scholarly journals The Secondary Impact of Traumatic Brain Injury

2018 ◽  
Vol 26 (1) ◽  
pp. 77-85 ◽  
Author(s):  
Jane Townshend ◽  
Alyson Norman
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Family Members ◽  
Information Provision ◽  
Phenomenological Approach ◽  
Loss And Grief ◽  
Interpretative Phenomenological Approach ◽  
Long Term Impact ◽  
And Coping ◽  
The Impact

This study seeks to contribute to our understanding of the lived experiences of family members and friends of individuals with traumatic brain injury (TBI). The study employed an interpretative phenomenological approach, enabling family members and friends to identify and reflect upon the factors they themselves considered most significant about the impact of TBI on someone close to them, and how this experience has affected their own lives and their relationship with the TBI survivor. Eleven participants, two males and nine females aged 22–79, were from the United Kingdom. Several strong and interconnected themes emerged from the interviews, clustering into four superordinate themes: “continuity and discontinuity”; “damage, loss, and grief”; “roles and responsibility”; and “coping and not coping.” The study findings identify the importance of support and information provision for family members and friends of those with TBI to help them manage the long-term impact of TBI.

scholarly journals The impact of study abroad experiences on international students’ employability: a preliminary study on Chinese engineering students in US

2021 ◽  
Author(s):  
Qian Huang
Keyword(s):  
Study Abroad ◽  
Job Search ◽  
Engineering Students ◽  
Positive Impact ◽  
Phenomenological Approach ◽  
Structured Interview ◽  
Search Process ◽  
Interpretative Phenomenological Approach ◽  
Long Term Impact ◽  
The Impact

This study aims to examine how study abroad experiences influence Chinese engineering students’ employability. Employability in this study is defined as capabilities, processes and performances before job search, during job search and after job search. This study aims to explore how study abroad experiences contribute to engineering students’ global competencies; how study abroad experiences influence engineering graduates’ job search process; what the long-term impact of study abroad experience on engineering graduates’ early careers are. This study adopts interpretative phenomenological approach via semi-structured interview. The preliminary findings include: firstly, study abroad experience is a premise for Chinese engineering students for being screened during job search both in China and abroad; secondly, study abroad allows students to discover their real interests which decided their career directions; thirdly, students kept learning and self-reflecting which contribute to their capabilities building; fourthly, study abroad trained engineering students with soft skills. Moreover, recommendation from professors and alumni facilitate the job search. Lastly, personal value and family reason influence graduates’ career decisions in working in China or abroad. Conclusion was drawn that study abroad experiences have positive impact on engineering students’ employability building, job search process and their early careers.

Personal Experiences of Families of Children With a Traumatic Brain Injury in the Transition From Hospital to Home

2005 ◽  
Vol 6 (1) ◽  
pp. 45-55 ◽  
Author(s):  
Tamara Robson ◽  
Jenny Ziviani ◽  
Sylvana Spina
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Phenomenological Study ◽  
Health Workers ◽  
Communication Style ◽  
Discharge Management ◽  
Key Issues ◽  
Hospital To Home ◽  
And Coping ◽  
The Impact

AbstractFor the families of children with traumatic brain injury (TBI) the transition from hospital to home, school and community can be a very stressful time for everyone involved. The present phenomenological study explored the experiences and perceptions of parents of children with TBI during this important transition time with the aim to better inform health-workers involved in discharge management and rehabilitation. Six family representatives were interviewed, with the format of interviews being semistructured. An interview guide was used that outlined key issues to be explored with each participant. The primary analytical approach was inductive and thematic content analysis was used. The themes which emerged related to the emotional journey experienced by the family, the impact of significant relationships in the process of adjustment, along with service provision and coping strategies. These themes are highlighted with respect to how they can influence intervention strategies. Implications for service referral and the communication style of health professionals are also addressed.

