| 1. |
- McKinlay, Audrey, et al.
(författare)
-
Service provision for children and young people with acquired brain injury : Practice recommendations
- 2016
-
Ingår i: Brain Injury. - : Informa UK Limited. - 0269-9052 .- 1362-301X. ; 30:13-14, s. 1656-1664
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Providing appropriate rehabilitation services for Acquired Brain Injury (ABI) in childhood presents a number of challenges for caregivers, health and education professionals and the young person as they develop. Primary objective: To record the challenges and possible creative solutions generated by an international group of professionals to address the needs of children with ABI. Review of information: Recommendations were generated from children's special interest group meetings of the International Brain Injury Association (Turin, Italy, 2001; Stockholm, Sweden, 2003; Melbourne, Australia, 2005; Lisbon, Portugal, 2008) and through meetings of the International Paediatric Brain Injury Society (IPBIS), formed in 2009. Delegates participating in the workshops were representative of nations from around the world and included The Netherlands, New Zealand, Australia, the UK, Finland, Germany, South Africa, the US, Canada, Sweden, Brazil and Italy. Outcomes: The information presented is based on a retrospective review of those meetings and the summaries of the topics considered.
|
|
| 2. |
- Bedard, Jean H., et al.
(författare)
-
Basaltic sills emplaced in organic-rich sedimentary rocks : Consequences for organic matter maturation and Cretaceous paleo-climate
- 2024
-
Ingår i: Geological Society of America Bulletin. - : Geological Society of London. - 0016-7606 .- 1943-2674. ; 136:5-6, s. 1982-2006
-
Tidskriftsartikel (refereegranskat)abstract
- Many continental large igneous provinces coincide with climate perturbations and mass extinctions. When basaltic plumbing systems traverse carbon-rich sedimentary rocks, large volumes of greenhouse gases may be generated. We document how intrusive sills of the Mesozoic High Arctic Large Igneous Province affected surrounding fine-grained, organic-rich siliciclastic rocks of the Sverdrup Basin in the Canadian Arctic Archipelago. Petrographic and X-ray diffraction data from samples located near sills show the presence of high-temperature metamorphic phases (diopside, andalusite, garnet, and cordierite). Raman thermometry on organic matter yields peak temperatures of 385-400 degrees C near sill contacts, tailing off to far-field temperatures of <= 230 degrees C. Samples located >20 m from sills show no systematic change in vitrinite reflectance and have a VRo eq% value of similar to 2.5%, which indicates a temperature of similar to 210 degrees C. The finite element thermal modeling tool SUTRAHEAT was applied to the 17-m-thick Hare Sill, emplaced at 3 km depth at 1105 degrees C. SUTRAHEAT results show that contact-proximal rocks attain temperatures of >700 degrees C for a brief period (similar to 1 year). By 5 years, the Hare Sill is completely solidified (<730 degrees C), and the temperature anomaly collapses rapidly thereafter as the thermal pulse propagates outward. By 10 years, all rocks within 10 m of the Hare Sill are between 450 degrees C and 400 degrees C, rocks at 20 m from the contact attain 200 degrees C, yet far-field temperatures (>50 m) have barely changed. When multiple sills are emplaced between 4 km and 6 km depth, all rocks between sills reach similar to 250 degrees C after 100 years, showing that it is possible to raise regional-scale background temperatures by similar to 150 degrees C for the observed High Arctic Large Igneous Province sill density. Vitrinite reflectance data and pyrolysis results, together with SILLi thermal modeling, indicate that much of the hydrocarbon-generating potential was eliminated by High Arctic Large Igneous Province intrusions. The SILLi model yields similar to 20 tonnes/m(2) of organic equivalent CO2 (all carbon gas is reported as CO2) from the Hare Sill alone when emplaced into Murray Harbour Formation rocks with 5.7 wt% organic carbon, and similar to 226 tonnes/m(2) by emplacement of multiple sills throughout the 2-km-thick Blaa Mountain Group with 3 wt% organic carbon. On a basin scale, this yields a total of similar to 2550 Gt CO2 from the Hare Sill, with similar to 13,000 Gt CO2 being generated by the multiple sill scenario, similar to estimates from other large igneous provinces. Much of the Blaa Mountain Group rocks now have organic carbon contents of <1 wt%, which is consistent with large volumes of carbon-species gas having been generated, likely a mixture of CO2, CH4, and other species. However, organic-rich Murray Harbour Formation rocks show no obvious reduction in organic carbon content toward the Hare Sill intrusive contacts, which suggests that not all of the carbon was lost from the sedimentary package hosting High Arctic Large Igneous Province magmas. We suggest that some of the gas generated by contact metamorphism failed to drain out for lack of high-permeability conduits, and then back-reacted to form calcite cements and pyrobitumen during cooling.
|
|
| 3. |
- Cancelliere, Carol, et al.
