly countries are turning to nonprofit organisations to provide health and social care, particularly for people with disabilities. Alongside this change, debates continue about how states should manage the relationship with such organisations. Should features of the old-style “welfare” model be retained? Should aspects of the "new public management" model be chosen to measure the impact of the work? Yet others argue that grassroots organisations should form the basis of a service provision system. In the context of these debates, Ireland serves as an interesting case study of the system of care that can emerge when the state operates a “relaxed control” approach. This paper takes the perspectives of users themselves: family carers who are accessing services for a disabled adult child, to examine the effects of this approach on the ground. We show how geography played a central role in shaping these experiences, and discuss how we can learn from the Irish context. Rather than arguing for narrowly defined contractual measures, we conclude by proposing a renewed focus on relationship building with the aim of effective system operation, in the future of care services.},\n bibtype = {article},\n author = {Power, Andrew and Kenny, Kate},\n journal = {Health & Place},\n number = {2}\n}
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\n Increasingly countries are turning to nonprofit organisations to provide health and social care, particularly for people with disabilities. Alongside this change, debates continue about how states should manage the relationship with such organisations. Should features of the old-style “welfare” model be retained? Should aspects of the \"new public management\" model be chosen to measure the impact of the work? Yet others argue that grassroots organisations should form the basis of a service provision system. In the context of these debates, Ireland serves as an interesting case study of the system of care that can emerge when the state operates a “relaxed control” approach. This paper takes the perspectives of users themselves: family carers who are accessing services for a disabled adult child, to examine the effects of this approach on the ground. We show how geography played a central role in shaping these experiences, and discuss how we can learn from the Irish context. Rather than arguing for narrowly defined contractual measures, we conclude by proposing a renewed focus on relationship building with the aim of effective system operation, in the future of care services.\n
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\n \n \n\n \n \n \n \n Current trends in stroke rehabilitation. A review with focus on brain plasticity.\n \n\n\n \n Johansson, B., B.\n \n\n\n \n\n\n\n Acta Neurologica Scandinavica, 123(3): 147-159. 2011.\n \n\n\n\n
\n\n\n \n \n \n \"CurrentWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Current trends in stroke rehabilitation. A review with focus on brain plasticity.},\n type = {article},\n year = {2011},\n identifiers = {[object Object]},\n keywords = {aphasia,cognition,hemispheric,multisensory integration,plasticity,sub specialization},\n pages = {147-159},\n volume = {123},\n websites = {http://www.ncbi.nlm.nih.gov/pubmed/20726844},\n publisher = {Blackwell Publishing Ltd},\n institution = {Department of Clinical Neuroscience, Wallenberg Neuroscience Center, Lund University, Sweden. barbro.johansson@med.lu.se},\n id = {f10997b3-2927-31f4-95b3-ea16b769bc71},\n created = {2017-06-28T11:50:16.441Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:16.441Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {Current understanding of brain plasticity has lead to new approaches in ischemic stroke rehabilitation. Stroke units that combine good medical and nursing care with task-oriented intense training in an environment that provides confidence, stimulation and motivation significantly improve outcome. Repetitive trans-cranial magnetic stimulation (rTMS), and trans-cranial direct current stimulation (tDCS) are applied in rehabilitation of motor function. The long-term effect, optimal way of stimulation and possibly efficacy in cognitive rehabilitation need evaluation. Methods based on multisensory integration of motor, cognitive, and perceptual processes including action observation, mental training, and virtual reality are being tested. Different approaches of intensive aphasia training are described. Recent data on intensive melodic intonation therapy indicate that even patients with very severe non-fluent aphasia can regain speech through homotopic white matter tract plasticity. Music therapy is applied in motor and cognitive rehabilitation. To avoid the confounding effect of spontaneous improvement, most trials are preformed 3 months post stroke. Randomized controlled trials starting earlier after strokes are needed. More attention should be given to stroke heterogeneity, cognitive rehabilitation, and social adjustment and to genetic differences, including the role of BDNF polymorphism in brain plasticity.},\n bibtype = {article},\n author = {Johansson, B B},\n journal = {Acta Neurologica Scandinavica},\n number = {3}\n}
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\n Current understanding of brain plasticity has lead to new approaches in ischemic stroke rehabilitation. Stroke units that combine good medical and nursing care with task-oriented intense training in an environment that provides confidence, stimulation and motivation significantly improve outcome. Repetitive trans-cranial magnetic stimulation (rTMS), and trans-cranial direct current stimulation (tDCS) are applied in rehabilitation of motor function. The long-term effect, optimal way of stimulation and possibly efficacy in cognitive rehabilitation need evaluation. Methods based on multisensory integration of motor, cognitive, and perceptual processes including action observation, mental training, and virtual reality are being tested. Different approaches of intensive aphasia training are described. Recent data on intensive melodic intonation therapy indicate that even patients with very severe non-fluent aphasia can regain speech through homotopic white matter tract plasticity. Music therapy is applied in motor and cognitive rehabilitation. To avoid the confounding effect of spontaneous improvement, most trials are preformed 3 months post stroke. Randomized controlled trials starting earlier after strokes are needed. More attention should be given to stroke heterogeneity, cognitive rehabilitation, and social adjustment and to genetic differences, including the role of BDNF polymorphism in brain plasticity.\n
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\n \n \n\n \n \n \n \n Factors influencing return to work experienced by people with acquired brain injury: a qualitative research study.\n \n\n\n \n van Velzen, J., M.; van Bennekom, C., A., M.; van Dormolen, M.; Sluiter, J., K.; and Frings-Dresen, M., H., W.\n \n\n\n \n\n\n\n Disabil Rehabil, 1-10. 3 2011.\n \n\n\n\n
\n\n\n \n \n \n \"FactorsWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Factors influencing return to work experienced by people with acquired brain injury: a qualitative research study},\n type = {article},\n year = {2011},\n identifiers = {[object Object]},\n keywords = {employment,return_to_work},\n pages = {1-10},\n websites = {http://www.informahealthcare.com/doi/abs/10.3109/09638288.2011.563821,http://dx.doi.org/10.3109/09638288.2011.563821},\n month = {3},\n publisher = {Informa Allied Health},\n day = {29},\n id = {eaab566e-fa4e-37ec-93b9-3aedc35fab1d},\n created = {2017-06-28T11:50:16.646Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:16.646Z},\n tags = {employment,return_to_work},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:9108348},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Purpose.?To describe the factors experienced by adults with moderate-to-severe acquired brain injury (ABI) as either limiting or facilitating during the process of return to work (RTW) in order to give an advice about the vocational rehabilitation process. Methods.?A qualitative study was performed. Twelve adults who were working before acquiring traumatic or non-traumatic brain injury (2?3 years earlier) participated. The experiences were gathered by semi-structured interviews. The International Classification of Functioning, Disability and Health was used as a theoretical framework for the interviews and the analysis. Results.?The most common limiting factor was tiredness. The most common facilitating factors were the will to RTW, the ongoing recovery and the knowledge and support of the employer, colleagues, occupational physician and occupational specialist. Conclusions.?Different aspects were experienced as being important during the process of RTW after ABI. These aspects should be kept in mind during the process of RTW to make the outcome as successful as possible. It is advised to pay special attention to the recovery opportunities of an individual, to inform the employer, colleagues, occupation physician and the occupational specialist about ABI, and to support people with ABI for long time periods. An important role can be played by the rehabilitation centre. Purpose.?To describe the factors experienced by adults with moderate-to-severe acquired brain injury (ABI) as either limiting or facilitating during the process of return to work (RTW) in order to give an advice about the vocational rehabilitation process. Methods.?A qualitative study was performed. Twelve adults who were working before acquiring traumatic or non-traumatic brain injury (2?3 years earlier) participated. The experiences were gathered by semi-structured interviews. The International Classification of Functioning, Disability and Health was used as a theoretical framework for the interviews and the analysis. Results.?The most common limiting factor was tiredness. The most common facilitating factors were the will to RTW, the ongoing recovery and the knowledge and support of the employer, colleagues, occupational physician and occupational specialist. Conclusions.?Different aspects were experienced as being important during the process of RTW after ABI. These aspects should be kept in mind during the process of RTW to make the outcome as successful as possible. It is advised to pay special attention to the recovery opportunities of an individual, to inform the employer, colleagues, occupation physician and the occupational specialist about ABI, and to support people with ABI for long time periods. An important role can be played by the rehabilitation centre.},\n bibtype = {article},\n author = {van Velzen, Judith M. and van Bennekom, Coen A. M and van Dormolen, Max and Sluiter, Judith K. and Frings-Dresen, Monique H. W.},\n journal = {Disabil Rehabil}\n}
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\n Purpose.?To describe the factors experienced by adults with moderate-to-severe acquired brain injury (ABI) as either limiting or facilitating during the process of return to work (RTW) in order to give an advice about the vocational rehabilitation process. Methods.?A qualitative study was performed. Twelve adults who were working before acquiring traumatic or non-traumatic brain injury (2?3 years earlier) participated. The experiences were gathered by semi-structured interviews. The International Classification of Functioning, Disability and Health was used as a theoretical framework for the interviews and the analysis. Results.?The most common limiting factor was tiredness. The most common facilitating factors were the will to RTW, the ongoing recovery and the knowledge and support of the employer, colleagues, occupational physician and occupational specialist. Conclusions.?Different aspects were experienced as being important during the process of RTW after ABI. These aspects should be kept in mind during the process of RTW to make the outcome as successful as possible. It is advised to pay special attention to the recovery opportunities of an individual, to inform the employer, colleagues, occupation physician and the occupational specialist about ABI, and to support people with ABI for long time periods. An important role can be played by the rehabilitation centre. Purpose.?To describe the factors experienced by adults with moderate-to-severe acquired brain injury (ABI) as either limiting or facilitating during the process of return to work (RTW) in order to give an advice about the vocational rehabilitation process. Methods.?A qualitative study was performed. Twelve adults who were working before acquiring traumatic or non-traumatic brain injury (2?3 years earlier) participated. The experiences were gathered by semi-structured interviews. The International Classification of Functioning, Disability and Health was used as a theoretical framework for the interviews and the analysis. Results.?The most common limiting factor was tiredness. The most common facilitating factors were the will to RTW, the ongoing recovery and the knowledge and support of the employer, colleagues, occupational physician and occupational specialist. Conclusions.?Different aspects were experienced as being important during the process of RTW after ABI. These aspects should be kept in mind during the process of RTW to make the outcome as successful as possible. It is advised to pay special attention to the recovery opportunities of an individual, to inform the employer, colleagues, occupation physician and the occupational specialist about ABI, and to support people with ABI for long time periods. An important role can be played by the rehabilitation centre.\n
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\n \n \n\n \n \n \n \n Human-Computer Interaction - INTERACT 2011 - 13th IFIP TC 13 International Conference, Lisbon, Portugal, September 5-9, 2011, Proceedings, Part II.\n \n\n\n \n \n \n\n\n \n\n\n\n In volume 6947, of Lecture Notes in Computer Science, 2011. Springer\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@inProceedings{\n title = {Human-Computer Interaction - INTERACT 2011 - 13th IFIP TC 13 International Conference, Lisbon, Portugal, September 5-9, 2011, Proceedings, Part II},\n type = {inProceedings},\n year = {2011},\n volume = {6947},\n publisher = {Springer},\n series = {Lecture Notes in Computer Science},\n editors = {[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]},\n id = {d68a935d-29f0-33b7-939d-db72716ace0e},\n created = {2017-06-28T11:50:16.767Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:16.767Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {DBLP:conf/interact/2011-2},\n source_type = {citeulike:CONF},\n user_context = {Conference proceedings (whole)},\n private_publication = {false},\n bibtype = {inProceedings},\n author = {}\n}
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\n \n \n\n \n \n \n \n Transition to community integration for persons with acquired brain injury.\n \n\n\n \n Fleming, J.; and Nalder, E.\n \n\n\n \n\n\n\n 2011.\n \n\n\n\n
\n\n\n \n \n \n \"TransitionWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@misc{\n title = {Transition to community integration for persons with acquired brain injury.},\n type = {misc},\n year = {2011},\n source = {Cognition, occupation, and participation across the life span: Neuroscience, neurorehabilitation, and models of intervention in occupational therapy., 3rd ed.},\n identifiers = {[object Object]},\n keywords = {*Occupational Therapy,*Traumatic Brain Injury,Intervention,Rehabilitation},\n pages = {51-70},\n websites = {http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=psyc8&NEWS=N&AN=2012-33545-004},\n id = {be2e5be3-6519-37e9-9dc9-c40c64375204},\n created = {2017-07-27T11:53:53.504Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-07-27T11:53:53.632Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {This chapter examines the concept of community integration and provides information on the processes and experiences associated with the transition into the community for persons with acquired brain injury (ABI) and their family members. Occupational therapy interventions to support those with ABI during transition will also be discussed. In this chapter, we have reviewed the key experiences that can occur during the transition back into the community after ABI and outlined principles of occupational therapy practice that can be incorporated into rehabilitation programs during this phase. Although the construct of community integration is well established and has several standardized outcome measures, community integration is as much about process as outcome. More research is required to understand the process of community integration and the important aspects of interventions that can facilitate this process. (PsycINFO Database Record (c) 2016 APA, all rights reserved)},\n bibtype = {misc},\n author = {Fleming, Jennifer and Nalder, Emily}\n}
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\n This chapter examines the concept of community integration and provides information on the processes and experiences associated with the transition into the community for persons with acquired brain injury (ABI) and their family members. Occupational therapy interventions to support those with ABI during transition will also be discussed. In this chapter, we have reviewed the key experiences that can occur during the transition back into the community after ABI and outlined principles of occupational therapy practice that can be incorporated into rehabilitation programs during this phase. Although the construct of community integration is well established and has several standardized outcome measures, community integration is as much about process as outcome. More research is required to understand the process of community integration and the important aspects of interventions that can facilitate this process. (PsycINFO Database Record (c) 2016 APA, all rights reserved)\n
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\n  \n 2010\n \n \n (23)\n \n \n
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\n \n \n\n \n \n \n \n Effectiveness of Rehabilitation in Enhancing Community Integration After Acute Traumatic Brain Injury: A Systematic Review.\n \n\n\n \n Kim, H.; and Colantonio, a.\n \n\n\n \n\n\n\n American Journal of Occupational Therapy, 64(5): 709-719. 9 2010.\n \n\n\n\n
\n\n\n \n \n \n \"EffectivenessWebsite\n  \n \n\n \n\n bibtex \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Effectiveness of Rehabilitation in Enhancing Community Integration After Acute Traumatic Brain Injury: A Systematic Review},\n type = {article},\n year = {2010},\n identifiers = {[object Object]},\n pages = {709-719},\n volume = {64},\n websites = {http://ajot.aotapress.net/cgi/doi/10.5014/ajot.2010.09188},\n month = {9},\n day = {20},\n id = {7c6b315b-3a9b-3fda-b2ff-675b7dd1510b},\n created = {2017-06-28T11:50:06.591Z},\n accessed = {2012-06-14},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:06.591Z},\n tags = {best practice},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n bibtype = {article},\n author = {Kim, H. and Colantonio, a.},\n journal = {American Journal of Occupational Therapy},\n number = {5}\n}
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\n \n \n\n \n \n \n \n Sustaining employment after vocational rehabilitation in acquired brain injury.\n \n\n\n \n Macaden, A., S.; Chandler, B., J.; Chandler, C.; and Berry, A.\n \n\n\n \n\n\n\n Disability & Rehabilitation, 1-8. 3 2010.\n \n\n\n\n
\n\n\n \n \n \n \"SustainingWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Sustaining employment after vocational rehabilitation in acquired brain injury},\n type = {article},\n year = {2010},\n identifiers = {[object Object]},\n keywords = {case_study_approach,disability,employment,employment_post,head_injuries,rehabilitation,rehabilitation_outcomes,vocational_rehabilitation},\n pages = {1-8},\n websites = {http://dx.doi.org/10.3109/09638280903311594,http://www.informahealthcare.com/doi/abs/10.3109/09638280903311594},\n month = {3},\n publisher = {Informa Allied Health},\n day = {15},\n id = {ad99e86a-c4ad-3030-8218-5533cc5d06c5},\n created = {2017-06-28T11:50:07.550Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:07.550Z},\n tags = {case_study_approach,disability,employment,employment_post,head_injuries,rehabilitation,rehabilitation_outcomes,vocational_rehabilitation},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:7202503},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {doi: 10.3109/09638280903311594 Purpose. To explore factors affecting sustaining employment in people with acquired brain injury (ABI). Method. A multiple case study approach using semi-structured interviews in eight cases (29 individuals). Each case included an individual with ABI, a family member, a job coach and a co-worker (triangulation). The eight individuals with ABI had completed vocational rehabilitation and were purposively selected based on whether they had sustained employment (4) or not (4). Results. Similarity between pre-injury work or leisure interest and post-injury work, unconditional motivation, insight and the ability to cope with cognitive and behavioural sequelae were beneficial in sustaining employment. Post-injury instances of poor cognitive or behavioural function did not necessarily affect sustained employment. The vocational rehabilitation programme was beneficial in building up confidence, providing continued follow up and providing co-worker ‘twins’ in the work place. Employers with a personal experience of disability helped individuals with ABI to sustain employment. Conclusions. Similarities between pre-injury work or leisure interests and post-injury work improved motivation. Factors associated with sustained employment were insightful, unconditional, internal motivation providing an ability to cope, confidence provided by ongoing vocational rehabilitation support through job coaches, supportive co-workers and employers with a personal experience of disability. People with ABI can be outstanding employees.},\n bibtype = {article},\n author = {Macaden, Ashish Stephen and Chandler, Barbara J. and Chandler, Colin and Berry, Alister},\n journal = {Disability & Rehabilitation}\n}
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\n doi: 10.3109/09638280903311594 Purpose. To explore factors affecting sustaining employment in people with acquired brain injury (ABI). Method. A multiple case study approach using semi-structured interviews in eight cases (29 individuals). Each case included an individual with ABI, a family member, a job coach and a co-worker (triangulation). The eight individuals with ABI had completed vocational rehabilitation and were purposively selected based on whether they had sustained employment (4) or not (4). Results. Similarity between pre-injury work or leisure interest and post-injury work, unconditional motivation, insight and the ability to cope with cognitive and behavioural sequelae were beneficial in sustaining employment. Post-injury instances of poor cognitive or behavioural function did not necessarily affect sustained employment. The vocational rehabilitation programme was beneficial in building up confidence, providing continued follow up and providing co-worker ‘twins’ in the work place. Employers with a personal experience of disability helped individuals with ABI to sustain employment. Conclusions. Similarities between pre-injury work or leisure interests and post-injury work improved motivation. Factors associated with sustained employment were insightful, unconditional, internal motivation providing an ability to cope, confidence provided by ongoing vocational rehabilitation support through job coaches, supportive co-workers and employers with a personal experience of disability. People with ABI can be outstanding employees.\n
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\n \n \n\n \n \n \n \n Towards Community-based Inclusive Development: CBR Guidelines.\n \n\n\n \n World Health Organisation\n \n\n\n \n\n\n\n . 2010.\n \n\n\n\n
\n\n\n \n \n \n \"TowardsWebsite\n  \n \n\n \n\n bibtex \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Towards Community-based Inclusive Development: CBR Guidelines},\n type = {article},\n year = {2010},\n websites = {http://www.who.int/disabilities/cbr/guidelines/en/index.html},\n id = {8c2b84b5-af08-3271-83a5-4dba12067a9c},\n created = {2017-06-28T11:50:08.059Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:08.059Z},\n tags = {best practice},\n read = {true},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n bibtype = {article},\n author = {World Health Organisation, undefined}\n}
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\n \n \n\n \n \n \n \n Management of traumatic head injuries in a rural Irish hospital: implications of the NICE guidelines.\n \n\n\n \n Kelly, J.; O’Callaghan, A.; Mc Mullin, L.; Clinton, O.; Binchy, J.; and O'Callaghan, A.\n \n\n\n \n\n\n\n Irish Journal of Medical Science, 179(4): 557-560. 12 2010.\n \n\n\n\n
\n\n\n \n \n \n \"ManagementWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Management of traumatic head injuries in a rural Irish hospital: implications of the NICE guidelines},\n type = {article},\n year = {2010},\n identifiers = {[object Object]},\n keywords = {acute,irish,nice,tbi,traumatic_brain_injury},\n pages = {557-560},\n volume = {179},\n websites = {http://dx.doi.org/10.1007/s11845-010-0499-x,http://www.springerlink.com/content/030227323t522025},\n month = {12},\n publisher = {Springer London},\n day = {1},\n id = {8bb5e76b-1185-38bd-b09e-aa0f7956f30e},\n created = {2017-06-28T11:50:08.331Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:08.331Z},\n tags = {acute,irish,nice,tbi,traumatic_brain_injury},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:7275444},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Background The NICE guidelines were published in 2003 in an effort to standardise the management of traumatic head injuries, and advise a CT brain in certain situations. Aim To evaluate the influence of the NICE guidelines on the management of head injuries in a county hospital. Methods Complete clinical data were obtained for all patients with traumatic head injuries attending the ED of a county hospital from 2001 to 2005. Symptoms, examination details and outcome data were made available. The influence of the NICE guidelines on their management was then evaluated. Results Application of the NICE guidelines to these patients would have resulted in a 56% increase in the rate of CT brains being performed. No patient who did not have a CT brain had an adverse outcome. Conclusion It is possible with limited resources and normal neurological observations that patients over the age of 65 can be managed safely.},\n bibtype = {article},\n author = {Kelly, J. and O’Callaghan, A. and Mc Mullin, L. and Clinton, O. and Binchy, J. and O'Callaghan, A},\n journal = {Irish Journal of Medical Science},\n number = {4}\n}
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\n Background The NICE guidelines were published in 2003 in an effort to standardise the management of traumatic head injuries, and advise a CT brain in certain situations. Aim To evaluate the influence of the NICE guidelines on the management of head injuries in a county hospital. Methods Complete clinical data were obtained for all patients with traumatic head injuries attending the ED of a county hospital from 2001 to 2005. Symptoms, examination details and outcome data were made available. The influence of the NICE guidelines on their management was then evaluated. Results Application of the NICE guidelines to these patients would have resulted in a 56% increase in the rate of CT brains being performed. No patient who did not have a CT brain had an adverse outcome. Conclusion It is possible with limited resources and normal neurological observations that patients over the age of 65 can be managed safely.\n
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\n \n \n\n \n \n \n \n Effectiveness of a group anger management programme after severe traumatic brain injury.\n \n\n\n \n Walker, A., J.; Nott, M., T.; Doyle, M.; Onus, M.; McCarthy, K.; and Baguley, I., J.\n \n\n\n \n\n\n\n Brain Injury, 517-524. 7 2010.\n \n\n\n\n
\n\n\n \n \n \n \"EffectivenessWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Effectiveness of a group anger management programme after severe traumatic brain injury},\n type = {article},\n year = {2010},\n identifiers = {[object Object]},\n keywords = {anger_control,anger_expression,anger_management,cognitive_behavioural_therapy,rehabilitation,treatment_effectiveness},\n pages = {517-524},\n websites = {http://www.ingentaconnect.com/content/apl/tbin/2010/00000024/00000003/art00007,http://dx.doi.org/10.3109/02699051003601721},\n month = {7},\n publisher = {Informa Healthcare},\n id = {cf18488d-cbb0-3a7e-9dd3-f6e89f93c1fa},\n created = {2017-06-28T11:50:09.205Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:09.205Z},\n tags = {Behaviour,anger_management,cognitive_behavioural_therapy,rehabilitation,treatment_effectiveness},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:7229642},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Primary objective: This study examined the effectiveness of a group approach to the treatment of anger management difficulties for people with severe traumatic brain injury (TBI).Research design: Repeated-measures design with convenience sampling.Method and procedure: Participants were community living clients of a tertiary brain injury service. The group programme consisted of 12 weekly sessions based on a cognitive behavioural therapy (CBT) model, with modifications to incorporate compensations for TBI-related cognitive impairment. Treatment effectiveness was measured using the State-Trait Anger Expression Inventory (STAXI), at pre-treatment, post-treatment and follow-up.Main outcomes and results: The programme was completed by 52 people across nine groups over the years 1998-2006 and 31 of these attended a follow-up session. Completion of the programme was associated with significant decreases in self-reported frequency with which anger was experienced (STAXI Trait Anger) and frequency of expression of anger (Anger Expression-Out), as well as a significant increase in reported attempts to control feelings of anger (Anger Control); changes were maintained at follow-up assessment.Conclusions: A group CBT approach shows promise as an effective community-based treatment for anger control issues after severe TBI. Future research directions should include a wait-list control group and objective rating of anger expression.},\n bibtype = {article},\n author = {Walker, Alexandra J. and Nott, Melissa T. and Doyle, Margaret and Onus, Margaret and McCarthy, Kathleen and Baguley, Ian J.},\n journal = {Brain Injury}\n}
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\n Primary objective: This study examined the effectiveness of a group approach to the treatment of anger management difficulties for people with severe traumatic brain injury (TBI).Research design: Repeated-measures design with convenience sampling.Method and procedure: Participants were community living clients of a tertiary brain injury service. The group programme consisted of 12 weekly sessions based on a cognitive behavioural therapy (CBT) model, with modifications to incorporate compensations for TBI-related cognitive impairment. Treatment effectiveness was measured using the State-Trait Anger Expression Inventory (STAXI), at pre-treatment, post-treatment and follow-up.Main outcomes and results: The programme was completed by 52 people across nine groups over the years 1998-2006 and 31 of these attended a follow-up session. Completion of the programme was associated with significant decreases in self-reported frequency with which anger was experienced (STAXI Trait Anger) and frequency of expression of anger (Anger Expression-Out), as well as a significant increase in reported attempts to control feelings of anger (Anger Control); changes were maintained at follow-up assessment.Conclusions: A group CBT approach shows promise as an effective community-based treatment for anger control issues after severe TBI. Future research directions should include a wait-list control group and objective rating of anger expression.\n
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\n \n \n\n \n \n \n \n I am Many: The Reconstruction of Self Following Acquired Brain Injury.\n \n\n\n \n Gelech, J., M.; and Desjardins, M.\n \n\n\n \n\n\n\n Qualitative health research, . 7 2010.\n \n\n\n\n
\n\n\n \n \n \n \"IWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {I am Many: The Reconstruction of Self Following Acquired Brain Injury.},\n type = {article},\n year = {2010},\n identifiers = {[object Object]},\n keywords = {identity},\n websites = {http://dx.doi.org/10.1177/1049732310377454},\n month = {7},\n day = {29},\n id = {4733ae7c-2ca0-36bd-ad3e-7f1bc13fb39e},\n created = {2017-06-28T11:50:09.340Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:09.340Z},\n tags = {identity},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:7597474},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {In this article we examine the construction of self following acquired brain injury from an experience-centered perspective. Life history and semistructured interview transcripts collected from four brain injury survivors were analyzed using thematic, syntactic, and deep structure analysis. Though notions of the "lost" or "shattered" self have dominated discussions of personhood in the acquired brain injury literature, we argue that this perspective is a crude representation of the postinjury experience of self, and that aspects of stability, recovery, transcendence, and moral growth are also involved in this process. We highlight the intersubjective nature of the self, and present the processes of delegitimation, invalidation, negotiation, and resistance as crucial aspects of the postinjury construction of personhood. We explore the implications of this complex process of construction of self for grief and bereavement theories, clinical practice, and professional discourse in the area of acquired brain injury.},\n bibtype = {article},\n author = {Gelech, Jan M and Desjardins, Michel},\n journal = {Qualitative health research}\n}
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\n In this article we examine the construction of self following acquired brain injury from an experience-centered perspective. Life history and semistructured interview transcripts collected from four brain injury survivors were analyzed using thematic, syntactic, and deep structure analysis. Though notions of the \"lost\" or \"shattered\" self have dominated discussions of personhood in the acquired brain injury literature, we argue that this perspective is a crude representation of the postinjury experience of self, and that aspects of stability, recovery, transcendence, and moral growth are also involved in this process. We highlight the intersubjective nature of the self, and present the processes of delegitimation, invalidation, negotiation, and resistance as crucial aspects of the postinjury construction of personhood. We explore the implications of this complex process of construction of self for grief and bereavement theories, clinical practice, and professional discourse in the area of acquired brain injury.\n
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\n \n \n\n \n \n \n \n Quality of Life of Individuals with Acquired Brain Injuries.\n \n\n\n \n Man, D., W., K.; Yip, P., F.; Ko, T., H., L.; Kwok, J., K., L.; and Tsang, M., Y.\n \n\n\n \n\n\n\n Applied Research in Quality of Life, 5(1): 27-34. 3 2010.\n \n\n\n\n
\n\n\n \n \n \n \"QualityWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Quality of Life of Individuals with Acquired Brain Injuries},\n type = {article},\n year = {2010},\n identifiers = {[object Object]},\n pages = {27-34},\n volume = {5},\n websites = {http://www.springerlink.com/content/39hu847104u58372},\n month = {3},\n publisher = {Springer Netherlands},\n day = {1},\n id = {8f4ee075-8f07-36ef-acac-aef23cbfd67b},\n created = {2017-06-28T11:50:09.956Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:09.956Z},\n tags = {quality_of_life},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {This study investigated the quality of life of individuals with acquired brain injuries (ABI) across a one- to fifteen-year post-injury time span. This allows us to identify the health and service needs of individuals with ABI and provide direction for further improvement. Twenty-nine individuals were invited from the local Self-Help Group for the Brain-Damaged to participate in this study. Four instruments were used to help in the investigation of the subjective components of the quality of life, including the Personal Wellbeing Index (PWI) and Positive and Negative Affect Scales (PANAS). The instruments used were the Modified Barthel Index (MBI) and Lawton Instrumental Activity of Daily Living (IADL) Scale. After analysis of the results and their interpretation, there was no significant difference between the post-injury groups in their scores of negative affect. It is suggested that there should be services, such as psychotherapy, to help reduce the existence of negative moods. Improvement in the IADL aspect should be more focused in future rehabilitation services to allow people to enjoy a fuller life.},\n bibtype = {article},\n author = {Man, David W. K. and Yip, Paul F.W. and Ko, Tess H. L. and Kwok, Janet K. L. and Tsang, M. Y.},\n journal = {Applied Research in Quality of Life},\n number = {1}\n}
\n
\n\n\n
\n This study investigated the quality of life of individuals with acquired brain injuries (ABI) across a one- to fifteen-year post-injury time span. This allows us to identify the health and service needs of individuals with ABI and provide direction for further improvement. Twenty-nine individuals were invited from the local Self-Help Group for the Brain-Damaged to participate in this study. Four instruments were used to help in the investigation of the subjective components of the quality of life, including the Personal Wellbeing Index (PWI) and Positive and Negative Affect Scales (PANAS). The instruments used were the Modified Barthel Index (MBI) and Lawton Instrumental Activity of Daily Living (IADL) Scale. After analysis of the results and their interpretation, there was no significant difference between the post-injury groups in their scores of negative affect. It is suggested that there should be services, such as psychotherapy, to help reduce the existence of negative moods. Improvement in the IADL aspect should be more focused in future rehabilitation services to allow people to enjoy a fuller life.\n
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\n \n \n\n \n \n \n \n Mentoring programme for adolescent survivors of acquired brain injury.\n \n\n\n \n Fraas, M.; and Bellerose, A.\n \n\n\n \n\n\n\n Brain Injury, 24(1): 50-61. 1 2010.\n \n\n\n\n
\n\n\n \n \n \n \"MentoringWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Mentoring programme for adolescent survivors of acquired brain injury},\n type = {article},\n year = {2010},\n identifiers = {[object Object]},\n keywords = {adjustment,adult_mentor,case_study_report,quality_of_life_index,social_integration,social_life,social_network,social_participation,social_relationships},\n pages = {50-61},\n volume = {24},\n websites = {http://www.informahealthcare.com/doi/abs/10.3109/02699050903446781,http://dx.doi.org/10.3109/02699050903446781},\n month = {1},\n publisher = {Informa Allied Health},\n day = {1},\n id = {2474f6ae-042a-3dc6-918c-e8a44cd50610},\n created = {2017-06-28T11:50:10.692Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:10.692Z},\n tags = {adjustment,adult_mentor,case_study_report,quality_of_life_index,social_network,social_relationships},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:7298236},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {doi: 10.3109/02699050903446781 Primary objective: To report the findings of a mentor–adolescent relationship between two survivors of acquired brain injury (ABI). Research design: Case study report. Methods and procedures: The adolescent, a survivor of Eastern Equine Encephalitis, was paired with an adult mentor, a survivor of a TBI. Baseline scores on the Youth Quality of Life (YQOL), Wisconsin Quality of Life Index (WQLI) and the Mayo-Portland Adaptability Index-4 (MPAI-4) were recorded. Experimental interventions: The mentor provided support to the adolescent during the 10-week relationship conducted as a community-based programme for adults with acquired brain injury. In addition, both participants attended group activities that address the long-term needs of survivors of ABI. Post-programme scores were recorded on the YQOL, WQLI, MPAI-4 and a retrospective questionnaire. Main outcomes and results: The adolescent demonstrated improved quality of life on the YQOL and improved ability, adjustment and participation on the MPAI-4. The mentor demonstrated improved quality of life on the WQLI and improved adjustment and participation on the MPAI-4. Both participants indicated satisfaction with the programme on the retrospective questionnaire. Conclusions: The mentor programme provided enhanced quality of life and psycho-social support to both participants. The authors do caution, however, that these findings are preliminary and examination of the efficacy of such programming is ongoing.},\n bibtype = {article},\n author = {Fraas, Michael and Bellerose, Amanda},\n journal = {Brain Injury},\n number = {1}\n}
\n
\n\n\n
\n doi: 10.3109/02699050903446781 Primary objective: To report the findings of a mentor–adolescent relationship between two survivors of acquired brain injury (ABI). Research design: Case study report. Methods and procedures: The adolescent, a survivor of Eastern Equine Encephalitis, was paired with an adult mentor, a survivor of a TBI. Baseline scores on the Youth Quality of Life (YQOL), Wisconsin Quality of Life Index (WQLI) and the Mayo-Portland Adaptability Index-4 (MPAI-4) were recorded. Experimental interventions: The mentor provided support to the adolescent during the 10-week relationship conducted as a community-based programme for adults with acquired brain injury. In addition, both participants attended group activities that address the long-term needs of survivors of ABI. Post-programme scores were recorded on the YQOL, WQLI, MPAI-4 and a retrospective questionnaire. Main outcomes and results: The adolescent demonstrated improved quality of life on the YQOL and improved ability, adjustment and participation on the MPAI-4. The mentor demonstrated improved quality of life on the WQLI and improved adjustment and participation on the MPAI-4. Both participants indicated satisfaction with the programme on the retrospective questionnaire. Conclusions: The mentor programme provided enhanced quality of life and psycho-social support to both participants. The authors do caution, however, that these findings are preliminary and examination of the efficacy of such programming is ongoing.\n
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\n \n \n\n \n \n \n \n Comparison of rehabilitation outcomes in day hospital and home settings for people with acquired brain injury a systematic review.\n \n\n\n \n Doig, E.; Fleming, J.; Kuipers, P.; and Cornwell, P., L.\n \n\n\n \n\n\n\n Disability and Rehabilitation, 2061-2077. 3 2010.\n \n\n\n\n
\n\n\n \n \n \n \"ComparisonWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Comparison of rehabilitation outcomes in day hospital and home settings for people with acquired brain injury a systematic review},\n type = {article},\n year = {2010},\n identifiers = {[object Object]},\n keywords = {brain_injuries,brain_injury_rehabilitation,community,community_based_rehabilitation,community_rehabilitation,effectiveness,efficacy,neurological_rehabilitation,neuropsychological_rehabilitation,outcome_evaluation,outcome_measures,outcomes,outpatient_rehabilitation,outpatient_settings,rehabilitation_outcomes,rehabilitation_service,rehabilitation_services,stroke_service},\n pages = {2061-2077},\n websites = {http://www.ingentaconnect.com/content/apl/tids/2010/00000032/00000025/art00001,http://dx.doi.org/10.3109/09638281003797356},\n month = {3},\n publisher = {Informa Healthcare},\n day = {4},\n id = {2827eb85-9ebd-3366-9817-3c5d4b1dd5f0},\n created = {2017-06-28T11:50:10.778Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:10.778Z},\n tags = {brain_injury,communities,community_based_rehabilitation,effectiveness,efficacy,neurological_rehabilitation,neuropsychological_rehabilitation,outcome_evaluation,outcome_measures,outcomes,outpatient_rehabilitation,outpatient_settings,rehabilitation,rehabilitation_outcomes,rehabilitation_service,rehabilitation_services,stroke_patients},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:7163268},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Purpose.&#8195;To conduct a systematic literature review that identifies and summarises the findings of studies that have compared the outcomes of outpatient, brain injury rehabilitation programmes conducted in real-life home settings and day hospital clinic settings.Method.&#8195;A systematic search, using specific inclusion and exclusion criteria, of English language electronic databases, as well as manual search of reference lists of identified articles. Each study was evaluated and rated using 11 methodological criteria. The findings are summarised.Results.&#8195;Database searches, using key terms, initially yielded 4484 articles. Of these articles, 17 articles were included in the review and rated according to methodological quality. The majority of studies indicated that the outcomes of rehabilitation programmes conducted in home settings are at least equivalent to rehabilitation conducted in day hospital and outpatient settings for people with acquired brain injury. Most identified studies (15/17) were with groups of people with a diagnosis of stroke, primarily over the age of 65 years. Assessments of impairment or activity limitation were primarily used to reflect outcomes and no studies used participation or goal-based outcome measures.Conclusions.&#8195;The available studies indicate that outcomes of outpatient rehabilitation programmes delivered at home, of short-term duration (mostly 3 months) for people with stroke recently discharged from hospital, are at least equivalent to day hospital-based outpatient rehabilitation programme outcomes. However, there have been no controlled studies designed to investigate the influence of therapy context (home and clinic settings) on outcomes for people receiving outpatient neurological rehabilitation. Furthermore, investigations of the efficacy of community-based rehabilitation with younger people with brain injuries, caused by mechanisms other than stroke, are required.},\n bibtype = {article},\n author = {Doig, Emmah and Fleming, Jennifer and Kuipers, Pim and Cornwell, Petrea L.},\n journal = {Disability and Rehabilitation}\n}