Exploring Perception of Chronic Hepatitis C: An Idiographic Case Study

2020 ◽  
Vol 34 (4) ◽  
pp. 735-751
Author(s):  
Hana Arshad ◽  
Subha Malik
Keyword(s):  
Social Support ◽  
Chronic Hepatitis ◽  
Hepatitis C ◽  
Chronic Hepatitis C ◽  
Family Members ◽  
Phenomenological Approach ◽  
Structured Interview ◽  
Interpretative Phenomenological Approach ◽  
The Individual ◽  
And Coping

The disease Hepatitis C has devastating impact on the individual and their family members. This study demonstrates the case of a 45 year old woman suffering from chronic Hepatitis C. The methods of data collection employed were Mental Status Examination and semi-structured interview. Furthermore, the participant‟s caregiver (sister) was also interviewed. For this purpose, two separate interview schedules were prepared. Data was interpreted by using Interpretative Phenomenological Approach. The most dominant themes extracted within this study were overshadowing physical health; psychological and emotional distress; coping with disease; and social support from family members. In addition, the study showed that the perception of social support and coping have an influence on chronic Hepatitis C individuals. The present study‟s findings would be fruitful for Pakistani people in enhancing their understanding about chronic Hepatitis C.

scholarly journals Longitudinal Growth Curve Trajectories of Family Dynamics after Pediatric Traumatic Brain Injury in Mexico

2020 ◽  
Vol 17 (22) ◽  
pp. 8508
Author(s):  
Grace B. McKee ◽  
Laiene Olabarrieta-Landa ◽  
Paula K. Pérez-Delgadillo ◽  
Ricardo Valdivia-Tangarife ◽  
Teresita Villaseñor-Cabrera ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Family Functioning ◽  
Growth Curve ◽  
Family Members ◽  
Family Satisfaction ◽  
Health Concern ◽  
Pediatric Traumatic Brain Injury ◽  
Large Hospital ◽  
Pediatric Tbi

Pediatric traumatic brain injury (TBI) represents a serious public health concern. Family members are often caregivers for children with TBI, which can result in a significant strain on familial relationships. Research is needed to examine aspects of family functioning in the context of recovery post-TBI, especially in Latin America, where cultural norms may reinforce caregiving by family members, but where resources for these caregivers may be scarce. This study examined caregiver-reported family satisfaction, communication, cohesion, and flexibility at three time points in the year post-injury for 46 families of a child with TBI in comparison to healthy control families. Families experiencing pediatric TBI were recruited from a large hospital in Guadalajara, Mexico, while healthy controls were recruited from a local educational center. Results from multilevel growth curve models demonstrated that caregivers of children with a TBI reported significantly worse family functioning than controls at each assessment. Families experiencing pediatric TBI were unable to attain the level of functioning of controls during the time span studied, suggesting that these families are likely to experience long-term disruptions in family functioning. The current study highlights the need for family-level intervention programs to target functioning for families affected by pediatric TBI who are at risk for difficulties within a rehabilitation context.

Impact of routine S100B protein assay on CT scan use in children with mild traumatic brain injury

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Fleur Lorton ◽  
Jeanne Simon-Pimmel ◽  
Damien Masson ◽  
Elise Launay ◽  
Christèle Gras-Le Guen ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
University Hospital ◽  
S100b Protein ◽  
Research Network ◽  
Ct Scans ◽  
Intermediate Risk ◽  
Protein Assay ◽  
The Impact

