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Sociology

Theses and Dissertations

2018

Traumatic brain injury

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A Comparison Of Qualitative And Quantitative White Matter Methods In Pediatric Traumatic Brain Injury, Kacie Larae Wright Jun 2018

A Comparison Of Qualitative And Quantitative White Matter Methods In Pediatric Traumatic Brain Injury, Kacie Larae Wright

Theses and Dissertations

Magnetic resonance imaging is used to assess white matter (WM) abnormalities including total WM volumes and WM hyperintensities (WMHs). Comparisons between several qualitative and quantitative methods to assess WM that are used in research and clinical settings are lacking in pediatric traumatic brain injury (TBI). This study 1) WM methods including Scheltens ratings, manual tracings, NeuroQuant®, and FreeSurfer; (2) compared total WM volumes and WMHs to assess potentially similar reporting of WM integrity; and (3) assessed the relationship between cognitive functions (intelligence, attention, processing speed, and language) and WM in pediatric TBI.Sixty participants (65% male) between ages 8-13 years old, …


Day-Of-Injury Computed Tomography (Ct) And Longitudinal Rehabilitation Outcomes: A Comparison Of The Marshall And Rotterdam Ct Scoring Methods, Kayla Michelle Alder Apr 2018

Day-Of-Injury Computed Tomography (Ct) And Longitudinal Rehabilitation Outcomes: A Comparison Of The Marshall And Rotterdam Ct Scoring Methods, Kayla Michelle Alder

Theses and Dissertations

Both individual patient-related and injury-related factors predict functional outcomes following moderate-to-severe traumatic brain injury (M/S TBI). Other than binary outcomes such as death, little is known about the role of day-of-injury neuroimaging in predicting long- term outcomes. Classification systems for assessing the severity of injury using computerized tomography (CT) scans, such as the Marshall Classification System (MCS) or Rotterdam scale, have not been systematically studied to see how they relate to long-term rehabilitation and functional outcomes following M/S TBI. The MCS consists of six categories based on information about midline shift, basal cistern compression, surgery evacuation, and lesion size. The …


Psychiatric Symptom Severity Following Pediatric Traumatic Brain Injury: A Meta-Analysis, Benjamin Douglas Eschler Apr 2018

Psychiatric Symptom Severity Following Pediatric Traumatic Brain Injury: A Meta-Analysis, Benjamin Douglas Eschler

Theses and Dissertations

Objectives: A meta-analysis was conducted to determine the average effect size of internalizing and externalizing symptoms after pediatric traumatic brain injury across a range of severity (mild, moderate, and severe). Two-meta-regressions were also conducted to determine the role of age at injury at time since injury on these effect sizes.Participants and Methods: 9725 titles and abstracts were collected from PubMed, PsycInfo, and Web of Science. Of these, 63 full-text articles were examined for inclusion criteria to determine eligibility for the study. To be included, the studies needed to be published prior to March 2017 in English, needed to have a …


Psychiatric Symptom Severity Following Pediatric Traumatic Brain Injury: A Meta-Analysis, Benjamin Douglas Eschler Apr 2018

Psychiatric Symptom Severity Following Pediatric Traumatic Brain Injury: A Meta-Analysis, Benjamin Douglas Eschler

Theses and Dissertations

Objectives: A meta-analysis was conducted to determine the average effect size of internalizing and externalizing symptoms after pediatric traumatic brain injury across a range of severity (mild, moderate, and severe). Two-meta-regressions were also conducted to determine the role of age at injury at time since injury on these effect sizes.Participants and Methods: 9725 titles and abstracts were collected from PubMed, PsycInfo, and Web of Science. Of these, 63 full-text articles were examined for inclusion criteria to determine eligibility for the study. To be included, the studies needed to be published prior to March 2017 in English, needed to have a …


Day-Of-Injury Computed Tomography (Ct) And Longitudinal Rehabilitation Outcomes: A Comparison Of The Marshall And Rotterdam Ct Scoring Methods, Kayla Michelle Alder Apr 2018

Day-Of-Injury Computed Tomography (Ct) And Longitudinal Rehabilitation Outcomes: A Comparison Of The Marshall And Rotterdam Ct Scoring Methods, Kayla Michelle Alder

Theses and Dissertations

Both individual patient-related and injury-related factors predict functional outcomes following moderate-to-severe traumatic brain injury (M/S TBI). Other than binary outcomes such as death, little is known about the role of day-of-injury neuroimaging in predicting long- term outcomes. Classification systems for assessing the severity of injury using computerized tomography (CT) scans, such as the Marshall Classification System (MCS) or Rotterdam scale, have not been systematically studied to see how they relate to long-term rehabilitation and functional outcomes following M/S TBI. The MCS consists of six categories based on information about midline shift, basal cistern compression, surgery evacuation, and lesion size. The …