scholarly journals Guidelines for the Treatment of Head Injury in Adults

2017 ◽  
Vol 78 (05) ◽  
pp. 478-487 ◽  
Author(s):  
E. Rickels ◽  
U.M. Mauer ◽  
O.W. Sakowitz ◽  
M. Messing-Jünger ◽  
K. Engelhard ◽  
...  
Keyword(s):  
Head Injury ◽  
Scientific Community ◽  
Head Injuries ◽  
Interdisciplinary Approach ◽  
Deutsche Gesellschaft ◽  
German Version ◽  
International Scientific Community ◽  
Medical Faculties ◽  
Medical Disciplines

AbstractThe workshop of scientific medical faculties (Arbeitsgemeinschaft wissenschaftlicher medizinischer Fakultäten [AWMF]) of Germany has asked societies of specific medical disciplines to jointly publish guidelines on the treatment of diseases and injuries. On behalf of the Deutsche Gesellschaft für Neurochirurgie, its commission on guidelines initiated an interdisciplinary approach to publish guidelines on the treatment of head injury in adults. These guidelines were published in German by the AWMF in late 2015. Because these guidelines have received widespread attention in Germany and became fundamental for research in head injuries, we have translated the German version into English to make it accessible to the international scientific community.

The International Action “Open Access Week — 2009”

2009 ◽  
pp. 97-98
Author(s):  
Yulia V. Samodova
Keyword(s):  
Open Access ◽  
Scientific Community ◽  
International Scientific Community ◽  
International Action ◽  
The World

Information on the coming Open Access Week which will be held from 19 to 23 October 2009. Interest in the results of scientific researches all over the world has led to consolidation of forces of the international scientific community and to expand the now-annual event from a single day to seven days.

scholarly journals Epidemiology and Treatment Outcomes of Head Injury in Bangladesh: Perspective from the Largest Tertiary Care Hospital

2021 ◽  
Author(s):  
Sukriti Das ◽  
Bipin Chaurasia ◽  
Dipankar Ghosh ◽  
Asit Chandra Sarker
Keyword(s):  
Head Injury ◽  
Road Traffic ◽  
Head Injuries ◽  
Skull Fracture ◽  
Tertiary Care ◽  
Acute Subdural Hematoma ◽  
Care Hospital ◽  
Female Ratio ◽  
Mortality And Morbidity ◽  
The Government

Abstract Background Traumatic brain injury (TBI) is one of the leading causes of mortality and morbidity. Economic impact is much worse in developing countries like Bangladesh, as victims are frequently male, productive, and breadwinners of the families. Objectives The objective of our study was to highlight the etiological pattern and distribution of varieties of head injuries in Bangladesh and give recommendations regarding how this problem can be solved or reduce to some extent at least. Methods From January 2017 to December 2019, a total of 14,552 patients presenting with head injury at emergency got admitted in Neurosurgery department of Dhaka Medical College and Hospital and were included in this study. Results The most common age group was 21 to 30 years (36%: 5,239) with a male-to-female ratio of 2.6:1. Injury was mostly caused by road traffic accident (RTA [58.3%: 8,484]), followed by fall (25%: 3,638) and history of assault (15.3%: 2,226). The common varieties of head injury were: acute extradural hematoma (AEDH [42.30%: 1,987]), skull fracture either linear or depressed (28.86%: 1,347), acute subdural hematoma (ASDH [12.30%: 574]), brain contusion (10.2%: 476), and others (6.04%: 282). Conclusion RTA is the commonest cause of TBI, and among them motor bike accident is the severe most form of TBI. AEDH is the commonest variety of head injuries. Proper steps taken by the Government, vehicle owners, and drivers, and proper referral system and prompt management in the hospital can reduce the mortality and morbidity from TBI in Bangladesh.

