Articles Posted in Traumatic Brain Damage

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Last month, the March of Dimes in NYC received more funding from the provincial government to help open the Acquired Brain Injury Congregate Care Home, a brain injury care home designed and being built to offer support and services for individuals living with brain injuries and their families.

Acquired brain injury is the result of a traumatic or non-traumatic event, which can produce temporary, prolonged, or permanent disability in cognitive, emotional, behavioral or physical functions.

The announcement said March of Dimes will get another $193,267, in addition to the $810, 000 already provided by the local province.

The March of Dimes plans to convert a former school on Bancroft Drive into an eight bedroom care home. The home will offer residents 24-hour support and access to a psychologist, occupational therapists, and speech and language specialists. The home will include a therapy space, a dining room, and a lounge area.

A Brain Injury Lawyer explained that this facility is important because individuals who live with a brain injury will be provided on-going rehab and support – something that is severely lacking in some environments. Specialty facilities are needed because there is strong evidence that excellent care evolves into recovery and a satisfactory life.

The project manager in Queens with MHPM, a local company specializing in project management and leadership, is supposed to act on behalf of the March of Dimes during the design and construction phases of the home’s development.

The home is expected to open in the summer of 2011. It will also provide 29 new jobs, 16 full time and 13 part time positions for the residents in and around Sudbury.

March of Dimes is a community-based rehabilitation and advocacy charity for people with physical disabilities. A doctor says that the organization has worked tirelessly to move the project forward. The much-needed facility will give families caring for their brain-injured loved ones peace of mind.
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A Pensacola, Florida, man is accused of violently pushing his 4-month-old son which caused the child to suffer a traumatic brain injury (TBI). Bond was set for the man at $150,000.
The 20-year-old father, of the 200 block of Marigold Drive was arrested and charged with three separate counts of aggravated child abuse.

As of late last week, he was still in the Escambia County Jail.

According to an expert in Nassau, the child was apparently brought to a hospital by someone close to him. The exact details of that are not known at the present time. The Sacred Heart Hospital contacted the Sheriff’s Office when they suspected the child’s injuries resulted from abuse.

The father initially told deputies that his infant son regurgitated some food and became unresponsive, but he later admitted that he had been sitting on the floor holding his son. The child was crying so much that the father became frustrated and “pushed the infant backward causing the infant to hit his head on the floor.”

In America, a Suffolk Attorney says, children suffer daily from this hidden epidemic known as child abuse. The epidemic covers every socioeconomic level and reaches across cultural and ethnic boundaries. Victims can be found within all religions and at all levels of education.

Every 10 seconds a report of child abuse is made. That tallies to over 3 million child abuse reports that are made annually; this number is not inflated for reports with multiple children listed. In 2007, for instance, over 5.8 million children were involved in the 3.2 million reports. In approximately 10.8% of the above cases, physical abuse was alleged or proven.

The sad truth is that almost five children die daily due to child abuse. More than 75% of them are younger than 4 years of age.

In many cases, one of the parents is also abused and subjugated to the will and pressure of the other. It is surprisingly hard to stop the abuse cycle, even though it is not what anyone wants to be a victim of.
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A report issued by the Institute of Medicine (IOM) in Long Island now states that if an appropriate dose of nutritional supplements is administered soon after an injury occurs, service members wounded on the battlefield have a much better outlook at recovering from a Traumatic Brain Injury (TBI). Nutrition apparently plays an even bigger role than previously though.

Commissioned by the Department of Defense (DoD), the report urges the military to make infusions, which contain calories and protein, a standard part of care in the immediate aftermath of a brain injury.

Accordingly, these findings also have implications in the civilian sector. “The investment the military makes will cross over into the civilian population for injuries suffered by those in car accidents, in motorbike accidents, by kids on soccer fields,” says the IOM panel chairman, professor emeritus of food science and human nutrition at the University of Illinois.