AbstractObjectivesTo evaluate the impact of implementing a modified Pediatric Emergency Care Applied Research Network (PECARN) rule including the S100B protein assay for managing mild traumatic brain injury (mTBI) in children.MethodsA before-and-after study was conducted in a paediatric emergency department of a French University Hospital from 2013 to 2015. We retrospectively included all consecutive children aged 4 months to 15 years who presented mTBI and were at intermediate risk for clinically important traumatic brain injury (ciTBI). We compared the proportions of CT scans performed and of in-hospital observations before (2013–2014) and after (2014–2015) implementation of a modified PECARN rule including the S100B protein assay.ResultsWe included 1,062 children with mTBI (median age 4.5 years, sex ratio [F/M] 0.73) who were at intermediate risk for ciTBI: 494 (46.5%) during 2013–2014 and 568 (53.5%) during 2014–2015. During 2014–2015, S100B protein was measured in 451 (79.4%) children within 6 h after mTBI. The proportion of CT scans and in-hospital observations significantly decreased between the two periods, from 14.4 to 9.5% (p=0.02) and 73.9–40.5% (p<0.01), respectively. The number of CT scans performed to identify a single ciTBI was reduced by two-thirds, from 18 to 6 CT scans, between 2013–2014 and 2014–2015. All children with ciTBI were identified by the rules.ConclusionsThe implementation of a modified PECARN rule including the S100B protein assay significantly decreased the proportion of CT scans and in-hospital observations for children with mTBI who were at intermediate risk for ciTBI.

scholarly journals Interrupted time series design to evaluate ICD-9-CM to ICD-10-CM coding changes on trends in Colorado emergency department visits related to traumatic brain injury

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Lauren Alexis De Crescenzo ◽  
Barbara Alison Gabella ◽  
Jewell Johnson
Keyword(s):  
Public Health ◽  
Traumatic Brain Injury ◽  
Emergency Department ◽  
Brain Injury ◽  
Interrupted Time Series ◽  
Emergency Department Visits ◽  
Control And Prevention ◽  
Icd 10 ◽  
Ed Visits ◽  
The Impact

Abstract Background The transition in 2015 to the Tenth Revision of the International Classification of Disease, Clinical Modification (ICD-10-CM) in the US led the Centers for Disease Control and Prevention (CDC) to propose a surveillance definition of traumatic brain injury (TBI) utilizing ICD-10-CM codes. The CDC’s proposed surveillance definition excludes “unspecified injury of the head,” previously included in the ICD-9-CM TBI surveillance definition. The study purpose was to evaluate the impact of the TBI surveillance definition change on monthly rates of TBI-related emergency department (ED) visits in Colorado from 2012 to 2017. Results The monthly rate of TBI-related ED visits was 55.6 visits per 100,000 persons in January 2012. This rate in the transition month to ICD-10-CM (October 2015) decreased by 41 visits per 100,000 persons (p-value < 0.0001), compared to September 2015, and remained low through December 2017, due to the exclusion of “unspecified injury of head” (ICD-10-CM code S09.90) in the proposed TBI definition. The average increase in the rate was 0.33 visits per month (p < 0.01) prior to October 2015, and 0.04 visits after. When S09.90 was included in the model, the monthly TBI rate in Colorado remained smooth from ICD-9-CM to ICD-10-CM and the transition was no longer significant (p = 0.97). Conclusion The reduction in the monthly TBI-related ED visit rate resulted from the CDC TBI surveillance definition excluding unspecified head injury, not necessarily the coding transition itself. Public health practitioners should be aware that the definition change could lead to a drastic reduction in the magnitude and trend of TBI-related ED visits, which could affect decisions regarding the allocation of TBI resources. This study highlights a challenge in creating a standardized set of TBI ICD-10-CM codes for public health surveillance that provides comparable yet clinically relevant estimates that span the ICD transition.

The impact of depression on Veterans with PTSD and traumatic brain injury: A diffusion tensor imaging study

2015 ◽  
Vol 105 ◽  
pp. 20-28 ◽  
Author(s):  
Linda Isaac ◽  
Keith L. Main ◽  
Salil Soman ◽  
Ian H. Gotlib ◽  
Ansgar J. Furst ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Diffusion Tensor Imaging ◽  
Brain Injury ◽  
Diffusion Tensor ◽  
Imaging Study ◽  
The Impact ◽  
Diffusion Tensor Imaging Study
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