Concussions, Head Trauma and CTE

From the desk of Jerome Gronli, MDJerome Gronli,  MDSports participation offers many tremendous benefits for children and adolescents. Regular participation in sports can help maintain and improve physical health, has important cognitive and emotional benefits, and provides wonderful opportunities for building friendships and camaraderie. At the same time, families sometimes have questions about issues related to sports participation. In recent years, there has been increasing awareness of the significance of concussions and repeated head trauma, including the risk of developing chronic traumatic encephalopathy (CTE), a degenerative neurological disorder. Symptoms of CTE vary, but include important cognitive and emotional issues such as memory loss, confusion, mental fogginess, impaired judgement and impulse control, aggression, depression, anxiety, suicidality, Parkinson-type movement issues, and progressive dementia. Parents and families often have concerns about the long term effect of sports-related concussions. We have learned a great deal about concussions, and discussion about these injuries is an important part of school age and adolescent well checks and sports physicals.While concussions are certainly significant events that must be promptly recognized and appropriately treated, recent research suggests that a limited focus specifically on concussive injuries may present an incomplete picture of the risks of head trauma. With recent studies, has become increasi...
Source: Pediatric Health Associates - Category: Pediatrics Tags: Healthy Habits Source Type: news

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In conclusion, the components of BGH may exert synergistic effects on improving gastric emptying via various targets. BGH is considered to be potentially useful for treating gastrointestinal dysmotility with psychological symptoms. PMID: 32089720 [PubMed]
Source: Evidence-based Complementary and Alternative Medicine - Category: Complementary Medicine Tags: Evid Based Complement Alternat Med Source Type: research
Conclusion: The combination of JW-SZRD with lorazepam can significantly improve sleep quality with fewer AEs. It is an effective treatment and superior to lorazepam alone for chronic insomnia. PMID: 32089719 [PubMed]
Source: Evidence-based Complementary and Alternative Medicine - Category: Complementary Medicine Tags: Evid Based Complement Alternat Med Source Type: research
Publication date: Available online 26 February 2020Source: Brain StimulationAuthor(s): Antonio Suppa, Andrea Fabbrini, Andrea Guerra, Nikolaos Petsas, Francesco Asci, Flavio Di Stasio, Alessandro Trebbastoni, Federica Vasselli, Carlo De Lena, Patrizia Pantano, Alfredo Berardelli
Source: Brain Stimulation - Category: Neurology Source Type: research
(Int J Obst Anesth. 2019;38:32–36)
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Anesthesia and Analgesia: Postoperative Analgesia Source Type: research
Publication date: Available online 25 February 2020Source: Progress in Neuro-Psychopharmacology and Biological PsychiatryAuthor(s): Muris Humo, Beyza Ayazgök, Léa J. Becker, Elisabeth Waltisperger, Tomi Rantamäki, Ipek Yalcin
Source: Progress in Neuro Psychopharmacology and Biological Psychiatry - Category: Psychiatry Source Type: research
Da Costa originally described Soldier's Heart in the 19th Century as a syndrome that occurred on the battlefield in soldiers of the American Civil War. Soldier's Heart involved symptoms similar to modern day posttraumatic stress disorder (PTSD) as well as exaggerated cardiovascular reactivity felt to be related to an abnormality of the heart. Interventions were appropriately focused on the cardiovascular system. With the advent of modern psychoanalysis, psychiatric symptoms became divorced from the body and were relegated to the unconscious. Later, the physiology of PTSD and other psychiatric disorders was conceived as sol...
Source: The Journal of Nervous and Mental Disease - Category: Psychiatry Tags: Review Articles Source Type: research
The aims of the present study were to compare a sample of individuals exposed to suicide in their families with a control group, on suicidal ideation, and to test possible potentiating effects for unmet interpersonal needs. Three hundred eighty-six young Portuguese adults participated. Two groups were defined: a group exposed to suicide in the family (n = 38) and a control group (n = 335). Groups differed significantly on suicidal ideation, on depressive symptoms, and on perceived burdensomeness and tended to differ on thwarted belongingness. Results from a hierarchical multiple regression analysis demonstrated that having...
Source: The Journal of Nervous and Mental Disease - Category: Psychiatry Tags: Original Articles Source Type: research
This study examined the associations of a multimodal assessment of nonalcohol substance use and multiple indicators of suicide risk. Overall, 168 acute care psychiatric inpatients participated and provided data spanning urinalysis toxicology screen and self-report instruments. Substance use per urinalysis toxicology screen and self-report was not related to current suicidal ideation severity. However, substance use per urinalysis toxicology screen was significantly associated with a suicide attempt history and suicidality as a primary reason for admission. Substance use is an important variable to consider in suicide risk ...
Source: The Journal of Nervous and Mental Disease - Category: Psychiatry Tags: Original Articles Source Type: research
Latinos in the United States are less likely to take antidepressants than non-Latino whites, and more likely to prefer depression treatment in primary care. This preliminary study comprised focus groups (2) with primary care providers (12) serving uninsured immigrant Latinos regarding their experiences prescribing and counseling patients about antidepressants. Barriers and challenges included health literacy, language barriers, and illiteracy; perceived stigma; patients' concerns about addiction, polypharmacy, and adverse effects; time constraints of office visits; and difficulty discussing comorbid posttraumatic stress di...
Source: The Journal of Nervous and Mental Disease - Category: Psychiatry Tags: Original Articles Source Type: research
This research examined the efficacy of intensive short-term dynamic psychotherapy (ISTDP) in the treatment of social anxiety disorder (SAD) and compared the therapeutic outcomes of ISTDP when feeling focus or defense work is emphasized. A three-group randomized design with 6-month follow-up was used. Forty-one subjects were selected among volunteer college students diagnosed with SAD. They were assigned randomly into three groups; 14 cases to feeling-focused ISTDP (FF-ISTDP) group, 14 cases to defense-focused ISTDP (DF-ISTDP) group, and 13 cases to a control group. All subjects were evaluated at pretest, posttest, and six-...
Source: The Journal of Nervous and Mental Disease - Category: Psychiatry Tags: Original Articles Source Type: research
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