(författare)
-
Protocol for a systematic review of prognosis after mild traumatic brain injury : an update of the WHO Collaborating Centre Task Force findings
- 2012
-
Ingår i: Systematic Reviews. - : Springer Science and Business Media LLC. - 2046-4053. ; :1, s. 17-
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Mild traumatic brain injury (MTBI) is a major public-health concern and represents 70-90% of all treated traumatic brain injuries. The last best-evidence synthesis, conducted by the WHO Collaborating Centre for Neurotrauma, Prevention, Management and Rehabilitation in 2002, found few quality studies on prognosis. The objective of this review is to update these findings. Specifically, we aim to describe the course, identify modifiable prognostic factors, determine long-term sequelae, and identify effects of interventions for MTBI. Finally, we will identify gaps in the literature, and make recommendations for future research.Methods: The databases MEDLINE, PsychINFO, Embase, CINAHL and SPORTDiscus were systematically searched (2001 to date). The search terms included 'traumatic brain injury', 'craniocerebral trauma', 'prognosis', and 'recovery of function'. Reference lists of eligible papers were also searched. Studies were screened according to pre-defined inclusion and exclusion criteria. Inclusion criteria included original, published peer-reviewed research reports in English, French, Swedish, Norwegian, Danish and Spanish, and human participants of all ages with an accepted definition of MTBI. Exclusion criteria included publication types other than systematic reviews, meta-analyses, randomized controlled trials, cohort studies, and case-control studies; as well as cadaveric, biomechanical, and laboratory studies. All eligible papers were critically appraised using a modification of the Scottish Intercollegiate Guidelines Network (SIGN) criteria. Two reviewers performed independent, in-depth reviews of each eligible study, and a third reviewer was consulted for disagreements. Data from accepted papers were extracted into evidence tables, and the evidence was synthesized according to the modified SIGN criteria.Conclusion: The results of this study form the basis for a better understanding of recovery after MTBI, and will allow development of prediction tools and recommendation of interventions, as well as informing health policy and setting a future research agenda.
|
|
| 4. |
- Hung, Ryan, et al.
(författare)
-
Systematic Review of the Clinical Course, Natural History, and Prognosis for Pediatric Mild Traumatic Brain Injury : Results of the International Collaboration on Mild Traumatic Brain Injury Prognosis
- 2014
-
Ingår i: Archives of Physical Medicine and Rehabilitation. - : Elsevier. - 0003-9993 .- 1532-821X. ; 95:3, Suppl, s. S174-S191
-
Forskningsöversikt (refereegranskat)abstract
- ObjectiveTo synthesize the best available evidence on prognosis after pediatric mild traumatic brain injury (MTBI).Data SourcesWe searched MEDLINE, Embase, PsycINFO, CINAHL, and SPORTDiscus (2001–2012), as well as reference lists of eligible articles, and relevant systematic reviews and meta-analyses.Study SelectionControlled trials and cohort and case-control studies were selected according to predefined criteria. Studies had to have a minimum of 30 MTBI pediatric cases. After 77,914 records were screened for the entire review, 299 studies were eligible and assessed for scientific rigor.Data ExtractionEligible studies were critically appraised using the Scottish Intercollegiate Guidelines Network (SIGN) criteria. Two reviewers independently reviewed each study and extracted data from accepted articles into evidence tables.Data SynthesisEvidence from 25 accepted articles was synthesized qualitatively according to SIGN criteria, and prognostic information was prioritized according to design as exploratory or confirmatory. Most studies show that postconcussion symptoms and cognitive deficits resolve over time. Limited evidence suggests that postconcussion symptoms may persist in those with lower cognitive ability and intracranial pathology on neuroimaging. Preliminary evidence suggests that the risk of epilepsy is increased for up to 10 years after MTBI; however, there is insufficient high-quality evidence at this time to support this link.ConclusionsCommon post-MTBI symptoms and deficits in children are not specific to MTBI and appear to resolve with time; however, limited evidence suggests that children with intracranial pathology on imaging may experience persisting symptoms or deficits. Well-designed, long-term studies are needed to confirm these findings.
|
|
