Navigating the evidence-practice gap in concussion care
Despite a growing body of research and clinical guidelines, a significant evidence-practice gap persists in the management of concussions. This gap represents a challenge that health care professionals and researchers are working diligently to bridge. Here are the basics of how the gap plays out in concussion care and how telemedicine is providing a promising
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Navigating the evidence-practice gap in concussion care originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 24, 2023 Category: General Medicine Authors: Sohaib Kureshi, MD Tags: Conditions Neurology Source Type: blogs
Motorcycle helmet laws: Balancing freedom and financial impact
Several years ago, I cared for a young man who crashed his motorcycle at highway speeds. He arrived, slightly dazed, with a few broken bones. Because he was wearing a full-face helmet, he had sustained only a concussion. The paramedics brought in his helmet as they often do, this one with the metal side buffed
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Motorcycle helmet laws: Balancing freedom and financial impact originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - September 17, 2023 Category: General Medicine Authors: Stephen Cohn, MD Tags: Conditions Surgery Source Type: blogs
On making things easier … Occupational therapists and ‘ compensatory ’ approaches
If there is one part of occupational therapy practice that gets more of my middle-aged grumpiness than any other, it’s occupational therapists using compensatory approaches for managing pain. And like anything, it’s complicated and nuanced. So here’s my attempt to work my way through the quagmire.
Compensatory approaches consist of a whole range of interventions that aim to “make up for” a deficit in a person’s occupational performance (see Nicholson & Hayward (2022) for a discussion of compensatory approaches in “functional neurological disorder”). The rationale for c...
Source: HealthSkills Weblog - December 4, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Coping Skills Coping strategies Occupational therapy Pain conditions Professional topics Research Science in practice compensatory strategies pain management Therapeutic approaches Source Type: blogs
A personal mission to get obese patients on GLP-1 agonists
Admittedly, this comes to you from a place of concussion-inducing-head-banging-against-brick-walls-level frustration. For the past year, I have made it a personal mission to get people suffering from obesity on GLP-1 agonists. These drugs are all in the same class, have identical mechanisms, and three are the same generics. (Ozempic, Wegovy, and Rybelsus are all semaglutide.)
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A personal mission to get obese patients on GLP-1 agonists originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 19, 2022 Category: General Medicine Authors: Christine Meyer, MD Tags: Conditions Diabetes Endocrinology Obesity Source Type: blogs
Taking your brain vitals: Stories from a techno-optimist inventing the future of human performance
We examined how experts currently measured brain health—like the neurologist who met my dad, gave him some tests, and made a determination. No matter how gifted the neurologist may be, there was no way for him to know whether my dad’s cognition had declined, improved, or stayed the same over the past months or even years. Yet I’d expected that doctor to have all the answers.
We proposed a new approach. Rather than boil the ocean trying to characterize every aspect of cognition, we said, “Let’s track brain health as if it’s a vital sign.” To do this, we needed a tracking tool that was as easy to use as, say, a...
Source: SharpBrains - October 11, 2022 Category: Neuroscience Authors: Dr. Cori Lathan Tags: Brain/ Mental Health Technology & Innovation AnthroTronix brain health cognition cognitive changes Cognitive-tests concussions Dana dementia-diagnosis detect cognitive changes mild-cognitive-impairment neurologist neuropsychologi Source Type: blogs
We need to talk about foobaw
Last Sunday, Miami Dolphins quarterback Tua Tagovailoa was knocked down in the second quarter of a game against the Buffalo Bills and hit the back of his head on the turf. He lay there for a few seconds, then tried to stand up on wobbly legs then he collapsed, obviously slobberknocked. They took him into the locker room, then sent him out to play the second half, claiming he had passed the concussion protocol and that he had collapsed due to a leg injury, which anybody could plainly see was a lie.Last night, against the Cincinnati Bengals, he was again knocked down and hit the back of his head. This timehe lay motionless f...
Source: Stayin' Alive - September 30, 2022 Category: American Health Source Type: blogs
In Other Words: Insult —A “Sick Burn” or a Burn That Makes You Sick?
You probably think of a rude or offensive remark when you think of the word insult, but to biomedical researchers, an insult is the cause of some kind of injury to the body. Insults can come in a variety of forms, such as an infection or a physical trauma.
Credit: NIGMS.
One type of injury that different kinds of insults can cause is a burn. Most commonly, insults like hot liquid or steam, structural fires, and flammable liquids cause burns. But heat, chemicals, electricity, sunlight, or radiation can also lead to them. No matter the source, burns activate the body’s inflammatory response, which usually protects...
Source: Biomedical Beat Blog - National Institute of General Medical Sciences - September 7, 2022 Category: Research Authors: Chrissa Chverchko Tags: Injury and Illness Burns In Other Words Sepsis Source Type: blogs
Weekly Overseas Health IT Links –3rd September, 2022.