German labour market data – Data provision and access for the international scientific community

2020 ◽  
Vol 21 (3) ◽  
pp. 313-333
Author(s):  
Dana Müller ◽  
Stefanie Wolter
Keyword(s):  
Labour Market ◽  
Survey Data ◽  
Scientific Community ◽  
Market Research ◽  
Research Data ◽  
International Scientific Community ◽  
High Quality ◽  
Data Centre ◽  
Integrated Employment ◽  
Data Provision

AbstractThe Research Data Centre at the Institute for Employment Research (RDC-IAB) has been offering high-quality administrative and survey data on the German labour market for 15 years and has become one of the most important locations worldwide for researchers interested in data for labour market research. This article provides an overview of the RDC-IAB, including its data and access modes. The article presents two datasets in more detail: the Sample of Integrated Employment Biographies, a classic dataset, and the Linked Personnel Panel, a new dataset. Finally, this article provides insights into future infrastructure and data developments.

scholarly journals Emergency Department Visits From 2014 to 2018 for Head Injuries in Youth Non-Tackle Football Compared With Other Sports

2021 ◽  
Vol 9 (1) ◽  
pp. 232596712097540
Author(s):  
Jessica M. Zendler ◽  
Ron Jadischke ◽  
Jared Frantz ◽  
Steve Hall ◽  
Grant C. Goulet
Keyword(s):  
United States ◽  
Emergency Department ◽  
Head Injury ◽  
Head Injuries ◽  
The United States ◽  
Emergency Department Visits ◽  
Head Region ◽  
Cerebral Contusion ◽  
Common Diagnosis ◽  
Tackle Football

Background: Non-tackle football (ie, flag, touch, 7v7) is purported to be a lower-risk alternative to tackle football, particularly in terms of head injuries. However, data on head injuries in non-tackle football are sparse, particularly among youth participants. Purpose: To describe the epidemiology of  emergency department visits for head injuries due to non-tackle football among youth players in the United States and compare the data with basketball, soccer, and tackle football. Study Design: Descriptive epidemiology study. Methods: Injury data from 2014 to 2018 were obtained from the National Electronic Injury Surveillance System database. Injury reports coded for patients aged 6 to 18 years and associated with basketball, football, or soccer were extracted. Data were filtered to include only injuries to the head region, specifically, the head, ear, eyeball, mouth, or face. Football injuries were manually assigned to “non-tackle” or “tackle” based on the injury narratives. Sports & Fitness Industry Association data were used to estimate annual sport participation and calculate annual injury rates per 100,000 participant-years. Results: A total of 26,770 incident reports from 2014 to 2018 were analyzed. For head region injuries in non-tackle football, the head was the most commonly injured body part, followed by the face; the most common diagnosis was a laceration, followed by concussion and internal injury (defined as an unspecified head injury or internal head injury [eg, subdural hematoma or cerebral contusion]). The most common contacting object was another player. The projected national rate of head region injuries was lowest for non-tackle football across the 4 sports. In particular, the projected rate of injuries to the head for non-tackle football (78.0 per 100,000 participant-years) was less than one-fourth the rates for basketball (323.5 per 100,000 participant-years) and soccer (318.2 per 100,000 participant-years) and less than one-tenth the rate for tackle football (1478.6 per 100,000 participant-years). Conclusion: Among youth in the United States aged 6 to 18 years who were treated in the emergency department for injuries related to playing non-tackle football, the most common diagnosis for injuries to the head region was a laceration, followed by a concussion. Head region injuries associated with non-tackle football occurred at a notably lower rate than basketball, soccer, or tackle football.

scholarly journals 31 Head home: a prospective cohort study of a nurse led paediatric head injury clinical decision tool at a district general hospital

2020 ◽  
Vol 37 (12) ◽  
pp. 853-854
Author(s):  
Patrick Aldridge ◽  
Heather Castle ◽  
Emma Russell ◽  
Clare Phillips ◽  
Richard Guerrero-Luduena ◽  
...  
Keyword(s):  
Head Injury ◽  
Negative Predictive Value ◽  
Predictive Value ◽  
Head Injuries ◽  
Clinical Decision ◽  
Decision Tool ◽  
Intracranial Injury ◽  
Multi Centre Study ◽  
Paediatric Head Injury ◽  
Published Evidence

