Pre-injury Comorbidities Are Associated With Functional Impairment and Post-concussive Symptoms at 3- and 6-Months After Mild Traumatic Brain Injury: A TRACK-TBI Study

Conclusions: Pre-injury psychiatric and pre-injury headache/migraine symptoms are risk factors for worse functional and post-concussive outcomes at 3- and 6-months post-mTBI. mTBI patients presenting to acute care should be evaluated for psychiatric and headache/migraine history, with lower thresholds for providing TBI education/resources, surveillance, and follow-up/referrals. Clinical Trial Registration: www.ClinicalTrials.gov, identifier NCT01565551. Introduction Traumatic brain injury (TBI) remains a significant cause of morbidity and mortality worldwide. In 2013 ~2.8 million TBI cases were recorded annually in the United States (U.S.) (1), which is a 160% increase from 2007 (2). Updated estimates suggest closer to 4 million, due to subpopulations of patients who do not seek care due to either inadequate access or perceived lack of need (2–4). Over 70% of TBI is classified as “mild (mTBI)” defined by Glasgow Coma Scale (GCS) score 13-15 (3, 5), which present heterogeneously with a range of demographic and clinical risk factors. Although a substantial portion of mTBI patients fully recover without intervention, up to 50% suffer long-term functional and/or neuropsychological sequelae, leading to a substantial burden on both patients and the healthcare system (3, 6). This heterogeneity poses a problem in the clinic, as some risk factors are conserved while others differ across different outcome instruments. Whether predictors differ across differen...
Source: Frontiers in Neurology - Category: Neurology Source Type: research

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Publication date: Available online 9 December 2019Source: Gynecologic Oncology ReportsAuthor(s): Kumiko Seki, Hiroshi Ishikawa, Rei Hashimoto, Akira Mitsuhashi, Jun-ichiro Ikeda, Makio Shozu
Source: Gynecologic Oncology Reports - Category: OBGYN Source Type: research
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Background: Immigrant mothers are raising an increasing proportion of the population of children in the United States. Purpose: The purpose of this review was to explore existing research on immigrant women's experiences of being mothers in the United States and identify key concepts, gaps in the literature, and implications for future research that builds on the strengths of immigrant women while addressing their unique challenges. Study Design and Methods: In this scoping review, Ovid MEDLINE, CINAHL, SCOPUS, Web of Science, JUSTOR, and PsycINFO databases were searched using a combination of applicable key words....
Source: MCN: The American Journal of Maternal Child Nursing - Category: Nursing Tags: Feature: CE Connection Source Type: research
Background: The United States has the highest number of oocyte donation cycles, which account for an estimated one-quarter of all worldwide oocyte donation cycles. Although there has been a steady rise in oocyte donation treatment, understanding the kinship views of those intimately involved is lacking. These include women oocyte donors and parents who received donor oocytes to establish a pregnancy. Purpose: To explore the views and perspectives about genetic relationships and lineages among women who were oocyte donors and parents who received donated oocytes 10 to 12 years after donors and parents underwent oocyte ...
Source: MCN: The American Journal of Maternal Child Nursing - Category: Nursing Tags: Feature Source Type: research
Background: Birth fathers are the least known of the adoption triad (adoptee, birth family, adoptive family). There is a gap in evidence about birth father involvement in open adoptions. Purpose: The purpose of the study was to explore birth fathers' experiences of open adoption and contact patterns with birth children. Methods: Ten birth fathers of open adoptions were recruited from two agencies. Birth fathers participated in recorded telephone interviews using naturalistic inquiry. Verbatim transcripts were analyzed for qualitative content themes. Results: At conception and birth, birth fathers were not in a s...
Source: MCN: The American Journal of Maternal Child Nursing - Category: Nursing Tags: Feature Source Type: research
Background: Postpartum depression (PPD) affects one in seven women in the United States. Korean Americans are one of the six largest Asian American (AA) subgroups, representing 9% of the AA population in the United States. Women of Asian descent have not always been represented in studies of PPD. Purpose: The purpose of this study was to understand postpartum experiences, perceptions of PPD, and mental health help-seeking among Korean women living in the United States. Methods: Individual, face-to-face, semistructured interviews of Korean immigrant women, over age 18, who were able to read, write, and speak English...
Source: MCN: The American Journal of Maternal Child Nursing - Category: Nursing Tags: Feature Source Type: research
Background: African American women are more likely to experience preterm birth compared with White women. Social factors such as neighborhood disorder and experiences of racial discrimination, which disproportionately affect African American women, may partially explain these disparities. Purpose: The purpose of this study was to examine pregnant African American women's perceptions of neighborhood disorder, racial discrimination, and psychological distress and whether these concepts were viewed as influences on birth outcomes. Study Design and Methods: Using a mixed-methods approach, seven pregnant African America...
Source: MCN: The American Journal of Maternal Child Nursing - Category: Nursing Tags: Feature Source Type: research
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Source: MCN: The American Journal of Maternal Child Nursing - Category: Nursing Tags: CE Connection Source Type: research
No abstract available
Source: Nursing Made Incredibly Easy - Category: Nursing Tags: CE Connection Source Type: research
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