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\n Purpose. To conduct a systematic literature review that identifies and summarises the findings of studies that have compared the outcomes of outpatient, brain injury rehabilitation programmes conducted in real-life home settings and day hospital clinic settings.Method. A systematic search, using specific inclusion and exclusion criteria, of English language electronic databases, as well as manual search of reference lists of identified articles. Each study was evaluated and rated using 11 methodological criteria. The findings are summarised.Results. Database searches, using key terms, initially yielded 4484 articles. Of these articles, 17 articles were included in the review and rated according to methodological quality. The majority of studies indicated that the outcomes of rehabilitation programmes conducted in home settings are at least equivalent to rehabilitation conducted in day hospital and outpatient settings for people with acquired brain injury. Most identified studies (15/17) were with groups of people with a diagnosis of stroke, primarily over the age of 65 years. Assessments of impairment or activity limitation were primarily used to reflect outcomes and no studies used participation or goal-based outcome measures.Conclusions. The available studies indicate that outcomes of outpatient rehabilitation programmes delivered at home, of short-term duration (mostly 3 months) for people with stroke recently discharged from hospital, are at least equivalent to day hospital-based outpatient rehabilitation programme outcomes. However, there have been no controlled studies designed to investigate the influence of therapy context (home and clinic settings) on outcomes for people receiving outpatient neurological rehabilitation. Furthermore, investigations of the efficacy of community-based rehabilitation with younger people with brain injuries, caused by mechanisms other than stroke, are required.\n
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\n \n \n\n \n \n \n \n Individualized vs. global assessments of quality of life after head injury and their susceptibility to response shift.\n \n\n\n \n Blair, H.; Wilson, L.; Gouick, J.; and Gentleman, D.\n \n\n\n \n\n\n\n Brain Injury, 24(6): 833-843. 1 2010.\n \n\n\n\n
\n\n\n \n \n \n \"IndividualizedWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Individualized vs. global assessments of quality of life after head injury and their susceptibility to response shift},\n type = {article},\n year = {2010},\n identifiers = {[object Object]},\n keywords = {head_injury,qol,quality_of_life,satisfaction_with_life_scale},\n pages = {833-843},\n volume = {24},\n websites = {http://www.informahealthcare.com/doi/abs/10.3109/02699051003789203,http://dx.doi.org/10.3109/02699051003789203},\n month = {1},\n publisher = {Informa Allied Health},\n day = {1},\n id = {dec1439c-48ac-3414-895d-da63eef38acd},\n created = {2017-06-28T11:50:11.040Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:11.040Z},\n tags = {head_injury,qol,quality_of_life,satisfaction_with_life_scale},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:7236068},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {doi: 10.3109/02699051003789203 Primary objective: The aim was to compare individualized and global assessments of quality of life (QoL) after traumatic brain injury (TBI) and to investigate perceived changes in QoL. Methods and procedures: The Schedule for the Evaluation of Individual Quality of Life (SEIQoL-DW) and Hadorn's overall 1–10 QoL Scale were administered to 28 participants 1–10 years post-injury together with the GOS-E, HADS and SF-36. Perceived change in quality of life after TBI was investigated by comparing current and retrospective judgements. Main outcome and results: Correlations between the QoL measures confirm validity of the SEIQoL-DW; however, correlations were generally stronger for the simpler 1–10 Scale. Paradoxically, there was little overall change in the mean QoL when current and retrospective judgements were compared; with some participants reporting worse quality of life before injury. A positive change in perceived QoL was associated with better overall functioning. Conclusions: Where an overall rating of QoL is required it seems that Hadorn's 1–10 Scale is a simpler and more direct measure than the SEIQoL-DW. The greater detail provided by the SEIQoL-DW may mean it is of benefit when looking at individual differences. The results suggest that both the SEIQoL-DW and Hadorn's scale are susceptible to response shift (where a person changes the basis on which they evaluate QoL); and this has implications for the interpretation of QoL assessments.},\n bibtype = {article},\n author = {Blair, Hannah and Wilson, Lindsay and Gouick, Jo and Gentleman, Douglas},\n journal = {Brain Injury},\n number = {6}\n}
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\n doi: 10.3109/02699051003789203 Primary objective: The aim was to compare individualized and global assessments of quality of life (QoL) after traumatic brain injury (TBI) and to investigate perceived changes in QoL. Methods and procedures: The Schedule for the Evaluation of Individual Quality of Life (SEIQoL-DW) and Hadorn's overall 1–10 QoL Scale were administered to 28 participants 1–10 years post-injury together with the GOS-E, HADS and SF-36. Perceived change in quality of life after TBI was investigated by comparing current and retrospective judgements. Main outcome and results: Correlations between the QoL measures confirm validity of the SEIQoL-DW; however, correlations were generally stronger for the simpler 1–10 Scale. Paradoxically, there was little overall change in the mean QoL when current and retrospective judgements were compared; with some participants reporting worse quality of life before injury. A positive change in perceived QoL was associated with better overall functioning. Conclusions: Where an overall rating of QoL is required it seems that Hadorn's 1–10 Scale is a simpler and more direct measure than the SEIQoL-DW. The greater detail provided by the SEIQoL-DW may mean it is of benefit when looking at individual differences. The results suggest that both the SEIQoL-DW and Hadorn's scale are susceptible to response shift (where a person changes the basis on which they evaluate QoL); and this has implications for the interpretation of QoL assessments.\n
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\n \n \n\n \n \n \n \n Young Driver Accidents.\n \n\n\n \n Ralph, A.; Derbyshire, C.; Smith, S.; Horgan, F.; Sexton, E.; Cowman, S.; Hickey, A.; Kelly, P.; Mcgee, H.; Murphy, S.; O'neill, D.; Royston, M.; Shelley, E.; Wiley, M.; Rehabilitation, N.; Rehabilitation, N.; Shivaji, T.; Lee, A.; Dougall, N.; McMillan, T.; Stark, C.; Teasell, R.; Neuroscience, N., B.; Heitzner, J.; Dept. of Health; Pollmann, S.; Jacobs, C.; Sack, A., T.; Tennant, A.; Kentucky, T.; Brain, T.; Trust, I.; Board, F.; Ellis, C.; Peach, R., K.; Uomoto, J., M.; Mozolic, J., L.; Long, A., B.; Morgan, A., R.; Rawley-Payne, M.; Laurienti, P., J.; Randolph, C.; Hilsabeck, R.; Kato, A.; Kharbanda, P.; Li, Y.; Mapelli, D.; Ravdin, L., D.; Romero-Gomez, M.; Stracciari, A.; Weissenborn, K.; Palmese, C., a.; Raskin, S., a.; Rees, L.; Marshall, S.; Hartridge, C.; Mackie, D.; Weiser, M.; Dirette, D.; Park, N., W.; Ingles, J., L.; Chan, R., C., K.; Pero, S.; Incoccia, C.; Caracciolo, B.; Zoccolotti, P.; Formisano, R.; Stewart, I.; Alderman, N.; Tateno, A.; Jorge, R., E.; Robinson, R., G.; Florian, V.; Katz, S.; Lezak, M., D.; Wade, S., L.; Carey, J.; Wolfe, C., R.; Larøi, F.; Gan, C.; Schuller, R.; Campbell, K., a.; Gemeinhardt, M.; McFadden, G., T.; Yeates, G., N.; Luckie, M.; Beer, Z., D.; Khela, P.; Lane-brown, A.; Tate, R.; Winkler, D.; Unsworth, C.; Sloan, S.; Baguley, I., J.; Cooper, J.; Felmingham, K.; Simpson, G.; Tate, R.; Ferry, K.; Hodgkinson, a.; Blaszczynski, a.; Demark, J.; Gemeinhardt, M.; Pryor, J.; Garcia-Molina, a.; Roig-Rovira, T.; Enseñat-Cantallops, a.; Sanchez-Carrion, R.; Pico-Azanza, N.; Bernabeu, M.; Tormos, J., M.; Patel, Y.; Simon, C.; Turner-Stokes, L.; Noble, A., J.; Baisch, S.; Covey, J.; Mukerji, N.; Nath, F.; Schenk, T.; Wilson, B., a.; Thornton, A., E.; Cox, D., N.; Whitfield, K.; Fouladi, R., T.; Schmahmann, J., D.; Sherman, J., C.; Wilson, B., a.; Emslie, H., C.; Quirk, K.; Evans, J., J.; Thornton, K., E.; Carmody, D., P.; Heutink, J.; Brouwer, W., H.; Kums, E.; Young, A.; Bouma, A.; Turner-Stokes, L.; Koh, J., O.; Cassidy, J., D.; Watkinson, E., J.; Hollis, S., J.; Stevenson, M., R.; McIntosh, A., S.; Li, L.; Heritier, S.; Shores, E., A.; Collins, M., W.; Finch, C., F.; Yasuda, S.; Wehman, P.; Targett, P.; Cifu, D.; West, M.; Kosch, Y.; Browne, S.; King, C.; Fitzgerald, J.; Cameron, I.; King, N., S.; Green, C., S.; Bavelier, D.; BSRM; Testa, J., a.; Malec, J., F.; Moessner, A., M.; Brown, A., W.; Oddy, M.; Herbert, C.; Hux, K.; Schram, C., D.; Goeken, T.; Nelson, L.; Binder, L., M.; Coulter, A.; Ellins, J.; Zampolini, M.; Todeschini, E.; Bernabeu Guitart, M.; Hermens, H.; Ilsbroukx, S.; Macellari, V.; Magni, R.; Rogante, M.; Scattareggia Marchese, S.; Vollenbroek, M.; Giacomozzi, C.; Iverson, G., L.; Gaetz, M.; Lovell, M., R.; Collins, M., W.; Ashley, M., J.; Krych, D., K.; Iverson, G., L.; Brooks, B., L.; Lovell, M., R.; Collins, M., W.; Johnson, J., R.; Gillespie, A.; Best, C.; O'Neill, B.; Powers, L.; Ward, N.; Ferris, L.; Nelis, T.; Dorsch, N.; McMahon, J.; Carr, D.; House, J., S.; Kessler, R., C.; Nesse, R., M.; Sonnega, J.; Wortman, C.; BSRM; Brandys, C.; Vander Laan, R.; Lemsky, C.; Waechter, R.; James Tonks, C., N., B., W., H., W., G., C., A., J., M.; Clare Brandys, Ph.D., C.Psych. Rika Vander Laan, M.Sc.N. Carolyn Lemsky, Ph.D., C.Psych. Randall Waechter, M.; Behrmann, M.; Kimchi, R.; Barbara O Connell; Schipper, K.; Widdershoven, G., a., M.; Abma, T., a.; Kamp, M., a.; Slotty, P.; Sarikaya-Seiwert, S.; Steiger, H.; Hänggi, D.; RALPH J. MEDELE, M.D., WALTER STUMMER, M.D., ARTHUR J. MUELLER, M.D., HANS-JAKOB STEIGER, M.D., AND HANS-JÜRGEN REULEN, M.; Authority, N., R.; Road, W.; Barker-Collo, S., L.; Feigin, V., L.; Lawes, C., M., M.; Parag, V.; Senior, H.; Rodgers, A.; Moore Sohlberg, M.; Fickas, S.; Lemoncello, R.; Hung, P.; McHugh, J., C.; Murphy, R., P.; Sobocki, P.; Malec, J., F.; Brown, A., W.; Moessner, A., M.; Tagliaferri, F.; Compagnone, C.; Korsic, M.; Servadei, F.; Kraus, J.; Lundqvist, A.; Linnros, H.; Orlenius, H.; Samuelsson, K.; Mar, J.; Arrospide, A.; Begiristain, J., M.; Larranaga, I.; Elosegui, E.; Moreno, J., O.; Beecham, J.; Perkins, M.; Snell, T.; Knapp, M.; McElligott, J.; Carroll, A.; Morgan, J.; Macdonnell, C.; Neumann, V.; Gutenbrunner, C.; Fialka-Moser, V.; Christodoulou, N.; Varela, E.; Giustini, A.; Delarque, A.; Assucena, A.; Lukmann, A.; Tuulik-Leisi, V.; and Zoltan, D.\n \n\n\n \n\n\n\n Brain injury : [BI], 14(1): 1-19. 1 2010.\n \n\n\n\n
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{http://dx.doi.org/10.1080/02699050802590338,http://www.informahealthcare.com/doi/abs/10.1080/02699050802590338,http://dx.doi.org/10.1186/1471-2377-11-46,http://dx.doi.org/10.3109/02699051003724986,http://dx.doi.org/10.1007/s00701-005-0651-y,http://www.spr},\n month = {1},\n publisher = {Informa Allied Health},\n day = {1},\n id = {f91a9542-a743-3fd0-aa8d-2de9c69ad50d},\n created = {2017-06-28T11:50:12.597Z},\n accessed = {2012-03-06},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:12.597Z},\n tags = {Autonomy,Behaviour,Citizenship,Communication,Costs,Forensic,Outcomes,Prevalence,Speech,Young Offenders,advocacy_activities,anger_management,anxiety,attention,best practice,brain_injury,caregiver,carers,challenging_behaviour,cognition,cognitive,communities,cost,cost_benefit,cost_effectiveness,costs,disabilities,economic_burden,economic_costs,epidemiology,impairment,incidence,incidence_rates,integration,lifetime_prevalence,older,people,prevalence,prevalence_data,prevalence_rates,prosopagnosia,randomized_controlled_trial,rehabilitation,rehabilitation_models,satisfaction_with_life_scale,self_awareness,statistics,strategy,stroke_patients,stroke_survivors,terson's syndrome,transportation,with},\n read = {true},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {4062750720090515},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {The literature related to neurorehabilitation methods specific to older adults is now emerging, the timing of which is important given the epidemiology of acquired brain injury in this population. Examined are epidemiological characteristics of acquired brain injury, with a focus on traumatic brain injury and stroke. Principles of geriatric neurorehabilitation are proposed by using a Neo-Lurian framework, and employing the PASS model of brain-behavior relationship forwarded by J. P. Das. Discussed are specific issues and strategies of geriatric neurorehabilitation by removing excess disability that complicates acquired brain injury. These include addressing depression, sleep disturbance, chronic pain, and social support. Restorative interventions may now also appear as a part of geriatric neurorehabilitation practices. A focus on team functioning as a critical contributor to functional outcomes in those older adults with acquired brain injury is presented along with future directions that capitalize upon the ideals of primary, secondary, and tertiary prevention.},\n bibtype = {article},\n author = {Ralph, Andrea and Derbyshire, Catherine and Smith, Samantha and Horgan, Frances and Sexton, Eithne and Cowman, Seamus and Hickey, Anne and Kelly, Peter and Mcgee, Hannah and Murphy, Sean and O'neill, Desmond and Royston, Maeve and Shelley, Emer and Wiley, Miriam and Rehabilitation, National and Rehabilitation, National and Shivaji, Tara and Lee, Andrew and Dougall, Nadine and McMillan, Thomas and Stark, Cameron and Teasell, Robert and Neuroscience, Nestor Bayona and Heitzner, John and Dept. of Health, undefined and Pollmann, Stefan and Jacobs, Christianne and Sack, Alexander T. and Tennant, Alan and Kentucky, The and Brain, Traumatic and Trust, Injury and Board, Fund and Ellis, Charles and Peach, Richard K and Uomoto, Jay M and Mozolic, Jennifer L and Long, Ashley B and Morgan, Ashley R and Rawley-Payne, Melissa and Laurienti, Paul J and Randolph, Christopher and Hilsabeck, Robin and Kato, Ainobu and Kharbanda, Parampreet and Li, Yu-Yuan and Mapelli, Daniela and Ravdin, Lisa D and Romero-Gomez, Manuel and Stracciari, Andrea and Weissenborn, Karin and Palmese, C a and Raskin, S a and Rees, Laura and Marshall, Shawn and Hartridge, Cheryl and Mackie, David and Weiser, Margaret and Dirette, Diane and Park, N W and Ingles, J L and Chan, R C K and Pero, Sergio and Incoccia, Chiara and Caracciolo, Barbara and Zoccolotti, Pierluigi and Formisano, Rita and Stewart, Inga and Alderman, Nick and Tateno, Amane and Jorge, Ricardo E and Robinson, Robert G and Florian, Victor and Katz, Shlomo and Lezak, Muriel D. and Wade, Shari L and Carey, JoAnne and Wolfe, Christopher R and Larøi, Frank and Gan, Caron and Schuller, Reinhard and Campbell, Kent a and Gemeinhardt, Monica and McFadden, Gerald T and Yeates, Giles N and Luckie, Michael and Beer, Zach De and Khela, Parmjit and Lane-brown, Amanda and Tate, Robyn and Winkler, Dianne and Unsworth, Carolyn and Sloan, Sue and Baguley, Ian J and Cooper, Joanne and Felmingham, Kim and Simpson, G and Tate, Robyn and Ferry, K and Hodgkinson, a and Blaszczynski, a and Demark, Jenny and Gemeinhardt, Monica and Pryor, Julie and Garcia-Molina, a and Roig-Rovira, T and Enseñat-Cantallops, a and Sanchez-Carrion, R and Pico-Azanza, N and Bernabeu, M and Tormos, J M and Patel, Y. and Simon, C. and Turner-Stokes, Lynne and Noble, Adam J and Baisch, Stefanie and Covey, Judith and Mukerji, Nitin and Nath, Fred and Schenk, Thomas and Wilson, Barbara a and Thornton, Allen E and Cox, David N and Whitfield, Kevin and Fouladi, Rachel T and Schmahmann, J D and Sherman, J C and Wilson, Barbara a and Emslie, H C and Quirk, K and Evans, J J and Thornton, Kirtley E and Carmody, Dennis P and Heutink, Joost and Brouwer, Wiebo H and Kums, Evelien and Young, Andy and Bouma, Anke and Turner-Stokes, Lynne and Koh, Jae O. and Cassidy, J. David and Watkinson, E. Jane and Hollis, Stephanie J and Stevenson, Mark R and McIntosh, Andrew S and Li, Ling and Heritier, Stephane and Shores, E Arthur and Collins, Michael W and Finch, Caroline F and Yasuda, S and Wehman, P and Targett, P and Cifu, D and West, M and Kosch, Y and Browne, S and King, C and Fitzgerald, J and Cameron, I and King, Nigel S and Green, C S and Bavelier, D and BSRM, undefined and Testa, Julie a and Malec, James F. and Moessner, Anne M. and Brown, Allen W. and Oddy, Michael and Herbert, Camilla and Hux, Karen and Schram, Charisse Deuel and Goeken, Tracy and Nelson, Lonnie and Binder, Laurence M. and Coulter, Angela and Ellins, Jo and Zampolini, Mauro and Todeschini, Elisabetta and Bernabeu Guitart, Montserrat and Hermens, Hermie and Ilsbroukx, Stephan and Macellari, Velio and Magni, Riccardo and Rogante, Marco and Scattareggia Marchese, Sandro and Vollenbroek, Miriam and Giacomozzi, Claudia and Iverson, Grant L and Gaetz, Michael and Lovell, Mark R and Collins, Michael W and Ashley, Mark J and Krych, David K and Iverson, Grant L and Brooks, B L and Lovell, Mark R and Collins, Michael W and Johnson, John R. and Gillespie, Alex and Best, Catherine and O'Neill, Brian and Powers, LE and Ward, N and Ferris, L and Nelis, T and Dorsch, Nwc and McMahon, Jha and Carr, D and House, J S and Kessler, R C and Nesse, R M and Sonnega, J and Wortman, C and BSRM, undefined and Brandys, C and Vander Laan, R and Lemsky, C and Waechter, R and James Tonks, Crispin N.W Burgess W. Huw Williams Giray Cordan Avril. J. Mewse and Clare Brandys, Ph.D., C.Psych. Rika Vander Laan, M.Sc.N. Carolyn Lemsky, Ph.D., C.Psych. Randall Waechter, M.A. and Behrmann, Marlene and Kimchi, Ruth and Barbara O Connell, undefined and Schipper, Karen and Widdershoven, Guy a M and Abma, Tineke a and Kamp, Marcel a and Slotty, Philipp and Sarikaya-Seiwert, Sevgi and Steiger, Hans-Jakob and Hänggi, Daniel and RALPH J. MEDELE, M.D., WALTER STUMMER, M.D., ARTHUR J. MUELLER, M.D., HANS-JAKOB STEIGER, M.D., AND HANS-JÜRGEN REULEN, M.D and Authority, National Roads and Road, Waterloo and Barker-Collo, Suzanne L. and Feigin, Valery L. and Lawes, Carlene M.M. M and Parag, Varsha and Senior, Hugh and Rodgers, Anthony and Moore Sohlberg, McKay and Fickas, Stephen and Lemoncello, Rik and Hung, Pei-Fang and McHugh, JC C and Murphy, RP P and Sobocki, P and Malec, James F. and Brown, Allen W. and Moessner, Anne M. and Tagliaferri, F and Compagnone, C and Korsic, M and Servadei, F and Kraus, J and Lundqvist, Anna and Linnros, Hannah and Orlenius, Helene and Samuelsson, Kersti and Mar, Javier and Arrospide, Arantzazu and Begiristain, Jose Maria and Larranaga, Isabel and Elosegui, Elena and Moreno, Juan Oliva and Beecham, Jennifer and Perkins, Margaret and Snell, Tom and Knapp, Martin and McElligott, Jacinta and Carroll, A and Morgan, J and Macdonnell, C and Neumann, V and Gutenbrunner, C and Fialka-Moser, V and Christodoulou, N and Varela, E and Giustini, A and Delarque, A and Assucena, A and Lukmann, A and Tuulik-Leisi, V and Zoltan, D},\n journal = {Brain injury : [BI]},\n number = {1}\n}
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\n The literature related to neurorehabilitation methods specific to older adults is now emerging, the timing of which is important given the epidemiology of acquired brain injury in this population. Examined are epidemiological characteristics of acquired brain injury, with a focus on traumatic brain injury and stroke. Principles of geriatric neurorehabilitation are proposed by using a Neo-Lurian framework, and employing the PASS model of brain-behavior relationship forwarded by J. P. Das. Discussed are specific issues and strategies of geriatric neurorehabilitation by removing excess disability that complicates acquired brain injury. These include addressing depression, sleep disturbance, chronic pain, and social support. Restorative interventions may now also appear as a part of geriatric neurorehabilitation practices. A focus on team functioning as a critical contributor to functional outcomes in those older adults with acquired brain injury is presented along with future directions that capitalize upon the ideals of primary, secondary, and tertiary prevention.\n
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\n \n \n\n \n \n \n \n Experiences of the Process of Adjustment to a Brain Injury: An Interpretative Phenomenological Analysis.\n \n\n\n \n Uprichard, S., M.\n \n\n\n \n\n\n\n Ph.D. Thesis, 5 2010.\n \n\n\n\n
\n\n\n \n \n \n \"ExperiencesWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@phdthesis{\n title = {Experiences of the Process of Adjustment to a Brain Injury: An Interpretative Phenomenological Analysis},\n type = {phdthesis},\n year = {2010},\n keywords = {adjustment,experiences,phenomenological_analysis},\n websites = {http://hdl.handle.net/2299/4521},\n month = {5},\n day = {25},\n id = {1b58434a-1f43-38b1-8697-d7e96254d642},\n created = {2017-06-28T11:50:12.631Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:12.631Z},\n tags = {adjustment,experiences,phenomenological_analysis},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:7218676},\n source_type = {citeulike:THES},\n user_context = {Thesis (PhD)},\n private_publication = {false},\n abstract = {Aims: Acquired Brain Injury (ABI) is often researched from a reductionist perspective, focusing on pathology and dysfunction (Olney & Kim, 2001). More recently there has been a call towards taking a person-centred, global approach; questioning old ‘assumptions’ about what is currently known, and incorporating the views of the patient (Hill, 1999). This qualitative research study aimed to make a further contribution to the evidence-base by investigating the experience of adjusting to life after ABI. Method: Six participants, (two female, four male) aged 26-49, who had experienced a severe ABI an average of 31 months previously, were interviewed using a semistructured schedule. Interpretative Phenomenological Analysis (IPA) was employed to analyse the transcripts. Results: Five master themes emerged from the participants’ accounts: Experiencing a loss of control; Observed changes as a threat to identity; Being displaced by the injury: Feeling unchanged in a changed world; Attempts at managing a threatened identity, and Enable me don’t disable me: The role of support in recovery. Implications: Clinical implications were considered within Bronfenbrenner’s (1979, 2004) Ecological Systems Theoretical Framework. Within the Microsystems (the individual’s immediate systems such as their body, home and work) participants described a struggle to make sense of their perceived loss of control of their body and brain. They described the importance of making sense of these changes. Clinically there is a potential role for professionals to facilitate how people make sense of their experiences, perhaps moving away from reductionist explanations, which appeared to prevent participants from having hope to influence change. From a Macrosystemic level (the individual’s social, cultural and political systems) the participants felt they were less valued and as a result, judged by society and by political systems. Participants’ accounts suggested that they wanted to continue to contribute and be valuable in society. An implication therefore is for professionals involved to take more a political stance in influencing how we currently conceptualise people after brain injury, focusing on enablement rather than disablement.},\n bibtype = {phdthesis},\n author = {Uprichard, Stephanie Margaret}\n}
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\n Aims: Acquired Brain Injury (ABI) is often researched from a reductionist perspective, focusing on pathology and dysfunction (Olney & Kim, 2001). More recently there has been a call towards taking a person-centred, global approach; questioning old ‘assumptions’ about what is currently known, and incorporating the views of the patient (Hill, 1999). This qualitative research study aimed to make a further contribution to the evidence-base by investigating the experience of adjusting to life after ABI. Method: Six participants, (two female, four male) aged 26-49, who had experienced a severe ABI an average of 31 months previously, were interviewed using a semistructured schedule. Interpretative Phenomenological Analysis (IPA) was employed to analyse the transcripts. Results: Five master themes emerged from the participants’ accounts: Experiencing a loss of control; Observed changes as a threat to identity; Being displaced by the injury: Feeling unchanged in a changed world; Attempts at managing a threatened identity, and Enable me don’t disable me: The role of support in recovery. Implications: Clinical implications were considered within Bronfenbrenner’s (1979, 2004) Ecological Systems Theoretical Framework. Within the Microsystems (the individual’s immediate systems such as their body, home and work) participants described a struggle to make sense of their perceived loss of control of their body and brain. They described the importance of making sense of these changes. Clinically there is a potential role for professionals to facilitate how people make sense of their experiences, perhaps moving away from reductionist explanations, which appeared to prevent participants from having hope to influence change. From a Macrosystemic level (the individual’s social, cultural and political systems) the participants felt they were less valued and as a result, judged by society and by political systems. Participants’ accounts suggested that they wanted to continue to contribute and be valuable in society. An implication therefore is for professionals involved to take more a political stance in influencing how we currently conceptualise people after brain injury, focusing on enablement rather than disablement.\n
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\n \n \n\n \n \n \n \n The Epidemiology of Traumatic Brain Injury.\n \n\n\n \n Corrigan, J., D.; Selassie, A., W.; and Orman, J., A., (.\n \n\n\n \n\n\n\n The Journal of Head Trauma Rehabilitation, 25(2). 2010.\n \n\n\n\n
\n\n\n \n \n \n \"TheWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {The Epidemiology of Traumatic Brain Injury},\n type = {article},\n year = {2010},\n identifiers = {[object Object]},\n keywords = {*file-import-10-04-15,brain,craniocerebral,epidemiology,injury,trauma,traumatic},\n volume = {25},\n websites = {http://journals.lww.com/headtraumarehab/Fulltext/2010/03000/The_Epidemiology_of_Traumatic_Brain_Injury.2.aspx},\n id = {1d22caa0-2578-3e45-bbeb-00a4668f7fcf},\n created = {2017-06-28T11:50:13.228Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.228Z},\n tags = {brain,craniocerebral,epidemiology,injury,trauma,traumatic},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {00001199-201003000-00002},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Objective: To describe the most recent estimates of the incidence and prevalence of traumatic brain injury (TBI) and review current issues related to measurement and use of these data. Design: State of the science literature for the United States and abroad was analyzed and issues were identified for (1) incidence of TBI, (2) prevalence of lifetime history of TBI, and (3) incidence and prevalence of disability associated with TBI. Results: The most recent estimates indicate that each year 235 000 Americans are hospitalized for nonfatal TBI, 1.1 million are treated in emergency departments, and 50 000 die. The northern Finland birth cohort found that 3.8% of the population had experienced at least 1 hospitalization due to TBI by 35 years of age. The Christchurch New Zealand birth cohort found that by 25 years of age 31.6% of the population had experienced at least 1 TBI, requiring medical attention (hospitalization, emergency department, or physician office). An estimated 43.3% of Americans have residual disability 1 year after injury. The most recent estimate of the prevalence of US civilian residents living with disability following hospitalization with TBI is 3.2 million. Conclusion: Estimates of the incidence and prevalence of TBI are based on varying sources of data, methods of calculation, and assumptions. Informed users should be cognizant of the limitations of these estimates when determining their applicability. (C) 2010 Lippincott Williams & Wilkins, Inc.},\n bibtype = {article},\n author = {Corrigan, John D. and Selassie, Anbesaw W. and Orman, Jean A. (Langlois)},\n journal = {The Journal of Head Trauma Rehabilitation},\n number = {2}\n}
\n
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\n Objective: To describe the most recent estimates of the incidence and prevalence of traumatic brain injury (TBI) and review current issues related to measurement and use of these data. Design: State of the science literature for the United States and abroad was analyzed and issues were identified for (1) incidence of TBI, (2) prevalence of lifetime history of TBI, and (3) incidence and prevalence of disability associated with TBI. Results: The most recent estimates indicate that each year 235 000 Americans are hospitalized for nonfatal TBI, 1.1 million are treated in emergency departments, and 50 000 die. The northern Finland birth cohort found that 3.8% of the population had experienced at least 1 hospitalization due to TBI by 35 years of age. The Christchurch New Zealand birth cohort found that by 25 years of age 31.6% of the population had experienced at least 1 TBI, requiring medical attention (hospitalization, emergency department, or physician office). An estimated 43.3% of Americans have residual disability 1 year after injury. The most recent estimate of the prevalence of US civilian residents living with disability following hospitalization with TBI is 3.2 million. Conclusion: Estimates of the incidence and prevalence of TBI are based on varying sources of data, methods of calculation, and assumptions. Informed users should be cognizant of the limitations of these estimates when determining their applicability. (C) 2010 Lippincott Williams & Wilkins, Inc.\n
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\n \n \n\n \n \n \n \n Fitness to fly.\n \n\n\n \n Patel, Y.; and Simon, C.\n \n\n\n \n\n\n\n InnovAiT, 3(10): 606-614. 9 2010.\n \n\n\n\n
\n\n\n \n \n \n \"FitnessWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Fitness to fly},\n type = {article},\n year = {2010},\n identifiers = {[object Object]},\n keywords = {fitness,fly,to},\n pages = {606-614},\n volume = {3},\n websites = {http://rcgp-innovait.oxfordjournals.org/cgi/doi/10.1093/innovait/inq086,http://dx.doi.org/10.1093/innovait/inq086,http://rcgp-innovait.oxfordjournals.org/content/3/10/606.abstract,http://rcgp-innovait.oxfordjournals.org/content/3/10/606.full.pdf},\n month = {9},\n day = {21},\n id = {385f5dbf-bc9a-394b-a47d-57d8ecfa56a2},\n created = {2017-06-28T11:50:13.758Z},\n accessed = {2012-06-19},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.758Z},\n tags = {fitness,fly,to},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:9022968},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {It is estimated that 1 billion people travel by air every year, and this is expected to double in 20 years. For the vast majority, commercial flights are safe and comfortable. All flights, short haul or long haul, impose stresses on passengers. GPs are often asked to advise about or certify patients’ fitness to fly. This article aims to provide guidance to enable doctors to provide informed and evidence-based advice for their patients.},\n bibtype = {article},\n author = {Patel, Yaseen and Simon, Chantal},\n journal = {InnovAiT},\n number = {10}\n}
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\n It is estimated that 1 billion people travel by air every year, and this is expected to double in 20 years. For the vast majority, commercial flights are safe and comfortable. All flights, short haul or long haul, impose stresses on passengers. GPs are often asked to advise about or certify patients’ fitness to fly. This article aims to provide guidance to enable doctors to provide informed and evidence-based advice for their patients.\n
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\n \n \n\n \n \n \n \n Efficacy and usability of assistive technology for patients with cognitive deficits: a systematic review.\n \n\n\n \n de Joode, E.; van Heugten, C.; Verhey, F.; and van Boxtel, M.\n \n\n\n \n\n\n\n Clinical rehabilitation, 24(8): 701-14. 8 2010.\n \n\n\n\n
\n\n\n \n \n \n \"EfficacyWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Efficacy and usability of assistive technology for patients with cognitive deficits: a systematic review.},\n type = {article},\n year = {2010},\n identifiers = {[object Object]},\n keywords = {Cellular Phone,Cognition Disorders,Cognition Disorders: rehabilitation,Computers, Handheld,Humans,Memory Disorders,Memory Disorders: rehabilitation,Randomized Controlled Trials as Topic,Self-Help Devices},\n pages = {701-14},\n volume = {24},\n websites = {http://www.ncbi.nlm.nih.gov/pubmed/20543021},\n month = {8},\n id = {104bf6ee-2336-34cd-9ce3-a864e65c5d31},\n created = {2017-06-28T11:50:14.187Z},\n accessed = {2012-03-04},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:14.187Z},\n tags = {attention},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {To determine the efficacy of portable electronic aids such as personal digital assistants (PDAs), pagers or mobile phones for patients with cognitive deficits by means of a systematic review. The usability of these aids is also briefly discussed.},\n bibtype = {article},\n author = {de Joode, Elsbeth and van Heugten, Caroline and Verhey, Frans and van Boxtel, Martin},\n journal = {Clinical rehabilitation},\n number = {8}\n}
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\n To determine the efficacy of portable electronic aids such as personal digital assistants (PDAs), pagers or mobile phones for patients with cognitive deficits by means of a systematic review. The usability of these aids is also briefly discussed.\n
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\n \n \n\n \n \n \n \n Mindfulness and Psychotherapy.\n \n\n\n \n Sanders, K., M.\n \n\n\n \n\n\n\n Focus, 8(1): 19-24. 1 2010.\n \n\n\n\n
\n\n\n \n \n \n \"MindfulnessWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Mindfulness and Psychotherapy},\n type = {article},\n year = {2010},\n keywords = {mindfulness},\n pages = {19-24},\n volume = {8},\n websites = {http://focus.psychiatryonline.org/cgi/content/abstract/8/1/19},\n month = {1},\n day = {1},\n id = {ff8f93cb-41be-3552-9683-2c9a9bdbc961},\n created = {2017-06-28T11:50:14.218Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:14.218Z},\n tags = {anxiety,mindfulness},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:6858287},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Mindfulness is a natural human mental state of moment-to-moment awareness of present experience. It is a skill that can be trained using meditation techniques that sustain focus on the present moment with a nonjudgmental attitude. Mindfulness training has been shown to be effective in relieving the suffering of numerous medical and psychological conditions while enhancing well-being. In particular, affective disorders including anxiety, depression, and personality disorders are particularly well suited to demonstrate benefit to patients when integrating mindfulness meditation techniques with usual psychotherapies, primarily cognitive behavior therapies. In addition, early evidence shows that when the clinician is practicing mindfulness, there is a positive impact on the outcome of the therapy. Mindfulness-based therapeutic interventions are an important technique for clinicians to be aware of in the treatment of their patients' distress. Further study using larger sample sizes and more controlled conditions is warranted to establish the benefit and efficacy of mindfulness-based psychotherapies.},\n bibtype = {article},\n author = {Sanders, Kathy M.},\n journal = {Focus},\n number = {1}\n}
\n
\n\n\n
\n Mindfulness is a natural human mental state of moment-to-moment awareness of present experience. It is a skill that can be trained using meditation techniques that sustain focus on the present moment with a nonjudgmental attitude. Mindfulness training has been shown to be effective in relieving the suffering of numerous medical and psychological conditions while enhancing well-being. In particular, affective disorders including anxiety, depression, and personality disorders are particularly well suited to demonstrate benefit to patients when integrating mindfulness meditation techniques with usual psychotherapies, primarily cognitive behavior therapies. In addition, early evidence shows that when the clinician is practicing mindfulness, there is a positive impact on the outcome of the therapy. Mindfulness-based therapeutic interventions are an important technique for clinicians to be aware of in the treatment of their patients' distress. Further study using larger sample sizes and more controlled conditions is warranted to establish the benefit and efficacy of mindfulness-based psychotherapies.\n
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\n \n \n\n \n \n \n \n Rehabilitation Treatments for Adults with Behavioral and Psychosocial Disorders Following Acquired Brain Injury: A Systematic Review.\n \n\n\n \n Cattelani, R.; Zettin, M.; and Zoccolotti, P.\n \n\n\n \n\n\n\n Neuropsychology Review, 20(1): 52-85. 3 2010.\n \n\n\n\n
\n\n\n \n \n \n \"RehabilitationWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Rehabilitation Treatments for Adults with Behavioral and Psychosocial Disorders Following Acquired Brain Injury: A Systematic Review},\n type = {article},\n year = {2010},\n identifiers = {[object Object]},\n pages = {52-85},\n volume = {20},\n websites = {http://dx.doi.org/10.1007/s11065-009-9125-y,http://www.springerlink.com/content/43l8527x3wg32803},\n month = {3},\n publisher = {Springer Netherlands},\n day = {1},\n id = {1a5b0207-f8f7-39aa-a588-21b495f8bef3},\n created = {2017-06-28T11:50:14.505Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:14.505Z},\n tags = {anxiety,attention,best practice},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:6792762},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {This review was aimed at systematically investigating the treatment efficacy and clinical effectiveness of neurobehavioral rehabilitation programs for adults with acquired brain injury and making evidence-based recommendations for the adoption of these rehabilitation trainings. Using a variety of search procedures, 63 studies were identified and reviewed using a set of questions about research methods, treatments, results and outcomes for the 1,094 participants. The 63 studies included treatments falling into three general categories: approaches based on applied behavior analysis, interventions based on cognitive-behavior therapy (CBT), and comprehensive-holistic rehabilitation programs (CHRPs). Considerable heterogeneity exists in the reviewed literature among treatment methods and within reported sample subjects. Despite the variety of methodological concerns, results indicate that the greatest overall improvement in psychosocial functioning is achieved by CHRP that can be considered a treatment standard for adults with behavioral and psychosocial disorders following acquired brain injury. Both approaches based on applied behavior analysis and CBT can be said to be evidence-based treatment options. However, findings raise questions about the role of uncontrolled factors in determining treatment effects and suggest the need for rigorous inclusion/exclusion criteria, with greater specification of theoretical basis, design, and contents of treatments for both interdisciplinary-comprehensive approaches and single-case methodologies.},\n bibtype = {article},\n author = {Cattelani, Raffaella and Zettin, Marina and Zoccolotti, Pierluigi},\n journal = {Neuropsychology Review},\n number = {1}\n}
\n
\n\n\n
\n This review was aimed at systematically investigating the treatment efficacy and clinical effectiveness of neurobehavioral rehabilitation programs for adults with acquired brain injury and making evidence-based recommendations for the adoption of these rehabilitation trainings. Using a variety of search procedures, 63 studies were identified and reviewed using a set of questions about research methods, treatments, results and outcomes for the 1,094 participants. The 63 studies included treatments falling into three general categories: approaches based on applied behavior analysis, interventions based on cognitive-behavior therapy (CBT), and comprehensive-holistic rehabilitation programs (CHRPs). Considerable heterogeneity exists in the reviewed literature among treatment methods and within reported sample subjects. Despite the variety of methodological concerns, results indicate that the greatest overall improvement in psychosocial functioning is achieved by CHRP that can be considered a treatment standard for adults with behavioral and psychosocial disorders following acquired brain injury. Both approaches based on applied behavior analysis and CBT can be said to be evidence-based treatment options. However, findings raise questions about the role of uncontrolled factors in determining treatment effects and suggest the need for rigorous inclusion/exclusion criteria, with greater specification of theoretical basis, design, and contents of treatments for both interdisciplinary-comprehensive approaches and single-case methodologies.\n
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\n \n \n\n \n \n \n \n Outcomes of post-acute rehabilitation for persons with brain injury.\n \n\n\n \n Braunling-McMorrow, D.; Dollinger, S., J.; Gould, M.; Neumann, T.; and Heiligenthal, R.\n \n\n\n \n\n\n\n Brain Injury, 24(7-8): 928-938. 7 2010.\n \n\n\n\n
\n\n\n \n \n \n \"OutcomesWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Outcomes of post-acute rehabilitation for persons with brain injury},\n type = {article},\n year = {2010},\n identifiers = {[object Object]},\n keywords = {functional_outcomes,rehabilitation,rehabilitation_centre,rehabilitation_group,rehabilitation_outcomes,rehabilitation_service,rehabilitation_services,rehabilitation_treatment},\n pages = {928-938},\n volume = {24},\n websites = {http://dx.doi.org/10.3109/02699052.2010.490518,http://www.informahealthcare.com/doi/abs/10.3109/02699052.2010.490518},\n month = {7},\n publisher = {Informa Allied Health},\n day = {1},\n id = {5a010d28-4a69-3b13-9adb-817398e5a912},\n created = {2017-06-28T11:50:14.509Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:14.509Z},\n tags = {functional_outcomes,rehabilitation,rehabilitation_centre,rehabilitation_group,rehabilitation_outcomes,rehabilitation_service,rehabilitation_services,rehabilitation_treatment},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:7337662},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {doi: 10.3109/02699052.2010.490518 Objectives: To examine the impact of multifaceted rehabilitation services on functional outcomes after traumatic brain injury (TBI) for individuals with significant physical and cognitive difficulties, as well as those with added behavioural complications. Design: Cohort, non-randomized, intervention study with a pre-test–post-test, follow-up design. Setting: Community integrated post-acute rehabilitation centre. Participants: Individuals with primarily severe TBI receiving post-acute neurorehabilitation services (NR, n = 129) as well as similarly impaired individuals with additional antagonistic/disruptive behaviours receiving neurobehavioural services (NB, n = 76). Interventions: Multi-faceted behavioural and cognitive therapy methods delivered individually and in groups. Main outcome measure: The Functional Area Outcome Menu (FAOM), a behaviourally anchored 5-step scale rated by rehabilitation teams at three time periods. Conclusions: The rehabilitation treatment model achieved significant functional gains of ∼1.5 levels for neuropsychologically-impaired adults with and without associated behavioural and substance problems.},\n bibtype = {article},\n author = {Braunling-McMorrow, Debra and Dollinger, Stephen J. and Gould, Melinda and Neumann, Tony and Heiligenthal, Ryan},\n journal = {Brain Injury},\n number = {7-8}\n}