Aims/Objectives/BackgroundObjectivesTo assess if application of a nurse-led paediatric head injury clinical decision tool would be safe compared to current practice.Background>700,000 children attend UK hospitals’ each year with a head injury. Research indicates <1% undergo neurosurgical intervention. No published evidence for nurse-led discharge of paediatric head injuries exists.Methods/DesignMethods – All paediatric (<17 years) patients with head injuries presenting to our Emergency department (ED) 1st May to 31st October 2018 were prospectively screened by a nurse using a mandated electronic ‘Head Injury Discharge At Triage’ questionnaire (HIDATq). We determined which patients underwent computed tomography (CT) brain and whether there was a clinically important intracranial injury or re-presentation to ED. The negative predictive value of the screening tool was assessed. We determined what proportion of patients could have been sent home from triage using HIDATq.Results/ConclusionsResults - Of 1739 patients screened; 61 had CTs performed due to head injury (6 abnormal) with a CT rate of 3.5% and 2% re-presentations. Of the entire cohort, 1052 screened negative. 1 CT occurred in this group showing no abnormalities. Of those screened negative: 349/1052 (33%) had ‘no other injuries’ and 543/1052 (52%) had ‘abrasions or lacerations’. HIDATq’s negative predictive value for CT was 99.9% (95% Confidence interval (CI) 99.4–99.9%) and 100% (CI 99.0–100%) for intracranial injury. The positive predictive value of the tool was low. Five patients screened negative and re-presented within 72hrs but did not require CT imaging.Conclusion - A negative HIDATq appears safe in our ED. Potentially 20% (349/1739) of all patients with head injuries presenting to our department could be discharged by nurses at triage with adequate safety netting advice. This increases to 50% (543/1739) if patients with lacerations or abrasions were treated and discharged at triage. A large multi-centre study is required to validate the tool.

scholarly journals Famous head injuries of the first aerial war: deaths of the “Knights of the Air”

2015 ◽  
Vol 39 (1) ◽  
pp. E5
Author(s):  
Prateeka Koul ◽  
Christine Mau ◽  
Victor M. Sabourin ◽  
Chirag D. Gandhi ◽  
Charles J. Prestigiacomo
Keyword(s):  
Head Injury ◽  
World War I ◽  
Head Injuries ◽  
World War ◽  
Traumatic Head Injury ◽  
The Public ◽  
Time Period ◽  
Traumatic Head ◽  
The Media

World War I advanced the development of aviation from the concept of flight to the use of aircraft on the battlefield. Fighter planes advanced technologically as the war progressed. Fighter pilot aces Francesco Baracca and Manfred von Richthofen (the Red Baron) were two of the most famous pilots of this time period. These courageous fighter aces skillfully maneuvered their SPAD and Albatros planes, respectively, while battling enemies and scoring aerial victories that contributed to the course of the war. The media thrilled the public with their depictions of the heroic feats of fighter pilots such as Baracca and the Red Baron. Despite their aerial prowess, both pilots would eventually be shot down in combat. Although the accounts of their deaths are debated, it is undeniable that both were victims of traumatic head injury.

Inappropriate Discharge Instructions for Youth Athletes Hospitalized for Concussion

PEDIATRICS ◽  
1995 ◽  
Vol 95 (2) ◽  
pp. 216-218
Author(s):  
Frank J. Genuardi ◽  
William D. King
Keyword(s):  
Head Injury ◽  
Injury Severity ◽  
Head Injuries ◽  
Closed Head Injury ◽  
Medical Society ◽  
Discharge Instructions ◽  
Youth Athletes ◽  
Closed Head Injuries ◽  
Closed Head ◽  
Grade 3

Objective. To evaluate the medical care, especially the discharge instructions regarding return to participation, received by youth athletes hospitalized for a closed head injury. Methods. We examined the records of all patients admitted over a 5-year period (1987 through 1991) to The Children's Hospital of Alabama for a sports-related closed head injury. Descriptive information was recorded and discharge instructions reviewed. Injury severity was graded according to guidelines current during the study period, as well as those outlined most recently by the Colorado Medical Society, which have been endorsed by a number of organizations including the American Academy of Pediatrics. Discharge instructions recorded for each patient were then compared with those recommended in the guidelines. Results. We identified 33 patients with sports-related closed head injuries. Grade 1 concussions (least severe) occurred in 8 patients (24.2%), grade 2 in 10 (30.3%), and grade 3 (most severe) in 15 (45.4%). Overall, discharge instructions were appropriate for only 10 patients (30.3%), including all with grade 1 concussions, but only 2 with a grade 2 (20.0%) and none with a grade 3 concussion. Conclusion. All who care for youth athletes must become familiar with the guidelines for management of concussion to provide appropriate care and counseling and to avoid a tragic outcome.