In both Iraq and Afghanistan, brain injuries are commonplace among service members. According to the Defense and Veterans Brain Injury Center, within the U.S. military as a whole, over 200,000 cases of TBI have been diagnosed since 2000. A Manhattan doctor found out that 2,124 of those cases were classified as severe.

The chairman says, “Across the board, the military is trying to understand how to set the stage for the recovery of these individuals.”

The DoD asked the IOM to review all scientific literature that linked nutrition to brain injury outcomes. The panel, an eclectic mix of food and nutrition specialists, neurologists, and other experts, has met several times in the last 12 months.

Their strong suggestions were seasoned with the knowledge that more information in the field is vital to complete understanding.

The panel reviewed many studies, all of which were younger than 20 years old research-wise, and their study revealed correlatively to them that infusions of calories and protein implemented within the first 24 hours of injury and continued in the following two weeks, significantly reduced inflammation in the brain and aided recovery.

Long-term consequences of the injection of nutrition were not studied.

Investigation is underway as to the possibility of avoiding injury altogether with the nutrition supplements.
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The toll that concussions and traumatic brain injuries (TBIs) have on battlefields and sports’ fields is raising awareness and stirring up new ideas. TBIs affect more than 1 million Americans annually.

The single greatest challenge with a TBI case is the actual diagnosis. Many of the symptoms – dizziness, nausea, lack of focus – are also caused by other conditions. This makes it difficult for athletic trainers and medics to accurately take the step toward a proper diagnosis and treatment. Even brain-images taken after a concussion may not reveal mild brain damage, especially if there is no earlier image for the doctor to make a comparison with.

To help in that area, a team of doctors and engineers at the University of Pennsylvania has developed a “blast badge.” The patch-like item changes color within a set spectrum, and that color reflects the intensity of an explosion or impact.

The badge is made of color-changing crystals designed to break apart when exposed to shock waves of differing strengths. The innovative badges are lightweight, durable and require no power, yet they are flexible enough to be attached to uniforms and helmets in thin sheets states a source.

At this juncture of development, scientists have demonstrated that the material will react to explosive shock waves. The next thing they will work on is calibrating the color changes to correspond to the potential harm a certain magnitude of blast or impact might cause to the brain, thus showing what kind of medical response would be needed.

Another set of Bronx and Brooklyn researchers are working on the development of a portable radar system that can be used to screen individuals for brain injury. A doctor following the development of the technology says the test used involves asking a patient to walk a few feet while also saying the months of the year in reverse order.

One of the research engineers says, “When a person with a concussion performs cognitive and motor-skill tasks simultaneously, they have a different gait pattern than a healthy individual, and we can identify those anomalies in a person’s walk with radar.”

These scientists plan to collect more data from healthy people of various heights and weights and collect data through tests performed on those already diagnosed with concussions. They will also be working on reducing the size of the radar unit, to make it truly portable and usable by medics on the battlefield and sports doctors in the locker room.
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A Towanda resident, the vice president of the Pennsylvania Brain Injury Coalition, has spearheaded efforts at the Pennsylvania state Capitol in an effort to bring about increased awareness concerning brain injuries. His intention is to use the raised awareness to fight for legislation intended to prevent injuries and offer better medical treatment to those affected. 

A witness on the scene said, “As part of Tuesday’s rally and press conference, I had the great pleasure of meeting with the vice president and the Brain Injury Coalition and hearing about their ongoing efforts to prevent traumatic brain injuries and to seek better medical treatment. An advocacy effort of this kind takes a great deal of planning and forethought, [this man] did an admirable job in educating policymakers in both the House and the Senate of the need for brain injury legislation.”

The coalition is a proponent of the Safety in Sports Act, which is a continuation of previous years’ funding for community and home-based programs, a state level advisory board, and the inclusion of brain injury screenings for persons in state programs or facilities.

In Pennsylvania every year, there are roughly 156,000 concussions reported. A reporter can cite a recent study that found “15 percent of all high school football players reported concussion symptoms but only 47 percent of those players reported them to school or team officials.”