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\n doi: 10.3109/02699052.2010.490518 Objectives: To examine the impact of multifaceted rehabilitation services on functional outcomes after traumatic brain injury (TBI) for individuals with significant physical and cognitive difficulties, as well as those with added behavioural complications. Design: Cohort, non-randomized, intervention study with a pre-test–post-test, follow-up design. Setting: Community integrated post-acute rehabilitation centre. Participants: Individuals with primarily severe TBI receiving post-acute neurorehabilitation services (NR, n = 129) as well as similarly impaired individuals with additional antagonistic/disruptive behaviours receiving neurobehavioural services (NB, n = 76). Interventions: Multi-faceted behavioural and cognitive therapy methods delivered individually and in groups. Main outcome measure: The Functional Area Outcome Menu (FAOM), a behaviourally anchored 5-step scale rated by rehabilitation teams at three time periods. Conclusions: The rehabilitation treatment model achieved significant functional gains of ∼1.5 levels for neuropsychologically-impaired adults with and without associated behavioural and substance problems.\n
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\n \n \n\n \n \n \n \n Improved self-awareness and coping strategies for patients with acquired brain injury--a group therapy programme.\n \n\n\n \n Lundqvist, A.; Linnros, H.; Orlenius, H.; and Samuelsson, K.\n \n\n\n \n\n\n\n Brain injury : [BI], 24(6): 823-832. 2010.\n \n\n\n\n
\n\n\n \n \n \n \"ImprovedWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Improved self-awareness and coping strategies for patients with acquired brain injury--a group therapy programme.},\n type = {article},\n year = {2010},\n identifiers = {[object Object]},\n keywords = {self-awareness},\n pages = {823-832},\n volume = {24},\n websites = {http://dx.doi.org/10.3109/02699051003724986},\n id = {d6c8e7bb-09bc-372c-9805-19f920fb148a},\n created = {2017-06-28T11:50:15.060Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:15.060Z},\n tags = {self_awareness},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:10681309},\n source_type = {article},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {\nThis study evaluates the effects of a group therapy programme for anticipatory self-awareness and coping strategies.\nThe study includes methodological triangulation using three methods to gather data: an overall self-report questionnaire, Self Regulation Skills Interview (SRSI) and focus group interview.\nTwenty-one individuals with acquired brain injury participated in a group therapy programme.\nA self-report questionnaire developed and used especially for evaluation of the described intervention was used at the end of the last session of the group therapy programme. The Self Regulation Skills Interview-SRSI, was used within 2 weeks before and after the subjects participated in one group program. Three Focus groups were used as a third method for data collection. The Focus group interviews were accomplished 1 month after each group programme.\nThe individuals increased their self-awareness and strategy behaviour significantly. Participating in the group therapy programme had had an effect on their life and work situation and on their self-confidence.\nA structured group therapy programme helps patients with acquired brain injury understand the consequences of their neuropsychological deficits, helps them improve awareness of their impairments and helps them develop coping strategies.\n},\n bibtype = {article},\n author = {Lundqvist, Anna and Linnros, Hannah and Orlenius, Helene and Samuelsson, Kersti},\n journal = {Brain injury : [BI]},\n number = {6}\n}
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\n \nThis study evaluates the effects of a group therapy programme for anticipatory self-awareness and coping strategies.\nThe study includes methodological triangulation using three methods to gather data: an overall self-report questionnaire, Self Regulation Skills Interview (SRSI) and focus group interview.\nTwenty-one individuals with acquired brain injury participated in a group therapy programme.\nA self-report questionnaire developed and used especially for evaluation of the described intervention was used at the end of the last session of the group therapy programme. The Self Regulation Skills Interview-SRSI, was used within 2 weeks before and after the subjects participated in one group program. Three Focus groups were used as a third method for data collection. The Focus group interviews were accomplished 1 month after each group programme.\nThe individuals increased their self-awareness and strategy behaviour significantly. Participating in the group therapy programme had had an effect on their life and work situation and on their self-confidence.\nA structured group therapy programme helps patients with acquired brain injury understand the consequences of their neuropsychological deficits, helps them improve awareness of their impairments and helps them develop coping strategies.\n\n
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\n \n \n\n \n \n \n \n Exploring the study skills and accommodations used by college student survivors of traumatic brain injury.\n \n\n\n \n Hux, K.; Bush, E.; Zickefoose, S.; Holmberg, M.; Henderson, A.; and Simanek, G.\n \n\n\n \n\n\n\n Brain Injury, 24(1): 13-26. 1 2010.\n \n\n\n\n
\n\n\n \n \n \n \"ExploringWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Exploring the study skills and accommodations used by college student survivors of traumatic brain injury},\n type = {article},\n year = {2010},\n identifiers = {[object Object]},\n keywords = {academic_performance,brain_injury,educational_experiences,social_integration,social_life,social_network,social_participation,social_relationships,students_with_disabilities,study_skills},\n pages = {13-26},\n volume = {24},\n websites = {http://www.informahealthcare.com/doi/abs/10.3109/02699050903446823,http://dx.doi.org/10.3109/02699050903446823},\n month = {1},\n publisher = {Informa Allied Health},\n day = {1},\n id = {96fb1ca5-e186-3171-86da-7e68a860a665},\n created = {2017-06-28T11:50:15.322Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:15.322Z},\n tags = {academic_performance,brain_injury,educational_experiences,social_network,social_relationships,students_with_disabilities,study_skills},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:7298224},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {doi: 10.3109/02699050903446823 Primary objective: Survivors of severe traumatic brain injury (TBI) recovering sufficiently to attend post-secondary institutions often display learning skills differing from those of traditional students; because of this, many use formal and informal accommodations and learning strategies to support academic performance and social integration. Professionals know little about how accommodations and learning strategies affect educational experiences of college student survivors, how best to apply accommodations and learning strategies, how much survivors embrace them, the extent to which they facilitate college success or how they evolve over time. The purpose of this study was to explore these issues. Research design: The researchers collected and analysed qualitative data using a multiple case study design. Methods and procedures: Collected data included interviews, artifacts and field notes from four college student survivors, members of their families, college instructors and personnel from institution's offices for students with disabilities. Main outcomes and results: Findings suggest challenges, learning strategies, future perspectives and the need for academic accommodations fluctuate and evolve for many years post-injury. Findings also suggest some survivors perceive their learning capabilities more positively than do others associated with them, leading to questions about whether over-accommodation occurs and the potential negative ramifications associated with this practice.},\n bibtype = {article},\n author = {Hux, Karen and Bush, Erin and Zickefoose, Samantha and Holmberg, Michelle and Henderson, Ambyr and Simanek, Gina},\n journal = {Brain Injury},\n number = {1}\n}
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\n doi: 10.3109/02699050903446823 Primary objective: Survivors of severe traumatic brain injury (TBI) recovering sufficiently to attend post-secondary institutions often display learning skills differing from those of traditional students; because of this, many use formal and informal accommodations and learning strategies to support academic performance and social integration. Professionals know little about how accommodations and learning strategies affect educational experiences of college student survivors, how best to apply accommodations and learning strategies, how much survivors embrace them, the extent to which they facilitate college success or how they evolve over time. The purpose of this study was to explore these issues. Research design: The researchers collected and analysed qualitative data using a multiple case study design. Methods and procedures: Collected data included interviews, artifacts and field notes from four college student survivors, members of their families, college instructors and personnel from institution's offices for students with disabilities. Main outcomes and results: Findings suggest challenges, learning strategies, future perspectives and the need for academic accommodations fluctuate and evolve for many years post-injury. Findings also suggest some survivors perceive their learning capabilities more positively than do others associated with them, leading to questions about whether over-accommodation occurs and the potential negative ramifications associated with this practice.\n
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\n \n \n\n \n \n \n \n Rehabilitation of divided attention after severe traumatic brain injury: A randomised trial.\n \n\n\n \n Couillet, J.; Soury, S.; Lebornec, G.; Asloun, S.; Joseph, P.; Mazaux, J.; and Azouvi, P.\n \n\n\n \n\n\n\n Neuropsychological Rehabilitation: An International Journal, 20(3): 321-339. 2010.\n \n\n\n\n
\n\n\n \n \n \n \"RehabilitationWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Rehabilitation of divided attention after severe traumatic brain injury: A randomised trial},\n type = {article},\n year = {2010},\n identifiers = {[object Object]},\n keywords = {brain_injury_rehabilitation,brain_injury_research,memory,neuropsychological_rehabilitation,working_memory},\n pages = {321-339},\n volume = {20},\n websites = {http://dx.doi.org/10.1080/09602010903467746},\n publisher = {Psychology Press},\n id = {0e1f51e8-be5e-3695-b361-fbcf25b37e70},\n created = {2017-06-28T11:50:15.938Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:15.938Z},\n tags = {attention,brain_injury_research,memory,neuropsychological_rehabilitation,rehabilitation,working_memory},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:7205172},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Patients with severe traumatic brain injury (TBI) frequently suffer from a difficulty in dealing with two tasks simultaneously. However, there has been little research on the rehabilitation of divided attention. The objective of the present study was to assess the effectiveness of a rehabilitation programme for divided attention after severe TBI. Twelve patients at a subacute/chronic stage after a severe TBI were included. A randomised AB vs. BA cross-over design was used. Training lasted six weeks, with four one-hour sessions per week. It was compared to a non-specific (control) cognitive training. During experimental treatment, patients were trained to perform two concurrent tasks simultaneously. Each one of the two tasks was first trained as a single task, then both tasks were given simultaneously. A progressive hierarchical order of difficulty was used, by progressively increasing task difficulty following each patient's individual improvement. Patients were randomised in two groups: one starting with dual-task training, the other with control training. Outcome measures included target dual-task measures, executive and working memory tasks, non-target tasks, and the Rating Scale of Attentional Behaviour addressing attentional problems in everyday life. Assessment was not blind to treatment condition. A significant training-related effect was found on dual-task measures and on the divided attention item of the Rating Scale of Attentional Behaviour. There was only little effect on executive measures, and no significant effect on non-target measures. These results suggest that training had specific effects on divided attention and helped patients to deal more rapidly and more accurately with dual-task situations.},\n bibtype = {article},\n author = {Couillet, Josette and Soury, Stephane and Lebornec, Gaelle and Asloun, Sybille and Joseph, Pierre-Alain and Mazaux, Jean-Michel and Azouvi, Philippe},\n journal = {Neuropsychological Rehabilitation: An International Journal},\n number = {3}\n}
\n
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\n Patients with severe traumatic brain injury (TBI) frequently suffer from a difficulty in dealing with two tasks simultaneously. However, there has been little research on the rehabilitation of divided attention. The objective of the present study was to assess the effectiveness of a rehabilitation programme for divided attention after severe TBI. Twelve patients at a subacute/chronic stage after a severe TBI were included. A randomised AB vs. BA cross-over design was used. Training lasted six weeks, with four one-hour sessions per week. It was compared to a non-specific (control) cognitive training. During experimental treatment, patients were trained to perform two concurrent tasks simultaneously. Each one of the two tasks was first trained as a single task, then both tasks were given simultaneously. A progressive hierarchical order of difficulty was used, by progressively increasing task difficulty following each patient's individual improvement. Patients were randomised in two groups: one starting with dual-task training, the other with control training. Outcome measures included target dual-task measures, executive and working memory tasks, non-target tasks, and the Rating Scale of Attentional Behaviour addressing attentional problems in everyday life. Assessment was not blind to treatment condition. A significant training-related effect was found on dual-task measures and on the divided attention item of the Rating Scale of Attentional Behaviour. There was only little effect on executive measures, and no significant effect on non-target measures. These results suggest that training had specific effects on divided attention and helped patients to deal more rapidly and more accurately with dual-task situations.\n
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\n \n \n\n \n \n \n \n Brain Injury : Service Standards and Quality Indicators.\n \n\n\n \n Regional Acquired Brain Injury Implementation Group (NI)\n \n\n\n \n\n\n\n Technical Report 2010.\n \n\n\n\n
\n\n\n \n \n \n \"BrainWebsite\n  \n \n\n \n\n bibtex \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@techreport{\n title = {Brain Injury : Service Standards and Quality Indicators},\n type = {techreport},\n year = {2010},\n websites = {http://www.hscboard.hscni.net/RABIIG/Pathways/001 Service Standards and Quality Indicators - PDF 1MB.pdf},\n id = {f209f862-056e-301e-a5ed-185113112724},\n created = {2017-06-28T11:50:16.294Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:16.294Z},\n tags = {best practice,challenging_behaviour,standards},\n read = {true},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n bibtype = {techreport},\n author = {Regional Acquired Brain Injury Implementation Group (NI), undefined}\n}
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\n \n \n\n \n \n \n \n Exploring the Importance of Identity Following Acquired Brain Injury: A Review of the Literature.\n \n\n\n \n Segal, D.\n \n\n\n \n\n\n\n International Journal of Child, Youth and Family Studies, 1(3/4). 2010.\n \n\n\n\n
\n\n\n \n \n \n \"ExploringWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Exploring the Importance of Identity Following Acquired Brain Injury: A Review of the Literature},\n type = {article},\n year = {2010},\n keywords = {identity,literature,review},\n volume = {1},\n websites = {http://journals.uvic.ca/index.php/ijcyfs/article/viewArticle/2093},\n id = {ac867e3b-4795-3200-9777-5a22b8097882},\n created = {2017-06-28T11:50:16.662Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:16.662Z},\n tags = {identity,literature,review},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:7577090},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Life following acquired brain injury (ABI) for survivors and their families is often accompanied by experiences of tremendous physical and emotional difficulties. Upon returning home from in-patient rehabilitation, many survivors struggle to maintain their intimate relationships, come to terms with their injuries, and ultimately build satisfying lives. Addressing the loss and reconstruction of identity for survivors and their families is emerging as a crucial component of rehabilitation following injury. This paper reviews the literature surrounding these phenomena from a social neuropsychology, cognitivepsychological, and psychosocial perspective. In doing so, the epistemological tensions between these perspectives are uncovered and examined. Finally, a summary of post-hospitalization strategies for addressing identity loss and (re)construction for both ABI survivors and their families are provided.},\n bibtype = {article},\n author = {Segal, David},\n journal = {International Journal of Child, Youth and Family Studies},\n number = {3/4}\n}
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\n Life following acquired brain injury (ABI) for survivors and their families is often accompanied by experiences of tremendous physical and emotional difficulties. Upon returning home from in-patient rehabilitation, many survivors struggle to maintain their intimate relationships, come to terms with their injuries, and ultimately build satisfying lives. Addressing the loss and reconstruction of identity for survivors and their families is emerging as a crucial component of rehabilitation following injury. This paper reviews the literature surrounding these phenomena from a social neuropsychology, cognitivepsychological, and psychosocial perspective. In doing so, the epistemological tensions between these perspectives are uncovered and examined. Finally, a summary of post-hospitalization strategies for addressing identity loss and (re)construction for both ABI survivors and their families are provided.\n
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\n  \n 2009\n \n \n (17)\n \n \n
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\n \n \n\n \n \n \n \n Treatment paths and costs for young adults with acquired brain injury in the United Kingdom.\n \n\n\n \n Beecham, J.; Perkins, M.; Snell, T.; and Knapp, M.\n \n\n\n \n\n\n\n Brain Inj, 23(1): 30-38. 1 2009.\n \n\n\n\n
\n\n\n \n \n \n \"TreatmentWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Treatment paths and costs for young adults with acquired brain injury in the United Kingdom},\n type = {article},\n year = {2009},\n identifiers = {[object Object]},\n keywords = {cost,costs},\n pages = {30-38},\n volume = {23},\n websites = {http://dx.doi.org/10.1080/02699050802590338,http://www.informahealthcare.com/doi/abs/10.1080/02699050802590338},\n month = {1},\n publisher = {Informa Allied Health},\n day = {1},\n id = {73600759-a0a9-3aee-9303-8dd3dc56c252},\n created = {2017-06-28T11:50:09.450Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:09.450Z},\n tags = {Costs,cost},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:9096229},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Primary objectives: To identify the health and social care services used by young adults aged 18?25 years with acquired brain injury (ABI) and the costs of these supports. Research methods: A review of existing literature and databases and contact with academics and stakeholders working with people with ABI. Main outcomes and results: The likely care pathways of young adults with ABI were mapped over a notional 1-year period after presentation at hospital accident and emergency departments. Most young adults with ABI will use minimal health and social care support following injury but those with subsequent disabilities may cost the health and social care budget in excess of £47.2 million per year. Conclusion: Lack of available data mean the service use and cost estimates draw from a range of sources. However, the costs may under-estimate the true impact on budgets as incidence rates may be higher than identified and conservative values were selected for unit costs. The model estimates the cost of treatment and support as provided today, but high levels of unmet need remain. Primary objectives: To identify the health and social care services used by young adults aged 18?25 years with acquired brain injury (ABI) and the costs of these supports. Research methods: A review of existing literature and databases and contact with academics and stakeholders working with people with ABI. Main outcomes and results: The likely care pathways of young adults with ABI were mapped over a notional 1-year period after presentation at hospital accident and emergency departments. Most young adults with ABI will use minimal health and social care support following injury but those with subsequent disabilities may cost the health and social care budget in excess of £47.2 million per year. Conclusion: Lack of available data mean the service use and cost estimates draw from a range of sources. However, the costs may under-estimate the true impact on budgets as incidence rates may be higher than identified and conservative values were selected for unit costs. The model estimates the cost of treatment and support as provided today, but high levels of unmet need remain.},\n bibtype = {article},\n author = {Beecham, Jennifer and Perkins, Margaret and Snell, Tom and Knapp, Martin},\n journal = {Brain Inj},\n number = {1}\n}
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\n Primary objectives: To identify the health and social care services used by young adults aged 18?25 years with acquired brain injury (ABI) and the costs of these supports. Research methods: A review of existing literature and databases and contact with academics and stakeholders working with people with ABI. Main outcomes and results: The likely care pathways of young adults with ABI were mapped over a notional 1-year period after presentation at hospital accident and emergency departments. Most young adults with ABI will use minimal health and social care support following injury but those with subsequent disabilities may cost the health and social care budget in excess of £47.2 million per year. Conclusion: Lack of available data mean the service use and cost estimates draw from a range of sources. However, the costs may under-estimate the true impact on budgets as incidence rates may be higher than identified and conservative values were selected for unit costs. The model estimates the cost of treatment and support as provided today, but high levels of unmet need remain. Primary objectives: To identify the health and social care services used by young adults aged 18?25 years with acquired brain injury (ABI) and the costs of these supports. Research methods: A review of existing literature and databases and contact with academics and stakeholders working with people with ABI. Main outcomes and results: The likely care pathways of young adults with ABI were mapped over a notional 1-year period after presentation at hospital accident and emergency departments. Most young adults with ABI will use minimal health and social care support following injury but those with subsequent disabilities may cost the health and social care budget in excess of £47.2 million per year. Conclusion: Lack of available data mean the service use and cost estimates draw from a range of sources. However, the costs may under-estimate the true impact on budgets as incidence rates may be higher than identified and conservative values were selected for unit costs. The model estimates the cost of treatment and support as provided today, but high levels of unmet need remain.\n
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\n \n \n\n \n \n \n \n Cognitive Rehabilitation Following Traumatic Brain Injury : Assessment to Treatment.\n \n\n\n \n Tsaousides, T.; and Gordon, W., A.\n \n\n\n \n\n\n\n Mount Sinai Journal of Medicine, 76: 173-181. 2009.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Cognitive Rehabilitation Following Traumatic Brain Injury : Assessment to Treatment},\n type = {article},\n year = {2009},\n identifiers = {[object Object]},\n keywords = {attention,cognitive,cognitive deficits,comprehensive day treatment,exec-,in physical,memory,often results,rehabilitation,tbi,traumatic brain injuiy,traumatic brain injury,utive function},\n pages = {173-181},\n volume = {76},\n id = {abbd87c0-ab1e-3c5b-b1df-4a2e7dccea05},\n created = {2017-06-28T11:50:09.573Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:09.573Z},\n tags = {attention},\n read = {true},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {Cognitive rehabilitation refers to a set of inter- ventions that aim to improve a person's ability to perform cognitive tasks by retraining previously learned skills and teaching compensatory strate- gies. Cognitive rehabilitation begins with a thor- ough neuropsychological assessment to identify cog- nitive .strengths and weaknesses and the degree of change in cognitive ability following a brain injury. The conclusions of the assessment are used to formulate appropriate treatment plans. Common intei"ventions for improvements in attention, mem- oiy, and executive function, as well as the nature of comprehensive programs, which combine treat- ment modalities, are reviewed. Cognitive rehabil- itation is effective for milcl-to-severe injuries and beneficial at any time post-injury. Sufficient evi- dence exists supporting the efficacy and effective- ness of cognitive rehabilitation, which has become the treatment of choice for cognitive impairments and leads to improvements in cognitive and psy- chosocial functioning.},\n bibtype = {article},\n author = {Tsaousides, Tfieodore and Gordon, Wayne A},\n journal = {Mount Sinai Journal of Medicine}\n}
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\n Cognitive rehabilitation refers to a set of inter- ventions that aim to improve a person's ability to perform cognitive tasks by retraining previously learned skills and teaching compensatory strate- gies. Cognitive rehabilitation begins with a thor- ough neuropsychological assessment to identify cog- nitive .strengths and weaknesses and the degree of change in cognitive ability following a brain injury. The conclusions of the assessment are used to formulate appropriate treatment plans. Common intei\"ventions for improvements in attention, mem- oiy, and executive function, as well as the nature of comprehensive programs, which combine treat- ment modalities, are reviewed. Cognitive rehabil- itation is effective for milcl-to-severe injuries and beneficial at any time post-injury. Sufficient evi- dence exists supporting the efficacy and effective- ness of cognitive rehabilitation, which has become the treatment of choice for cognitive impairments and leads to improvements in cognitive and psy- chosocial functioning.\n
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\n \n \n\n \n \n \n \n Neuropsychiatric problems after traumatic brain injury: unraveling the silent epidemic.\n \n\n\n \n Vaishnavi, S.; Rao, V.; and Fann, J., R.\n \n\n\n \n\n\n\n Psychosomatics, 50(3): 198-205. 2009.\n \n\n\n\n
\n\n\n \n \n \n \"NeuropsychiatricWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Neuropsychiatric problems after traumatic brain injury: unraveling the silent epidemic.},\n type = {article},\n year = {2009},\n identifiers = {[object Object]},\n keywords = {psychiatric_conditions,psychiatric_disorders},\n pages = {198-205},\n volume = {50},\n websites = {http://dx.doi.org/10.1176/appi.psy.50.3.198},\n id = {8b5e4c85-3dac-3baf-af2f-b46e6cd2219b},\n created = {2017-06-28T11:50:10.908Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:10.908Z},\n tags = {psychiatric_conditions,psychiatric_disorders},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:5899219},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {BACKGROUND: Traumatic brain injury (TBI) is a significant public health concern. According to the Centers for Disease Control and Prevention, about 1.4 million people in the United States sustain a TBI annually. OBJECTIVE: This review places particular emphasis on the current knowledge of effective treatment of TBI symptoms, and proposes directions for future research. RESULTS: Neuropsychiatric problems are more prevalent and longer-lasting in TBI patients than in the general population. About 40% of TBI victims suffer from two or more psychiatric disorders, and a similar percentage experience at least one unmet need for cognitive, emotional, or job assistance 1 year after injury. The entire spectrum of TBI severity, from mild to severe, is associated with an increase in psychiatric conditions. CONCLUSION: Despite the high incidence of severe consequences of TBI, there are scarce empirical data to guide psychiatric treatment. Some approaches that have been helpful include cognitive and behavioral therapy and pharmacologic treatment. The authors list specific research recommendations that could further identify useful therapeutic interventions.},\n bibtype = {article},\n author = {Vaishnavi, Sandeep and Rao, Vani and Fann, Jesse R},\n journal = {Psychosomatics},\n number = {3}\n}
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\n BACKGROUND: Traumatic brain injury (TBI) is a significant public health concern. According to the Centers for Disease Control and Prevention, about 1.4 million people in the United States sustain a TBI annually. OBJECTIVE: This review places particular emphasis on the current knowledge of effective treatment of TBI symptoms, and proposes directions for future research. RESULTS: Neuropsychiatric problems are more prevalent and longer-lasting in TBI patients than in the general population. About 40% of TBI victims suffer from two or more psychiatric disorders, and a similar percentage experience at least one unmet need for cognitive, emotional, or job assistance 1 year after injury. The entire spectrum of TBI severity, from mild to severe, is associated with an increase in psychiatric conditions. CONCLUSION: Despite the high incidence of severe consequences of TBI, there are scarce empirical data to guide psychiatric treatment. Some approaches that have been helpful include cognitive and behavioral therapy and pharmacologic treatment. The authors list specific research recommendations that could further identify useful therapeutic interventions.\n
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\n \n \n\n \n \n \n \n The contribution of traumatic brain injury to the medical and economic outcomes of motor vehicle-related injuries in Ohio.\n \n\n\n \n Rochette, L., M.; Conner, K., A.; and Smith, G., A.\n \n\n\n \n\n\n\n Journal of Safety Research, . 9 2009.\n \n\n\n\n
\n\n\n \n \n \n \"TheWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {The contribution of traumatic brain injury to the medical and economic outcomes of motor vehicle-related injuries in Ohio},\n type = {article},\n year = {2009},\n identifiers = {[object Object]},\n keywords = {costs,road_safety},\n websites = {http://dx.doi.org/10.1016/j.jsr.2009.08.003},\n month = {9},\n day = {26},\n id = {8b82bd40-8f5a-3e5b-9a22-a90b1ff746d5},\n created = {2017-06-28T11:50:11.168Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:11.168Z},\n tags = {Costs,road_safety},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:5882016},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {To describe traumatic brain injury (TBI) among injured roadway users. Aim 1 assessed the association of age, gender, alcohol/drug use, safety equipment use, type of roadway user, metropolitan area, and primary payer with motor vehicle-related TBI outcome. Aim 2 assessed the relationship of motor vehicle-related TBI and risk/protective factors with medical and economic outcomes. Population-level hospital and trauma databases from the Ohio Hospital Association and Ohio Department of Public Safety, respectively, were probabilistically linked for 2003 through 2006. Injured roadway users (motor vehicle occupants, motorcyclists, bicyclists, pedestrians, and others) were assessed for TBI, ventilator use, intensive care unit (ICU) admission, injury severity score (ISS), need for rehabilitation, death, and total hospital charges. The odds of a motor vehicle-related TBI were greater among those not using safety equipment (OR = 1.56). The interactions of alcohol/drug use by gender and of alcohol/drug use by location were significant. Sustaining a TBI increased the odds of requiring ventilation (OR = 3.66), being admitted to the ICU (OR = 2.51), having a high ISS (OR = 4.24), requiring rehabilitation (OR = 2.22), or death (OR = 2.52). When compared with a non-TBI, total hospital charges increased by a factor of 1.35 for a TBI. Hospital charges were $46,441 on average for individuals who sustained a TBI, whereas mean hospital charges were $32,614 for patients with a non-TBI. Among injured roadway users, individuals who sustain a TBI are more likely to require extensive medical care and have injuries resulting in death. Prevention strategies aimed at reducing alcohol use and increasing safety device use should be encouraged to reduce the burden of TBI.},\n bibtype = {article},\n author = {Rochette, Lynne M. and Conner, Kristen A. and Smith, Gary A.},\n journal = {Journal of Safety Research}\n}
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\n To describe traumatic brain injury (TBI) among injured roadway users. Aim 1 assessed the association of age, gender, alcohol/drug use, safety equipment use, type of roadway user, metropolitan area, and primary payer with motor vehicle-related TBI outcome. Aim 2 assessed the relationship of motor vehicle-related TBI and risk/protective factors with medical and economic outcomes. Population-level hospital and trauma databases from the Ohio Hospital Association and Ohio Department of Public Safety, respectively, were probabilistically linked for 2003 through 2006. Injured roadway users (motor vehicle occupants, motorcyclists, bicyclists, pedestrians, and others) were assessed for TBI, ventilator use, intensive care unit (ICU) admission, injury severity score (ISS), need for rehabilitation, death, and total hospital charges. The odds of a motor vehicle-related TBI were greater among those not using safety equipment (OR = 1.56). The interactions of alcohol/drug use by gender and of alcohol/drug use by location were significant. Sustaining a TBI increased the odds of requiring ventilation (OR = 3.66), being admitted to the ICU (OR = 2.51), having a high ISS (OR = 4.24), requiring rehabilitation (OR = 2.22), or death (OR = 2.52). When compared with a non-TBI, total hospital charges increased by a factor of 1.35 for a TBI. Hospital charges were $46,441 on average for individuals who sustained a TBI, whereas mean hospital charges were $32,614 for patients with a non-TBI. Among injured roadway users, individuals who sustain a TBI are more likely to require extensive medical care and have injuries resulting in death. Prevention strategies aimed at reducing alcohol use and increasing safety device use should be encouraged to reduce the burden of TBI.\n
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\n \n \n\n \n \n \n \n Efficacy of a fitness centre-based exercise programme compared with a home-based exercise programme in traumatic brain injury: a randomized controlled trial.\n \n\n\n \n Hassett, L., M.; Moseley, A., M.; Tate, R., L.; Harmer, A., R.; Fairbairn, T., J.; and Leung, J.\n \n\n\n \n\n\n\n 41: 247-255. 2009.\n \n\n\n\n
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@article{\n title = {Efficacy of a fitness centre-based exercise programme compared with a home-based exercise programme in traumatic brain injury: a randomized controlled trial},\n type = {article},\n year = {2009},\n keywords = {*file-import-11-08-09,evidence},\n pages = {247-255},\n volume = {41},\n editors = {[object Object]},\n id = {890dd6b8-ec26-34cf-b28c-e813c1f29d11},\n created = {2017-06-28T11:50:11.789Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:11.789Z},\n tags = {evidence},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {hassett2009efficacy},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n bibtype = {article},\n author = {Hassett, L. M. and Moseley, A. M. and Tate, R. L. and Harmer, A. R. and Fairbairn, T. J. and Leung, J.}\n}
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\n \n \n\n \n \n \n \n Reducing illegal blood alcohol limits for driving: effects on traffic safety.\n \n\n\n \n Fell, J., C.; and Voas, R., B.\n \n\n\n \n\n\n\n pages 415-437. 2009.\n \n\n\n\n
\n\n\n \n \n \n \"ReducingWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@inBook{\n title = {Reducing illegal blood alcohol limits for driving: effects on traffic safety},\n type = {inBook},\n year = {2009},\n identifiers = {[object Object]},\n keywords = {alcohol,blood_alcohol_limits,road_safety},\n pages = {415-437},\n websites = {http://dx.doi.org/10.1007/978-3-7643-9923-8_26,http://www.springerlink.com/content/k665kr82618w430l},\n id = {c17ab707-49a5-3772-8bff-6f906ee3594f},\n created = {2017-06-28T11:50:12.108Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:12.108Z},\n tags = {alcohol,blood_alcohol_levels,road_safety},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:5973551},\n source_type = {citeulike:INCOL},\n user_context = {Book part (with own title)},\n private_publication = {false},\n abstract = {This chapter provides a scientific review of the evidence regarding the benefits of reducing the illegal blood alcohol concentration (BAC) limit for driving. Numerous independent studies in the United States indicate that lowering the illegal BAC limit from 0.10 to 0.08 g/dL has resulted in 5 to 16 % reductions in alcohol-related crashes, fatalities, or injuries. The illegal limit is 0.05 BAC in numerous countries around the world and several international studies indicate that lowering the illegal per se limit from 0.08 to 0.05 g/dL BAC also reduces alcohol-related fatalities. Laboratory studies indicate that impairment in critical driving functions begins at low BACs and that most subjects are significantly impaired at 0.05 g/dL BAC. The relative risk of being involved in a fatal crash as a driver is four to 10 times greater for drivers with BACs between 0.05 and 0.07 g/dL compared to drivers with 0.00 g/dL BACs. There is strong evidence in the literature that lowering the BAC limit from 0.10 to 0.08 g/dL is effective, that lowering the BAC limit from 0.08 to 0.05 is effective, that lowering the limit from 0.05 to 0.03 or 0.02 g/dL is effective, and that lowering the BAC limit for youth to any measurable amount of alcohol is effective. These law changes serve as a general deterrent to drinking and driving and ultimately save lives. This critical review supports the adoption of lower illegal BAC limits for driving in countries around the world.},\n bibtype = {inBook},\n author = {Fell, James C. and Voas, Robert B.},\n book = {Drugs, Driving and Traffic Safety}\n}
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\n This chapter provides a scientific review of the evidence regarding the benefits of reducing the illegal blood alcohol concentration (BAC) limit for driving. Numerous independent studies in the United States indicate that lowering the illegal BAC limit from 0.10 to 0.08 g/dL has resulted in 5 to 16 % reductions in alcohol-related crashes, fatalities, or injuries. The illegal limit is 0.05 BAC in numerous countries around the world and several international studies indicate that lowering the illegal per se limit from 0.08 to 0.05 g/dL BAC also reduces alcohol-related fatalities. Laboratory studies indicate that impairment in critical driving functions begins at low BACs and that most subjects are significantly impaired at 0.05 g/dL BAC. The relative risk of being involved in a fatal crash as a driver is four to 10 times greater for drivers with BACs between 0.05 and 0.07 g/dL compared to drivers with 0.00 g/dL BACs. There is strong evidence in the literature that lowering the BAC limit from 0.10 to 0.08 g/dL is effective, that lowering the BAC limit from 0.08 to 0.05 is effective, that lowering the limit from 0.05 to 0.03 or 0.02 g/dL is effective, and that lowering the BAC limit for youth to any measurable amount of alcohol is effective. These law changes serve as a general deterrent to drinking and driving and ultimately save lives. This critical review supports the adoption of lower illegal BAC limits for driving in countries around the world.\n
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\n \n \n\n \n \n \n \n A postal survey of data in general practice on the prevalence of Acquired Brain Injury (ABI) in patients aged 18-65 in one county in the west of Ireland.\n \n\n\n \n Fionnuala Finnerty, L., G.; MacFarlane, A.; and Fionnuala\n \n\n\n \n\n\n\n BMC Family Practice, 10: 36+. 5 2009.\n \n\n\n\n
\n\n\n \n \n \n \"AWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {A postal survey of data in general practice on the prevalence of Acquired Brain Injury (ABI) in patients aged 18-65 in one county in the west of Ireland},\n type = {article},\n year = {2009},\n identifiers = {[object Object]},\n keywords = {epidemiology,prevalence_data},\n pages = {36+},\n volume = {10},\n websites = {http://dx.doi.org/10.1186/1471-2296-10-36},\n month = {5},\n day = {19},\n id = {8b6b6b6e-6cdd-336c-8a3c-38c2b39029b1},\n created = {2017-06-28T11:50:13.355Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.355Z},\n tags = {epidemiology,prevalence_data},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:4567827},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Background:&#10;Very little is known about the prevalence of acquired brain injury (ABI) in Ireland. ABI prevalence has previously been obtained from Belgian general practitioners using a postal survey. We attempted to ascertain the prevalence of ABI in County Mayo through a postal survey of all general practitioners in the county. &#10;The specific objectives of this project were to: &#10;1.&#9;identify whether general practitioners are &#10;a.&#9;aware of patients with ABI aged 18-65 in their practices&#10;b.&#9;able to provide prevalence data on ABI in patients aged 18-65&#10;c.&#9;able to provide data on age, gender and patient diagnosis&#10;2.&#9;analyse prevalence of ABI from any available data from general practitioners.&#10;Methods:&#10;A pilot postal survey was performed initially in order to assess the feasibility of the study. It was established that general practitioners did have the necessary information required to complete the questionnaire. A main postal survey was then undertaken. A postal questionnaire was administered to all general practices in County Mayo in the west of Ireland (n=59). The response rate was 32.2% (n=19). &#10;Results:&#10;General practitioners who replied on behalf of their practice could provide data on patient age, gender and diagnosis. In the nineteen practices, there were 57 patients with ABI. The age-specific prevalence of ABI in the area surveyed was estimated at 183.7 per 100,000. The mean patient population per practice was 2,833 (SD=950). There were found to be significantly more patients with ABI in rural areas than urban areas (p=0.006). There were also significant differences in the ages of patients in the different ABI categories. Patients whose ABI was of traumatic origin were significantly younger than those patients with ABI of haemorrhagic origin (p= 0.002).&#10;Conclusion:&#10;Although this is a small-scale study, we have ascertained that general practitioners do have data on patients with ABI. Also, some prevalence data now exist where none was available before. These can be used to form the basis of a more substantial programme of university/community partnership research which could provide medical and psychosocial benefits for people with ABI and their families.},\n bibtype = {article},\n author = {Fionnuala Finnerty, Liam Glynn and MacFarlane, Anne and Fionnuala, undefined},\n journal = {BMC Family Practice}\n}