Quantum Narratives and the Power of Rhetorical Omission

2018 ◽  
Vol 48 (1) ◽  
pp. 24-55
Author(s):  
José G. Perillán
Keyword(s):  
Quantum Theory ◽  
Scientific Community ◽  
Fundamental Principle ◽  
International Scientific Community ◽  
Physics Community ◽  
Pilot Wave ◽  
History Of ◽  
Quantum Interpretation ◽  
History Of Quantum Theory ◽  
Pedagogical Discourses

John S. Bell openly questioned the dominance of an orthodox quantum interpretation that had seemingly raised the principle of indeterminism from an epistemological question to an ontological truth in the late 1920s. He understood the inevitability of indeterminism to be a theoretical choice made by the founding architects of quantum theory, not a fundamental principle of reality necessitated by experimental facts. As a result, Bell decried the general lull in quantum interpretation debates within the physics community, and in particular, the complete omission of Louis de Broglie’s deterministic pilot wave interpretation from all theoretical and pedagogical discourses. This paper reexamines the pilot wave’s rise, abandonment, and subsequent omission in the history of quantum theory. What emerges is not a straightforward story of victimization and hegemonic marginalization. Instead, it is a story that grapples with tensions between the polyphony of individual voices and a physics community’s evolving identity and consensus in response to particular sociopolitical and scientific contexts. At the heart of these tensions sits an international scientific community transitioning from a politically fractured and intellectually divergent community to one embracing a somewhat forced pragmatic convergence around rationally reconstructed narratives and concepts like the impossibility of determinism. The story of the pilot wave’s omission gives us a window into the inherent power that theoretical choice and a congealing rhetoric of orthodoxy have on a scientific community’s consensus, pedagogical canons, and the future development of science itself.

scholarly journals Horse-related incidents and factors for predicting injuries to the head

2018 ◽  
Vol 4 (1) ◽  
pp. e000398 ◽  
Author(s):  
Lauren Meredith ◽  
Robert Ekman ◽  
Robert Thomson
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Head Injury ◽  
Soft Tissue ◽  
Head Injuries ◽  
Binary Logistic Regression ◽  
Soft Tissue Injuries ◽  
Dental Services ◽  
Incident Type ◽  
Local Healthcare

ObjectivesHead injuries are the leading cause of death in horse-related injury events and, even since the introduction of helmets, represent a sizeable proportion of all horse-related injuries. Falls from horseback and kicks to the head are the most frequent type of incident causing head injuries, but it is unknown whether these incidents are predictors of head injury. This study aimed to investigate head injuries and the association between incident type and head injury.MethodRetrospective review of 7815 horse-related injury events was conducted. Data were gathered from hospitals, local healthcare centres and public dental services in Skaraborg, Sweden. Binary logistic regression was used to analyse the association between the incident type and occurrence of head injury while controlling for risk factors.ResultsApproximately 20% of riders sustained a head injury, mostly soft tissue injuries (56.3%) and concussions (33.4%). A fall from or with the horse was the primary cause of head injury (63.9%). Those who fell from a carriage or other height or who were injured through contact with the horse had no difference in the likelihood of head injury when compared with those that fell from or with the horse. However, those who sustained an injury without any horse contact had lower odd of head injury (OR: 0.640, p<0.00005, 95% CI 0.497 to 0.734). Additionally, the older the rider, the lower the odds of head injury (OR=0.989, p<0.00005, 95% CI 0.985 to 0.993).ConclusionImproved protection for those suffering falls from horseback as well as those who are kicked in the head should be investigated.

Charles Babbage — Father of the Digital Computer

1986 ◽  
Vol 23 (2) ◽  
pp. 101-112
Author(s):  
M. G. Hartley
Keyword(s):  
Digital Computer ◽  
Scientific Community ◽  
Recent Book ◽  
International Scientific Community

A recent book by Anthony Hyman sets the work of Babbage into a broader context than that revealed by earlier writers and in particular emphasises the importance of his contacts with the international scientific community. This present paper reflects these new insights. It is offered as an example to young engineers.

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