 Brain injuries in The Bronx and Broolkyn kill brain cells and disrupt neural pathways which affect the way a person thinks, feels, and acts. It is the leading cause of disability and death through the age of 40. Traumatic brain injuries (TBIs) as the name suggests are more severe and should be treated immediately.

Facts on brain injuries:

– 10 million Americans live with an acquired brain injury.

– More than 130,000 Pennsylvanians have to deal with long-term disability due to TBIs.
At the awareness event in Harrisburg, several lawmakers remarked on their support and gave encouragement that they would do what they could to ensure legislation was passed to help victims. Also at the event was a teen victim of brain injury, parents of children suffering from TBI, and a representative of the Acquired Brain Injury Network of Pennsylvania Inc.
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In December, a grand jury handed down a third-degree burglary indictment for a 19-year-old young man and his 18-year-old friend in connection with an alleged burglary the previous summer.

The grand jury did not hand down any indictments on the man who allegedly put the 19-year-old in the choke hold that led to his brain injury.

According to the Somerset County Prosecutor, the Bridgewater Township Police responded to a fight report when they found two males lying on the roadway. The men were later identified as the young men mentioned above.

According to reports, a 42-year-old male and his wife were awakened by the sound of their car horn. When they looked outside, they noticed the interior lights were on. Apparently the young men mentioned above had broken into his vehicle and removed items from it.
The older man exited his house and chased the two teens. When he caught up with them, he knocked one of the teens onto the ground and started to fight the other one.

The 42-year-old put the attacking teen into a submission hold. This hold left the teen unresponsive and caused extensive brain damage.

The Bronx youth remained non-verbal and bedridden. His father said his son was completely disabled, requiring 24-hour care, and had to be fed through a feeding tube.

According to testimony from friends in Brooklyn a Lawyer found out that this young man was the kind of guy who would sing “In the Jungle” in a deep voice just to lighten the mood when things got too quiet. He was a passionate football player who had played for his local high school for four years before his graduation in 2010.

But this 19-year-old man died Sunday, a little more than eight months after sustaining his brain injury. The fight that ended with a submission move when he allegedly attempted to burglarize another man’s vehicle in town killed him.

More than eight months after the incident, the 19-year-old succumbed to his brain injury.
His death affected his friends, family and neighborhood drastically.
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Staff members in the employ of Rep. Gabrielle Giffords (D-Ariz.) have become key advocates in the campaign to ensure health-care guarantees for Americans who suffer traumatic brain injuries (TBI). They are advocating that other citizens should be entitled to the same high quality care that the congresswoman is receiving in her recovery from a January shooting.
Last month, Giffords’ chief of staff released a letter urging Health and Human Services to prioritize defining the minimum package of “essential benefits” in the new health-care law that will be required of insurance plans for individuals and small businesses. This new law is expected to be operational by 2014.

Giffords’ Staff members are also planning to join encourage the Defense Secretary to expand the range of “cognitive rehabilitative therapies” that Tricare, the military’s insurance program for active-duty and retired service members, covers in cases of brain injury.

The disparity in coverage of brain injury cases is alarming. It is not uncommon for patients with bare-bones insurance coverage to be discharged after only a week or two in the hospital. As a result, significant medical complications will probably arise. Muscles might begin to contract, or seizures may occur.

Even Americans in Staten Island with more substantial insurance often get shortchanged, which reduces their likelihood of returning to work or even making a complete recovery.

An interested based in New York shares what he recently learned from the president of the Brain Injury Association of America. He says “a person with a moderate to severe injury would likely need at least a month of continuous therapy at a rehabilitative hospital. Exercises would focus on restoring muscular and other physical functions, speech, psycho-social capacity and cognitive functions, such as forming memory and maintaining attention. Next, a patient might spend six to eight weeks at a transitional rehabilitation unit, regaining life skills such as bathing and cooking. Finally, once home he might need rehabilitative therapy three times a week for at least another month.