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\n Background: Very little is known about the prevalence of acquired brain injury (ABI) in Ireland. ABI prevalence has previously been obtained from Belgian general practitioners using a postal survey. We attempted to ascertain the prevalence of ABI in County Mayo through a postal survey of all general practitioners in the county. The specific objectives of this project were to: 1. identify whether general practitioners are a. aware of patients with ABI aged 18-65 in their practices b. able to provide prevalence data on ABI in patients aged 18-65 c. able to provide data on age, gender and patient diagnosis 2. analyse prevalence of ABI from any available data from general practitioners. Methods: A pilot postal survey was performed initially in order to assess the feasibility of the study. It was established that general practitioners did have the necessary information required to complete the questionnaire. A main postal survey was then undertaken. A postal questionnaire was administered to all general practices in County Mayo in the west of Ireland (n=59). The response rate was 32.2% (n=19). Results: General practitioners who replied on behalf of their practice could provide data on patient age, gender and diagnosis. In the nineteen practices, there were 57 patients with ABI. The age-specific prevalence of ABI in the area surveyed was estimated at 183.7 per 100,000. The mean patient population per practice was 2,833 (SD=950). There were found to be significantly more patients with ABI in rural areas than urban areas (p=0.006). There were also significant differences in the ages of patients in the different ABI categories. Patients whose ABI was of traumatic origin were significantly younger than those patients with ABI of haemorrhagic origin (p= 0.002). Conclusion: Although this is a small-scale study, we have ascertained that general practitioners do have data on patients with ABI. Also, some prevalence data now exist where none was available before. These can be used to form the basis of a more substantial programme of university/community partnership research which could provide medical and psychosocial benefits for people with ABI and their families.\n
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\n \n \n\n \n \n \n \n Effectiveness of cognitive rehabilitation following acquired brain injury: a meta-analytic re-examination of Cicerone et al.'s (2000, 2005) systematic reviews.\n \n\n\n \n Rohling, M., L.; Faust, M., E.; Beverly, B.; and Demakis, G.\n \n\n\n \n\n\n\n Neuropsychology, 23(1): 20-39. 1 2009.\n \n\n\n\n
\n\n\n \n \n \n \"EffectivenessWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Effectiveness of cognitive rehabilitation following acquired brain injury: a meta-analytic re-examination of Cicerone et al.'s (2000, 2005) systematic reviews.},\n type = {article},\n year = {2009},\n identifiers = {[object Object]},\n keywords = {Brain Injuries,Brain Injuries: complications,Cognition Disorders,Cognition Disorders: etiology,Cognition Disorders: rehabilitation,Humans,Neuropsychological Tests,Outcome Assessment (Health Care),PubMed,PubMed: statistics & numerical data},\n pages = {20-39},\n volume = {23},\n websites = {http://www.ncbi.nlm.nih.gov/pubmed/19210030},\n month = {1},\n id = {ba546441-d05c-3b9c-be14-1c2af9d5a2b3},\n created = {2017-06-28T11:50:13.371Z},\n accessed = {2012-03-18},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.371Z},\n tags = {attention},\n read = {false},\n starred = {true},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {The present study provides a meta-analysis of cognitive rehabilitation literature (K = 115, N = 2,014) that was originally reviewed by K. D. Cicerone et al. (2000, 2005) for the purpose of providing evidence-based practice guidelines for persons with acquired brain injury. The analysis yielded a small treatment effect size (ES = .30, d(+) statistic) directly attributable to cognitive rehabilitation. A larger treatment effect (ES = .71) was found for single-group pretest to posttest outcomes; however, modest improvement was observed for nontreatment control groups as well (ES = .41). Correction for this effect, which was not attributable to cognitive treatments, resulted in the small, but significant, overall estimate. Treatment effects were moderated by cognitive domain treated, time postinjury, type of brain injury, and age. The meta-analysis revealed sufficient evidence for the effectiveness of attention training after traumatic brain injury and of language and visuospatial training for aphasia and neglect syndromes after stroke. Results provide important quantitative documentation of effective treatments, complementing recent systematic reviews. Findings also highlight gaps in the scientific evidence supporting cognitive rehabilitation, thereby indicating future research directions.},\n bibtype = {article},\n author = {Rohling, Martin L and Faust, Mark E and Beverly, Brenda and Demakis, George},\n journal = {Neuropsychology},\n number = {1}\n}
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\n The present study provides a meta-analysis of cognitive rehabilitation literature (K = 115, N = 2,014) that was originally reviewed by K. D. Cicerone et al. (2000, 2005) for the purpose of providing evidence-based practice guidelines for persons with acquired brain injury. The analysis yielded a small treatment effect size (ES = .30, d(+) statistic) directly attributable to cognitive rehabilitation. A larger treatment effect (ES = .71) was found for single-group pretest to posttest outcomes; however, modest improvement was observed for nontreatment control groups as well (ES = .41). Correction for this effect, which was not attributable to cognitive treatments, resulted in the small, but significant, overall estimate. Treatment effects were moderated by cognitive domain treated, time postinjury, type of brain injury, and age. The meta-analysis revealed sufficient evidence for the effectiveness of attention training after traumatic brain injury and of language and visuospatial training for aphasia and neglect syndromes after stroke. Results provide important quantitative documentation of effective treatments, complementing recent systematic reviews. Findings also highlight gaps in the scientific evidence supporting cognitive rehabilitation, thereby indicating future research directions.\n
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\n \n \n\n \n \n \n \n How many people return to work after acquired brain injury?: A systematic review.\n \n\n\n \n van Velzen, J., M.; van Bennekom, C., A., M.; Edelaar, M., J., A.; Sluiter, J., K.; and Frings-Dresen, M., H., W.\n \n\n\n \n\n\n\n Brain Inj, 23(6): 473-488. 1 2009.\n \n\n\n\n
\n\n\n \n \n \n \"HowWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {How many people return to work after acquired brain injury?: A systematic review},\n type = {article},\n year = {2009},\n identifiers = {[object Object]},\n keywords = {brain_injury,return,to,work},\n pages = {473-488},\n volume = {23},\n websites = {http://www.informahealthcare.com/doi/abs/10.1080/02699050902970737,http://dx.doi.org/10.1080/02699050902970737},\n month = {1},\n publisher = {Informa Allied Health},\n day = {1},\n id = {9319f140-0e19-37e3-9e8a-63fbcd0eb738},\n created = {2017-06-28T11:50:13.542Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.542Z},\n tags = {brain_injury,return,to,work},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:10431295},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Primary objective: To investigate how many people return to work (RTW) after acquiring brain injury (ABI) due to traumatic or non-traumatic causes. Secondary objectives were to investigate the differences in outcome between traumatic and non-traumatic causes, the development of RTW over time and whether or not people return to their former job. Methods: A systematic literature search (1992?2008) was performed using terms of ABI and RTW. The methodological quality of the studies was determined. An overall estimation of percentage RTW 1 and 2 years post-injury was calculated by data pooling. Main outcomes and results: Finally, 49 studies were included. Within 2 years post-injury, 39.3% of the subjects with non-traumatic ABI returned to work. Among people with traumatic ABI, 40.7% returned to work after 1 year and 40.8% after 2 years. No effect of cause or time since injury was found. Some people with traumatic ABI who returned to work were not able to sustain their job over time. Changes of occupation and job demands are common among people with ABI. Conclusions: About 40% of the people with traumatic or non-traumatic ABI are able to return to work after 1 or 2 years. Among those with acquired traumatic brain injury a substantial proportion of the subjects were either not able to return to their former work or unable to return permanently.},\n bibtype = {article},\n author = {van Velzen, J. M. and van Bennekom, C. A. M. and Edelaar, M. J. A. and Sluiter, J. K. and Frings-Dresen, M. H. W.},\n journal = {Brain Inj},\n number = {6}\n}
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\n Primary objective: To investigate how many people return to work (RTW) after acquiring brain injury (ABI) due to traumatic or non-traumatic causes. Secondary objectives were to investigate the differences in outcome between traumatic and non-traumatic causes, the development of RTW over time and whether or not people return to their former job. Methods: A systematic literature search (1992?2008) was performed using terms of ABI and RTW. The methodological quality of the studies was determined. An overall estimation of percentage RTW 1 and 2 years post-injury was calculated by data pooling. Main outcomes and results: Finally, 49 studies were included. Within 2 years post-injury, 39.3% of the subjects with non-traumatic ABI returned to work. Among people with traumatic ABI, 40.7% returned to work after 1 year and 40.8% after 2 years. No effect of cause or time since injury was found. Some people with traumatic ABI who returned to work were not able to sustain their job over time. Changes of occupation and job demands are common among people with ABI. Conclusions: About 40% of the people with traumatic or non-traumatic ABI are able to return to work after 1 or 2 years. Among those with acquired traumatic brain injury a substantial proportion of the subjects were either not able to return to their former work or unable to return permanently.\n
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\n \n \n\n \n \n \n \n Evaluating the Health Benefit of Bicycle Helmet Laws.\n \n\n\n \n De Jong, P.\n \n\n\n \n\n\n\n Social Science Research Network Working Paper Series, . 7 2009.\n \n\n\n\n
\n\n\n \n \n \n \"EvaluatingWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Evaluating the Health Benefit of Bicycle Helmet Laws},\n type = {article},\n year = {2009},\n keywords = {bicycle_accidents,bicycle_helmet_law,bicycle_helmet_laws,bicycle_helmets,costs,cycle_helmets,cyclists},\n websites = {http://ssrn.com/abstract=1368064,http://papers.ssrn.com/sol3/Delivery.cfm/SSRN_ID1368064_code619154.pdf?abstractid=1368064&mirid=1},\n month = {7},\n publisher = {SSRN},\n day = {14},\n id = {856f73b9-60d3-3c85-9ab6-b9b3f34a7573},\n created = {2017-06-28T11:50:14.180Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:14.180Z},\n tags = {Costs,bicycle_accidents,bicycle_helmets,cycle_helmets,cyclists},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:4221555},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {A model is developed which permits the quantitative evaluation of the benefit of bicycle helmet laws. The efficacy of the law is evaluated in terms of the percentage drop in bicycling, the percentage increase in the cost of an accident when not wearing a helmet, and a quantity here called the bicycling beta. The approach balances the health benefits of increased safety against the health costs due to decreased cycling. Using estimates suggested in the literature of the health benefits of cycling, accident rates and reductions in cycling, suggest helmets laws are counterproductive in terms of net health. The model serves to focus the bicycle helmet law debate on overall health as function of key parameters: cycle use, accident rates, helmet protection rates, exercise and environmental benefits. Empirical estimates using US data suggests the strictly health impact of a US wide helmet law would cost around $5 billion per annum. In the UK and The Netherlands the net health costs are estimated to be $0.4 and $1.9 billion, respectively.},\n bibtype = {article},\n author = {De Jong, Piet},\n journal = {Social Science Research Network Working Paper Series}\n}
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\n A model is developed which permits the quantitative evaluation of the benefit of bicycle helmet laws. The efficacy of the law is evaluated in terms of the percentage drop in bicycling, the percentage increase in the cost of an accident when not wearing a helmet, and a quantity here called the bicycling beta. The approach balances the health benefits of increased safety against the health costs due to decreased cycling. Using estimates suggested in the literature of the health benefits of cycling, accident rates and reductions in cycling, suggest helmets laws are counterproductive in terms of net health. The model serves to focus the bicycle helmet law debate on overall health as function of key parameters: cycle use, accident rates, helmet protection rates, exercise and environmental benefits. Empirical estimates using US data suggests the strictly health impact of a US wide helmet law would cost around $5 billion per annum. In the UK and The Netherlands the net health costs are estimated to be $0.4 and $1.9 billion, respectively.\n
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\n \n \n\n \n \n \n \n Self-observation reinstates motor awareness in anosognosia for hemiplegia.\n \n\n\n \n Fotopoulou, A.; Rudd, A.; Holmes, P.; and Kopelman, M.\n \n\n\n \n\n\n\n Neuropsychologia, 47(5): 1256-1260. 4 2009.\n \n\n\n\n
\n\n\n \n \n \n \"Self-observationWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Self-observation reinstates motor awareness in anosognosia for hemiplegia.},\n type = {article},\n year = {2009},\n identifiers = {[object Object]},\n keywords = {self-awareness},\n pages = {1256-1260},\n volume = {47},\n websites = {http://dx.doi.org/10.1016/j.neuropsychologia.2009.01.018},\n month = {4},\n id = {8917a3f8-cc9d-3bbe-8e75-a3185caf24e9},\n created = {2017-06-28T11:50:14.225Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:14.225Z},\n tags = {self_awareness},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:10681300},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {We report a patient with severe anosognosia for hemiplegia, who recovered instantly and permanently when viewing herself in a video replay. We believe the observed dramatic reinstatement of the patient's awareness related to her self-observation 'from the outside' (3rd person perspective) and 'off-line' (at a time later than the actual attempt to execute a movement); her anosognosia had been unaltered when she observed her plegic arm in her ipsilateral visual field (self-observation from a 1st-person perspective and 'on-line'). To our knowledge, the role of self-observation in videos or mirrors has not being assessed in AHP to date. Our study provides preliminary evidence that, when right hemisphere damage impairs the ability to update one's body representation, judgements relying on 3rd-person and off-line self-observation may be spared in some patients and may facilitate 1st person awareness.},\n bibtype = {article},\n author = {Fotopoulou, Aikaterini and Rudd, Anthony and Holmes, Paul and Kopelman, Michael},\n journal = {Neuropsychologia},\n number = {5}\n}
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\n We report a patient with severe anosognosia for hemiplegia, who recovered instantly and permanently when viewing herself in a video replay. We believe the observed dramatic reinstatement of the patient's awareness related to her self-observation 'from the outside' (3rd person perspective) and 'off-line' (at a time later than the actual attempt to execute a movement); her anosognosia had been unaltered when she observed her plegic arm in her ipsilateral visual field (self-observation from a 1st-person perspective and 'on-line'). To our knowledge, the role of self-observation in videos or mirrors has not being assessed in AHP to date. Our study provides preliminary evidence that, when right hemisphere damage impairs the ability to update one's body representation, judgements relying on 3rd-person and off-line self-observation may be spared in some patients and may facilitate 1st person awareness.\n
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\n \n \n\n \n \n \n \n The Interaction between Psychological Health and Traumatic Brain Injury: A Neuroscience perspective.\n \n\n\n \n Hoffman, S., W.; and Harrison, C.\n \n\n\n \n\n\n\n The Clinical Neuropsychologist, 23(8): 1400-1415. 2009.\n \n\n\n\n
\n\n\n \n \n \n \"TheWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {The Interaction between Psychological Health and Traumatic Brain Injury: A Neuroscience perspective},\n type = {article},\n year = {2009},\n identifiers = {[object Object]},\n keywords = {military,neuroscience,post_traumatic_stress,ptsd,traumatic_brain_injury,traumatic_stress_disorder},\n pages = {1400-1415},\n volume = {23},\n websites = {http://dx.doi.org/10.1080/13854040903369433},\n publisher = {Psychology Press},\n id = {f5d428f9-00ea-3a8d-9833-ce8b394cd4c1},\n created = {2017-06-28T11:50:14.854Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:14.854Z},\n tags = {military,neuroscience,post_traumatic_stress,ptsd,traumatic_brain_injury,traumatic_stress_disorder},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:6116760},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {The occurrence of traumatic brain injury (TBI) and psychological health issues in the current theater of military operations has become a major factor in planning for the long-term healthcare of our wounded warriors. Post-traumatic stress disorder (PTSD) can co-exist with brain injury in military members who have been exposed to blasts. Specific areas of the brain may be more susceptible to damage from blasts. In particular, damage to the prefrontal cortex can lead to disinhibition of cerebral structures that control fear and anxiety. Reactive systemic inflammatory processes related to TBI may also impair psychological health. Impaired psychological health may lead to increased psychological distress that impedes brain repair due to the release of stress-related hormones. Since the external environment has been shown to exert a significant influence on the internal environment of the organism, enriching the external environment may well reduce anxiety and facilitate the neuroplasticity of brain cells, thus promoting recovery of function after TBI.},\n bibtype = {article},\n author = {Hoffman, Stuart W. and Harrison, Catherine},\n journal = {The Clinical Neuropsychologist},\n number = {8}\n}
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\n The occurrence of traumatic brain injury (TBI) and psychological health issues in the current theater of military operations has become a major factor in planning for the long-term healthcare of our wounded warriors. Post-traumatic stress disorder (PTSD) can co-exist with brain injury in military members who have been exposed to blasts. Specific areas of the brain may be more susceptible to damage from blasts. In particular, damage to the prefrontal cortex can lead to disinhibition of cerebral structures that control fear and anxiety. Reactive systemic inflammatory processes related to TBI may also impair psychological health. Impaired psychological health may lead to increased psychological distress that impedes brain repair due to the release of stress-related hormones. Since the external environment has been shown to exert a significant influence on the internal environment of the organism, enriching the external environment may well reduce anxiety and facilitate the neuroplasticity of brain cells, thus promoting recovery of function after TBI.\n
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\n \n \n\n \n \n \n \n Potential benefits and harms of a peer support social network service on the internet for people with depressive tendencies: qualitative content analysis and social network analysis.\n \n\n\n \n Takahashi, Y.; Uchida, C.; Miyaki, K.; Sakai, M.; Shimbo, T.; and Nakayama, T.\n \n\n\n \n\n\n\n Journal of medical Internet research, 11(3): e29+. 7 2009.\n \n\n\n\n
\n\n\n \n \n \n \"PotentialWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Potential benefits and harms of a peer support social network service on the internet for people with depressive tendencies: qualitative content analysis and social network analysis.},\n type = {article},\n year = {2009},\n identifiers = {[object Object]},\n keywords = {online,peer_support_groups,social_network,social_relationships},\n pages = {e29+},\n volume = {11},\n websites = {http://dx.doi.org/10.2196/jmir.1142},\n month = {7},\n day = {23},\n id = {4245604e-4455-34db-a344-91f19865ebda},\n created = {2017-06-28T11:50:15.442Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:15.442Z},\n tags = {online,peer_support_groups,social_network,social_relationships},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:6594954},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {BACKGROUND: Internet peer support groups for depression are becoming popular and could be affected by an increasing number of social network services (SNSs). However, little is known about participant characteristics, social relationships in SNSs, and the reasons for usage. In addition, the effects of SNS participation on people with depression are rather unknown. OBJECTIVE: The aim was to explore the potential benefits and harms of an SNS for depression based on a concurrent triangulation design of mixed methods strategy, including qualitative content analysis and social network analysis. METHODS: A cross-sectional Internet survey of participants, which involved the collection of SNS log files and a questionnaire, was conducted in an SNS for people with self-reported depressive tendencies in Japan in 2007. Quantitative data, which included user demographics, depressive state, and assessment of the SNS (positive vs not positive), were statistically analyzed. Descriptive contents of responses to open-ended questions concerning advantages and disadvantages of SNS participation were analyzed using the inductive approach of qualitative content analysis. Contents were organized into codes, concepts, categories, and a storyline based on the grounded theory approach. Social relationships, derived from data of "friends," were analyzed using social network analysis, in which network measures and the extent of interpersonal association were calculated based on the social network theory. Each analysis and integration of results were performed through a concurrent triangulation design of mixed methods strategy. RESULTS: There were 105 participants. Median age was 36 years, and 51% (36/71) were male. There were 37 valid respondents; their number of friends and frequency of accessing the SNS were significantly higher than for invalid/nonrespondents (P = .008 and P = .003). Among respondents, 90% (28/31) were mildly, moderately, or severely depressed. Assessment of the SNS was performed by determining the access frequency of the SNS and the number of friends. Qualitative content analysis indicated that user-selectable peer support could be passive, active, and/or interactive based on anonymity or ease of use, and there was the potential harm of a downward depressive spiral triggered by aggravated psychological burden. Social network analysis revealed that users communicated one-on-one with each other or in small groups (five people or less). A downward depressive spiral was related to friends who were moderately or severely depressed and friends with negative assessment of the SNS. CONCLUSIONS: An SNS for people with depressive tendencies provides various opportunities to obtain support that meets users' needs. To avoid a downward depressive spiral, we recommend that participants do not use SNSs when they feel that the SNS is not user-selectable, when they get egocentric comments, when friends have a negative assessment of the SNS, or when they have additional psychological burden.},\n bibtype = {article},\n author = {Takahashi, Yoshimitsu and Uchida, Chiyoko and Miyaki, Koichi and Sakai, Michi and Shimbo, Takuro and Nakayama, Takeo},\n journal = {Journal of medical Internet research},\n number = {3}\n}
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\n BACKGROUND: Internet peer support groups for depression are becoming popular and could be affected by an increasing number of social network services (SNSs). However, little is known about participant characteristics, social relationships in SNSs, and the reasons for usage. In addition, the effects of SNS participation on people with depression are rather unknown. OBJECTIVE: The aim was to explore the potential benefits and harms of an SNS for depression based on a concurrent triangulation design of mixed methods strategy, including qualitative content analysis and social network analysis. METHODS: A cross-sectional Internet survey of participants, which involved the collection of SNS log files and a questionnaire, was conducted in an SNS for people with self-reported depressive tendencies in Japan in 2007. Quantitative data, which included user demographics, depressive state, and assessment of the SNS (positive vs not positive), were statistically analyzed. Descriptive contents of responses to open-ended questions concerning advantages and disadvantages of SNS participation were analyzed using the inductive approach of qualitative content analysis. Contents were organized into codes, concepts, categories, and a storyline based on the grounded theory approach. Social relationships, derived from data of \"friends,\" were analyzed using social network analysis, in which network measures and the extent of interpersonal association were calculated based on the social network theory. Each analysis and integration of results were performed through a concurrent triangulation design of mixed methods strategy. RESULTS: There were 105 participants. Median age was 36 years, and 51% (36/71) were male. There were 37 valid respondents; their number of friends and frequency of accessing the SNS were significantly higher than for invalid/nonrespondents (P = .008 and P = .003). Among respondents, 90% (28/31) were mildly, moderately, or severely depressed. Assessment of the SNS was performed by determining the access frequency of the SNS and the number of friends. Qualitative content analysis indicated that user-selectable peer support could be passive, active, and/or interactive based on anonymity or ease of use, and there was the potential harm of a downward depressive spiral triggered by aggravated psychological burden. Social network analysis revealed that users communicated one-on-one with each other or in small groups (five people or less). A downward depressive spiral was related to friends who were moderately or severely depressed and friends with negative assessment of the SNS. CONCLUSIONS: An SNS for people with depressive tendencies provides various opportunities to obtain support that meets users' needs. To avoid a downward depressive spiral, we recommend that participants do not use SNSs when they feel that the SNS is not user-selectable, when they get egocentric comments, when friends have a negative assessment of the SNS, or when they have additional psychological burden.\n
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\n \n \n\n \n \n \n \n A systematic review of psychological treatments for mild traumatic brain injury: An update on the evidence.\n \n\n\n \n Snell, D., L.; Surgenor, L., J.; Hay-Smith, E., J., C.; Siegert, R., J.; and Hay-Smith\n \n\n\n \n\n\n\n Journal of Clinical and Experimental Neuropsychology, 31(1): 20-38. 2009.\n \n\n\n\n
\n\n\n \n \n \n \"AWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {A systematic review of psychological treatments for mild traumatic brain injury: An update on the evidence},\n type = {article},\n year = {2009},\n identifiers = {[object Object]},\n keywords = {mild_head_injury,mild_traumatic_brain_injury,mtbi,psychoeducation,rehabilitation},\n pages = {20-38},\n volume = {31},\n websites = {http://dx.doi.org/10.1080/13803390801978849},\n publisher = {Psychology Press},\n id = {529087d0-7cb8-3d88-8e36-71936a114811},\n created = {2017-06-28T11:50:15.932Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:15.932Z},\n tags = {mild_head_injury,mild_traumatic_brain_injury,mtbi,psychoeducation,rehabilitation},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:4078288},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Mild traumatic brain injury (MTBI) is common and results in persisting disability for a minority of cases. Evidence guiding clinical management of this more complex group is lacking. This study systematically reviews psychological/neuropsychological treatments for adults with MTBI, with an emphasis on external validity. A total of 8 further studies were found adding to 10 from previous reviews. Although the methodological quality remains poor, mild supportive evidence was found for educational interventions provided early following injury. However, the routine provision of interventions for all MTBI cases may not be effective. Continuing and novel research efforts are needed to identify factors associated with poor outcomes to enable efficient targeting of healthcare resources.},\n bibtype = {article},\n author = {Snell, Deborah L. and Surgenor, Lois J. and Hay-Smith, E. Jean C. and Siegert, Richard J. and Hay-Smith, undefined},\n journal = {Journal of Clinical and Experimental Neuropsychology},\n number = {1}\n}
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\n Mild traumatic brain injury (MTBI) is common and results in persisting disability for a minority of cases. Evidence guiding clinical management of this more complex group is lacking. This study systematically reviews psychological/neuropsychological treatments for adults with MTBI, with an emphasis on external validity. A total of 8 further studies were found adding to 10 from previous reviews. Although the methodological quality remains poor, mild supportive evidence was found for educational interventions provided early following injury. However, the routine provision of interventions for all MTBI cases may not be effective. Continuing and novel research efforts are needed to identify factors associated with poor outcomes to enable efficient targeting of healthcare resources.\n
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\n \n \n\n \n \n \n \n Long-term neurologic outcomes after traumatic brain injury.\n \n\n\n \n Bazarian, J., J.; Cernak, I.; Noble-Haeusslein, L.; Potolicchio, S.; and Temkin, N.\n \n\n\n \n\n\n\n The Journal of head trauma rehabilitation, 24(6): 439-451. 2009.\n \n\n\n\n
\n\n\n \n \n \n \"Long-termWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Long-term neurologic outcomes after traumatic brain injury.},\n type = {article},\n year = {2009},\n identifiers = {[object Object]},\n keywords = {dementia,long_term,neurology,outcomes,traumatic_brain_injury},\n pages = {439-451},\n volume = {24},\n websites = {http://dx.doi.org/10.1097/HTR.0b013e3181c15600},\n id = {7eed2b9e-1542-3d1a-89c1-0791f82170d2},\n created = {2017-06-28T11:50:16.472Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:16.472Z},\n tags = {dementia,long_term,neurology,outcomes,traumatic_brain_injury},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:6229183},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {OBJECTIVE: To determine the relations between traumatic brain injury (TBI) and several neurologic outcomes 6 months or more after TBI. PARTICIPANTS: Not applicable. DESIGN: Systematic review of the published, peer-reviewed literature. PRIMARY MEASURES: Not applicable. RESULTS: We identified 75 studies that examined the relations between TBI and neurologic outcomes. Unprovoked seizures are causally related to penetrating TBI as well as to moderate and severe TBI. There was only limited evidence of an association between seizures and mild TBI. Dementia of the Alzheimer's type (DAT) was associated with moderate and severe TBI, but not with mild TBI unless there was loss of consciousness (LOC); the evidence for the latter was limited. Parkinsonism was associated with moderate and severe TBI, but there was only modest evidence of a link with mild TBI without LOC. Dementia pugilistica was associated with professional boxing. There was insufficient evidence to support an association between TBI and both multiple sclerosis and amyotrophic lateral sclerosis. TBI appeared to produce a host of postconcussive symptoms (eg, memory problems, dizziness, and irritability). Moderate and severe TBI were associated with endocrine problems such as hypopituitarism and growth hormone deficiency and possibly with diabetes insipidus. There was only limited evidence of an association between mild TBI and the development of ocular/visual motor deterioration. CONCLUSION: TBI is strongly associated with several neurologic disorders 6 months or more after injury. Clinicians caring for TBI patients should monitor them closely for the development of these disorders. While some of these disorders can be treated after they arise (eg, seizures), a greater public health benefit would be achieved by preventing them before they develop. Research efforts to develop therapies aimed at secondary prevention are currently underway.},\n bibtype = {article},\n author = {Bazarian, Jeffrey J and Cernak, Ibolja and Noble-Haeusslein, Linda and Potolicchio, Samuel and Temkin, Nancy},\n journal = {The Journal of head trauma rehabilitation},\n number = {6}\n}
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\n OBJECTIVE: To determine the relations between traumatic brain injury (TBI) and several neurologic outcomes 6 months or more after TBI. PARTICIPANTS: Not applicable. DESIGN: Systematic review of the published, peer-reviewed literature. PRIMARY MEASURES: Not applicable. RESULTS: We identified 75 studies that examined the relations between TBI and neurologic outcomes. Unprovoked seizures are causally related to penetrating TBI as well as to moderate and severe TBI. There was only limited evidence of an association between seizures and mild TBI. Dementia of the Alzheimer's type (DAT) was associated with moderate and severe TBI, but not with mild TBI unless there was loss of consciousness (LOC); the evidence for the latter was limited. Parkinsonism was associated with moderate and severe TBI, but there was only modest evidence of a link with mild TBI without LOC. Dementia pugilistica was associated with professional boxing. There was insufficient evidence to support an association between TBI and both multiple sclerosis and amyotrophic lateral sclerosis. TBI appeared to produce a host of postconcussive symptoms (eg, memory problems, dizziness, and irritability). Moderate and severe TBI were associated with endocrine problems such as hypopituitarism and growth hormone deficiency and possibly with diabetes insipidus. There was only limited evidence of an association between mild TBI and the development of ocular/visual motor deterioration. CONCLUSION: TBI is strongly associated with several neurologic disorders 6 months or more after injury. Clinicians caring for TBI patients should monitor them closely for the development of these disorders. While some of these disorders can be treated after they arise (eg, seizures), a greater public health benefit would be achieved by preventing them before they develop. Research efforts to develop therapies aimed at secondary prevention are currently underway.\n
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\n \n \n\n \n \n \n \n Classical conditioning in the vegetative and minimally conscious state.\n \n\n\n \n Bekinschtein, T., A.; Shalom, D., E.; Forcato, C.; Herrera, M.; Coleman, M., R.; Manes, F., F.; and Sigman, M.\n \n\n\n \n\n\n\n Nature Neuroscience, 12(10): 1343-1349. 9 2009.\n \n\n\n\n
\n\n\n \n \n \n \"ClassicalWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Classical conditioning in the vegetative and minimally conscious state},\n type = {article},\n year = {2009},\n identifiers = {[object Object]},\n keywords = {coma,minimally_conscious_state,pvs},\n pages = {1343-1349},\n volume = {12},\n websites = {http://dx.doi.org/10.1038/nn.2391},\n month = {9},\n publisher = {Nature Publishing Group},\n day = {20},\n id = {06eb104f-a3f5-37cd-951f-829f13f2cb32},\n created = {2017-06-28T11:50:16.677Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:16.677Z},\n tags = {coma,minimally_conscious_state,pvs},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:5870522},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Pavlovian trace conditioning depends on the temporal gap between the conditioned and unconditioned stimuli. It requires, in mammals, functional medial temporal lobe structures and, in humans, explicit knowledge of the temporal contingency. It is therefore considered to be a plausible objective test to assess awareness without relying on explicit reports. We found that individuals with disorders of consciousness (DOCs), despite being unable to report awareness explicitly, were able to learn this procedure. Learning was specific and showed an anticipatory electromyographic response to the aversive conditioning stimulus, which was substantially stronger than to the control stimulus and was augmented as the aversive stimulus approached. The amount of learning correlated with the degree of cortical atrophy and was a good indicator of recovery. None of these effects were observed in control subjects under the effect of anesthesia (propofol). Our results suggest that individuals with DOCs might have partially preserved conscious processing, which cannot be mediated by explicit reports and is not detected by behavioral assessment.},\n bibtype = {article},\n author = {Bekinschtein, Tristan A and Shalom, Diego E and Forcato, Cecilia and Herrera, Maria and Coleman, Martin R and Manes, Facundo F and Sigman, Mariano},\n journal = {Nature Neuroscience},\n number = {10}\n}
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\n Pavlovian trace conditioning depends on the temporal gap between the conditioned and unconditioned stimuli. It requires, in mammals, functional medial temporal lobe structures and, in humans, explicit knowledge of the temporal contingency. It is therefore considered to be a plausible objective test to assess awareness without relying on explicit reports. We found that individuals with disorders of consciousness (DOCs), despite being unable to report awareness explicitly, were able to learn this procedure. Learning was specific and showed an anticipatory electromyographic response to the aversive conditioning stimulus, which was substantially stronger than to the control stimulus and was augmented as the aversive stimulus approached. The amount of learning correlated with the degree of cortical atrophy and was a good indicator of recovery. None of these effects were observed in control subjects under the effect of anesthesia (propofol). Our results suggest that individuals with DOCs might have partially preserved conscious processing, which cannot be mediated by explicit reports and is not detected by behavioral assessment.\n
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\n \n \n\n \n \n \n \n Bicycle helmet laws could do more harm than good - health - 27 April 2009 - New Scientist.\n \n\n\n \n Callaway, E., (., S.\n \n\n\n \n\n\n\n New Scientist, . 2009.\n \n\n\n\n
\n\n\n \n \n \n \"BicycleWebsite\n  \n \n\n \n\n bibtex \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Bicycle helmet laws could do more harm than good - health - 27 April 2009 - New Scientist},\n type = {article},\n year = {2009},\n keywords = {bicycle_accidents,bicycle_helmets,cycle_helmets,head_injuries},\n websites = {http://www.newscientist.com/article/dn17032-bicycle-helmet-laws-could-do-more-harm-than-good.html},\n id = {1444f15a-f72f-3f94-89e5-3153f8d67eb7},\n created = {2017-06-28T11:50:16.759Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:16.759Z},\n tags = {bicycle_accidents,bicycle_helmets,cycle_helmets,head_injuries},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:4415419},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n bibtype = {article},\n author = {Callaway, Ewen (New Scientist)},\n journal = {New Scientist}\n}
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\n  \n 2008\n \n \n (9)\n \n \n
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\n \n \n\n \n \n \n \n Moderate and severe traumatic brain injury in adults.\n \n\n\n \n Maas, A., I.; Stocchetti, N.; and Bullock, R.\n \n\n\n \n\n\n\n Lancet neurology, 7(8): 728-741. 8 2008.\n \n\n\n\n
\n\n\n \n \n \n \"ModerateWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Moderate and severe traumatic brain injury in adults.},\n type = {article},\n year = {2008},\n identifiers = {[object Object]},\n keywords = {epidemiological,epidemiology,head_injuries,incidence_rates,prevalence_data,prevalence_rates},\n pages = {728-741},\n volume = {7},\n websites = {http://dx.doi.org/10.1016/S1474-4422(08)70164-9},\n month = {8},\n id = {5121ba68-0cc5-3ba0-8cf1-1924cd33ed20},\n created = {2017-06-28T11:50:08.932Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:08.932Z},\n tags = {epidemiology,head_injuries,incidence_rates,prevalence_data,prevalence_rates},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:3485911},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Traumatic brain injury (TBI) is a major health and socioeconomic problem that affects all societies. In recent years, patterns of injury have been changing, with more injuries, particularly contusions, occurring in older patients. Blast injuries have been identified as a novel entity with specific characteristics. Traditional approaches to the classification of clinical severity are the subject of debate owing to the widespread policy of early sedation and ventilation in more severely injured patients, and are being supplemented with structural and functional neuroimaging. Basic science research has greatly advanced our knowledge of the mechanisms involved in secondary damage, creating opportunities for medical intervention and targeted therapies; however, translating this research into patient benefit remains a challenge. Clinical management has become much more structured and evidence based since the publication of guidelines covering many aspects of care. In this Review, we summarise new developments and current knowledge and controversies, focusing on moderate and severe TBI in adults. Suggestions are provided for the way forward, with an emphasis on epidemiological monitoring, trauma organisation, and approaches to management.},\n bibtype = {article},\n author = {Maas, Andrew I and Stocchetti, Nino and Bullock, Ross},\n journal = {Lancet neurology},\n number = {8}\n}
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\n Traumatic brain injury (TBI) is a major health and socioeconomic problem that affects all societies. In recent years, patterns of injury have been changing, with more injuries, particularly contusions, occurring in older patients. Blast injuries have been identified as a novel entity with specific characteristics. Traditional approaches to the classification of clinical severity are the subject of debate owing to the widespread policy of early sedation and ventilation in more severely injured patients, and are being supplemented with structural and functional neuroimaging. Basic science research has greatly advanced our knowledge of the mechanisms involved in secondary damage, creating opportunities for medical intervention and targeted therapies; however, translating this research into patient benefit remains a challenge. Clinical management has become much more structured and evidence based since the publication of guidelines covering many aspects of care. In this Review, we summarise new developments and current knowledge and controversies, focusing on moderate and severe TBI in adults. Suggestions are provided for the way forward, with an emphasis on epidemiological monitoring, trauma organisation, and approaches to management.\n
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\n \n \n\n \n \n \n \n Interventions for treating depression after stroke.\n \n\n\n \n Hackett, M., L.; Anderson, C., S.; House, A.; and Xia, J.\n \n\n\n \n\n\n\n Library, Art. No.:(4): CD003437. 2008.\n \n\n\n\n
