A5086471039- Traumatic Brain Injury Research
- Traumatic Brain Injury and Neurovascular Disturbances
- Cardiac Arrest and Resuscitation
- Injury Epidemiology and Prevention
- Cardiovascular Effects of Exercise
- Sports injuries and prevention
- Resilience and Mental Health
- Diverse Approaches in Healthcare and Education Studies
- Traumatic Ocular and Foreign Body Injuries
- Sports Performance and Training
- Cardiovascular and Diving-Related Complications
- Diabetic Foot Ulcer Assessment and Management
- Physical Education and Training Studies
- Musculoskeletal pain and rehabilitation
- scientometrics and bibliometrics research
- Vestibular and auditory disorders
- Maternal Mental Health During Pregnancy and Postpartum
- Ophthalmology and Visual Impairment Studies
- High Altitude and Hypoxia
- Glaucoma and retinal disorders
- Healthcare Systems and Public Health
- Human Health and Disease
- Posttraumatic Stress Disorder Research
- Restraint-Related Deaths
- Prenatal Substance Exposure Effects
Children's Hospital of Philadelphia
2021-2024
University of North Carolina at Chapel Hill
2020-2024
University of Maryland, Baltimore
1994
Objective. To evaluate the efficacy of home intervention with drug-abusing women on parenting behavior and attitudes, children's development. Design. A randomized, clinical trial 60 recruited prenatally randomized into an (n = 31) or comparison 29) group. There were no group differences in gestational age, 1-minute Apgar scores, duration hospital stay, neonatal abstinence score. Intervention infants slightly heavier (P .098) had lower 5-minute scores .089). Most mothers single,...
Context Concussion research has primarily focused on sport-related mechanisms and excluded non–sport-related mechanisms. In adult populations, concussions (non-SRCs) demonstrated worse clinical outcomes compared with (SRCs); however, investigations of non-SRCs in college-aged patients are limited. Objectives To examine collegiate athletes SRCs explore sex differences among non-SRCs. Design Prospective cohort study. Setting Clinical setting. Patients or Other Participants A total 3500 were...
Neurovascular coupling (NVC) uniquely describes cerebrovascular response to neural activation and has demonstrated impairments following concussion in adult patients. It is currently unclear how adolescent patients experience impaired NVC acutely during this dynamic phase of physiological development. The purpose study was investigate concussed relative controls. We recruited presenting a sports medicine practice within 28 days or musculoskeletal injury (controls). Transcranial Doppler...
Women's gymnastics athletes in the National Collegiate Athletic Association (NCAA) constitute a unique population of NCAA given nature and dynamics sport.Routine examination women's injuries is important for identifying evolving burden this sport.Exposure injury data collected Injury Surveillance Program during 2014-2015 through 2018-2019 were analyzed. counts, rates, proportions used to describe characteristics; rate ratios examine differential rates.The overall was 8.00 per 1000...
College athletes have been competing in championship track and field events since 1921; the numbers of teams participating expanded considerably.Monitoring injuries men's using surveillance systems is critical identifying emerging injury-related patterns.Exposure injury data collected National Collegiate Athletic Association Injury Surveillance Program during 2014-2015 through 2018-2019 academic years were analyzed. counts, rates, proportions used to describe characteristics; rate ratios...
<h3>Objective</h3> To investigate post-injury outcomes following non-sport related concussion (non-SRC) in collegiate athletes and cadets. <h3>Design</h3> Descriptive epidemiology. <h3>Setting</h3> 30 colleges/universities military service academies the Concussion Assessment, Research Education (CARE) Consortium. <h3>Participants</h3> 4,783 cadets (n=1036 non-SRC, n=3747 SRC) diagnosed with concussion. <h3>Interventions</h3> mechanism (sport (SRC) vs. non-SRC). <h3>Outcome Measures</h3>...
A visio-vestibular home exercise program (VV-HEP) can provide an equitable and cost-effective method for therapy targeted towards deficits that are common following concussion. The effects of a VV-HEP on improving concussion symptoms function unclear.Determine the effect in concussed pediatric patients.This study included 527 patients [294 female (55.8%); age = 14.4 ± 2.1 years] reporting to specialty care center within 28 days injury first follow-up 60 injury. Patients completed...