Such comprehensive rehabilitative care is expensive – at least $8,000 per day for hospital-based “acute rehabilitation,” up to $2,500 for “post-acute residential care” and as much as $1,000 per day for other treatment programs. But still these costs are still a bargain when comparing them to the cost of long-term care for someone who doesn’t receive proper care and ends up permanently disabled.
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State Representative Dewayne Bunch, also a Whitley County High School teacher, is improving. According to the public relations and marketing director for Shepherd Center in Atlanta, Georgia, the 49-year-old who sustained a head injury while trying to break-up a fight between two students in the school’s cafeteria, in April, is recovering nicely.

The teacher was transported to Baptist Regional Medical Center and then transferred to the University of Kentucky Medical Center. Two weeks after that, he was moved to the intensive care unit at Shepherd Center, a hospital specializing in the treatment of brain and spinal cord injuries.

The State Representative’s traumatic brain injury (TBI) has improved enough that he has now even been moved to the hospital’s rehabilitation unit.

His wife was quoted as giving thanks to the public. “I appreciate the outpouring of support and kindness we’ve received from the community. Please continue to keep [my husband] in your prayers as he continues his journey to recovery.”

More extensive details on his recovery and prognosis are not available at this time. Realizing how varied brain injuries can be, an Attorney, has said that his brain could be recovering from a minor hurt, or it could be trying to reconnect neurons after a serious injury left him with a damaged portion of his brain. While it is unclear what the extent of the TBI is, the fact that the teacher is going to rehabilitation is a good sign. The first periods immediately after a TBI are extremely important and rehab helps tremendously.

The Whitley County Sheriff said last Monday that the incident is still under investigation. The exact reason why Bunch was injured is still unclear.

Two more teachers received minor injuries when they joined Bunch in trying to break up the fight.

The fighting students have been charged with first-degree assault in the injury of Bunch and third-degree assault in the injury of the other two instructors. The students are ages 15 and 16.

Representative Bunch is a science instructor at the Whitley County High School. As a member of the Kentucky House of Representatives, he represents all of Whitley County and a portion of Laurel County in the 82nd district. Doctors in Manhattan and Queens are studying the case.
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Care for victims of traumatic brain injury (TBI) starts on the battlefield, according to “Guidelines for Field Management of Combat-Related Head Trauma”, doctors in Nassau and Suffolk have learned. The combat medic works hard to prevent further harm from coming to the victim. The basics, such as the ABCs of airway, breathing, and circulation are tended to before work on the actual injury begins.

Once the patient is stabilized, the severity of the injury is determined, which helps form the basis of triage decisions. Someone who is less injured can be evacuated to a better facility than a field hospital. Some of these need to be moved by helicopter or some other expeditious manner. A blast from something like an improvised explosive device (IED) often results in multiple injuries, which need to be managed all at once.

The combat support hospital is the place for a more detailed assessment of injuries. When it comes to blast trauma, neuroimaging with CT scans should be done as soon as possible. It is important to identify things like intracranial hemorrhage, skull fractures, or cerebral edemas before they develop into something worse. Often it is necessary to perform emergency neurosurgery, studies have discovered.

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The current conflicts in Iraq and Afghanistan have led to a great many more serious injuries to United States service members. One of the most prevalent and dangerous is explosive blast traumatic brain injury (TBI). Doctors have been studying the rising trend.

There have been a number of military medical treatments for blast TBI which have been a success in the war theater, such as decompressive craniectomy, cerebral angiography, transcranial Doppler, hypertonic resuscitation fluids, and others. There has been similar progress stateside in neurosurgery, neuro-critical care, and rehabilitation for patients suffering injuries caused by blast TBI.

As they continue to treat these injuries, military physicians in Brooklyn and Long Island have been able to clinically categorize many types of blast TBI, according to studies. One of these important discoveries is the development of psuedoaneurysms and vasospasm in severe blast TBI victims, which can cause delayed decompensation. Another is that mild blast TBI often has very similar clinical features to post-traumatic stress disorder (PTSD). Some physicians have conclude that the injuries explosive trauma causes to the nervous system might be more complex than might appear at first examination.

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