\n\n\n \n \n \n \"InterventionsWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Interventions for treating depression after stroke},\n type = {article},\n year = {2008},\n identifiers = {[object Object]},\n pages = {CD003437},\n volume = {Art. No.:},\n websites = {http://www.ncbi.nlm.nih.gov/pubmed/18843644},\n publisher = {John Wiley & Sons, Ltd},\n id = {2da75a5b-6758-325a-ab07-ed9d0e90624a},\n created = {2017-06-28T11:50:09.661Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:09.661Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {BACKGROUND: Depression is an important consequence of stroke that impacts on recovery yet is often not detected or inadequately treated. This is an update of a Cochrane review first published in 2004. OBJECTIVES: To determine whether pharmaceutical, psychological, or electroconvulsive treatment (ECT) of depression in patients with stroke can improve outcome. SEARCH STRATEGY: We searched the trials registers of the Cochrane Stroke Group (last searched October 2007) and the Cochrane Depression Anxiety and Neurosis Group (last searched February 2008). In addition, we searched the Cochrane Central Register of Controlled Trials (The Cochrane Library, Issue 1, 2008), MEDLINE (1966 to May 2006), EMBASE (1980 to May 2006), CINAHL (1982 to May 2006), PsycINFO (1967 to May 2006) and other databases. We also searched reference lists, clinical trials registers, conference proceedings and dissertation abstracts, and contacted authors, researchers and pharmaceutical companies. SELECTION CRITERIA: Randomised controlled trials comparing pharmaceutical agents with placebo, or various forms of psychotherapy or ECT with standard care (or attention control), in patients with stroke, with the intention of treating depression. DATA COLLECTION AND ANALYSIS: Two review authors selected trials for inclusion and assessed methodological quality; three review authors extracted, cross-checked and entered data. Primary analyses were the prevalence of diagnosable depressive disorder at the end of treatment. Secondary outcomes included depression scores on standard scales, physical function, death, recurrent stroke and adverse effects. MAIN RESULTS: Sixteen trials (17 interventions), with 1655 participants, were included in the review. Data were available for 13 pharmaceutical agents, and four trials of psychotherapy. There were no trials of ECT. The analyses were complicated by the lack of standardised diagnostic and outcome criteria, and differing analytic methods. There was some evidence of benefit of pharmacotherapy in terms of a complete remission of depression and a reduction (improvement) in scores on depression rating scales, but there was also evidence of an associated increase in adverse events. There was no evidence of benefit of psychotherapy. AUTHORS' CONCLUSIONS: A small but significant effect of pharmacotherapy (not psychotherapy) on treating depression and reducing depressive symptoms was found, as was a significant increase in adverse events. More research is required before recommendations can be made about the routine use of such treatments.},\n bibtype = {article},\n author = {Hackett, M L and Anderson, C S and House, A and Xia, J},\n journal = {Library},\n number = {4}\n}
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\n BACKGROUND: Depression is an important consequence of stroke that impacts on recovery yet is often not detected or inadequately treated. This is an update of a Cochrane review first published in 2004. OBJECTIVES: To determine whether pharmaceutical, psychological, or electroconvulsive treatment (ECT) of depression in patients with stroke can improve outcome. SEARCH STRATEGY: We searched the trials registers of the Cochrane Stroke Group (last searched October 2007) and the Cochrane Depression Anxiety and Neurosis Group (last searched February 2008). In addition, we searched the Cochrane Central Register of Controlled Trials (The Cochrane Library, Issue 1, 2008), MEDLINE (1966 to May 2006), EMBASE (1980 to May 2006), CINAHL (1982 to May 2006), PsycINFO (1967 to May 2006) and other databases. We also searched reference lists, clinical trials registers, conference proceedings and dissertation abstracts, and contacted authors, researchers and pharmaceutical companies. SELECTION CRITERIA: Randomised controlled trials comparing pharmaceutical agents with placebo, or various forms of psychotherapy or ECT with standard care (or attention control), in patients with stroke, with the intention of treating depression. DATA COLLECTION AND ANALYSIS: Two review authors selected trials for inclusion and assessed methodological quality; three review authors extracted, cross-checked and entered data. Primary analyses were the prevalence of diagnosable depressive disorder at the end of treatment. Secondary outcomes included depression scores on standard scales, physical function, death, recurrent stroke and adverse effects. MAIN RESULTS: Sixteen trials (17 interventions), with 1655 participants, were included in the review. Data were available for 13 pharmaceutical agents, and four trials of psychotherapy. There were no trials of ECT. The analyses were complicated by the lack of standardised diagnostic and outcome criteria, and differing analytic methods. There was some evidence of benefit of pharmacotherapy in terms of a complete remission of depression and a reduction (improvement) in scores on depression rating scales, but there was also evidence of an associated increase in adverse events. There was no evidence of benefit of psychotherapy. AUTHORS' CONCLUSIONS: A small but significant effect of pharmacotherapy (not psychotherapy) on treating depression and reducing depressive symptoms was found, as was a significant increase in adverse events. More research is required before recommendations can be made about the routine use of such treatments.\n
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\n \n \n\n \n \n \n \n Prevalence of chronic pain after traumatic brain injury: a systematic review.\n \n\n\n \n Nampiaparampil, D., E.\n \n\n\n \n\n\n\n Jama The Journal Of The American Medical Association, 300(6): 711-9. 2008.\n \n\n\n\n
\n\n\n \n \n \n \"PrevalenceWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Prevalence of chronic pain after traumatic brain injury: a systematic review.},\n type = {article},\n year = {2008},\n identifiers = {[object Object]},\n keywords = {brain injuries,brain injuries complications,chronic disease,combat disorders,combat disorders epidemiology,comorbidity,complex regional pain syndromes,complex regional pain syndromes epidemiology,complex regional pain syndromes etiology,headache disorders,headache disorders epidemiology,headache disorders etiology,humans,military personnel,military personnel statistics & numerical data,mood disorders,mood disorders epidemiology,pain,pain epidemiology,pain etiology,post traumatic,post traumatic epidemiology,prevalence,severity illness index,stress disorders,substance related disorders,substance related disorders epidemiology,veterans,veterans statistics & numerical data,war},\n pages = {711-9},\n volume = {300},\n websites = {http://www.ncbi.nlm.nih.gov/pubmed/18698069},\n id = {0cc8bc22-e4c2-3863-a626-c604d8e17132},\n created = {2017-06-28T11:50:12.192Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:12.192Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {CONTEXT: The Centers for Disease Control and Prevention estimates that approximately 1.4 million US individuals sustain traumatic brain injuries (TBIs) per year. Previous reports suggest an association between TBI and chronic pain syndromes (eg, headache) thought to be more common in patients with mild TBI and in those who have sustained brain injury from violent rather than unintentional trauma. Comorbid psychiatric disorders such as posttraumatic stress disorder (PTSD) may also mediate chronic pain symptoms. OBJECTIVES: To determine the prevalence of chronic pain as an underdiagnosed consequence of TBI and to review the interaction between chronic pain and severity of TBI as well as the characteristics of pain after TBI among civilians and combatants. EVIDENCE ACQUISITION: The Ovid/MEDLINE database was searched for articles published between 1951 and February 2008 using any combination of the terms brain injury, pain, headache, blast injury, and combat (combat disorders, war, military medicine, wounds and injuries, military personnel, veterans). The PubMed and MD Consult databases were searched in a similar fashion. The Cochrane Collaboration, National Institutes of Health Clinical Trials Database, Meta-Register of Current Controlled Trials, and CRISP databases were searched using the keyword brain injury. All articles in peer-reviewed journals reporting original data on pain syndromes in adult patients with TBI with regard to pain prevalence, pain category, risk factors, pathogenesis, and clinical course were selected, and manual searches were performed of their reference lists. The data were pooled and prevalence rates calculated. EVIDENCE SYNTHESIS: Twenty-three studies (15 cross-sectional, 5 prospective, and 3 retrospective) including 4206 patients were identified. Twelve studies assessed headache pain in 1670 patients. Of these, 966 complained of chronic headache, yielding a prevalence of 57.8% (95% confidence interval CI, 55.5%-60.2%). Among civilians, the prevalence of chronic pain was greater in patients with mild TBI (75.3% 95% CI, 72.7%-77.9%) compared with moderate or severe TBI (32.1% 95% CI, 29.3%-34.9%). Twenty studies including 3289 civilian patients with TBI yielded a chronic pain prevalence of 51.5% (95% CI, 49.8%-53.2%). Three studies assessed TBI among 917 veterans and yielded a pain prevalence of 43.1% (95% CI, 39.9%-46.3%). PTSD may mediate chronic pain, but brain injury appears to have an independent correlation with chronic pain. CONCLUSIONS: Chronic pain is a common complication of TBI. It is independent of psychologic disorders such as PTSD and depression and is common even among patients with apparently minor injuries to the brain.},\n bibtype = {article},\n author = {Nampiaparampil, Devi E},\n journal = {Jama The Journal Of The American Medical Association},\n number = {6}\n}
\n
\n\n\n
\n CONTEXT: The Centers for Disease Control and Prevention estimates that approximately 1.4 million US individuals sustain traumatic brain injuries (TBIs) per year. Previous reports suggest an association between TBI and chronic pain syndromes (eg, headache) thought to be more common in patients with mild TBI and in those who have sustained brain injury from violent rather than unintentional trauma. Comorbid psychiatric disorders such as posttraumatic stress disorder (PTSD) may also mediate chronic pain symptoms. OBJECTIVES: To determine the prevalence of chronic pain as an underdiagnosed consequence of TBI and to review the interaction between chronic pain and severity of TBI as well as the characteristics of pain after TBI among civilians and combatants. EVIDENCE ACQUISITION: The Ovid/MEDLINE database was searched for articles published between 1951 and February 2008 using any combination of the terms brain injury, pain, headache, blast injury, and combat (combat disorders, war, military medicine, wounds and injuries, military personnel, veterans). The PubMed and MD Consult databases were searched in a similar fashion. The Cochrane Collaboration, National Institutes of Health Clinical Trials Database, Meta-Register of Current Controlled Trials, and CRISP databases were searched using the keyword brain injury. All articles in peer-reviewed journals reporting original data on pain syndromes in adult patients with TBI with regard to pain prevalence, pain category, risk factors, pathogenesis, and clinical course were selected, and manual searches were performed of their reference lists. The data were pooled and prevalence rates calculated. EVIDENCE SYNTHESIS: Twenty-three studies (15 cross-sectional, 5 prospective, and 3 retrospective) including 4206 patients were identified. Twelve studies assessed headache pain in 1670 patients. Of these, 966 complained of chronic headache, yielding a prevalence of 57.8% (95% confidence interval CI, 55.5%-60.2%). Among civilians, the prevalence of chronic pain was greater in patients with mild TBI (75.3% 95% CI, 72.7%-77.9%) compared with moderate or severe TBI (32.1% 95% CI, 29.3%-34.9%). Twenty studies including 3289 civilian patients with TBI yielded a chronic pain prevalence of 51.5% (95% CI, 49.8%-53.2%). Three studies assessed TBI among 917 veterans and yielded a pain prevalence of 43.1% (95% CI, 39.9%-46.3%). PTSD may mediate chronic pain, but brain injury appears to have an independent correlation with chronic pain. CONCLUSIONS: Chronic pain is a common complication of TBI. It is independent of psychologic disorders such as PTSD and depression and is common even among patients with apparently minor injuries to the brain.\n
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\n \n \n\n \n \n \n \n Bicycle helmets and public health in Australia.\n \n\n\n \n Curnow, W., J.\n \n\n\n \n\n\n\n Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals, 19(1): 10-15. 4 2008.\n \n\n\n\n
\n\n\n \n \n \n \"BicycleWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Bicycle helmets and public health in Australia.},\n type = {article},\n year = {2008},\n identifiers = {[object Object]},\n keywords = {bicycle_accidents,bicycle_helmets,cycle_helmets,cyclists},\n pages = {10-15},\n volume = {19},\n websites = {http://view.ncbi.nlm.nih.gov/pubmed/18481926},\n month = {4},\n city = {bilcurno@pcug.org.au},\n id = {f6a37a5c-6849-3f8c-a2cf-164fdb010a2c},\n created = {2017-06-28T11:50:12.216Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:12.216Z},\n tags = {bicycle_accidents,bicycle_helmets,cycle_helmets,cyclists},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:2882550},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {ISSUE ADDRESSED: To evaluate the effects on public health in Australia of compelling people to wear a bicycle helmet while cycling. METHODS: The processes of introducing compulsory wearing of bicycle helmets, evidence of their efficacy relative to scientific knowledge of brain injury, effects of compulsory wearing on public health and official actions to uphold the policy are examined. RESULTS: It is shown that action to make the wearing of a bicycle helmet compulsory was a response to fear of death and chronic disability from brain injury, and it was taken at a time when cycling was increasing and the risk of casualty was falling. It appears that governments did not verify the efficacy of helmets and disregarded research which found that they can increase brain injury. After the legislation was introduced, rates of cycling declined sharply with loss of benefits for health, but the risk of casualty increased. CONCLUSIONS: Compulsion to wear a bicycle helmet is detrimental to public health in Australia.},\n bibtype = {article},\n author = {Curnow, William J},\n journal = {Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals},\n number = {1}\n}
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\n ISSUE ADDRESSED: To evaluate the effects on public health in Australia of compelling people to wear a bicycle helmet while cycling. METHODS: The processes of introducing compulsory wearing of bicycle helmets, evidence of their efficacy relative to scientific knowledge of brain injury, effects of compulsory wearing on public health and official actions to uphold the policy are examined. RESULTS: It is shown that action to make the wearing of a bicycle helmet compulsory was a response to fear of death and chronic disability from brain injury, and it was taken at a time when cycling was increasing and the risk of casualty was falling. It appears that governments did not verify the efficacy of helmets and disregarded research which found that they can increase brain injury. After the legislation was introduced, rates of cycling declined sharply with loss of benefits for health, but the risk of casualty increased. CONCLUSIONS: Compulsion to wear a bicycle helmet is detrimental to public health in Australia.\n
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\n \n \n\n \n \n \n \n Brain–computer interfaces in neurological rehabilitation.\n \n\n\n \n Daly, J., J.; and Wolpaw, J., R.\n \n\n\n \n\n\n\n The Lancet Neurology, 7(11): 1032-1043. 11 2008.\n \n\n\n\n
\n\n\n \n \n \n \"Brain–computerWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Brain–computer interfaces in neurological rehabilitation},\n type = {article},\n year = {2008},\n identifiers = {[object Object]},\n keywords = {assistive,rehabilitation,technology},\n pages = {1032-1043},\n volume = {7},\n websites = {http://dx.doi.org/10.1016/S1474-4422(08)70223-0},\n month = {11},\n id = {91af60e4-89fb-32c6-970e-f2445b1f1652},\n created = {2017-06-28T11:50:13.715Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.715Z},\n tags = {Communication,assistive,rehabilitation,technology},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:3408594},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {SummaryRecent advances in analysis of brain signals, training patients to control these signals, and improved computing capabilities have enabled people with severe motor disabilities to use their brain signals for communication and control of objects in their environment, thereby bypassing their impaired neuromuscular system. Non-invasive, electroencephalogram (EEG)-based brain–computer interface (BCI) technologies can be used to control a computer cursor or a limb orthosis, for word processing and accessing the internet, and for other functions such as environmental control or entertainment. By re-establishing some independence, BCI technologies can substantially improve the lives of people with devastating neurological disorders such as advanced amyotrophic lateral sclerosis. BCI technology might also restore more effective motor control to people after stroke or other traumatic brain disorders by helping to guide activity-dependent brain plasticity by use of EEG brain signals to indicate to the patient the current state of brain activity and to enable the user to subsequently lower abnormal activity. Alternatively, by use of brain signals to supplement impaired muscle control, BCIs might increase the efficacy of a rehabilitation protocol and thus improve muscle control for the patient.},\n bibtype = {article},\n author = {Daly, Janis J and Wolpaw, Jonathan R},\n journal = {The Lancet Neurology},\n number = {11}\n}
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\n SummaryRecent advances in analysis of brain signals, training patients to control these signals, and improved computing capabilities have enabled people with severe motor disabilities to use their brain signals for communication and control of objects in their environment, thereby bypassing their impaired neuromuscular system. Non-invasive, electroencephalogram (EEG)-based brain–computer interface (BCI) technologies can be used to control a computer cursor or a limb orthosis, for word processing and accessing the internet, and for other functions such as environmental control or entertainment. By re-establishing some independence, BCI technologies can substantially improve the lives of people with devastating neurological disorders such as advanced amyotrophic lateral sclerosis. BCI technology might also restore more effective motor control to people after stroke or other traumatic brain disorders by helping to guide activity-dependent brain plasticity by use of EEG brain signals to indicate to the patient the current state of brain activity and to enable the user to subsequently lower abnormal activity. Alternatively, by use of brain signals to supplement impaired muscle control, BCIs might increase the efficacy of a rehabilitation protocol and thus improve muscle control for the patient.\n
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\n \n \n\n \n \n \n \n Clinical Supervision of a Client With Traumatic Brain Injury... :.\n \n\n\n \n McGrath, Neal PhD; Dowds, Murdo M. Jr PhD; Goldstein, R., P.\n \n\n\n \n\n\n\n The Journal of Head Trauma Rehabilitation, 23(6): 388-393. 2008.\n \n\n\n\n
\n\n\n \n \n \n \"ClinicalWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Clinical Supervision of a Client With Traumatic Brain Injury... :},\n type = {article},\n year = {2008},\n pages = {388-393},\n volume = {23},\n websites = {http://journals.lww.com/headtraumarehab/Abstract/2008/11000/Clinical_Supervision_of_a_Client_With_Traumatic.4.aspx},\n id = {8dd4e8c8-b080-334e-9966-c12f543ecbdc},\n created = {2017-06-28T11:50:14.105Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:14.105Z},\n tags = {supervision},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Objective: To examine the use of video teleconferencing (VTC) technology in the supervision of a 41-year-old man with expressive aphasia during community reintegration in a host home setting 3 years after severe traumatic brain injury (TBI). Design: Using a 3-month A-B-A design, weekly VTC meetings were substituted for in-person visits by the client's case coordinator. Main outcome measures: Weekly ratings of satisfaction with the medium of communication used (VTC vs in-person meetings) by each participant. Results: The client and the case coordinator found VTC meetings to be as effective as face-to-face supervision visits for communication of clinical concerns and problems. The client reported feeling self-conscious about having the equipment in his living space because of privacy concerns. The mentor reported that VTC helped focus on questions and answers in goal-oriented conversations, was easier to schedule, and had the advantage of not requiring preparation of the house for in-person meetings. Reported disadvantages included feelings of camera shyness as well as impatience due to slow video transmission speed at times. The case coordinator also found VTC meetings easier to schedule and reported savings in travel time and expense. Reported disadvantages included reduced transmission quality and speed on some occasions. The cost break-even point for VTC was reached at 1 year with substitution of VTC sessions for half of weekly case coordinator home visits and 2 home visits per year by the coordinator's supervisor. Conclusion: VTC might be liberally substituted for in-person supervision visits in the context of an ongoing clinical relationship during community reintegration following TBI.},\n bibtype = {article},\n author = {McGrath, Neal PhD; Dowds, Murdo M. Jr PhD; Goldstein, Richard PhD},\n journal = {The Journal of Head Trauma Rehabilitation},\n number = {6}\n}
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\n Objective: To examine the use of video teleconferencing (VTC) technology in the supervision of a 41-year-old man with expressive aphasia during community reintegration in a host home setting 3 years after severe traumatic brain injury (TBI). Design: Using a 3-month A-B-A design, weekly VTC meetings were substituted for in-person visits by the client's case coordinator. Main outcome measures: Weekly ratings of satisfaction with the medium of communication used (VTC vs in-person meetings) by each participant. Results: The client and the case coordinator found VTC meetings to be as effective as face-to-face supervision visits for communication of clinical concerns and problems. The client reported feeling self-conscious about having the equipment in his living space because of privacy concerns. The mentor reported that VTC helped focus on questions and answers in goal-oriented conversations, was easier to schedule, and had the advantage of not requiring preparation of the house for in-person meetings. Reported disadvantages included feelings of camera shyness as well as impatience due to slow video transmission speed at times. The case coordinator also found VTC meetings easier to schedule and reported savings in travel time and expense. Reported disadvantages included reduced transmission quality and speed on some occasions. The cost break-even point for VTC was reached at 1 year with substitution of VTC sessions for half of weekly case coordinator home visits and 2 home visits per year by the coordinator's supervisor. Conclusion: VTC might be liberally substituted for in-person supervision visits in the context of an ongoing clinical relationship during community reintegration following TBI.\n
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\n \n \n\n \n \n \n \n Evidence for the effectiveness of multi-disciplinary rehabilitation following acquired brain injury: a synthesis of two systematic approaches.\n \n\n\n \n Turner-Stokes, L.\n \n\n\n \n\n\n\n Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine, 40(9): 691-701. 10 2008.\n \n\n\n\n
\n\n\n \n \n \n \"EvidenceWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Evidence for the effectiveness of multi-disciplinary rehabilitation following acquired brain injury: a synthesis of two systematic approaches.},\n type = {article},\n year = {2008},\n identifiers = {[object Object]},\n keywords = {Adult,Brain Injuries,Brain Injuries: rehabilitation,Cost-Benefit Analysis,Evidence-Based Medicine,Humans,Interdisciplinary Communication,Outcome Assessment (Health Care),Program Evaluation},\n pages = {691-701},\n volume = {40},\n websites = {http://www.ncbi.nlm.nih.gov/pubmed/18843419},\n month = {10},\n id = {c32bd9e8-5a0d-3c73-8b18-9f0c260c0dc0},\n created = {2017-06-28T11:50:14.649Z},\n accessed = {2012-04-04},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:14.649Z},\n tags = {Costs,best practice},\n read = {true},\n starred = {true},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {To assimilate the published evidence for the effectiveness of multidisciplinary rehabilitation following acquired brain injury in adults of working age.},\n bibtype = {article},\n author = {Turner-Stokes, Lynne},\n journal = {Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine},\n number = {9}\n}
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\n To assimilate the published evidence for the effectiveness of multidisciplinary rehabilitation following acquired brain injury in adults of working age.\n
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\n \n \n\n \n \n \n \n NEUROLOGICAL REHABILITATION A Briefing Paper for Commissioners of Clinical Neurosciences.\n \n\n\n \n BSRM\n \n\n\n \n\n\n\n (July): 1-8. 2008.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {NEUROLOGICAL REHABILITATION A Briefing Paper for Commissioners of Clinical Neurosciences},\n type = {article},\n year = {2008},\n pages = {1-8},\n id = {de50fc73-3c5b-3491-abc7-1c88452e880c},\n created = {2017-06-28T11:50:15.096Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:15.096Z},\n tags = {Costs,challenging_behaviour},\n read = {true},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n bibtype = {article},\n author = {BSRM, undefined},\n number = {July}\n}
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\n \n \n\n \n \n \n \n Perspectives of survivors of traumatic brain injury and their caregivers on long-term social integration.\n \n\n\n \n Lefebvre, H.; Cloutier, G.; and Josée Levert, M.\n \n\n\n \n\n\n\n Brain Injury, 22(7): 535-543. 2008.\n \n\n\n\n
\n\n\n \n \n \n \"PerspectivesWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Perspectives of survivors of traumatic brain injury and their caregivers on long-term social integration},\n type = {article},\n year = {2008},\n identifiers = {[object Object]},\n keywords = {adjustment,brain_injury,experiences,integration,social_integration,social_life,social_network,social_participation,social_relationships,survivors},\n pages = {535-543},\n volume = {22},\n websites = {http://dx.doi.org/10.1080/02699050802158243},\n publisher = {Informa Healthcare},\n id = {491586bf-a962-3487-bc4a-1493586d55c2},\n created = {2017-06-28T11:50:16.659Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:16.659Z},\n tags = {adjustment,brain_injury,experiences,integration,social_network,social_relationships,survivors},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:7298186},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {<i>Background</i>: Traumatic brain injury (TBI) has damaging impacts on victims and family members’ lives and their long-term social integration constitutes a major challenge. <i>Purpose</i>: The objective of the study was to document the repercussions of TBI on victims’ long-term social integration (10 years post-trauma) and the contribution made by the services received from the point of view of TBI victims and family caregivers. This article examines the determinants of long-term social integration as well as the impact of TBI on family caregivers. <i>Methods</i>: A qualitative design was used (semi-directed interviews). The sample consisted of 22 individuals who had sustained a moderate or severe TBI and 21 family caregivers. <i>Results</i>: The results show that TBI is an experience that continues to present difficulties, even 10 years after the accident, and that different barriers contribute to this difficulty: not going back to work, depressive episodes, problems in relationships and sequellae. Family caregivers must help TBI victims confront the barriers in their path. <i>Implications</i>: This study adopts a longitudinal perspective to help professionals determine how to intervene with TBI victims and their families. It validates the importance of having clients and family caregivers describe their reality.},\n bibtype = {article},\n author = {Lefebvre, Hélène and Cloutier, Geneviève and Josée Levert, Marie},\n journal = {Brain Injury},\n number = {7}\n}
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\n Background: Traumatic brain injury (TBI) has damaging impacts on victims and family members’ lives and their long-term social integration constitutes a major challenge. Purpose: The objective of the study was to document the repercussions of TBI on victims’ long-term social integration (10 years post-trauma) and the contribution made by the services received from the point of view of TBI victims and family caregivers. This article examines the determinants of long-term social integration as well as the impact of TBI on family caregivers. Methods: A qualitative design was used (semi-directed interviews). The sample consisted of 22 individuals who had sustained a moderate or severe TBI and 21 family caregivers. Results: The results show that TBI is an experience that continues to present difficulties, even 10 years after the accident, and that different barriers contribute to this difficulty: not going back to work, depressive episodes, problems in relationships and sequellae. Family caregivers must help TBI victims confront the barriers in their path. Implications: This study adopts a longitudinal perspective to help professionals determine how to intervene with TBI victims and their families. It validates the importance of having clients and family caregivers describe their reality.\n
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\n  \n 2007\n \n \n (6)\n \n \n
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\n \n \n\n \n \n \n \n Politics, policy and payment--facilitators or barriers to person-centred rehabilitation?.\n \n\n\n \n Turner-Stokes, L.\n \n\n\n \n\n\n\n Disability and rehabilitation, 29(20-21): 1575-1582. 2007.\n \n\n\n\n
\n\n\n \n \n \n \"Politics,Website\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Politics, policy and payment--facilitators or barriers to person-centred rehabilitation?},\n type = {article},\n year = {2007},\n identifiers = {[object Object]},\n keywords = {cost,costs},\n pages = {1575-1582},\n volume = {29},\n websites = {http://dx.doi.org/10.1080/09638280701618851},\n id = {0836111c-e8e2-3ae6-9fa3-837be1b21965},\n created = {2017-06-28T11:50:06.944Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:06.944Z},\n tags = {Costs,cost},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:9096240},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {AIMS: This paper explores the tensions between politics and payment in providing affordable services that satisfy the public demand for patient-centred care. KEY FINDINGS AND IMPLICATIONS: The two main approaches taken by the UK Government to curtail the spiralling costs of healthcare have been to focus development in priority areas and to cap spending through the introduction of a fixed-tariff episode-based funding system. The National Service Framework for Long Term Neurological Conditions embraces many laudable principles of person-centred management, but the 'one-size-fits all' approach to reimbursement potentially cuts right across these. A series of tools have been developed to determine complexity of rehabilitation needs that will support the development of banded tariffs. A practical approach is also offered to demonstrate the cost-efficiency of rehabilitation services for people with complex needs, and help to ensure that they are not excluded from treatment because of their higher treatment costs. CONCLUSIONS: Whilst responding to public demand for person-centred care, we must recognize the current financial pressure on healthcare systems. Clinicians will have greater credibility if they routinely collect and share outcomes that demonstrate the economic benefits of intervention, as well the impact on health, function and quality of life.},\n bibtype = {article},\n author = {Turner-Stokes, Lynne},\n journal = {Disability and rehabilitation},\n number = {20-21}\n}
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\n AIMS: This paper explores the tensions between politics and payment in providing affordable services that satisfy the public demand for patient-centred care. KEY FINDINGS AND IMPLICATIONS: The two main approaches taken by the UK Government to curtail the spiralling costs of healthcare have been to focus development in priority areas and to cap spending through the introduction of a fixed-tariff episode-based funding system. The National Service Framework for Long Term Neurological Conditions embraces many laudable principles of person-centred management, but the 'one-size-fits all' approach to reimbursement potentially cuts right across these. A series of tools have been developed to determine complexity of rehabilitation needs that will support the development of banded tariffs. A practical approach is also offered to demonstrate the cost-efficiency of rehabilitation services for people with complex needs, and help to ensure that they are not excluded from treatment because of their higher treatment costs. CONCLUSIONS: Whilst responding to public demand for person-centred care, we must recognize the current financial pressure on healthcare systems. Clinicians will have greater credibility if they routinely collect and share outcomes that demonstrate the economic benefits of intervention, as well the impact on health, function and quality of life.\n
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\n \n \n\n \n \n \n \n A pilot study for rehabilitation of central executive deficits after traumatic brain injury.\n \n\n\n \n Serino, A.; Ciaramelli, E.; Santantonio, A., D.; Malagù, S.; Servadei, F.; and Làdavas, E.\n \n\n\n \n\n\n\n Brain Inj, 21(1): 11-19. 1 2007.\n \n\n\n\n
\n\n\n \n \n \n \"AWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {A pilot study for rehabilitation of central executive deficits after traumatic brain injury.},\n type = {article},\n year = {2007},\n identifiers = {[object Object]},\n pages = {11-19},\n volume = {21},\n websites = {http://dx.doi.org/10.1080/02699050601151811},\n month = {1},\n city = {Dipartimento di Psicologia, Università degli Studi di Bologna.},\n id = {7d441455-9666-30bd-b4c9-eb51457b9664},\n created = {2017-06-28T11:50:11.919Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:11.919Z},\n tags = {attention},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:1286278},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {PRIMARY OBJECTIVE: An impairment of the central executive system (CES) of working memory (WM) is a common consequence of traumatic brain injury (TBI), and may also explain deficits in divided attention, long-term memory and executive functions. Here we investigated the efficacy of a rehabilitative program (working memory training: WMT) targeting the CES in improving WM and other cognitive functions dependent on this system. METHODS AND PROCEDURES: Nine TBI patients with severe WM deficits underwent the WMT (experimental training). The WMT was preceded by a general stimulation training (GST; control training). Patients' cognitive performance was evaluated at the admission, after the GST and at the end of the WMT. MAIN OUTCOMES AND RESULTS: Whereas the GST had no effect on patients' performance, after the WMT patients improved in all the cognitive functions dependent on the CES, but not in those functions not thought to tap this system. Importantly, a beneficial WMT effect was found on patients' everyday life functioning. CONCLUSIONS: The results support the efficacy of the WMT in recovering CES impairments.},\n bibtype = {article},\n author = {Serino, A and Ciaramelli, E and Santantonio, AD D and Malagù, S and Servadei, F and Làdavas, E},\n journal = {Brain Inj},\n number = {1}\n}
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\n PRIMARY OBJECTIVE: An impairment of the central executive system (CES) of working memory (WM) is a common consequence of traumatic brain injury (TBI), and may also explain deficits in divided attention, long-term memory and executive functions. Here we investigated the efficacy of a rehabilitative program (working memory training: WMT) targeting the CES in improving WM and other cognitive functions dependent on this system. METHODS AND PROCEDURES: Nine TBI patients with severe WM deficits underwent the WMT (experimental training). The WMT was preceded by a general stimulation training (GST; control training). Patients' cognitive performance was evaluated at the admission, after the GST and at the end of the WMT. MAIN OUTCOMES AND RESULTS: Whereas the GST had no effect on patients' performance, after the WMT patients improved in all the cognitive functions dependent on the CES, but not in those functions not thought to tap this system. Importantly, a beneficial WMT effect was found on patients' everyday life functioning. CONCLUSIONS: The results support the efficacy of the WMT in recovering CES impairments.\n
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\n \n \n\n \n \n \n \n Using electronic aids to daily living after acquired brain injury: A study of the learning process and the usability.\n \n\n\n \n Boman, I., -.; Tham, K.; Granqvist, a.; Bartfai, a.; and Hemmingsson, H.\n \n\n\n \n\n\n\n Disability & Rehabilitation: Assistive Technology, 2(1): 23-33. 1 2007.\n \n\n\n\n
\n\n\n \n \n \n \"UsingWebsite\n  \n \n\n \n\n bibtex \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Using electronic aids to daily living after acquired brain injury: A study of the learning process and the usability},\n type = {article},\n year = {2007},\n identifiers = {[object Object]},\n keywords = {assistive technology,brain injury,electronic aids to daily,home environment,living,memory impairment},\n pages = {23-33},\n volume = {2},\n websites = {http://informahealthcare.com/doi/abs/10.1080/17483100600856213},\n month = {1},\n id = {0918ebef-f8fd-3d90-a261-49a76b470e32},\n created = {2017-06-28T11:50:13.842Z},\n accessed = {2012-07-10},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.842Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n bibtype = {article},\n author = {Boman, I. -L. and Tham, K. and Granqvist, a. and Bartfai, a. and Hemmingsson, H.},\n journal = {Disability & Rehabilitation: Assistive Technology},\n number = {1}\n}
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\n \n \n\n \n \n \n \n Community reintegration following acquired brain injury.\n \n\n\n \n McCabe, P.; Lippert, C.; Weiser, M.; Hilditch, M.; Hartridge, C.; and Villamere, J.\n \n\n\n \n\n\n\n Brain Inj, 21(2): 231-257. 1 2007.\n \n\n\n\n
\n\n\n \n \n \n \"CommunityWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Community reintegration following acquired brain injury},\n type = {article},\n year = {2007},\n identifiers = {[object Object]},\n keywords = {community,community_rehabilitation,reintegration},\n pages = {231-257},\n volume = {21},\n websites = {http://dx.doi.org/10.1080/02699050701201631,http://www.informahealthcare.com/doi/abs/10.1080/02699050701201631},\n month = {1},\n publisher = {Informa Allied Health},\n day = {1},\n id = {4eebe9e1-cf2a-3b67-b7a7-49b6a4e7f2c4},\n created = {2017-06-28T11:50:14.338Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:14.338Z},\n tags = {communities,community_based_rehabilitation,reintegration},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:10247074},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Objective: To evaluate the interventions and strategies used to enable transition from acute care or post-acute rehabilitation to the community following brain injury. Methods and main outcomes: A systematic review of the literature from 1980?2005 was conducted focusing on ABI rehabilitation. Five major aspects of community reintegration, including: independence and social integration, caregiver burden, satisfaction with quality of life, productivity and return to driving were considered. Results: With the exception of one, the majority of interventions are supported by only limited evidence, denoting an absence of randomized controlled trials (RCTs) in the literature. Of 38 studies evaluated for this review, only one RCT was found. That RCT provided moderate evidence that behavioural management, coupled with caregiver education, did not help to improve caregiver burden. Conclusions:Further research, using an interventional approach, is required to advance the evidence base of reintegration into the community following brain injury.},\n bibtype = {article},\n author = {McCabe, Pat and Lippert, Corbin and Weiser, Margaret and Hilditch, Maureen and Hartridge, Cheryl and Villamere, James},\n journal = {Brain Inj},\n number = {2}\n}
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\n Objective: To evaluate the interventions and strategies used to enable transition from acute care or post-acute rehabilitation to the community following brain injury. Methods and main outcomes: A systematic review of the literature from 1980?2005 was conducted focusing on ABI rehabilitation. Five major aspects of community reintegration, including: independence and social integration, caregiver burden, satisfaction with quality of life, productivity and return to driving were considered. Results: With the exception of one, the majority of interventions are supported by only limited evidence, denoting an absence of randomized controlled trials (RCTs) in the literature. Of 38 studies evaluated for this review, only one RCT was found. That RCT provided moderate evidence that behavioural management, coupled with caregiver education, did not help to improve caregiver burden. Conclusions:Further research, using an interventional approach, is required to advance the evidence base of reintegration into the community following brain injury.\n
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\n \n \n\n \n \n \n \n The efficacy of acquired brain injury rehabilitation.\n \n\n\n \n Cullen, N.; Chundamala, J.; Bayley, M.; and Jutai, J.\n \n\n\n \n\n\n\n Brain Inj, 21(2): 113-132. 1 2007.\n \n\n\n\n
\n\n\n \n \n \n \"TheWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {The efficacy of acquired brain injury rehabilitation},\n type = {article},\n year = {2007},\n identifiers = {[object Object]},\n keywords = {cost_benefit,costs,rehabilitation},\n pages = {113-132},\n volume = {21},\n websites = {http://www.informahealthcare.com/doi/abs/10.1080/02699050701201540,http://dx.doi.org/10.1080/02699050701201540},\n month = {1},\n publisher = {Informa Allied Health},\n day = {1},\n id = {85961e0b-d1d4-3b8e-a86a-0dd7d3787cec},\n created = {2017-06-28T11:50:15.721Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:15.721Z},\n tags = {Costs,cost_benefit,rehabilitation},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:2387359},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Objective: The purpose of this review was to investigate the efficacy of rehabilitation interventions in acquired brain injury (ABI) rehabilitation to provide guidance for clinical practice based on the best available evidence. Methods and main outcomes: A systematic review of the literature from 1980?2005 was conducted focusing on rehabilitation interventions for ABI. The efficacy of a given intervention was classified as strong (supported by at least two randomized controlled trials (RCTs)), moderate (supported by a single RCT), or limited (supported by other types of studies in the absence of RCTs). Results: The majority of interventions were only supported by limited evidence. However, there is moderate evidence that inpatient rehabilitation results in successful return to work and return to duty for the majority of military service members, increasing the intensity of rehabilitation reduces length of stay and improves short-term functional outcomes, and that direct patient involvement in neurorehabilitation goal setting results in significant improvements in reaching and maintaining those goals. Conclusions: There is a need for studies of improved methodological quality into ABI rehabilitation.},\n bibtype = {article},\n author = {Cullen, Nora and Chundamala, Josie and Bayley, Mark and Jutai, Jeffrey},\n journal = {Brain Inj},\n number = {2}\n}