Here are a few I came across last week.Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment-----https://healthitanalytics.com/news/machine-learning-tools-predict-post-op-complications-surgery-durationMachine-Learning Tools Predict Post-Op Complications, Surgery DurationResearchers from Washington University in St. Louis have developed machine-learning tools that can predict post-operative complications and surgery duration using perioperative data.ByShania K...
Source: Australian Health Information Technology - September 3, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Why healthcare keeps losing good clinicians (or, why I walked away for a second time)
Guest post written by a wonderful PT who has walked away from the profession.
Why healthcare keeps losing good clinicians (or, why I walked away for a second time)
Firstly, I don’t know if the above statement is true. I just know a lot of good people who’ve left healthcare, across many different professions. And I highly recommend reading “This is going to Hurt” by Adam Kay, or if you don’t have the attention span, it’s now a TV series in 25 minute bites.
Last week I resigned from my position as a Physiotherapist and Keyworker, working for a supplier on the ACC pain contract and other physical injury c...
Source: HealthSkills Weblog - July 24, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Pain conditions Physiotherapy Professional topics Resilience/Health healthcare pain management Source Type: blogs
Diamond Sensor for Smaller, Portable MEG Scanners
Researchers at RMIT University in Australia have developed a diamond sensor that can measure magnetic fields up to 10 times more sensitively than current sensors. The breakthrough could lead to a new generation of magnetoencephalography (MEG) scanners that are small and portable, and can function at room temperature. The researchers envisage that the new scanners could even work as a helmet that a patient could place over their head, making it useful in detecting concussions at the point of care or for routine monitoring of neurodegenerative diseases. The new sensor does not lose any of the light generated by defects in th...
Source: Medgadget - July 18, 2022 Category: Medical Devices Authors: Conn Hastings Tags: Neurology Radiology MEG MEG scanner RMIT Source Type: blogs
Race-Norming and Statistical Discrimination: Beyond the NFL
Sonja B. Starr (University of Chicago), Race-Norming and Statistical Discrimination: Beyond the NFL, SSRN (2022): This Article uses the recent NFL “race-norming” scandal—in which Black players with concussion claims were scored differently on cognitive impairment tests, based on the assumption... (Source: HealthLawProf Blog)
Source: HealthLawProf Blog - June 8, 2022 Category: Medical Law Authors: Katharine Van Tassel Source Type: blogs
What to do when your child suffers a concussion
This spring, kids will be returning to extra-curricular activities and organized sports in the community, much of which was canceled over the past two years due to the COVID-19 pandemic. As these activities resume, now is a good time to learn what to do in the event of a concussion. Concussions are one of theRead more …What to do when your child suffers a concussion originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - May 3, 2022 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/post-author/laura-purcell-and-erika-persson" rel="tag" data-wpel-link="internal" > Laura Purcell, MD and Erika Persson, MD < /a > < /span > Tags: Conditions Neurology Source Type: blogs
Making first contact: What to do with all that information! Part 4
In the previous few posts on what to do with all that assessment information I’ve talked about generating a formulation to guide treatment, and a little about how teams might work together to generate one. This post is a little different because I want to situation the discussion around the ultimate aim of therapy.
I usually work with people who have long-standing pain that hasn’t changed much and doesn’t seem to be disappearing. I’m not a nihilist, but I do wonder if clinicians are trying too hard to “change pain” when the body doesn’t seem to respond all that much to whatever...
Source: HealthSkills Weblog - December 12, 2021 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Assessment Clinical reasoning Coping strategies Interdisciplinary teams Occupational therapy Pain conditions Physiotherapy Psychology Science in practice Uncategorized Source Type: blogs
‘Race-norming’ kept former NFL players from dementia diagnoses. Their families want answers.
' Race-norming ' kept former NFL players from dementia diagnoses. Their families want answers. https://www.washingtonpost.com/sports/2021/09/29/nfl-concussion-settlement-race-norming/ I believe this refers to demographically adjusted or Heaton neuropsych norms …which have occasionally been used inappropriately in Atkins ID death penalty cases.****************************************** Kevin S. McGrew, PhD Educational& School Psychologist Director Institute for Applied Psychometrics (IAP)https://www.themindhub.com ****************************************** (Source: Intelligent Insights on Intelligence The...
Source: Intelligent Insights on Intelligence Theories and Tests (aka IQ's Corner) - October 3, 2021 Category: Neuroscience Source Type: blogs
Superb Owl
I don ' t know that I have anything new to say about this but for fans of North American football -- that includes me, alas -- the sport has become a guilty pleasure.This is a good, accessible and careful resource about Chronic Traumatic Encephalopathy. It can ' t be definitively diagnosed until after death, and the required examination is very laborious, so we don ' t know exactly what percentage of players are affected. But we know it ' s a lot, and we also know that the risk is strongly associated with the number of years a person plays the game.The NFL and governing associations at all levels have made rule changes in ...
Source: Stayin' Alive - February 6, 2021 Category: American Health Source Type: blogs