Sport-related head impact biomechanics research has been male-centric and focused primarily on American football ice hockey, which do not address popular sports in both sexes participate. The purpose of this study was to quantify college female male lacrosse soccer biomechanics.Head were collected from players across two Division 1 athletic programs (96 athletes, 141 athletes; age, 19.8 ± 1.3 yr; height, 174.8 9.2 cm; mass, 72.4 11.7 kg). We deployed helmetless measurement devices (X2...
High school (HS) sport-related concussions (SRCs) remain a public health concern in the United States.To describe patterns symptom prevalence, resolution time (SRT), and return-to-play (RTP) for SRCs sustained 20 HS sports during 2013/14-2017/18 academic years.A convenience sample of athletic trainers reported concussion information to RIOTM surveillance system. Symptom average number symptoms, SRT RTP distributions were examined compared by event type (practice, competition), injury...
Women's track and field events at the National Collegiate Athletic Association level have grown in popularity recent years, athletes are vulnerable to a broad range of potential injuries.Routine examination injuries is important for identifying emerging patterns injury incidence.Exposure data collected Injury Surveillance Program during 2014-2015 2018-2019 academic years were analyzed. counts, rates, proportions used describe characteristics, rate ratios examine differential rates.The...
Objective To determine the relationship between neurovascular coupling (NVC), vision and sensory performance in Special Operations Forces (SOF) combat soldiers with without concussion history.Methods We studied 61 SOF (male, age = 33.8 ± 3.7 years, n 40 history [Median 3; range 1–10+]). instrumented our participants transcranial Doppler to quantify NVC response during reading visual search tasks. All completed testing (Senaptec Sensory Station). performed separate multiple regressions if...
Military resilience research is increasing due to the growing literature associating with stress adaptation. This study aimed investigate which physiological adaptation components were associated in Special Operations Forces combat service members. members (n = 117) self-reported (ER89) and lifetime clinician-confirmed mild traumatic brain injury history. Participants also underwent transcranial Doppler ultrasonography measure middle cerebral artery velocity during rest a breath-holding...
To evaluate pre - to post-season differences in individual subtests of the Visio-Vestibular Examination (VVE) healthy middle and high school athletes.This prospective cohort study recruited participants from a private suburban United States secondary school. Participants completed demographic questionnaire prior start their season. A proxy for head impact exposure was estimated by incorporating previously published frequencies team sport. The VVE consisted 9 subtests: smooth pursuit,...
<h3>Objective</h3> To describe sex differences in non-sport related concussion (non-SRC). <h3>Design</h3> Descriptive epidemiology. <h3>Setting</h3> 30 colleges/universities and military service academies the Concussion Assessment, Research Education Consortium. <h3>Participants</h3> 1,036 cadets athletes (n=555 females) with non-SRC (outside of competition/practice/training). <h3>Interventions</h3> Sex. <h3>Outcome Measures</h3> Injury proportion ratios (IPR) compared injuries by (female...
<h3>Objective</h3> To investigate neurovascular coupling (NVC) in acutely concussed pediatric patients. <h3>Design</h3> Prospective cohort. <h3>Setting</h3> Sports medicine clinic. <h3>Participants</h3> 21 patients reporting within 28 days of concussion (female=8(38.1%); age=14.4±1.9 years) and 17 controls with a musculoskeletal injury (female=7(41.2%); age=14.0±1.7 years). <h3>Interventions (or Assessment Risk Factors)</h3> Concussion vs. controls. <h3>Outcome Measures</h3> Transcranial...
<h3>Objective</h3> To test whether higher head injury biomechanics are associated with symptom resolution time (SRT) and return-to-participation (RTP). <h3>Design</h3> Retrospective cohort study. <h3>Setting</h3> Six United States NCAA Division 1 colleges. <h3>Participants</h3> We studied 51 college American football players who sustained an incident concussion while participating in a multi-site There were no exclusion criteria based on age, sex, or race. <h3>Interventions (or Assessment of...
The purpose of this study was to determine how subconcussive head impact exposure in high school collision sport student-athletes influenced cerebrovascular function. Transcranial Doppler used assess pre- post-season changes in: (1) resting middle (MCA) and posterior cerebral arteries (PCA), (2) reactivity (CVR) via breath-holding index (BHI), vasomotor response (VMRr) overall MCA curve, (3) neurovascular coupling (NVC) NVC magnitude PCA curve. Fifty-three school-aged athletes (age = 15.8 ±...