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\n Objective: The purpose of this review was to investigate the efficacy of rehabilitation interventions in acquired brain injury (ABI) rehabilitation to provide guidance for clinical practice based on the best available evidence. Methods and main outcomes: A systematic review of the literature from 1980?2005 was conducted focusing on rehabilitation interventions for ABI. The efficacy of a given intervention was classified as strong (supported by at least two randomized controlled trials (RCTs)), moderate (supported by a single RCT), or limited (supported by other types of studies in the absence of RCTs). Results: The majority of interventions were only supported by limited evidence. However, there is moderate evidence that inpatient rehabilitation results in successful return to work and return to duty for the majority of military service members, increasing the intensity of rehabilitation reduces length of stay and improves short-term functional outcomes, and that direct patient involvement in neurorehabilitation goal setting results in significant improvements in reaching and maintaining those goals. Conclusions: There is a need for studies of improved methodological quality into ABI rehabilitation.\n
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\n \n \n\n \n \n \n \n The development of self-awareness of deficits from 1 week to 1 year after traumatic brain injury: preliminary findings.\n \n\n\n \n Dirette, D., K.; and Plaisier, B., R.\n \n\n\n \n\n\n\n Brain injury : [BI], 21(11): 1131-1136. 10 2007.\n \n\n\n\n
\n\n\n \n \n \n \"TheWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {The development of self-awareness of deficits from 1 week to 1 year after traumatic brain injury: preliminary findings.},\n type = {article},\n year = {2007},\n identifiers = {[object Object]},\n keywords = {self-awareness},\n pages = {1131-1136},\n volume = {21},\n websites = {http://dx.doi.org/10.1080/02699050701687326},\n month = {10},\n id = {b90e52d8-5b7d-3a68-b12e-b31b7bf4f14a},\n created = {2017-06-28T11:50:16.147Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:16.147Z},\n tags = {self_awareness},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:10681284},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {To examine the process of recovery of self-awareness with consideration for the variables of severity of injury and deficit factors. A longitudinal, descriptive design was used. Eighteen participants and their significant others were interviewed using the Awareness Questionnaire at 1 week, 1 month, 4 months and 1 year post-injury. Participants differed in self-awareness according to severity of injury, deficit factors and time post-injury. Overall, participants with mild TBI demonstrated better self-awareness. There was a significant interaction effect between severity of injury and time post-injury. Reduced self-awareness of cognitive deficits was noted for the participants with moderate and severe TBI. Time post-injury, severity of injury and deficit factors are confounding variables in the study of self-awareness.},\n bibtype = {article},\n author = {Dirette, Diane K and Plaisier, Brian R},\n journal = {Brain injury : [BI]},\n number = {11}\n}
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\n To examine the process of recovery of self-awareness with consideration for the variables of severity of injury and deficit factors. A longitudinal, descriptive design was used. Eighteen participants and their significant others were interviewed using the Awareness Questionnaire at 1 week, 1 month, 4 months and 1 year post-injury. Participants differed in self-awareness according to severity of injury, deficit factors and time post-injury. Overall, participants with mild TBI demonstrated better self-awareness. There was a significant interaction effect between severity of injury and time post-injury. Reduced self-awareness of cognitive deficits was noted for the participants with moderate and severe TBI. Time post-injury, severity of injury and deficit factors are confounding variables in the study of self-awareness.\n
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\n  \n 2006\n \n \n (11)\n \n \n
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\n \n \n\n \n \n \n \n A systematic review of brain injury epidemiology in Europe.\n \n\n\n \n Tagliaferri, F.; Compagnone, C.; Korsic, M.; Servadei, F.; and Kraus, J.\n \n\n\n \n\n\n\n Acta neurochirurgica, 148(3): 255-268. 3 2006.\n \n\n\n\n
\n\n\n \n \n \n \"AWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {A systematic review of brain injury epidemiology in Europe.},\n type = {article},\n year = {2006},\n identifiers = {[object Object]},\n keywords = {epidemiology,incidence,incidence_rates,lifetime_prevalence,prevalence,prevalence_data,prevalence_rates,statistics},\n pages = {255-268},\n volume = {148},\n websites = {http://dx.doi.org/10.1007/s00701-005-0651-y,http://www.springerlink.com/content/ph54543306435964},\n month = {3},\n day = {1},\n id = {641dacfa-f26c-3de9-a089-788536970d59},\n created = {2017-06-28T11:50:10.447Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:10.447Z},\n tags = {epidemiology,incidence,incidence_rates,lifetime_prevalence,prevalence,prevalence_data,prevalence_rates,statistics},\n read = {true},\n starred = {true},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:7134627},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {It was difficult to reach a consensus on all epidemiological findings across the 23 published European studies because of critical differences in methods employed across the reports. We highly recommend the development of research guidelines to standardize definitional, case finding, and data reporting parameters to help establish a more precise description and hence utility of the epidemiology of TBI in Europe.},\n bibtype = {article},\n author = {Tagliaferri, F and Compagnone, C and Korsic, M and Servadei, F and Kraus, J},\n journal = {Acta neurochirurgica},\n number = {3}\n}
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\n It was difficult to reach a consensus on all epidemiological findings across the 23 published European studies because of critical differences in methods employed across the reports. We highly recommend the development of research guidelines to standardize definitional, case finding, and data reporting parameters to help establish a more precise description and hence utility of the epidemiology of TBI in Europe.\n
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\n \n \n\n \n \n \n \n Psychosocial outcomes 1-7 years after comprehensive milieu-oriented neurorehabilitation: the role of pre-injury status.\n \n\n\n \n Klonoff, P., S.; Watt, L., M.; Dawson, L., K.; Henderson, S., W.; Gehrels, J., A.; and Wethe, J., V.\n \n\n\n \n\n\n\n Brain Inj., 20: 601-612. 2006.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Psychosocial outcomes 1-7 years after comprehensive milieu-oriented neurorehabilitation: the role of pre-injury status},\n type = {article},\n year = {2006},\n keywords = {*file-import-11-08-09,evidence},\n pages = {601-612},\n volume = {20},\n id = {383136c2-d021-3cff-8b04-f56f5f4c11b6},\n created = {2017-06-28T11:50:12.414Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:12.414Z},\n tags = {evidence},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {klonoff2006psychosocial},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n bibtype = {article},\n author = {Klonoff, P. S. and Watt, L. M. and Dawson, L. K. and Henderson, S. W. and Gehrels, J. A. and Wethe, J. V.},\n journal = {Brain Inj.}\n}
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\n \n \n\n \n \n \n \n Telehealth : Clinical Guidelines and Technical Standards for Telerehabilitation.\n \n\n\n \n AETMIS\n \n\n\n \n\n\n\n . 2006.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Telehealth : Clinical Guidelines and Technical Standards for Telerehabilitation},\n type = {article},\n year = {2006},\n id = {dedb93ff-f12d-3538-a866-c80965b53398},\n created = {2017-06-28T11:50:12.943Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:12.943Z},\n tags = {canada,telerehabilitation},\n read = {true},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n bibtype = {article},\n author = {AETMIS, undefined}\n}
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\n \n \n\n \n \n \n \n Effectiveness of vocational rehabilitation following acquired brain injury: Preliminary evaluation of a UK specialist rehabilitation programme; Brain Injury - 20(11):Pages 1119-1129 - Informa Healthcare.\n \n\n\n \n Murphy, L.; Chamberlain, E.; Weir, J.; Berry, A.; Nathaniel-James, D.; and Agnew, R.\n \n\n\n \n\n\n\n Brain Injury, 20(11): 1119-1129. 2006.\n \n\n\n\n
\n\n\n \n \n \n \"EffectivenessWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Effectiveness of vocational rehabilitation following acquired brain injury: Preliminary evaluation of a UK specialist rehabilitation programme; Brain Injury - 20(11):Pages 1119-1129 - Informa Healthcare},\n type = {article},\n year = {2006},\n keywords = {effectiveness,vocational_rehabilitation},\n pages = {1119-1129},\n volume = {20},\n websites = {http://informahealthcare.com/doi/abs/10.1080/02699050600664335},\n id = {3fbf497b-2731-353c-887e-92277a4789de},\n created = {2017-06-28T11:50:13.837Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.837Z},\n tags = {effectiveness,vocational_rehabilitation},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:6209623},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Primary objective: To report the outcome of 232 clients undertaking Rehab UKs Vocational Rehabilitation Programme, over three consecutive years, in three centres across the UK.\n\nMethods and procedures: Data regarding demographic characteristics of participants, type and severity of acquired brain injury were collected on admission to the programme. The duration of the vocational programme and occupational status on discharge is also reported.\n\nInterventions: A description of the vocational programme is given including selection and admission criteria, main components of the programme, monitoring and evaluation frameworks.\n\nResults: Forty-one per cent of participants were discharged into paid competitive employment, with a further 16% gaining voluntary work and 15% taking up mainstream training or education. The remaining 28% were referred to other services or withdrew from the programme.\n\nConclusions: Vocational rehabilitation offering educational and experiential learning opportunities is effective in enabling participants with severe acquired brain injuries to return to paid employment.},\n bibtype = {article},\n author = {Murphy, Lesley and Chamberlain, Elaine and Weir, Jim and Berry, Alister and Nathaniel-James, David and Agnew, Robert},\n journal = {Brain Injury},\n number = {11}\n}
\n
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\n Primary objective: To report the outcome of 232 clients undertaking Rehab UKs Vocational Rehabilitation Programme, over three consecutive years, in three centres across the UK.\n\nMethods and procedures: Data regarding demographic characteristics of participants, type and severity of acquired brain injury were collected on admission to the programme. The duration of the vocational programme and occupational status on discharge is also reported.\n\nInterventions: A description of the vocational programme is given including selection and admission criteria, main components of the programme, monitoring and evaluation frameworks.\n\nResults: Forty-one per cent of participants were discharged into paid competitive employment, with a further 16% gaining voluntary work and 15% taking up mainstream training or education. The remaining 28% were referred to other services or withdrew from the programme.\n\nConclusions: Vocational rehabilitation offering educational and experiential learning opportunities is effective in enabling participants with severe acquired brain injuries to return to paid employment.\n
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\n \n \n\n \n \n \n \n Cost-benefits associated with social outcome from neurobehavioural rehabilitation.\n \n\n\n \n Worthington, A., D.; Matthews, S.; Melia, Y.; and Oddy, M.\n \n\n\n \n\n\n\n Brain injury : [BI], 20(9): 947-957. 8 2006.\n \n\n\n\n
\n\n\n \n \n \n \"Cost-benefitsWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Cost-benefits associated with social outcome from neurobehavioural rehabilitation.},\n type = {article},\n year = {2006},\n identifiers = {[object Object]},\n keywords = {cost_benefit,neurobehavioural_rehabilitation,rehabilitation_outcomes},\n pages = {947-957},\n volume = {20},\n websites = {http://dx.doi.org/10.1080/02699050600888314},\n month = {8},\n id = {2e57da4e-c363-3b4d-a99a-497684ff7605},\n created = {2017-06-28T11:50:14.235Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:14.235Z},\n tags = {Costs,cost_benefit,neurobehavioural_rehabilitation,rehabilitation_outcomes},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:10552196},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {To carry out a clinical and cost-outcome evaluation of a neurobehavioural post-acute rehabilitation programme in the UK. The study was a multi-centre prospective cohort study of adults with acquired brain injury admitted for residential rehabilitation. Comprehensive data were collected on type of residence, amount and type of care, functional independence, engagement in constructive occupation and participation in social roles. Data were gathered on admission relating to individuals' levels of care and functioning, both pre-morbidly and at the time of admission (pre-rehabilitation). Additional information about functioning was collected upon discharge (post-rehabilitation). Follow-up data was collated in person, by telephone or by post after an average of 18 months by a researcher who was blind to the rehabilitation outcomes. The data were analysed in terms of clinical outcomes and support costs. Savings in costs of care or support were calculated on the basis of difference between pre-rehabilitation and follow-up support costs minus the costs of rehabilitation. Significant gains were evident at discharge and follow-up in virtually all indices of social outcome. Improvements were recorded in type of accommodation, levels of care, functional ability, productive occupation and performance of social roles. Patients admitted within 1 year of injury made the most progress, but improvements were made regardless of time since injury. Patients continued to benefit from rehabilitation well beyond the period when most natural recovery would take place. Economic calculations suggested that the initial costs of rehabilitation are generally offset by savings in care costs within 2 years. Sensitivity analysis on estimated savings in care costs yielded projected lifetime savings of between Pounds 1.1-0.8 M for persons admitted for rehabilitation within 12 months of injury, Pounds 0.7- Pounds 0.5 M within 2 years of injury and Pounds 0.5-0.36 M for admissions after 2 years. Specialist rehabilitation for neurobehavioural disability produces comprehensive and sustainable improvements in the life of individuals with brain injury. The initial costs associated with neurobehavioural rehabilitation are offset by savings in costs of support in the medium and longer term.},\n bibtype = {article},\n author = {Worthington, Andrew D and Matthews, Sarah and Melia, Yvonne and Oddy, Michael},\n journal = {Brain injury : [BI]},\n number = {9}\n}
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\n To carry out a clinical and cost-outcome evaluation of a neurobehavioural post-acute rehabilitation programme in the UK. The study was a multi-centre prospective cohort study of adults with acquired brain injury admitted for residential rehabilitation. Comprehensive data were collected on type of residence, amount and type of care, functional independence, engagement in constructive occupation and participation in social roles. Data were gathered on admission relating to individuals' levels of care and functioning, both pre-morbidly and at the time of admission (pre-rehabilitation). Additional information about functioning was collected upon discharge (post-rehabilitation). Follow-up data was collated in person, by telephone or by post after an average of 18 months by a researcher who was blind to the rehabilitation outcomes. The data were analysed in terms of clinical outcomes and support costs. Savings in costs of care or support were calculated on the basis of difference between pre-rehabilitation and follow-up support costs minus the costs of rehabilitation. Significant gains were evident at discharge and follow-up in virtually all indices of social outcome. Improvements were recorded in type of accommodation, levels of care, functional ability, productive occupation and performance of social roles. Patients admitted within 1 year of injury made the most progress, but improvements were made regardless of time since injury. Patients continued to benefit from rehabilitation well beyond the period when most natural recovery would take place. Economic calculations suggested that the initial costs of rehabilitation are generally offset by savings in care costs within 2 years. Sensitivity analysis on estimated savings in care costs yielded projected lifetime savings of between Pounds 1.1-0.8 M for persons admitted for rehabilitation within 12 months of injury, Pounds 0.7- Pounds 0.5 M within 2 years of injury and Pounds 0.5-0.36 M for admissions after 2 years. Specialist rehabilitation for neurobehavioural disability produces comprehensive and sustainable improvements in the life of individuals with brain injury. The initial costs associated with neurobehavioural rehabilitation are offset by savings in costs of support in the medium and longer term.\n
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\n \n \n\n \n \n \n \n A Community Practice Model for Community Psychologists and Some Examples of the Application of Community Practice Skills from the Partnerships for Success Initiative in Ohio.\n \n\n\n \n Julian; and David\n \n\n\n \n\n\n\n American Journal of Community Psychology, 37(1-2): 21-27. 3 2006.\n \n\n\n\n
\n\n\n \n \n \n \"AWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {A Community Practice Model for Community Psychologists and Some Examples of the Application of Community Practice Skills from the Partnerships for Success Initiative in Ohio},\n type = {article},\n year = {2006},\n identifiers = {[object Object]},\n keywords = {community,model},\n pages = {21-27},\n volume = {37},\n websites = {http://dx.doi.org/10.1007/s10464-005-9004-5},\n month = {3},\n publisher = {Springer},\n day = {18},\n city = {The Center for Learning Excellence, The Ohio State University, 807 Kinnear Road, Columbus, Ohio, 43212, USA, julian.3@osu.edu.},\n id = {41c397d2-52ce-3959-a731-6beb11a01f07},\n created = {2017-06-28T11:50:14.693Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:14.693Z},\n tags = {communities,model},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:524830},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {This paper provides an opportunity to consider the concept of community practice from the vantage point of community psychology. The author argues that community psychology has significant potential to change organizations, communities, and other settings to benefit setting occupants. However, it is the author's contention that the full realization of this potential is contingent upon an organized effort to engage in formal community practice. The author defines community practice in terms of four skill sets related to mobilization, planning, implementation, and evaluation. The author also describes settings that might support community practice and discusses implications for training and the field of community psychology in general. Finally, the author illustrates several community practice skills and roles in the context of a local community-based initiative in Ohio called Partnerships for Success.},\n bibtype = {article},\n author = {Julian, undefined and David, undefined},\n journal = {American Journal of Community Psychology},\n number = {1-2}\n}
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\n This paper provides an opportunity to consider the concept of community practice from the vantage point of community psychology. The author argues that community psychology has significant potential to change organizations, communities, and other settings to benefit setting occupants. However, it is the author's contention that the full realization of this potential is contingent upon an organized effort to engage in formal community practice. The author defines community practice in terms of four skill sets related to mobilization, planning, implementation, and evaluation. The author also describes settings that might support community practice and discusses implications for training and the field of community psychology in general. Finally, the author illustrates several community practice skills and roles in the context of a local community-based initiative in Ohio called Partnerships for Success.\n
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\n \n \n\n \n \n \n \n Cognitive functioning and postconcussive symptoms in trauma patients with and without mild TBI.\n \n\n\n \n Landre, N.; Poppe, C., J.; Davis, N.; Schmaus, B.; and Hobbs, S., E.\n \n\n\n \n\n\n\n Arch Clin Neuropsychol, 21(4): 255-273. 5 2006.\n \n\n\n\n
\n\n\n \n \n \n \"CognitiveWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Cognitive functioning and postconcussive symptoms in trauma patients with and without mild TBI.},\n type = {article},\n year = {2006},\n identifiers = {[object Object]},\n pages = {255-273},\n volume = {21},\n websites = {http://dx.doi.org/10.1016/j.acn.2005.12.007},\n month = {5},\n city = {Neuropsychology Service, Parkside Building, Suite 690, Advocate Lutheran General Hospital, 1775 Dempster Street, Park Ridge, IL 60068, United States. Nancy.Landre@advocatehealth.com},\n id = {19ee75a1-229c-3635-97cb-994aea299a42},\n created = {2017-06-28T11:50:15.116Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:15.116Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:1286291},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Although there is a large body of research on mild traumatic brain injury (MTBI), the portion that pertains to acute patients (those less than 1 month postinjury) is relatively small and yields inconsistent findings. The potential contribution of non-neurological factors, such as pain and emotional distress, to the clinical picture in this population is also lacking. To address these issues, the cognitive performance and symptom complaints of 37 hospitalized MTBI subjects were compared to those of 39 hospitalized trauma subjects, averaging 4.5 days postinjury. MTBI subjects performed significantly worse on all cognitive measures, but did not differ from trauma subjects in their report of postconcussive symptoms. Analyses also revealed that cognitive performance was unrelated to pain severity and emotional distress. Postconcussive symptoms were similarly unrelated to pain severity, but were consistently related to emotional distress. Results are discussed in terms of their etiological and treatment implications.},\n bibtype = {article},\n author = {Landre, N and Poppe, CJ J and Davis, N and Schmaus, B and Hobbs, SE E},\n journal = {Arch Clin Neuropsychol},\n number = {4}\n}
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\n Although there is a large body of research on mild traumatic brain injury (MTBI), the portion that pertains to acute patients (those less than 1 month postinjury) is relatively small and yields inconsistent findings. The potential contribution of non-neurological factors, such as pain and emotional distress, to the clinical picture in this population is also lacking. To address these issues, the cognitive performance and symptom complaints of 37 hospitalized MTBI subjects were compared to those of 39 hospitalized trauma subjects, averaging 4.5 days postinjury. MTBI subjects performed significantly worse on all cognitive measures, but did not differ from trauma subjects in their report of postconcussive symptoms. Analyses also revealed that cognitive performance was unrelated to pain severity and emotional distress. Postconcussive symptoms were similarly unrelated to pain severity, but were consistently related to emotional distress. Results are discussed in terms of their etiological and treatment implications.\n
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\n \n \n\n \n \n \n \n Blood Alcohol Levels in Persons Who Died from Accidents and Suicide.\n \n\n\n \n Bedford, D.; O'Farrell, A.; and Howell, F.\n \n\n\n \n\n\n\n Irish Medical Journal, 99(3): 80-83. 2006.\n \n\n\n\n
\n\n\n \n \n \n \"BloodWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Blood Alcohol Levels in Persons Who Died from Accidents and Suicide},\n type = {article},\n year = {2006},\n identifiers = {[object Object]},\n keywords = {alcohol,blood_alcohol_levels,road_safety},\n pages = {80-83},\n volume = {99},\n websites = {http://www.imj.ie/Issue_detail.aspx?issueid=+&#38;pid=837&%2338;type=Papers},\n institution = {Department of Public Health, Health Service Executive North East Area, Railway Street, Navan, Co. Meath. declan.bedford@maile.hse.ie},\n id = {3c0da8e9-5219-369a-8063-d5c004bb1e50},\n created = {2017-06-28T11:50:15.405Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:15.405Z},\n tags = {alcohol,blood_alcohol_levels,road_safety},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:5973684},\n source_type = {citeulike:JOUR},\n medium = {Online paper},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Although it is known that alcohol is associated with a high proportion of fatal accidents and suicides, little information is available in Ireland on blood alcohol concentrations (BACs) of those who died. This study was undertaken to identity the (BACs) in persons who died as a result of suicide or injury. The study was a retrospective review of coroners' records to identify BACs in three counties in Ireland. All cases where the person died as a result of injury or suicide in 2001 and 2002 were included. There were 129 deaths eligible for inclusion. Of these, 98 (76%) were male, 55 (42.6%) were road traffic accidents (RTAs), 31 (24.0%) suicides, 12 (9.3%) substance misuse, 11 (8.5%) house fires and 20 (15.5%) others. Of the 55 who died as a result of RTAs, 22 (40%) had positive BACs ranging from 16mg/100 ml to 325 mg/100 ml. Of the 31 who died as a result of suicide, 28 (90.3%) were male. BACs were available for 29 (93.5%). Of these, 16 (55.5%) had alcohol detected. Persons aged less than 30 years were more likely to have alcohol in their blood (p < 0.002). The mean BAC for persons aged less than 30 was 191.5 mg/100 ml compared to 84.0 mg/100 ml for those aged 30 and over. The mean BAC for adults who died in house fires was 225.2 mg/100 ml. The high BACs in those who died as a result of suicide or injury reflect the high level of alcohol consumption and binge drinking in Ireland.},\n bibtype = {article},\n author = {Bedford, Declan and O'Farrell, A and Howell, F},\n journal = {Irish Medical Journal},\n number = {3}\n}
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\n Although it is known that alcohol is associated with a high proportion of fatal accidents and suicides, little information is available in Ireland on blood alcohol concentrations (BACs) of those who died. This study was undertaken to identity the (BACs) in persons who died as a result of suicide or injury. The study was a retrospective review of coroners' records to identify BACs in three counties in Ireland. All cases where the person died as a result of injury or suicide in 2001 and 2002 were included. There were 129 deaths eligible for inclusion. Of these, 98 (76%) were male, 55 (42.6%) were road traffic accidents (RTAs), 31 (24.0%) suicides, 12 (9.3%) substance misuse, 11 (8.5%) house fires and 20 (15.5%) others. Of the 55 who died as a result of RTAs, 22 (40%) had positive BACs ranging from 16mg/100 ml to 325 mg/100 ml. Of the 31 who died as a result of suicide, 28 (90.3%) were male. BACs were available for 29 (93.5%). Of these, 16 (55.5%) had alcohol detected. Persons aged less than 30 years were more likely to have alcohol in their blood (p < 0.002). The mean BAC for persons aged less than 30 was 191.5 mg/100 ml compared to 84.0 mg/100 ml for those aged 30 and over. The mean BAC for adults who died in house fires was 225.2 mg/100 ml. The high BACs in those who died as a result of suicide or injury reflect the high level of alcohol consumption and binge drinking in Ireland.\n
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\n \n \n\n \n \n \n \n Helmets for preventing head and facial injuries in bicyclists.\n \n\n\n \n Thompson, D., C.; Rivara, F.; and Thompson, R.\n \n\n\n \n\n\n\n Cochrane Database of Systematic Reviews, (4). 2006.\n \n\n\n\n
\n\n\n \n \n \n \"HelmetsWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Helmets for preventing head and facial injuries in bicyclists},\n type = {article},\n year = {2006},\n identifiers = {[object Object]},\n keywords = {bicycle_helmets,cycle_helmets,cyclists},\n websites = {http://www.cochrane.org/reviews/en/ab001855.html},\n id = {1ff9e59f-58f5-341e-a681-b7b7f6e299f5},\n created = {2017-06-28T11:50:15.419Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:15.419Z},\n tags = {bicycle_helmets,cycle_helmets,cyclists},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {DOI: 10.1002/14651858.CD001855},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {BackgroundEach year, in the United States, approximately 900 persons die from injuries due to bicycle crashes and over 500,000 persons are treated in emergency departments. Head injury is by far the greatest risk posed to bicyclists, comprising one-third of emergency department visits, two-thirds of hospital admissions, and three-fourths of deaths. Facial injuries to cyclists occur at a rate nearly identical to that of head injuries. Although it makes inherent sense that helmets would be protective against head injury, establishing the real-world effectiveness of helmets is important.ObjectivesTo determine whether bicycle helmets reduce head, brain and facial injury for bicyclists of all ages involved in a bicycle crash or fall.Search strategyWe searched CENTRAL, MEDLINE, EMBASE, Sport, ERIC, NTIS, Expanded Academic Index, CINAHL, PsycINFO, Occupational Safety and Health, and Dissertations Abstracts. We checked reference lists of past reviews and review articles, studies from government agencies in the United States, Europe and Australia, and contacted colleagues from the International Society for Child and Adolescent Injury Prevention, World Injury Network, CDC-funded Injury Control and Research Centers, and staff in injury research agencies around the world. The searches were last updated in November 2006.Selection criteriaControlled studies that evaluated the effect of helmet use in a population of bicyclists who had experienced a crash. We required studies to have complete outcome ascertainment, accurate exposure measurement, appropriate selection of the comparison group and elimination or control of factors such as selection bias, observation bias and confounding.Data collection and analysisTwo authors independently extracted data. Odds ratios with 95% confidence intervals were calculated for the protective effect of helmets for head and facial injuries. Study results are presented individually. Head and brain injury results were also summarized using meta-analysis techniques.Main resultsWe found no randomized controlled trials, but five well conducted case-control studies met our inclusion criteria. Helmets provide a 63 to 88% reduction in the risk of head, brain and severe brain injury for all ages of bicyclists. Helmets provide equal levels of protection for crashes involving motor vehicles (69%) and crashes from all other causes (68%). Injuries to the upper and mid facial areas are reduced 65%.Authors' conclusionsHelmets reduce bicycle-related head and facial injuries for bicyclists of all ages involved in all types of crashes, including those involving motor vehicles. Our response to comments from critics are presented in the Feedback section.},\n bibtype = {article},\n author = {Thompson, DC C and Rivara, F and Thompson, R},\n journal = {Cochrane Database of Systematic Reviews},\n number = {4}\n}
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\n BackgroundEach year, in the United States, approximately 900 persons die from injuries due to bicycle crashes and over 500,000 persons are treated in emergency departments. Head injury is by far the greatest risk posed to bicyclists, comprising one-third of emergency department visits, two-thirds of hospital admissions, and three-fourths of deaths. Facial injuries to cyclists occur at a rate nearly identical to that of head injuries. Although it makes inherent sense that helmets would be protective against head injury, establishing the real-world effectiveness of helmets is important.ObjectivesTo determine whether bicycle helmets reduce head, brain and facial injury for bicyclists of all ages involved in a bicycle crash or fall.Search strategyWe searched CENTRAL, MEDLINE, EMBASE, Sport, ERIC, NTIS, Expanded Academic Index, CINAHL, PsycINFO, Occupational Safety and Health, and Dissertations Abstracts. We checked reference lists of past reviews and review articles, studies from government agencies in the United States, Europe and Australia, and contacted colleagues from the International Society for Child and Adolescent Injury Prevention, World Injury Network, CDC-funded Injury Control and Research Centers, and staff in injury research agencies around the world. The searches were last updated in November 2006.Selection criteriaControlled studies that evaluated the effect of helmet use in a population of bicyclists who had experienced a crash. We required studies to have complete outcome ascertainment, accurate exposure measurement, appropriate selection of the comparison group and elimination or control of factors such as selection bias, observation bias and confounding.Data collection and analysisTwo authors independently extracted data. Odds ratios with 95% confidence intervals were calculated for the protective effect of helmets for head and facial injuries. Study results are presented individually. Head and brain injury results were also summarized using meta-analysis techniques.Main resultsWe found no randomized controlled trials, but five well conducted case-control studies met our inclusion criteria. Helmets provide a 63 to 88% reduction in the risk of head, brain and severe brain injury for all ages of bicyclists. Helmets provide equal levels of protection for crashes involving motor vehicles (69%) and crashes from all other causes (68%). Injuries to the upper and mid facial areas are reduced 65%.Authors' conclusionsHelmets reduce bicycle-related head and facial injuries for bicyclists of all ages involved in all types of crashes, including those involving motor vehicles. Our response to comments from critics are presented in the Feedback section.\n
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\n \n \n\n \n \n \n \n Efficiency of specialist rehabilitation in reducing dependency and costs of continuing care for adults with complex acquired brain injuries.\n \n\n\n \n Turner-Stokes, L.; Paul, S.; and Williams, H.\n \n\n\n \n\n\n\n Journal of Neurology, Neurosurgery & Psychiatry, 77(5): 634-639. 5 2006.\n \n\n\n\n
\n\n\n \n \n \n \"EfficiencyWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Efficiency of specialist rehabilitation in reducing dependency and costs of continuing care for adults with complex acquired brain injuries},\n type = {article},\n year = {2006},\n identifiers = {[object Object]},\n keywords = {cost_benefit,cost_effectiveness,costs,rehabilitation},\n pages = {634-639},\n volume = {77},\n websites = {http://dx.doi.org/10.1136/jnnp.2005.073411,http://jnnp.bmj.com/content/77/5/634.abstract,http://jnnp.bmj.com/content/77/5/634.full.pdf},\n month = {5},\n publisher = {BMJ Publishing Group Ltd},\n day = {1},\n id = {13dcf4ae-d66b-38ea-bf06-d9343e3827d0},\n created = {2017-06-28T11:50:15.905Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:15.905Z},\n tags = {Costs,cost_benefit,rehabilitation},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:10247059},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Objectives: To examine functional outcomes from a rehabilitation programme and to compare two methods for evaluating cost efficiency of rehabilitation in patients with severe complex disability. Subjects and setting: Two hundred and ninety seven consecutive admissions to a specialist inpatient rehabilitation unit following severe acquired brain injury. Methods: Retrospective analysis of routinely collected data, including the Functional Independence Measure (FIM), Barthel Index, and Northwick Park Dependency Score and Care Needs Assessment (NPDS/NPCNA), which provides a generic estimation of dependency, care hours. and weekly cost of continuing care in the community. Patients were analysed in three groups according to dependency on admission: “low” (NPDS<10 (n = 83)); “medium” (NPDS10–24 (n = 112)); “high” (NPDS >24 (n = 102)). Results: Mean length of stay (LOS) 112 (SD 66) days. All groups showed significant reduction in dependency between admission and discharge on all measures (paired t tests: p<0.001). Mean reduction in “weekly cost of care” was greatest in the high dependency group at £639 per week (95% CI 488 to 789)), as compared with the medium (£323/week (95% CI 217 to 428)), and low (£111/week (95% CI 42 to 179)) dependency groups. Despite their longer LOS, time taken to offset the initial cost of rehabilitation was only 16.3 months in the high dependency group, compared with 21.5 months (medium dependency) and 38.8 months (low dependency). FIM efficiency (FIM gain/LOS) appeared greatest in the medium dependency group (0.25), compared with the low (0.17) and high (0.16) dependency groups. Conclusions: The NPDS/NPCNA detected changes in dependency potentially associated with substantial savings in the cost of ongoing care, especially in high dependency patients. Floor effects in responsiveness of the FIM may lead to underestimation of efficiency of rehabilitation in higher dependency patients.},\n bibtype = {article},\n author = {Turner-Stokes, L and Paul, S and Williams, H},\n journal = {Journal of Neurology, Neurosurgery & Psychiatry},\n number = {5}\n}
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\n Objectives: To examine functional outcomes from a rehabilitation programme and to compare two methods for evaluating cost efficiency of rehabilitation in patients with severe complex disability. Subjects and setting: Two hundred and ninety seven consecutive admissions to a specialist inpatient rehabilitation unit following severe acquired brain injury. Methods: Retrospective analysis of routinely collected data, including the Functional Independence Measure (FIM), Barthel Index, and Northwick Park Dependency Score and Care Needs Assessment (NPDS/NPCNA), which provides a generic estimation of dependency, care hours. and weekly cost of continuing care in the community. Patients were analysed in three groups according to dependency on admission: “low” (NPDS<10 (n = 83)); “medium” (NPDS10–24 (n = 112)); “high” (NPDS >24 (n = 102)). Results: Mean length of stay (LOS) 112 (SD 66) days. All groups showed significant reduction in dependency between admission and discharge on all measures (paired t tests: p<0.001). Mean reduction in “weekly cost of care” was greatest in the high dependency group at £639 per week (95% CI 488 to 789)), as compared with the medium (£323/week (95% CI 217 to 428)), and low (£111/week (95% CI 42 to 179)) dependency groups. Despite their longer LOS, time taken to offset the initial cost of rehabilitation was only 16.3 months in the high dependency group, compared with 21.5 months (medium dependency) and 38.8 months (low dependency). FIM efficiency (FIM gain/LOS) appeared greatest in the medium dependency group (0.25), compared with the low (0.17) and high (0.16) dependency groups. Conclusions: The NPDS/NPCNA detected changes in dependency potentially associated with substantial savings in the cost of ongoing care, especially in high dependency patients. Floor effects in responsiveness of the FIM may lead to underestimation of efficiency of rehabilitation in higher dependency patients.\n
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\n \n \n\n \n \n \n \n The influence of neuropsychological rehabilitation on symptomatology and quality of life following brain injury: A controlled long-term follow-up.\n \n\n\n \n Svendsen, H., A.; and Teasdale, T., W.\n \n\n\n \n\n\n\n Brain Injury, 20(12): 1295-1306. 2006.\n \n\n\n\n
\n\n\n \n \n \n \"TheWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {The influence of neuropsychological rehabilitation on symptomatology and quality of life following brain injury: A controlled long-term follow-up},\n type = {article},\n year = {2006},\n identifiers = {[object Object]},\n keywords = {neuropsychological_rehabilitation,quality_of_life,rehabilitation_group},\n pages = {1295-1306},\n volume = {20},\n websites = {http://dx.doi.org/10.1080/02699050601082123},\n publisher = {Informa Healthcare},\n id = {bcc1f94f-fb75-3e01-8589-cb623eaa1391},\n created = {2017-06-28T11:50:16.014Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:16.014Z},\n tags = {neuropsychological_rehabilitation,quality_of_life,rehabilitation_group},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:2387335},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Primary objective: To establish whether, following acquired brain injury, intensive post-acute neuropsychological rehabilitation could have long-term beneficial effects. Methods and procedures: A group of 37 adults who had suffered cerebrovascular accidents or traumatic brain injuries and who had undergone a rehabilitation programme were followed up 12–22 years post-injury, together with a non-rehabilitated control group of 13 adults, matched for brain-injury and demographics characteristics. Both groups completed a set of questionnaires concerning broad aspects of psychological well-being. Significant others completed similar questionnaires. Main outcomes and results: The rehabilitation group showed significantly lower levels of brain injury symptoms and higher levels of competency at follow-up. They also rated internal locus of control and general self-efficacy as significantly higher than the control group. Anxiety and depression levels were significantly lower and quality of life significantly higher in the rehabilitation group for both the subjects themselves and for their significant others. Conclusions: Within methodological limitations this study suggests that post-acute neuropsychological rehabilitation can have long-term beneficial effects.},\n bibtype = {article},\n author = {Svendsen, Henriette Aaby and Teasdale, Thomas William},\n journal = {Brain Injury},\n number = {12}\n}
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\n Primary objective: To establish whether, following acquired brain injury, intensive post-acute neuropsychological rehabilitation could have long-term beneficial effects. Methods and procedures: A group of 37 adults who had suffered cerebrovascular accidents or traumatic brain injuries and who had undergone a rehabilitation programme were followed up 12–22 years post-injury, together with a non-rehabilitated control group of 13 adults, matched for brain-injury and demographics characteristics. Both groups completed a set of questionnaires concerning broad aspects of psychological well-being. Significant others completed similar questionnaires. Main outcomes and results: The rehabilitation group showed significantly lower levels of brain injury symptoms and higher levels of competency at follow-up. They also rated internal locus of control and general self-efficacy as significantly higher than the control group. Anxiety and depression levels were significantly lower and quality of life significantly higher in the rehabilitation group for both the subjects themselves and for their significant others. Conclusions: Within methodological limitations this study suggests that post-acute neuropsychological rehabilitation can have long-term beneficial effects.\n
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\n  \n 2005\n \n \n (6)\n \n \n
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\n \n \n\n \n \n \n \n Evidence-based cognitive rehabilitation: updated review of the literature from 1998 through 2002.\n \n\n\n \n Cicerone, K., D.; Dahlberg, C.; Malec, J., F.; Langenbahn, D., M.; Felicetti, T.; Kneipp, S.; Ellmo, W.; Kalmar, K.; Giacino, J., T.; Harley, J., P.; Laatsch, L.; Morse, P., a.; and Catanese, J.\n \n\n\n \n\n\n\n Archives of physical medicine and rehabilitation, 86(8): 1681-92. 8 2005.\n \n\n\n\n
\n\n\n \n \n \n \"Evidence-basedWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Evidence-based cognitive rehabilitation: updated review of the literature from 1998 through 2002.},\n type = {article},\n year = {2005},\n identifiers = {[object Object]},\n keywords = {Brain Injuries,Brain Injuries: physiopathology,Brain Injuries: rehabilitation,Cognition Disorders,Cognition Disorders: physiopathology,Cognition Disorders: rehabilitation,Evidence-Based Medicine,Humans,Stroke,Stroke: physiopathology,Stroke: rehabilitation},\n pages = {1681-92},\n volume = {86},\n websites = {http://www.ncbi.nlm.nih.gov/pubmed/16084827},\n month = {8},\n id = {306086b1-e186-310a-a2fb-e65849c09f6f},\n created = {2017-06-28T11:50:07.644Z},\n accessed = {2012-04-01},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:07.644Z},\n tags = {best practice},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {To update the previous evidence-based recommendations of the Brain Injury Interdisciplinary Special Interest Group of the American Congress of Rehabilitation Medicine for cognitive rehabilitation of people with traumatic brain injury (TBI) and stroke, based on a systematic review of the literature from 1998 through 2002.},\n bibtype = {article},\n author = {Cicerone, Keith D and Dahlberg, Cynthia and Malec, James F and Langenbahn, Donna M and Felicetti, Thomas and Kneipp, Sally and Ellmo, Wendy and Kalmar, Kathleen and Giacino, Joseph T and Harley, J Preston and Laatsch, Linda and Morse, Philip a and Catanese, Jeanne},\n journal = {Archives of physical medicine and rehabilitation},\n number = {8}\n}
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\n To update the previous evidence-based recommendations of the Brain Injury Interdisciplinary Special Interest Group of the American Congress of Rehabilitation Medicine for cognitive rehabilitation of people with traumatic brain injury (TBI) and stroke, based on a systematic review of the literature from 1998 through 2002.\n
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\n \n \n\n \n \n \n \n The effects of a song-singing programme on the affective speaking intonation of people with traumatic brain injury.\n \n\n\n \n Baker, F.; Wigram, T.; and Gold, C.\n \n\n\n \n\n\n\n Brain Injury, 19(7): 519-528. 2005.\n \n\n\n\n
\n\n\n \n \n \n \"TheWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {The effects of a song-singing programme on the affective speaking intonation of people with traumatic brain injury},\n type = {article},\n year = {2005},\n identifiers = {[object Object]},\n keywords = {brain_injury_research,music,music_therapy},\n pages = {519-528},\n volume = {19},\n websites = {http://dx.doi.org/10.1080/02699050400005150},\n publisher = {Informa Healthcare},\n id = {069c1fa7-6299-3e19-ba54-06c760f28c58},\n created = {2017-06-28T11:50:11.404Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:11.404Z},\n tags = {brain_injury_research,music,music_therapy},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:3788093},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Primary objective: To examine changes in the relationship between intonation, voice range and mood following music therapy programmes in people with traumatic brain injury. Research design: Data from four case studies were pooled and effect size, ANOVA and correlation calculations were performed to evaluate the effectiveness of treatment. Methods and procedures: Subjects sang three self-selected songs for 15 sessions. Speaking fundamental frequency, fundamental frequency variability, slope, voice range and mood were analysed pre- and post-session. Results: Immediate treatment effects were not found. Long-term improvements in affective intonation were found in three subjects, especially in fundamental frequency. Voice range improved over time and was positively correlated with the three intonation components. Mood scale data showed that immediate effects were in the negative direction whereas there weres increases in positive mood state in the longer-term. Conclusions: Findings suggest that, in the long-term, song singing can improve vocal range and mood and enhance the affective intonation styles of people with TBI.},\n bibtype = {article},\n author = {Baker, F. and Wigram, T. and Gold, C.},\n journal = {Brain Injury},\n number = {7}\n}
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\n Primary objective: To examine changes in the relationship between intonation, voice range and mood following music therapy programmes in people with traumatic brain injury. Research design: Data from four case studies were pooled and effect size, ANOVA and correlation calculations were performed to evaluate the effectiveness of treatment. Methods and procedures: Subjects sang three self-selected songs for 15 sessions. Speaking fundamental frequency, fundamental frequency variability, slope, voice range and mood were analysed pre- and post-session. Results: Immediate treatment effects were not found. Long-term improvements in affective intonation were found in three subjects, especially in fundamental frequency. Voice range improved over time and was positively correlated with the three intonation components. Mood scale data showed that immediate effects were in the negative direction whereas there weres increases in positive mood state in the longer-term. Conclusions: Findings suggest that, in the long-term, song singing can improve vocal range and mood and enhance the affective intonation styles of people with TBI.\n
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\n \n \n\n \n \n \n \n Outcome after traumatic brain injury: effects of aging on recovery.\n \n\n\n \n Testa, J., A.; Malec, J., F.; Moessner, A., M.; and Brown, A., W.\n \n\n\n \n\n\n\n Archives of physical medicine and rehabilitation, 86(9): 1815-23. 9 2005.\n \n\n\n\n
\n\n\n \n \n \n \"OutcomeWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Outcome after traumatic brain injury: effects of aging on recovery.},\n type = {article},\n year = {2005},\n identifiers = {[object Object]},\n keywords = {Activities of Daily Living,Adaptation,Adolescent,Adult,Age Factors,Aged,Aging,Aging: physiology,Ambulatory Care,Analysis of Variance,Brain Injuries,Brain Injuries: diagnosis,Brain Injuries: rehabilitation,Case-Control Studies,Cohort Studies,Female,Humans,Injury Severity Score,Male,Middle Aged,Physical Therapy Modalities,Physiological,Predictive Value of Tests,Probability,Prognosis,Quality of Life,Recovery of Function,Risk Assessment,Sickness Impact Profile,Treatment Outcome,older,over65},\n pages = {1815-23},\n volume = {86},\n websites = {http://dx.doi.org/10.1016/j.apmr.2005.03.010,http://www.ncbi.nlm.nih.gov/pubmed/16181948},\n month = {9},\n id = {f76740fe-eb48-306e-ad6f-8549c359dc64},\n created = {2017-06-28T11:50:13.032Z},\n accessed = {2012-03-15},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.032Z},\n tags = {older,over65},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:10702517},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {To identify differences in outcome after traumatic brain injury (TBI) compared with orthopedic injuries as a function of age.},\n bibtype = {article},\n author = {Testa, Julie A and Malec, James F and Moessner, Anne M and Brown, Allen W},\n journal = {Archives of physical medicine and rehabilitation},\n number = {9}\n}
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\n To identify differences in outcome after traumatic brain injury (TBI) compared with orthopedic injuries as a function of age.\n
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\n \n \n\n \n \n \n \n The CDC traumatic brain injury surveillance system: characteristics of persons aged 65 years and older hospitalized with a TBI.\n \n\n\n \n Coronado, V., G.; Thomas, K., E.; Sattin, R., W.; and Johnson, R., L.\n \n\n\n \n\n\n\n The Journal of head trauma rehabilitation, 20(3): 215-228. 2005.\n \n\n\n\n
\n\n\n \n \n \n \"TheWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {The CDC traumatic brain injury surveillance system: characteristics of persons aged 65 years and older hospitalized with a TBI.},\n type = {article},\n year = {2005},\n identifiers = {[object Object]},\n keywords = {older,over65},\n pages = {215-228},\n volume = {20},\n websites = {http://view.ncbi.nlm.nih.gov/pubmed/15908822},\n id = {ed0bf480-b329-39fa-80fa-f971dd25662a},\n created = {2017-06-28T11:50:13.871Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.871Z},\n tags = {older,over65},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:10702476},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {To examine the epidemiologic and clinical characteristics of older persons (ie, those aged 65-74, 75-84, and > or = 85 years) hospitalized with traumatic brain injury (TBI). Data from the 1999 CDC 15-state TBI surveillance system were analyzed. In 1999, there were 17,657 persons 65 years and older hospitalized with TBI in the 15 states for an age-adjusted rate of 155.9 per 100,000 population. Rates among persons aged 65 years or older increased with age and were higher for males. Most TBIs resulted from fall- or motor vehicle (MV)-traffic-related incidents. Most older persons with TBI had an initial TBI severity of mild (73.4%); however, the proportions of both moderate and severe disability for those discharged alive and of in-hospital mortality were relatively high (23.5%, 9.7%, and 12%, respectively). Persons who fell were also more likely to have had 3 or more comorbid conditions than were those who sustained a TBI from an MV-traffic incident. TBI is a substantial public health problem among older persons. As the population of older persons continues to increase in the United States, the need to design and implement proven and cost-effective prevention measures that focus on the leading causes of TBI (unintentional falls and MV-traffic incidents) becomes more urgent.},\n bibtype = {article},\n author = {Coronado, Victor G and Thomas, Karen E and Sattin, Richard W and Johnson, Renee L},\n journal = {The Journal of head trauma rehabilitation},\n number = {3}\n}
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\n To examine the epidemiologic and clinical characteristics of older persons (ie, those aged 65-74, 75-84, and > or = 85 years) hospitalized with traumatic brain injury (TBI). Data from the 1999 CDC 15-state TBI surveillance system were analyzed. In 1999, there were 17,657 persons 65 years and older hospitalized with TBI in the 15 states for an age-adjusted rate of 155.9 per 100,000 population. Rates among persons aged 65 years or older increased with age and were higher for males. Most TBIs resulted from fall- or motor vehicle (MV)-traffic-related incidents. Most older persons with TBI had an initial TBI severity of mild (73.4%); however, the proportions of both moderate and severe disability for those discharged alive and of in-hospital mortality were relatively high (23.5%, 9.7%, and 12%, respectively). Persons who fell were also more likely to have had 3 or more comorbid conditions than were those who sustained a TBI from an MV-traffic incident. TBI is a substantial public health problem among older persons. As the population of older persons continues to increase in the United States, the need to design and implement proven and cost-effective prevention measures that focus on the leading causes of TBI (unintentional falls and MV-traffic incidents) becomes more urgent.\n
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\n \n \n\n \n \n \n \n Stress and coping among families of patients with traumatic brain injury: a review of the literature.\n \n\n\n \n Verhaeghe, S.; Defloor, T.; and Grypdonck, M.\n \n\n\n \n\n\n\n Journal of Clinical Nursing, 14(8): 1004-1012. 9 2005.\n \n\n\n\n
\n\n\n \n \n \n \"StressWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Stress and coping among families of patients with traumatic brain injury: a review of the literature},\n type = {article},\n year = {2005},\n identifiers = {[object Object]},\n keywords = {caregiver,carers,stress},\n pages = {1004-1012},\n volume = {14},\n websites = {http://www.ingentaconnect.com/content/bsc/jcn/2005/00000014/00000008/art00013,http://dx.doi.org/10.1111/j.1365-2702.2005.01126.x},\n month = {9},\n publisher = {Blackwell Science Ltd},\n id = {e1d37c26-a183-3b7d-8c9d-787adef60bc7},\n created = {2017-06-28T11:50:15.570Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:15.570Z},\n tags = {caregiver,stress},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:274289},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Aims and objectives. This literature review aims to structure the available information on the psychological reactions of family members confronted with traumatic brain injury. The stress–coping theory and the systems theory provide the theoretical framework for this review. Method. Literature review. Results. The level of stress experienced by the family members of patients who have traumatic brain injury is such that professional intervention is appropriate, even after 10–15 years. Not the severity of the injury but the nature of the injuries determines the level of stress. Partners experience more stress than parents. Children have specific difficulties. Young families with little social support, financial, psychiatric and/or medical problems are the most vulnerable. Coping with traumatic brain injury can be described in phases. The better family members can cope with the situation, the better the patient's recovery. There are functional and non-functional coping mechanisms and coping is influenced by such factors as gender, social and professional support and the possibility to have reciprocal communication or an affective relation with the patient. Relevance to clinical practice. Support from professionals reduces the stress being experienced and encourages people to cope effectively. Conflicts with professional carers should be avoided. Every attempt should be made to develop models of long-term support and care that alleviate sources of burden on relatives. Further research is necessary to develop such models.},\n bibtype = {article},\n author = {Verhaeghe, Sofie and Defloor, Tom and Grypdonck, Mieke},\n journal = {Journal of Clinical Nursing},\n number = {8}\n}
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\n Aims and objectives. This literature review aims to structure the available information on the psychological reactions of family members confronted with traumatic brain injury. The stress–coping theory and the systems theory provide the theoretical framework for this review. Method. Literature review. Results. The level of stress experienced by the family members of patients who have traumatic brain injury is such that professional intervention is appropriate, even after 10–15 years. Not the severity of the injury but the nature of the injuries determines the level of stress. Partners experience more stress than parents. Children have specific difficulties. Young families with little social support, financial, psychiatric and/or medical problems are the most vulnerable. Coping with traumatic brain injury can be described in phases. The better family members can cope with the situation, the better the patient's recovery. There are functional and non-functional coping mechanisms and coping is influenced by such factors as gender, social and professional support and the possibility to have reciprocal communication or an affective relation with the patient. Relevance to clinical practice. Support from professionals reduces the stress being experienced and encourages people to cope effectively. Conflicts with professional carers should be avoided. Every attempt should be made to develop models of long-term support and care that alleviate sources of burden on relatives. Further research is necessary to develop such models.\n
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\n \n \n\n \n \n \n \n Appraising evidence on community integration following brain injury: a systematic review.\n \n\n\n \n Reistetter, T., a.; and Abreu, B., C.\n \n\n\n \n\n\n\n Occupational Therapy International, 12(4): 196-217. 12 2005.\n \n\n\n\n
\n\n\n \n \n \n \"AppraisingWebsite\n  \n \n\n \n\n bibtex \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Appraising evidence on community integration following brain injury: a systematic review},\n type = {article},\n year = {2005},\n identifiers = {[object Object]},\n keywords = {brain injury,community integration,systematic review},\n pages = {196-217},\n volume = {12},\n websites = {http://doi.wiley.com/10.1002/oti.8},\n month = {12},\n id = {ee58bdf9-ff9b-34f8-a2b5-6422ba8ae61c},\n created = {2017-06-28T11:50:16.085Z},\n accessed = {2012-07-10},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:16.085Z},\n tags = {best practice},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n bibtype = {article},\n author = {Reistetter, Timothy a. and Abreu, Beatriz C.},\n journal = {Occupational Therapy International},\n number = {4}\n}
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\n  \n 2004\n \n \n (8)\n \n \n
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\n \n \n\n \n \n \n \n Community integration and satisfaction with functioning after intensive cognitive rehabilitation for traumatic brain injury.\n \n\n\n \n Cicerone, K., D.; Mott, T.; Azulay, J.; and Friel, J., C.\n \n\n\n \n\n\n\n Archives of Physical Medicine and Rehabilitation, 85(6): 943-950. 6 2004.\n \n\n\n\n
\n\n\n \n \n \n \"CommunityWebsite\n  \n \n\n \n\n bibtex \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Community integration and satisfaction with functioning after intensive cognitive rehabilitation for traumatic brain injury},\n type = {article},\n year = {2004},\n identifiers = {[object Object]},\n keywords = {2004 by the american,academy of physical medicine,and,brain injuries,cine and the american,congress of rehabilitation medi-,health care,ment,outcome and process assess-,quality of life,rehabilitation},\n pages = {943-950},\n volume = {85},\n websites = {http://linkinghub.elsevier.com/retrieve/pii/S0003999303010542},\n month = {6},\n id = {c687bd52-c5d9-328f-9490-a875775bf537},\n created = {2017-06-28T11:50:11.916Z},\n accessed = {2012-04-13},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:11.916Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n bibtype = {article},\n author = {Cicerone, Keith D and Mott, Tasha and Azulay, Joanne and Friel, John C},\n journal = {Archives of Physical Medicine and Rehabilitation},\n number = {6}\n}
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\n \n \n\n \n \n \n \n The evidence for the cost-effectiveness of rehabilitation following acquired brain injury.\n \n\n\n \n Turner-Stokes, L.\n \n\n\n \n\n\n\n Clinical Medicine, Journal of the Royal College of Physicians, 10-12. 1 2004.\n \n\n\n\n
\n\n\n \n \n \n \"TheWebsite\n  \n \n\n \n\n bibtex \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {The evidence for the cost-effectiveness of rehabilitation following acquired brain injury},\n type = {article},\n year = {2004},\n identifiers = {[object Object]},\n keywords = {brain_injury,cost_benefit,cost_effectiveness,costs,rehabilitation},\n pages = {10-12},\n websites = {http://www.ingentaconnect.com/content/rcop/cm/2004/00000004/00000001/art00003},\n month = {1},\n publisher = {Royal College of Physicians},\n id = {cbb9a680-27e1-343f-9682-d5f942603ad1},\n created = {2017-06-28T11:50:13.362Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.362Z},\n tags = {brain_injury,cost_benefit,cost_effectiveness,costs,rehabilitation},\n read = {false},\n starred = {true},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:6209316},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n bibtype = {article},\n author = {Turner-Stokes, Lynne},\n journal = {Clinical Medicine, Journal of the Royal College of Physicians}\n}
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\n \n \n\n \n \n \n \n Community Integration Following Severe Traumatic Brain Injury: Outcomes and Best Practice.\n \n\n\n \n Sloan, S.; Winkler, D.; and Callaway, L.\n \n\n\n \n\n\n\n Brain Impairment, 5(1): 12-29. 5 2004.\n \n\n\n\n
\n\n\n \n \n \n \"CommunityWebsite\n  \n \n\n \n\n bibtex \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Community Integration Following Severe Traumatic Brain Injury: Outcomes and Best Practice},\n type = {article},\n year = {2004},\n identifiers = {[object Object]},\n keywords = {community,integration},\n pages = {12-29},\n volume = {5},\n websites = {http://dx.doi.org/10.1375/brim.5.1.12.35399,http://journals.cambridge.org/abstract_S1443964600000577},\n month = {5},\n day = {21},\n id = {f47d0885-4e70-34db-82a4-7a1a3c98aac2},\n created = {2017-06-28T11:50:13.636Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.636Z},\n tags = {best practice,challenging_behaviour,communities,integration},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:7749852},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n bibtype = {article},\n author = {Sloan, Sue and Winkler, Dianne and Callaway, Libby},\n journal = {Brain Impairment},\n number = {1}\n}
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\n \n \n\n \n \n \n \n The frontal cortex and the criminal justice system.\n \n\n\n \n Sapolsky, R., M.\n \n\n\n \n\n\n\n Philosophical transactions of the Royal Society of London. Series B, Biological sciences, 359(1451): 1787+. 11 2004.\n \n\n\n\n
\n\n\n \n \n \n \"TheWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {The frontal cortex and the criminal justice system.},\n type = {article},\n year = {2004},\n identifiers = {[object Object]},\n keywords = {Adult,Behavior,Behavior: ethics,Behavior: physiology,Child,Child Development,Crime,Crime: legislation & jurisprudence,Crime: psychology,Frontal Lobe,Frontal Lobe: growth & development,Frontal Lobe: physiology,Humans,Jurisprudence,Neuropsychology,Neuropsychology: legislation & jurisprudence,Prefrontal Cortex,Prefrontal Cortex: physiology,Psychotic Disorders},\n pages = {1787+},\n volume = {359},\n websites = {http://www.ingentaconnect.com/content/rsl/rtb/2004/00000359/00001451/art00014,http://dx.doi.org/10.1098/rstb.2004.1547,http://rstb.royalsocietypublishing.org/cgi/content/abstract/359/1451/1787},\n month = {11},\n publisher = {Royal Society},\n day = {29},\n id = {cf3b512b-1fd7-3f55-9e07-65c343d7f0e3},\n created = {2017-06-28T11:50:14.643Z},\n accessed = {2012-03-09},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:14.643Z},\n tags = {Behaviour,Child,Child Development,Crime,Crime: legislation & jurisprudence,Crime: psychology,Frontal Lobe,Frontal Lobe: growth & development,Frontal Lobe: physiology,Humans,Jurisprudence,Neuropsychology,Neuropsychology: legislation & jurisprudence,Prefrontal Cortex,Prefrontal Cortex: physiology,Psychotic Disorders,attention},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:18401},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {In recent decades, the general trend in the criminal justice system in the USA has been to narrow the range of insanity defences available, with an increasing dependence solely on the M'Naghten rule. This states that innocence by reason of insanity requires that the perpetrator could not understand the nature of their criminal act, or did not know that the act was wrong, by reason of a mental illness. In this essay, I question the appropriateness of this, in light of contemporary neuroscience. Specifically, I focus on the role of the prefrontal cortex (PFC) in cognition, emotional regulation, control of impulsive behaviour and moral reasoning. I review the consequences of PFC damage on these endpoints, the capacity for factors such as alcohol and stress to transiently impair PFC function, and the remarkably late development of the PFC (in which full myelination may not occur until early adulthood). I also consider how individual variation in PFC function and anatomy, within the normative range, covaries with some of these endpoints. This literature is reviewed because of its relevance to issues of criminal insanity; specifically, damage can produce an individual capable of differentiating right from wrong but who, nonetheless, is organically incapable of appropriately regulating their behaviour.},\n bibtype = {article},\n author = {Sapolsky, Robert M.},\n journal = {Philosophical transactions of the Royal Society of London. Series B, Biological sciences},\n number = {1451}\n}
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\n In recent decades, the general trend in the criminal justice system in the USA has been to narrow the range of insanity defences available, with an increasing dependence solely on the M'Naghten rule. This states that innocence by reason of insanity requires that the perpetrator could not understand the nature of their criminal act, or did not know that the act was wrong, by reason of a mental illness. In this essay, I question the appropriateness of this, in light of contemporary neuroscience. Specifically, I focus on the role of the prefrontal cortex (PFC) in cognition, emotional regulation, control of impulsive behaviour and moral reasoning. I review the consequences of PFC damage on these endpoints, the capacity for factors such as alcohol and stress to transiently impair PFC function, and the remarkably late development of the PFC (in which full myelination may not occur until early adulthood). I also consider how individual variation in PFC function and anatomy, within the normative range, covaries with some of these endpoints. This literature is reviewed because of its relevance to issues of criminal insanity; specifically, damage can produce an individual capable of differentiating right from wrong but who, nonetheless, is organically incapable of appropriately regulating their behaviour.\n
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\n \n \n\n \n \n \n \n Non-surgical intervention and cost for mild traumatic brain injury: results of the who collaborating centre task force on mild traumatic brain injury.\n \n\n\n \n Borg, J.; Holm, L.; Peloso, P., M.; Cassidy, J., D.; Carroll, L., J.; von Holst, H.; Paniak, C.; and Yates, D.\n \n\n\n \n\n\n\n Journal of Rehabilitation Medicine, 36(1 supp 43): 76-83. 2004.\n \n\n\n\n
\n\n\n \n \n \n \"Non-surgicalWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Non-surgical intervention and cost for mild traumatic brain injury: results of the who collaborating centre task force on mild traumatic brain injury},\n type = {article},\n year = {2004},\n identifiers = {[object Object]},\n keywords = {brain_injury,brain_injury_research,cost_benefit,cost_effectiveness,costs,economic_costs,indirect_costs,mild_head_injury,mild_tbi,mild_traumatic_brain_injury,mtbi},\n pages = {76-83},\n volume = {36},\n websites = {http://dx.doi.org/10.1080/16501960410023840},\n publisher = {Informa Healthcare},\n id = {5550a797-f93b-301c-8fff-c6b370249849},\n created = {2017-06-28T11:50:14.850Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:14.850Z},\n tags = {Costs,brain_injury,brain_injury_research,cost_benefit,economic_costs,indirect_costs,mild_head_injury,mild_tbi,mild_traumatic_brain_injury,mtbi},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:7346329},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {We examined the evidence for non-surgical interventions and for economic costs for mild traumatic brain injury patients by a systematic search of the literature and a best-evidence synthesis. After screening 38,806 abstracts, we critically reviewed 45 articles on intervention and accepted 16 (36%). We reviewed 16 articles on economic costs and accepted 7 (44%). We found some evidence that early educational information can reduce long-term complaints and that this early intervention need not be intensive. Most cost studies were performed more than a decade ago. Indirect costs are probably higher than direct costs. Studies comparing costs for routine hospitalized observation vs the use of computerized tomography scan examination for selective hospital admission indicate that the latter policy reduces costs, but comparable clinical outcome of these policies has not been demonstrated. The sparse scientific literature in these areas reflects both conceptual confusion and limited knowledge of the natural history of mild traumatic brain injury.},\n bibtype = {article},\n author = {Borg, Jörgen and Holm, Lena and Peloso, Paul M. and Cassidy, J. David and Carroll, Linda J. and von Holst, Hans and Paniak, Chris and Yates, David},\n journal = {Journal of Rehabilitation Medicine},\n number = {1 supp 43}\n}
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\n\n\n
\n We examined the evidence for non-surgical interventions and for economic costs for mild traumatic brain injury patients by a systematic search of the literature and a best-evidence synthesis. After screening 38,806 abstracts, we critically reviewed 45 articles on intervention and accepted 16 (36%). We reviewed 16 articles on economic costs and accepted 7 (44%). We found some evidence that early educational information can reduce long-term complaints and that this early intervention need not be intensive. Most cost studies were performed more than a decade ago. Indirect costs are probably higher than direct costs. Studies comparing costs for routine hospitalized observation vs the use of computerized tomography scan examination for selective hospital admission indicate that the latter policy reduces costs, but comparable clinical outcome of these policies has not been demonstrated. The sparse scientific literature in these areas reflects both conceptual confusion and limited knowledge of the natural history of mild traumatic brain injury.\n
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\n \n \n\n \n \n \n \n Severe traumatic brain injury in New South Wales: comparable outcomes for rural and urban residents.\n \n\n\n \n Harradine, P., G.; Winstanley, J., B.; Tate, R.; Cameron, I., D.; Baguley, I., J.; and Harris, R., D.\n \n\n\n \n\n\n\n J. Aust., 181: 130-134. 2004.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Severe traumatic brain injury in New South Wales: comparable outcomes for rural and urban residents},\n type = {article},\n year = {2004},\n keywords = {*file-import-11-08-09,evidence},\n pages = {130-134},\n volume = {181},\n id = {23542646-a4aa-36d9-9ddb-ac747ab96fa5},\n created = {2017-06-28T11:50:16.298Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:16.298Z},\n tags = {evidence},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {harradine2004severe},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n bibtype = {article},\n author = {Harradine, P. G. and Winstanley, J. B. and Tate, R. and Cameron, I. D. and Baguley, I. J. and Harris, R. D.},\n journal = {J. Aust.}\n}
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\n \n \n\n \n \n \n \n Behavioural and physiological impairments of sustained attention after traumatic brain injury.\n \n\n\n \n Dockree, P., M.; Kelly, S., P.; Roche, R., A.; Hogan, M., J.; Reilly, R., B.; and Robertson, I., H.\n \n\n\n \n\n\n\n Cognitive Brain Research, 20(3): 403-414. 8 2004.\n \n\n\n\n
\n\n\n \n \n \n \"BehaviouralWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Behavioural and physiological impairments of sustained attention after traumatic brain injury},\n type = {article},\n year = {2004},\n identifiers = {[object Object]},\n pages = {403-414},\n volume = {20},\n websites = {http://linkinghub.elsevier.com/retrieve/pii/S0926641004000989},\n month = {8},\n id = {d2c22cec-f8c0-3538-b034-c3f5ed2bf231},\n created = {2017-08-25T10:57:02.289Z},\n accessed = {2017-08-25},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-08-25T10:57:02.289Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {Abstract\r\nSustaining attention under conditions of low external demand taxes our ability to stay on task and to avoid more appealing trains of thought or environmental distractions. By contrast, a stimulating, novel environment engages attention far more freely without the subjective feeling of having to override monotony. Our ability to maintain a goal-directed focus without support from the environment requires the endogenous control of behaviour. This control can be modulated by fronto–parietal circuits and this ability is compromised following traumatic brain injury (TBI) leading to increased lapses of attention. In this paper, we further explore a laboratory paradigm that we argue is particularly sensitive to sustained attention as opposed to other aspects of attentional control involving the selection and management of goals in working memory. The paradigm (fixed sequence Sustained Attention to Response Task—SARTfixed) involves withholding a key press to an infrequent no-go target embedded within a predictable sequence of numbers. We demonstrate that TBI patients in this study make disproportionately more errors than controls on this task. An analysis of response times (RTs) and EEG alpha power across the task demonstrates group differences preceding the critical no-go trial. Controls demonstrate a lengthening of RTs accompanied by desynchronization of power within the alpha band (∼10 Hz) preceding the no-go trial. Conversely, the TBI group showed a shortening of RTs during this period with no evidence of alpha desynchronization. These findings suggest that TBI patients may have dysfunctional alpha generators as a consequence of their injury that impairs endogenous control during the task.},\n bibtype = {article},\n author = {Dockree, Paul M and Kelly, Simon P and Roche, Richard A.P and Hogan, Michael J and Reilly, Richard B and Robertson, Ian H},\n journal = {Cognitive Brain Research},\n number = {3}\n}
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\n Abstract\r\nSustaining attention under conditions of low external demand taxes our ability to stay on task and to avoid more appealing trains of thought or environmental distractions. By contrast, a stimulating, novel environment engages attention far more freely without the subjective feeling of having to override monotony. Our ability to maintain a goal-directed focus without support from the environment requires the endogenous control of behaviour. This control can be modulated by fronto–parietal circuits and this ability is compromised following traumatic brain injury (TBI) leading to increased lapses of attention. In this paper, we further explore a laboratory paradigm that we argue is particularly sensitive to sustained attention as opposed to other aspects of attentional control involving the selection and management of goals in working memory. The paradigm (fixed sequence Sustained Attention to Response Task—SARTfixed) involves withholding a key press to an infrequent no-go target embedded within a predictable sequence of numbers. We demonstrate that TBI patients in this study make disproportionately more errors than controls on this task. An analysis of response times (RTs) and EEG alpha power across the task demonstrates group differences preceding the critical no-go trial. Controls demonstrate a lengthening of RTs accompanied by desynchronization of power within the alpha band (∼10 Hz) preceding the no-go trial. Conversely, the TBI group showed a shortening of RTs during this period with no evidence of alpha desynchronization. These findings suggest that TBI patients may have dysfunctional alpha generators as a consequence of their injury that impairs endogenous control during the task.\n
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\n \n \n\n \n \n \n \n Epidemiology of acquired brain injury (ABI) in adults: prevalence of long-term disabilities and the resulting needs for ongoing care in the region of Flanders, Belgium.\n \n\n\n \n Lannoo, E.; Brusselmans, W.; Eynde, L., V.; Van Laere, M.; and Stevens, J.\n \n\n\n \n\n\n\n Brain Injury, 18(2): 203-211. 2 2004.\n \n\n\n\n
\n\n\n \n \n \n \"EpidemiologyWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Epidemiology of acquired brain injury (ABI) in adults: prevalence of long-term disabilities and the resulting needs for ongoing care in the region of Flanders, Belgium},\n type = {article},\n year = {2004},\n identifiers = {[object Object]},\n pages = {203-211},\n volume = {18},\n websites = {http://www.ncbi.nlm.nih.gov/pubmed/14660231,http://www.tandfonline.com/doi/full/10.1080/02699050310001596905},\n month = {2},\n day = {3},\n id = {510e089d-ab0a-3ae9-a289-973cd01e6be9},\n created = {2017-08-29T07:51:48.667Z},\n accessed = {2017-08-29},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-08-29T07:51:48.667Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {In order to plan services for long-term care of those with acquired brain injury (ABI), the prevalence of ABI was investigated by using a postal inquiry sent to a representative sample of general practitioners, of whom 121 cooperated and registered 186 cases. The corresponding estimated prevalence of adults with ABI-related disabilities is 183 per 100 000 population. The large majority remained at home without professional assistance. One in five had resumed education or regained full employment, but over half spent their day at home with no specific activity. The need for specific care at home was present in almost half of the patients. One-quarter had employment-related needs, and one in five had living needs for specialized accommodation or supported living. In conclusion, this study primarily revealed unfulfilled needs in the area of day services aiming at a maximal social and professional reintegration.},\n bibtype = {article},\n author = {Lannoo, Engelien and Brusselmans, Wilfried and Eynde, Lien Van and Van Laere, Myriam and Stevens, Jean},\n journal = {Brain Injury},\n number = {2}\n}
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\n In order to plan services for long-term care of those with acquired brain injury (ABI), the prevalence of ABI was investigated by using a postal inquiry sent to a representative sample of general practitioners, of whom 121 cooperated and registered 186 cases. The corresponding estimated prevalence of adults with ABI-related disabilities is 183 per 100 000 population. The large majority remained at home without professional assistance. One in five had resumed education or regained full employment, but over half spent their day at home with no specific activity. The need for specific care at home was present in almost half of the patients. One-quarter had employment-related needs, and one in five had living needs for specialized accommodation or supported living. In conclusion, this study primarily revealed unfulfilled needs in the area of day services aiming at a maximal social and professional reintegration.\n
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\n  \n 2003\n \n \n (4)\n \n \n
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\n \n \n\n \n \n \n \n Community rehabilitation, or rehabilitation in the community?.\n \n\n\n \n Wade, D.; and D., W.\n \n\n\n \n\n\n\n Disability and Rehabilitation, 875-881. 8 2003.\n \n\n\n\n
\n\n\n \n \n \n \"CommunityWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Community rehabilitation, or rehabilitation in the community?},\n type = {article},\n year = {2003},\n identifiers = {[object Object]},\n keywords = {community,community_rehabilitation,model,rehabilitation_service,rehabilitation_services,social_participation,stroke_service},\n pages = {875-881},\n websites = {http://www.ingentaconnect.com/content/apl/tids/2003/00000025/00000015/art00008,http://dx.doi.org/10.1080/0963828031000122267},\n month = {8},\n publisher = {Informa Healthcare},\n id = {f27f59c5-b367-3c45-8765-d0c22675a4e4},\n created = {2017-06-28T11:50:06.669Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:06.669Z},\n tags = {communities,community_based_rehabilitation,model,rehabilitation_service,rehabilitation_services,social_relationships,stroke_patients},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:5847120},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Purpose: Political and other considerations are increasing the profile of &#039;community rehabilitation&#039; but there is little agreement on the nature of community rehabilitation or its benefits and disadvantages. This paper clarifies some of the underlying conceptual and evidential matters in the context of the WHO International Classification of Functioning model of disablement.Classifications: Rehabilitation services can be classified by their specialist skills (e.g. spinal injury services, wheelchair services), by the geographic location of the service (e.g. inpatient stroke service), by the organization managing the service (e.g. social services rehabilitation service), or by location of service delivery. There is no useful consistent comprehensive classificatory system, and all classificatory labels may carry hidden implications.Evidence: The evidence suggests that rehabilitation is more effective when given in the patient&#039;s own environment. It also suggests that most so-called community rehabilitation teams are relatively short-lived and are not multi-disciplinary and not expert.Solution: We should work towards a network of rehabilitation teams, some specialized in specific diseases or interventions, and some in longer-term involvement with patients in the community with special emphasis on increasing social participation and ensuring good support. At all times we should balance the advantages of delivering the service in the patient&#039;s home against the obvious problems concerning practicality and the equitable use of scarce specialist staff time.},\n bibtype = {article},\n author = {Wade, D and D., WADE},\n journal = {Disability and Rehabilitation}\n}
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\n Purpose: Political and other considerations are increasing the profile of 'community rehabilitation' but there is little agreement on the nature of community rehabilitation or its benefits and disadvantages. This paper clarifies some of the underlying conceptual and evidential matters in the context of the WHO International Classification of Functioning model of disablement.Classifications: Rehabilitation services can be classified by their specialist skills (e.g. spinal injury services, wheelchair services), by the geographic location of the service (e.g. inpatient stroke service), by the organization managing the service (e.g. social services rehabilitation service), or by location of service delivery. There is no useful consistent comprehensive classificatory system, and all classificatory labels may carry hidden implications.Evidence: The evidence suggests that rehabilitation is more effective when given in the patient's own environment. It also suggests that most so-called community rehabilitation teams are relatively short-lived and are not multi-disciplinary and not expert.Solution: We should work towards a network of rehabilitation teams, some specialized in specific diseases or interventions, and some in longer-term involvement with patients in the community with special emphasis on increasing social participation and ensuring good support. At all times we should balance the advantages of delivering the service in the patient's home against the obvious problems concerning practicality and the equitable use of scarce specialist staff time.\n
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\n \n \n\n \n \n \n \n Understanding outcomes based on the post-acute hospitalization pathways followed by persons with traumatic brain injury.\n \n\n\n \n Mellick, D.; Gerhart, K., A.; and Whiteneck, G., G.\n \n\n\n \n\n\n\n Brain Inj., 17: 55-71. 2003.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Understanding outcomes based on the post-acute hospitalization pathways followed by persons with traumatic brain injury},\n type = {article},\n year = {2003},\n keywords = {*file-import-11-08-09,evidence},\n pages = {55-71},\n volume = {17},\n id = {d13b544a-24d5-3773-b0e7-19af63e1a0b6},\n created = {2017-06-28T11:50:08.855Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:08.855Z},\n tags = {evidence},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {mellick2003understanding},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n bibtype = {article},\n author = {Mellick, D. and Gerhart, K. A. and Whiteneck, G. G.},\n journal = {Brain Inj.}\n}
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\n \n \n\n \n \n \n \n Supported employment: disparities in vocational rehabilitation outcomes, expenditures and service time for persons with traumatic brain injury.\n \n\n\n \n Gamble, D.; and Moore, C., L.\n \n\n\n \n\n\n\n Journal of Vocational Rehabilitation, 2003.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n\n  \n\n \n buy\n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@book{\n title = {Supported employment: disparities in vocational rehabilitation outcomes, expenditures and service time for persons with traumatic brain injury},\n type = {book},\n year = {2003},\n keywords = {*file-import-11-08-09,evidence},\n pages = {47-57},\n publisher = {Journal of Vocational Rehabilitation},\n id = {75bfd06d-7d1f-3cd3-aba5-a62bcabdae6c},\n created = {2017-06-28T11:50:11.294Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:11.294Z},\n tags = {evidence},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {gamble2003supported},\n source_type = {citeulike:BOOK},\n user_context = {Book},\n private_publication = {false},\n bibtype = {book},\n author = {Gamble, D. and Moore, C. L.}\n}
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\n \n \n\n \n \n \n \n Evaluation of the home and community-based services brain injury Medicaid Waiver Programme in Colorado.\n \n\n\n \n Cusick, C., P.; Gerhart, K., A.; Mellick, D.; Breese, P.; Towle, V.; and Whiteneck, G., G.\n \n\n\n \n\n\n\n Brain Inj, 17: 931-945. 2003.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Evaluation of the home and community-based services brain injury Medicaid Waiver Programme in Colorado},\n type = {article},\n year = {2003},\n keywords = {*file-import-11-08-09,evidence},\n pages = {931-945},\n volume = {17},\n id = {10da987b-3c93-3f41-b02b-6b17c220512d},\n created = {2017-06-28T11:50:13.245Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.245Z},\n tags = {evidence},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {cusick2003evaluation},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n bibtype = {article},\n author = {Cusick, C. P. and Gerhart, K. A. and Mellick, D. and Breese, P. and Towle, V. and Whiteneck, G. G.},\n journal = {Brain Inj}\n}
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\n  \n 2002\n \n \n (7)\n \n \n
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\n \n \n\n \n \n \n \n A Model of Human Occupation: Theory and Application.\n \n\n\n \n Kielhofner, G.\n \n\n\n \n\n\n\n Lippincott Williams & Wilkins, 6 2002.\n \n\n\n\n
\n\n\n \n \n \n \"AWebsite\n  \n \n\n \n\n bibtex \n \n \n \n\n  \n\n \n buy\n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@book{\n title = {A Model of Human Occupation: Theory and Application},\n type = {book},\n year = {2002},\n identifiers = {[object Object]},\n websites = {http://www.amazon.ca/exec/obidos/redirect?tag=citeulike09-20&amp;path=ASIN/0781728002,http://www.amazon.de/exec/obidos/redirect?tag=citeulike01-21&amp;path=ASIN/0781728002,http://www.amazon.fr/exec/obidos/redirect?tag=citeulike06-21&amp;path=ASIN/07817280},\n month = {6},\n publisher = {Lippincott Williams & Wilkins},\n day = {15},\n id = {dbf13565-05d4-364e-9b50-161e4eaee7e3},\n created = {2017-06-28T11:50:10.589Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:10.589Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:180290},\n source_type = {citeulike:BOOK},\n medium = {Paperback},\n user_context = {Book},\n private_publication = {false},\n bibtype = {book},\n author = {Kielhofner, Gary}\n}
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\n \n \n\n \n \n \n \n Effect of mild brain injury on an instrumented agility task.\n \n\n\n \n Johnson, P., D.; Hertel, J.; Olmsted, L., C.; Denegar, C., R.; and Putukian, M.\n \n\n\n \n\n\n\n Clin J Sport Med, 12(1): 12-17. 1 2002.\n \n\n\n\n
\n\n\n \n \n \n \"EffectWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Effect of mild brain injury on an instrumented agility task.},\n type = {article},\n year = {2002},\n identifiers = {[object Object]},\n pages = {12-17},\n volume = {12},\n websites = {http://view.ncbi.nlm.nih.gov/pubmed/11854583},\n month = {1},\n city = {Department of Kinesiology, Athletic Training Research Laboratory, Center for Orthopedics & Sports Medicine, Pennsylvania State University, 269 Recreation Building, University Park, PA 16802, U.S.A.},\n id = {afe03d14-cf7a-3795-93b4-425e63e737c6},\n created = {2017-06-28T11:50:11.646Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:11.646Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:1286277},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {OBJECTIVE: To identify an objective evaluation technique to guide return-to-play decisions following mild brain injury (MBI) using an agility task that incorporates cognitive and motor performance. DESIGN: Prospective, controlled, repeated measures study. SETTING: Collegiate athletic training facility. PARTICIPANTS: 84 athletes (25 male rugby players, 34 female rugby players, 25 male ice hockey players) from 3 intercollegiate club teams participated. 9 athletes who suffered MBI during their competitive seasons and 9 matched controls completed the entire study protocol. MAIN OUTCOME MEASURES: Time to complete an agility task on the Cybex Reactor and a postconcussive symptoms scale score were assessed in all subjects during the preseason. Injured subjects and matched controls were also assessed 1, 3, 5, and 10 days postinjury. RESULTS: Repeated measures analyses of variance revealed significant differences between injured subjects and controls in postconcussion symptoms, but not agility performance. Post hoc testing revealed that injured subjects reported significantly more postconcussion symptoms on Day 1 after injury. CONCLUSION: The methods of agility assessment used in this study appear to not be sensitive enough to detect functional impairment following MBI.},\n bibtype = {article},\n author = {Johnson, PD D and Hertel, J and Olmsted, LC C and Denegar, CR R and Putukian, M},\n journal = {Clin J Sport Med},\n number = {1}\n}
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\n OBJECTIVE: To identify an objective evaluation technique to guide return-to-play decisions following mild brain injury (MBI) using an agility task that incorporates cognitive and motor performance. DESIGN: Prospective, controlled, repeated measures study. SETTING: Collegiate athletic training facility. PARTICIPANTS: 84 athletes (25 male rugby players, 34 female rugby players, 25 male ice hockey players) from 3 intercollegiate club teams participated. 9 athletes who suffered MBI during their competitive seasons and 9 matched controls completed the entire study protocol. MAIN OUTCOME MEASURES: Time to complete an agility task on the Cybex Reactor and a postconcussive symptoms scale score were assessed in all subjects during the preseason. Injured subjects and matched controls were also assessed 1, 3, 5, and 10 days postinjury. RESULTS: Repeated measures analyses of variance revealed significant differences between injured subjects and controls in postconcussion symptoms, but not agility performance. Post hoc testing revealed that injured subjects reported significantly more postconcussion symptoms on Day 1 after injury. CONCLUSION: The methods of agility assessment used in this study appear to not be sensitive enough to detect functional impairment following MBI.\n
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\n \n \n\n \n \n \n \n Cognitive Rehabilitation: Official Statement of the National Academy of Neuropsychology.\n \n\n\n \n Neuropsychology, N., A., o.\n \n\n\n \n\n\n\n 1999-2000. 2002.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Cognitive Rehabilitation: Official Statement of the National Academy of Neuropsychology},\n type = {article},\n year = {2002},\n pages = {1999-2000},\n id = {b509d87f-966f-37c0-b5da-46e73deb8ca9},\n created = {2017-06-28T11:50:13.752Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.752Z},\n tags = {attention},\n read = {true},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n bibtype = {article},\n author = {Neuropsychology, National Academy of}\n}
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\n \n \n\n \n \n \n \n Strategic sequence planning and prospective memory impairments in frontally lesioned head trauma patients performing activities of daily living.\n \n\n\n \n Fortin, S.; Godbout, L.; and Braun, C., M.\n \n\n\n \n\n\n\n Brain Cogn, 48(2-3): 361-365. 2002.\n \n\n\n\n
\n\n\n \n \n \n \"StrategicWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Strategic sequence planning and prospective memory impairments in frontally lesioned head trauma patients performing activities of daily living.},\n type = {article},\n year = {2002},\n identifiers = {[object Object]},\n pages = {361-365},\n volume = {48},\n websites = {http://view.ncbi.nlm.nih.gov/pubmed/12030468},\n city = {Département de Psychologie, Centre de Neuroscience de la Cognition, Université du Québec à Montréal, Canada. Braun.Claude@uqam.ca},\n id = {61151e43-82f1-3bb4-a4e6-b8a966424f22},\n created = {2017-06-28T11:50:14.322Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:14.322Z},\n tags = {attention},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:1286289},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {The aim of this research was to study strategic sequence planning and prospective memory in activities of daily living (ADL) in 10 patients with frontal lobe lesions after a mild to moderate closed head injury (CHI). The lesions were documented radiologically. The CHI patients were compared to 12 normal controls with a neuropsychological test battery and a realistic simulation of complex multitask ADL (planning and preparing a meal). Though the CHI patients were significantly slow on one test and subject to interference on an attention test, they manifested no basic executive or memory deficit on the paper-pencil tests. However, the CHI patients manifested marked anomalies in the organization of behavior in the meal preparation task. While small sequences of actions were easily produced, large action sets could not be correctly executed. An outstanding difficulty in strategic planning and prospective memory, particularly time-based more than event-based, appears to be an important underpinning of the impairment of ADL observed in the CHI patients with frontal lobe lesions.},\n bibtype = {article},\n author = {Fortin, S and Godbout, L and Braun, CM M},\n journal = {Brain Cogn},\n number = {2-3}\n}
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\n The aim of this research was to study strategic sequence planning and prospective memory in activities of daily living (ADL) in 10 patients with frontal lobe lesions after a mild to moderate closed head injury (CHI). The lesions were documented radiologically. The CHI patients were compared to 12 normal controls with a neuropsychological test battery and a realistic simulation of complex multitask ADL (planning and preparing a meal). Though the CHI patients were significantly slow on one test and subject to interference on an attention test, they manifested no basic executive or memory deficit on the paper-pencil tests. However, the CHI patients manifested marked anomalies in the organization of behavior in the meal preparation task. While small sequences of actions were easily produced, large action sets could not be correctly executed. An outstanding difficulty in strategic planning and prospective memory, particularly time-based more than event-based, appears to be an important underpinning of the impairment of ADL observed in the CHI patients with frontal lobe lesions.\n
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\n \n \n\n \n \n \n \n Community based rehabilitation after severe traumatic brain injury: a randomised controlled trial.\n \n\n\n \n Powell, J.; Heslin, J.; and Greenwood, R.\n \n\n\n \n\n\n\n J Neurol. Neurosurg. Psychiatry, 72: 193-202. 2002.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Community based rehabilitation after severe traumatic brain injury: a randomised controlled trial},\n type = {article},\n year = {2002},\n keywords = {*file-import-11-08-09,evidence},\n pages = {193-202},\n volume = {72},\n id = {bc0d888b-8fac-3cc2-8c1e-e53e00ef94f7},\n created = {2017-06-28T11:50:14.660Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:14.660Z},\n tags = {evidence},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {powell2002community},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n bibtype = {article},\n author = {Powell, J. and Heslin, J. and Greenwood, R.},\n journal = {J Neurol. Neurosurg. Psychiatry}\n}
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\n \n \n\n \n \n \n \n Peer support in the community: initial findings of a mentoring program for individuals with traumatic brain injury and their families.\n \n\n\n \n Hibbard, M., R.; Cantor, J.; Charatz, H.; Rosenthal, R.; Ashman, T.; Gundersen, N.; and Others\n \n\n\n \n\n\n\n J Head Trauma Rehabil, 17: 112-131. 2002.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Peer support in the community: initial findings of a mentoring program for individuals with traumatic brain injury and their families.},\n type = {article},\n year = {2002},\n keywords = {*file-import-11-08-09,evidence},\n pages = {112-131},\n volume = {17},\n id = {a5821dfc-11f2-349c-bf54-32600f7761ac},\n created = {2017-06-28T11:50:16.403Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:16.403Z},\n tags = {evidence},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {hibbard2002},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n bibtype = {article},\n author = {Hibbard, M. R. and Cantor, J. and Charatz, H. and Rosenthal, R. and Ashman, T. and Gundersen, N. and Others, undefined},\n journal = {J Head Trauma Rehabil}\n}
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\n \n \n\n \n \n \n \n Decreased Length of stay, cost savings and descriptive findings of enhanced patient care resulting from and integrated traumatic brain injury programme.\n \n\n\n \n Khan, S.; Khan, A.; and Feyz, M.\n \n\n\n \n\n\n\n Brain Inj, 16: 537-554. 2002.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Decreased Length of stay, cost savings and descriptive findings of enhanced patient care resulting from and integrated traumatic brain injury programme},\n type = {article},\n year = {2002},\n keywords = {*file-import-11-08-09,costs,evidence},\n pages = {537-554},\n volume = {16},\n id = {3e3f9e7e-ea4c-3659-99ec-a738e0a07995},\n created = {2017-06-28T11:50:16.706Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:16.706Z},\n tags = {Costs,evidence},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {khan2002decreased},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n bibtype = {article},\n author = {Khan, S. and Khan, A. and Feyz, M.},\n journal = {Brain Inj}\n}
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\n  \n 2001\n \n \n (5)\n \n \n
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\n \n \n\n \n \n \n \n Traumatic brain injury (TBI) 10-20 years later: a comprehensive outcome study of psychiatric symptomatology, cognitive abilities and psychosocial functioning.\n \n\n\n \n Hoofien, D.; Gilboa, A.; Vakil, E.; and Donovick, P., J.\n \n\n\n \n\n\n\n Brain Inj, 15(3): 189-209. 3 2001.\n \n\n\n\n
\n\n\n \n \n \n \"TraumaticWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Traumatic brain injury (TBI) 10-20 years later: a comprehensive outcome study of psychiatric symptomatology, cognitive abilities and psychosocial functioning.},\n type = {article},\n year = {2001},\n identifiers = {[object Object]},\n pages = {189-209},\n volume = {15},\n websites = {http://dx.doi.org/10.1080/026990501300005659},\n month = {3},\n city = {The National Institute for the Rehabilitation of the Brain Injured, Israel. mshoofi@mscc.huji.ac.il},\n id = {22621015-a6c8-3cbd-ac1f-68ba72e50bdf},\n created = {2017-06-28T11:50:08.668Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:08.668Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:1286275},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {The goal of this study was to measure the very long-term mental and psychosocial outcomes of severe traumatic brain injury (TBI). Seventy-six persons with severe TBI were evaluated extensively by means of standardized scales, neuropsychological tests and evaluations by family members, at an average of 14.1 (SD = 5.5) years post-injury. Six mental and functional domains were examined: psychiatric symptomatology, cognitive abilities, vocational status, family integration, social functioning, and independence in daily routines. The findings indicate a long-term differential effect of severe TBI, with seriously affected psychiatric symptomatology, family and social domains, as compared to moderately influenced cognitive, vocational and independent functioning. Relatively high rates of depression, psychomotor slowness, loneliness and family members' sense of burden were found. In addition to their epidemiological importance, the results indicate that persons with TBI and their families may need professional assistance to maintain a reasonable psychosocial quality of life, even more than a decade post-injury.},\n bibtype = {article},\n author = {Hoofien, D and Gilboa, A and Vakil, E and Donovick, PJ J},\n journal = {Brain Inj},\n number = {3}\n}
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\n The goal of this study was to measure the very long-term mental and psychosocial outcomes of severe traumatic brain injury (TBI). Seventy-six persons with severe TBI were evaluated extensively by means of standardized scales, neuropsychological tests and evaluations by family members, at an average of 14.1 (SD = 5.5) years post-injury. Six mental and functional domains were examined: psychiatric symptomatology, cognitive abilities, vocational status, family integration, social functioning, and independence in daily routines. The findings indicate a long-term differential effect of severe TBI, with seriously affected psychiatric symptomatology, family and social domains, as compared to moderately influenced cognitive, vocational and independent functioning. Relatively high rates of depression, psychomotor slowness, loneliness and family members' sense of burden were found. In addition to their epidemiological importance, the results indicate that persons with TBI and their families may need professional assistance to maintain a reasonable psychosocial quality of life, even more than a decade post-injury.\n
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\n \n \n\n \n \n \n \n Integration through a city-wide brain injury network and best practices project.\n \n\n\n \n Vander Laan, R.; Brandys, C.; Sullivan, I.; and Lemsky, C.\n \n\n\n \n\n\n\n NeuroRehabilitation, 16(1): 17-26. 1 2001.\n \n\n\n\n
\n\n\n \n \n \n \"IntegrationWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Integration through a city-wide brain injury network and best practices project.},\n type = {article},\n year = {2001},\n identifiers = {[object Object]},\n keywords = {Brain Injuries,Brain Injuries: rehabilitation,Canada,Community Health Services,Community Health Services: standards,Disabled Persons,Humans,Social Support,Treatment Outcome},\n pages = {17-26},\n volume = {16},\n websites = {http://www.ncbi.nlm.nih.gov/pubmed/11455100},\n month = {1},\n id = {5c151e9c-c110-3e25-9041-d0f65bf79ec7},\n created = {2017-06-28T11:50:09.106Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:09.106Z},\n tags = {best practice},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {Integration of systems of service for individuals who have sustained a brain injury (BI) is critical to their successful recovery and reintegration into the community [6,7,33]. The Toronto Acquired Brain Injury (ABI) Network, an umbrella organization of 17 partners in the city of Toronto, Canada, is attempting to create a cost-effective, seamless, efficient, and effective integrated system of service. The ABI Network includes organizations and agencies along the full continuum, from acute care inpatient to long term care reintegration and is ultimately focused on helping clients achieve their goals. Through a variety of projects and activities, progress is being made. A significant initiative, currently underway, is the development of Network-wide best practices, related to assessment and outcomes, rooted in empirical evidence and current research. The project also integrates the perspectives of clients and families. The hope is that this initiative will result in enhanced consistency across programs, ensuring universal access to treatment and interventions following brain injury from the time of an individual's injury through integration into the community.},\n bibtype = {article},\n author = {Vander Laan, R and Brandys, C and Sullivan, I and Lemsky, C},\n journal = {NeuroRehabilitation},\n number = {1}\n}
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\n Integration of systems of service for individuals who have sustained a brain injury (BI) is critical to their successful recovery and reintegration into the community [6,7,33]. The Toronto Acquired Brain Injury (ABI) Network, an umbrella organization of 17 partners in the city of Toronto, Canada, is attempting to create a cost-effective, seamless, efficient, and effective integrated system of service. The ABI Network includes organizations and agencies along the full continuum, from acute care inpatient to long term care reintegration and is ultimately focused on helping clients achieve their goals. Through a variety of projects and activities, progress is being made. A significant initiative, currently underway, is the development of Network-wide best practices, related to assessment and outcomes, rooted in empirical evidence and current research. The project also integrates the perspectives of clients and families. The hope is that this initiative will result in enhanced consistency across programs, ensuring universal access to treatment and interventions following brain injury from the time of an individual's injury through integration into the community.\n
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\n \n \n\n \n \n \n \n Course of neuropsychological recovery from moderate-to-severe head injury: a 2-year follow-up.\n \n\n\n \n Lannoo, E.; Colardyn, F.; Jannes, C.; and de Soete, G.\n \n\n\n \n\n\n\n Brain injury : [BI], 15(1): 1-13. 1 2001.\n \n\n\n\n
\n\n\n \n \n \n \"CourseWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {Course of neuropsychological recovery from moderate-to-severe head injury: a 2-year follow-up.},\n type = {article},\n year = {2001},\n identifiers = {[object Object]},\n keywords = {Adult,Amnesia,Amnesia: etiology,Amnesia: psychology,Analysis of Variance,Cluster Analysis,Craniocerebral Trauma,Craniocerebral Trauma: physiopathology,Craniocerebral Trauma: psychology,Female,Follow-Up Studies,Glasgow Coma Scale,Humans,Male,Neuropsychological Tests,Time Factors},\n pages = {1-13},\n volume = {15},\n websites = {http://www.ncbi.nlm.nih.gov/pubmed/11201310},\n month = {1},\n id = {3d12cecd-ba93-3b18-9a21-84627078ca20},\n created = {2017-06-28T11:50:13.559Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.559Z},\n tags = {attention},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {Neuropsychological outcome and recovery of a group of 91 patients with moderate-to-severe head injuries were prospectively investigated over a 2 year period, with evaluations at acute hospital discharge at 6 months and 2 years post-injury. A group of 39 trauma patients with injuries to parts of the body other than the head were used as controls. The head injured group performed significantly worse than the control group at baseline, 6 months and 2 years post-injury. Significant improvement was found during the first 6 months, but also between 6 months and 2 years post-injury. Trauma controls also performed significantly better at 6 months post-injury compared to baseline. Differential practice effects between groups cause difficulties in determining recovery. Within the head injured group, three distinct recovery groups were identified varying as a function of coma-length and coma-duration. The first group is comparable with the trauma controls. The other two groups demonstrate significant neuropsychological impairments at baseline, with one group showing a marked improvement over the 2 year period, and the other group showing only small improvement over this time period.},\n bibtype = {article},\n author = {Lannoo, E and Colardyn, F and Jannes, C and de Soete, G},\n journal = {Brain injury : [BI]},\n number = {1}\n}
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\n Neuropsychological outcome and recovery of a group of 91 patients with moderate-to-severe head injuries were prospectively investigated over a 2 year period, with evaluations at acute hospital discharge at 6 months and 2 years post-injury. A group of 39 trauma patients with injuries to parts of the body other than the head were used as controls. The head injured group performed significantly worse than the control group at baseline, 6 months and 2 years post-injury. Significant improvement was found during the first 6 months, but also between 6 months and 2 years post-injury. Trauma controls also performed significantly better at 6 months post-injury compared to baseline. Differential practice effects between groups cause difficulties in determining recovery. Within the head injured group, three distinct recovery groups were identified varying as a function of coma-length and coma-duration. The first group is comparable with the trauma controls. The other two groups demonstrate significant neuropsychological impairments at baseline, with one group showing a marked improvement over the 2 year period, and the other group showing only small improvement over this time period.\n
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\n \n \n\n \n \n \n \n Impact of comprehensive day treatment on societal participation for persons with acquired brain injury.\n \n\n\n \n Malec, J., F.\n \n\n\n \n\n\n\n Arch. Phys. Med Rehabil, 82: 885-895. 2001.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Impact of comprehensive day treatment on societal participation for persons with acquired brain injury},\n type = {article},\n year = {2001},\n keywords = {*file-import-11-08-09,evidence},\n pages = {885-895},\n volume = {82},\n id = {f16757c3-0580-3946-91ad-028dc6440abc},\n created = {2017-06-28T11:50:15.109Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:15.109Z},\n tags = {evidence},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {malec2001impact},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n bibtype = {article},\n author = {Malec, J. F.},\n journal = {Arch. Phys. Med Rehabil}\n}
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\n \n \n\n \n \n \n \n The Impact of the Different Disabilities Arising from Head Injury on the Primary Caregiver.\n \n\n\n \n Connolly, D.; and O'Dowd, T.\n \n\n\n \n\n\n\n British Journal of Occupational Therapy, 64(1): 41-46. 1 2001.\n \n\n\n\n
\n\n\n \n \n \n \"TheWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {The Impact of the Different Disabilities Arising from Head Injury on the Primary Caregiver},\n type = {article},\n year = {2001},\n identifiers = {[object Object]},\n pages = {41-46},\n volume = {64},\n websites = {http://journals.sagepub.com/doi/10.1177/030802260106400108},\n month = {1},\n publisher = {SAGE PublicationsSage UK: London, England},\n day = {5},\n id = {e9497c24-2222-3f50-af9a-2165eea123a8},\n created = {2017-08-25T10:54:31.807Z},\n accessed = {2017-08-25},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-08-25T10:54:31.807Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {One of the major challenges of coping with head injury is that people are often unprepared for, and unaware of, the potentially harsh reality that can have an impact on the family. This study was carried out to examine the association between motor, cognitive, behavioural, perceptual, and speech and language disabilities and the levels of stress and strain on the carers.Two scales were used to measure stress and strain. The results showed that, in this group (n = 70), behavioural disabilities were most strongly associated with the carers' self-concepts, such as self-esteem and feelings of competence. Motor and cognitive disabilities were associated with strain on roles and activities outside the caregiving situation.These results have implications for practice and service providers. They indicate that services and intervention strategies must place greater emphasis on addressing the possible impact of behavioural disabilities on the carer's self-concept and that respite services should be available to all...},\n bibtype = {article},\n author = {Connolly, Deirdre and O'Dowd, Tom},\n journal = {British Journal of Occupational Therapy},\n number = {1}\n}
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\n One of the major challenges of coping with head injury is that people are often unprepared for, and unaware of, the potentially harsh reality that can have an impact on the family. This study was carried out to examine the association between motor, cognitive, behavioural, perceptual, and speech and language disabilities and the levels of stress and strain on the carers.Two scales were used to measure stress and strain. The results showed that, in this group (n = 70), behavioural disabilities were most strongly associated with the carers' self-concepts, such as self-esteem and feelings of competence. Motor and cognitive disabilities were associated with strain on roles and activities outside the caregiving situation.These results have implications for practice and service providers. They indicate that services and intervention strategies must place greater emphasis on addressing the possible impact of behavioural disabilities on the carer's self-concept and that respite services should be available to all...\n
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\n \n \n\n \n \n \n \n A medical/vocational case coordination system for persons with brain injury: An evaluation of employment outcomes.\n \n\n\n \n Malec, J., F.; Buffington, A., L., H.; Moessner, A., M.; and Degiorgio, L.\n \n\n\n \n\n\n\n Archives of Physical Medicine and Rehabilitation, 81(8): 1007-1015. 8 2000.\n \n\n\n\n
\n\n\n \n \n \n \"AWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {A medical/vocational case coordination system for persons with brain injury: An evaluation of employment outcomes},\n type = {article},\n year = {2000},\n identifiers = {[object Object]},\n keywords = {vocational_rehabilitation},\n pages = {1007-1015},\n volume = {81},\n websites = {http://dx.doi.org/10.1053/apmr.2000.6980},\n month = {8},\n id = {ffb6ff6f-8174-371a-a4a2-99627abd0a05},\n created = {2017-06-28T11:50:06.853Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:06.853Z},\n tags = {vocational_rehabilitation},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:10724396},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Malec JF, Buffington ALH, Moessner AM, Degiorgio L. A medical/vocational case coordination system for persons with brain injury: an evaluation of employment outcomes. Arch Phys Med Rehabil 2000;81:1007-15. Objective: To evaluate initial placement and 1-year employment outcomes of a Medical/Vocational Case Coordination System (MVCCS) for persons with brain injury (BI) that provides: (1) early case identification and coordination, (2) appropriate medical and vocational rehabilitation interventions, (3) work trials, and (4) supported employment interventions including job coaching. Participants: One hundred fourteen Minnesota residents, ages 18 to 65 years, with acquired BI. Main Outcome Measures: Outcome: Five levels of Vocational Independence Scale (VIS). Predictor: Preinjury employment status (VIS) and years of education, severity of initial injury, time since injury, current impairment/disability as measured by the Rasch-analyzed Staff Mayo-Portland Adaptability Inventory (MPAI), and impaired self-awareness measured by staff rating and the difference between Staff MPAI and Survivor MPAI. Results: At placement, 46% in independent work; 25% in transitional placements; 9% in long-term supported employment; 10% in sheltered work; and 10% not placed. At 1-year follow-up (n = 101), 53% in independent work; 19% in transitional placement; 9% in supported work; 6% in sheltered work; and 13% unemployed. Regression analyses showed time since injury and Rasch Staff MPAI predicted VIS at placement; only VIS at placement independently predicted VIS at 1-year follow-up; Rasch Staff MPAI and preinjury education level predicted time to placement. Conclusions: The MVCCS optimized vocational outcome after BI. Time since injury and impairment/disability best predicted vocational placement. Level of initial placement best predicted employment status at follow-up. Persons with greater disability required more extended time and more extensive rehabilitation services before placement. © 2000 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation},\n bibtype = {article},\n author = {Malec, James F. and Buffington, Angela L.H. H and Moessner, Anne M. and Degiorgio, Lisa},\n journal = {Archives of Physical Medicine and Rehabilitation},\n number = {8}\n}
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\n Malec JF, Buffington ALH, Moessner AM, Degiorgio L. A medical/vocational case coordination system for persons with brain injury: an evaluation of employment outcomes. Arch Phys Med Rehabil 2000;81:1007-15. Objective: To evaluate initial placement and 1-year employment outcomes of a Medical/Vocational Case Coordination System (MVCCS) for persons with brain injury (BI) that provides: (1) early case identification and coordination, (2) appropriate medical and vocational rehabilitation interventions, (3) work trials, and (4) supported employment interventions including job coaching. Participants: One hundred fourteen Minnesota residents, ages 18 to 65 years, with acquired BI. Main Outcome Measures: Outcome: Five levels of Vocational Independence Scale (VIS). Predictor: Preinjury employment status (VIS) and years of education, severity of initial injury, time since injury, current impairment/disability as measured by the Rasch-analyzed Staff Mayo-Portland Adaptability Inventory (MPAI), and impaired self-awareness measured by staff rating and the difference between Staff MPAI and Survivor MPAI. Results: At placement, 46% in independent work; 25% in transitional placements; 9% in long-term supported employment; 10% in sheltered work; and 10% not placed. At 1-year follow-up (n = 101), 53% in independent work; 19% in transitional placement; 9% in supported work; 6% in sheltered work; and 13% unemployed. Regression analyses showed time since injury and Rasch Staff MPAI predicted VIS at placement; only VIS at placement independently predicted VIS at 1-year follow-up; Rasch Staff MPAI and preinjury education level predicted time to placement. Conclusions: The MVCCS optimized vocational outcome after BI. Time since injury and impairment/disability best predicted vocational placement. Level of initial placement best predicted employment status at follow-up. Persons with greater disability required more extended time and more extensive rehabilitation services before placement. © 2000 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation\n
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\n \n \n\n \n \n \n \n Self-awareness, distress, and postacute rehabilitation outcome.\n \n\n\n \n Malec, J., F.; and Moessner, A., M.\n \n\n\n \n\n\n\n Rehabilitation Psychology, 45: 227-241. 2000.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Self-awareness, distress, and postacute rehabilitation outcome},\n type = {article},\n year = {2000},\n keywords = {*file-import-11-08-09,evidence},\n pages = {227-241},\n volume = {45},\n id = {8a6d3a19-5086-37f6-bb7a-069cfc0310fc},\n created = {2017-06-28T11:50:13.134Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:13.134Z},\n tags = {evidence},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {malec2000selfawareness},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n bibtype = {article},\n author = {Malec, J. F. and Moessner, A. M.},\n journal = {Rehabilitation Psychology}\n}
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\n \n \n\n \n \n \n \n The incidence and lifetime prevalence of neurological disorders in a prospective community-based study in the UK.\n \n\n\n \n MacDonald, B., K.; Cockerell, O., C.; Sander, J., W., A., S.; and Shorvon, S., D.\n \n\n\n \n\n\n\n Brain, 123(4): 665-676. 4 2000.\n \n\n\n\n
\n\n\n \n \n \n \"TheWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
\n
@article{\n title = {The incidence and lifetime prevalence of neurological disorders in a prospective community-based study in the UK},\n type = {article},\n year = {2000},\n identifiers = {[object Object]},\n keywords = {incidence_rates,lifetime_prevalence,prevalence_rates},\n pages = {665-676},\n volume = {123},\n websites = {http://dx.doi.org/10.1093/brain/123.4.665,http://brain.oxfordjournals.org/content/123/4/665.abstract,http://brain.oxfordjournals.org/content/123/4/665.full.pdf},\n month = {4},\n day = {1},\n id = {d1e3719d-9983-37fe-a8be-c9761a42bc24},\n created = {2017-06-28T11:50:14.478Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:14.478Z},\n tags = {incidence_rates,lifetime_prevalence,prevalence_rates},\n read = {true},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:5898495},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Over an 18-month period, all incident cases of neurological disorders were ascertained prospectively in an unselected urban population based in 13 general practices in the London area by a General Practice Linkage Scheme with the National Hospital for Neurology and Neurosurgery. In three of these practices, the lifetime prevalence of neurological disorders was also assessed. A population of 100 230 patients registered with participating general practices was followed prospectively for the onset of neurological disorders. Multiple methods of case finding were used to maintain accuracy. The age- and sex-adjusted incidence rates of neurological disorders were calculated. The lifetime prevalence of neurological disorders was surveyed in 27 658 of the patients. The age- and sex-adjusted incidence rates were calculated for major neurological conditions. [These are expressed as rates per 100 000 persons per annum, with 95% confidence intervals (CI) in parentheses]. The commonest of these were first cerebrovascular events, 205 (CI: 183, 230); shingles, 140 (CI: 104, 184); diabetic polyneuropathy, 54 (CI: 33, 83); compressive neuropathies, 49 (CI: 39, 61); epilepsy, 46 (CI: 36, 60); Parkinson's disease, 19 (CI: 12, 27); peripheral neuropathies, 15 (CI: 9, 23); CNS infections, 12 (CI: 5, 13); post-herpetic neuralgia, 11 (CI: 6, 17); and major neurological injuries, 10 (CI: 4, 11). Lifetime prevalence rates are also reported (expressed as rate per 1000 persons with 95% CI). The most prevalent conditions were: completed stroke, 9 (CI: 8, 11); transient ischaemic attacks, 5 (CI: 4, 6); active epilepsy, 4 (CI: 4, 5); congenital neurological deficit, 3 (CI: 3, 4); Parkinson's disease, 2 (CI: 1, 3); multiple sclerosis, 2 (CI: 2, 3); diabetic polyneuropathy, 2 (CI: 1, 3); compressive mononeuropathies, 2 (CI: 2, 3); and sub-arachnoid haemorrhage, 1 (CI: 0.8, 2). Overall, the onset of 625 neurological disorders was observed per 100 000 population annually. Six percent of the population had at some time had a neurological disorder. This is the first study of the incidence and lifetime prevalence of neurological disorders in recent times; we found that these disorders give rise to significant morbidity in the community. 10.1093/brain/123.4.665},\n bibtype = {article},\n author = {MacDonald, B. K. and Cockerell, O. C. and Sander, J. W. A. S. and Shorvon, S. D.},\n journal = {Brain},\n number = {4}\n}
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\n Over an 18-month period, all incident cases of neurological disorders were ascertained prospectively in an unselected urban population based in 13 general practices in the London area by a General Practice Linkage Scheme with the National Hospital for Neurology and Neurosurgery. In three of these practices, the lifetime prevalence of neurological disorders was also assessed. A population of 100 230 patients registered with participating general practices was followed prospectively for the onset of neurological disorders. Multiple methods of case finding were used to maintain accuracy. The age- and sex-adjusted incidence rates of neurological disorders were calculated. The lifetime prevalence of neurological disorders was surveyed in 27 658 of the patients. The age- and sex-adjusted incidence rates were calculated for major neurological conditions. [These are expressed as rates per 100 000 persons per annum, with 95% confidence intervals (CI) in parentheses]. The commonest of these were first cerebrovascular events, 205 (CI: 183, 230); shingles, 140 (CI: 104, 184); diabetic polyneuropathy, 54 (CI: 33, 83); compressive neuropathies, 49 (CI: 39, 61); epilepsy, 46 (CI: 36, 60); Parkinson's disease, 19 (CI: 12, 27); peripheral neuropathies, 15 (CI: 9, 23); CNS infections, 12 (CI: 5, 13); post-herpetic neuralgia, 11 (CI: 6, 17); and major neurological injuries, 10 (CI: 4, 11). Lifetime prevalence rates are also reported (expressed as rate per 1000 persons with 95% CI). The most prevalent conditions were: completed stroke, 9 (CI: 8, 11); transient ischaemic attacks, 5 (CI: 4, 6); active epilepsy, 4 (CI: 4, 5); congenital neurological deficit, 3 (CI: 3, 4); Parkinson's disease, 2 (CI: 1, 3); multiple sclerosis, 2 (CI: 2, 3); diabetic polyneuropathy, 2 (CI: 1, 3); compressive mononeuropathies, 2 (CI: 2, 3); and sub-arachnoid haemorrhage, 1 (CI: 0.8, 2). Overall, the onset of 625 neurological disorders was observed per 100 000 population annually. Six percent of the population had at some time had a neurological disorder. This is the first study of the incidence and lifetime prevalence of neurological disorders in recent times; we found that these disorders give rise to significant morbidity in the community. 10.1093/brain/123.4.665\n
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\n \n \n\n \n \n \n \n Self-awareness and psychosocial functioning following acquired brain injury: an evaluation of a group support programme.\n \n\n\n \n Ownsworth, T., L.; McFarland, K.; and Young, R., M.\n \n\n\n \n\n\n\n Neuropsychological Rehabilitation, 10: 465-484. 2000.\n \n\n\n\n
\n\n\n \n \n\n \n\n bibtex \n \n \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Self-awareness and psychosocial functioning following acquired brain injury: an evaluation of a group support programme},\n type = {article},\n year = {2000},\n keywords = {*file-import-11-08-09,evidence},\n pages = {465-484},\n volume = {10},\n id = {010fed2c-75a9-3b6a-8491-1224f5b4ad5d},\n created = {2017-06-28T11:50:15.184Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:15.184Z},\n tags = {evidence},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {ownsworth2000selfawareness},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n bibtype = {article},\n author = {Ownsworth, T. L. and McFarland, K. and Young, R. M.},\n journal = {Neuropsychological Rehabilitation}\n}
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\n \n \n\n \n \n \n \n Evaluation of an Anger Management Therapy Programme Following Acquired Brain Injury: A Preliminary Study.\n \n\n\n \n Medd, J.; and Tate, R., L.\n \n\n\n \n\n\n\n Neuropsychological Rehabilitation: An International Journal, 10(2): 185-201. 2000.\n \n\n\n\n
\n\n\n \n \n \n \"EvaluationWebsite\n  \n \n\n \n\n bibtex \n \n \n \n  \n \n abstract \n \n\n \n\n \n\n \n \n \n \n \n \n \n \n\n\n
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@article{\n title = {Evaluation of an Anger Management Therapy Programme Following Acquired Brain Injury: A Preliminary Study},\n type = {article},\n year = {2000},\n identifiers = {[object Object]},\n keywords = {anger,anger_control,anger_expression,anger_management,anxiety,behavioural_intervention,challenging_behaviour,cognitive_behavioural_therapy},\n pages = {185-201},\n volume = {10},\n websites = {http://dx.doi.org/10.1080/096020100389246},\n publisher = {Psychology Press},\n id = {053486ad-5661-3f25-abbc-777b8ba8fa5c},\n created = {2017-06-28T11:50:15.909Z},\n file_attached = {false},\n profile_id = {b6efe121-8b29-3abc-9df5-2353a8d30e77},\n group_id = {b5d47587-29f3-3d17-8b85-7fb502b94b79},\n last_modified = {2017-06-28T11:50:15.909Z},\n tags = {Behaviour,anger_management,anxiety,challenging_behaviour,cognitive_behavioural_therapy},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n citation_key = {citeulike:7292546},\n source_type = {citeulike:JOUR},\n user_context = {Journal article},\n private_publication = {false},\n abstract = {Problems with anger management after traumatic brain injury are one of the most frequent changes in the long term reported by relatives of injured people. In spite of their impact there have been few reports either describing therapy procedures for this disorder or examining their efficacy. The present study evaluated a cognitive-behavioural intervention for anger management difficulties following acquired brain injury. Participants were screened and randomly allocated to either a Treatment Group (TREAT) or Waiting List Group (WAIT). Each participant in TREAT received approximately six, hourly individual sessions of anger-management therapy while those in WAIT monitored their anger daily. Sixteen participants proceeded through to the final stages of the study. A significant decrease in anger on the State-Trait Anger Expression Inventory (STAXI) was found for TREAT in comparison with WAIT at post-treatment. Repeated-measures analyses for TREAT showed significant improvements between pre-treatment and post-treatment measures (immediate and 2-month follow-up) on the STAXI. No significant generalisation of treatment effects to self-esteem, anxiety, depression, or degree of self-awareness were found.},\n bibtype = {article},\n author = {Medd, Jessica and Tate, Robyn L.},\n journal = {Neuropsychological Rehabilitation: An International Journal},\n number = {2}\n}
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\n Problems with anger management after traumatic brain injury are one of the most frequent changes in the long term reported by relatives of injured people. In spite of their impact there have been few reports either describing therapy procedures for this disorder or examining their efficacy. The present study evaluated a cognitive-behavioural intervention for anger management difficulties following acquired brain injury. Participants were screened and randomly allocated to either a Treatment Group (TREAT) or Waiting List Group (WAIT). Each participant in TREAT received approximately six, hourly individual sessions of anger-management therapy while those in WAIT monitored their anger daily. Sixteen participants proceeded through to the final stages of the study. A significant decrease in anger on the State-Trait Anger Expression Inventory (STAXI) was found for TREAT in comparison with WAIT at post-treatment. Repeated-measures analyses for TREAT showed significant improvements between pre-treatment and post-treatment measures (immediate and 2-month follow-up) on the STAXI. No significant generalisation of treatment effects to self-esteem, anxiety, depression, or degree of self-awareness were found.\n
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