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  1. Article ; Online: Neurorehabilitation for the Uninsured: Georgia Rehabilitation Services Volunteer Partnership Clinic.

    Haarbauer-Krupa, Juliet / Eugene, DaJuandra / Wallace, Tracey / Johnson, Susan

    American journal of speech-language pathology

    2023  Volume 32, Issue 2S, Page(s) 817–826

    Abstract: Purpose: Individuals who experience brain injury and are uninsured often do not have access to health care services following their injury. The Georgia Rehabilitation Services Volunteer Partnership (GA RSVP) Clinic is a free outpatient rehabilitation ... ...

    Abstract Purpose: Individuals who experience brain injury and are uninsured often do not have access to health care services following their injury. The Georgia Rehabilitation Services Volunteer Partnership (GA RSVP) Clinic is a free outpatient rehabilitation program for uninsured individuals with acquired brain injury (ABI) and/or spinal cord injury (SCI) for all racial and ethnic backgrounds. While the clinic serves people with ABI and SCI, this clinical focus article will focus on people with ABI by describing the clinic, lessons learned from operations, an ABI patient case study, and future directions.
    Method: Our mission is to provide free outpatient rehabilitation care that maximizes independence, wellness, and community participation. The clinic has been in operation since September 2020, staffed by volunteers who provide services once a month in donated space at a rehabilitation hospital. We currently have 69 active volunteers, seven founding Board of Directors, and 17 founding Advisory Board members. We provide education to clients and their families and run peer and family support groups. For clients who cannot attend due to medical or transportation challenges, we have added telehealth services. We have 11 partner organizations as well as individual donor's financial support. The Chair of the clinic volunteers 50% of time managing clinic operations.
    Results: From September 2020 to December 2021, we provided care for 40 clients: 23 clinic admissions and 17 were provided information/referral services to access necessary health care services.
    Conclusions: A volunteer, free outpatient rehabilitation clinic is feasible and can contribute to improved outcomes for uninsured individuals with ABI. Further research to understand impact on patient outcomes is needed.
    MeSH term(s) Humans ; Georgia ; Medically Uninsured ; Hospitalization ; Neurological Rehabilitation ; Brain Injuries/rehabilitation
    Language English
    Publishing date 2023-01-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1154406-5
    ISSN 1558-9110 ; 1058-0360
    ISSN (online) 1558-9110
    ISSN 1058-0360
    DOI 10.1044/2022_AJSLP-22-00100
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Traumatic Brain Injury in Older Adults-A Public Health Perspective.

    Waltzman, Dana / Haarbauer-Krupa, Juliet / Womack, Lindsay S

    JAMA neurology

    2022  Volume 79, Issue 5, Page(s) 437–438

    MeSH term(s) Aged ; Brain Injuries, Traumatic/epidemiology ; Humans ; Public Health ; Trauma Centers
    Language English
    Publishing date 2022-03-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2702023-X
    ISSN 2168-6157 ; 2168-6149
    ISSN (online) 2168-6157
    ISSN 2168-6149
    DOI 10.1001/jamaneurol.2022.0114
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: When Traumatic Brain Injuries in Children Become Chronic Health Conditions.

    Kurowski, Brad G / Haarbauer-Krupa, Juliet / Giza, Christopher C

    The Journal of head trauma rehabilitation

    2022  Volume 38, Issue 4, Page(s) 348–350

    MeSH term(s) Humans ; Child ; Brain Injuries, Traumatic/diagnosis ; Brain Injuries, Traumatic/epidemiology ; Brain Injuries
    Language English
    Publishing date 2022-12-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639221-0
    ISSN 1550-509X ; 0885-9701
    ISSN (online) 1550-509X
    ISSN 0885-9701
    DOI 10.1097/HTR.0000000000000842
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Mild Traumatic Brain Injuries and Risk for Affective and Behavioral Disorders.

    Delmonico, Richard L / Tucker, Lue-Yen / Theodore, Brian R / Camicia, Michelle / Filanosky, Charles / Haarbauer-Krupa, Juliet

    Pediatrics

    2024  Volume 153, Issue 2

    MeSH term(s) Adolescent ; Child ; Humans ; Brain Concussion/complications ; Brain Concussion/epidemiology ; Brain Injuries, Traumatic/complications ; Brain Injuries, Traumatic/epidemiology ; Cohort Studies ; Longitudinal Studies ; Mental Disorders/epidemiology ; Mental Disorders/etiology ; Risk ; Male ; Female
    Language English
    Publishing date 2024-01-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207677-9
    ISSN 1098-4275 ; 0031-4005
    ISSN (online) 1098-4275
    ISSN 0031-4005
    DOI 10.1542/peds.2023-062340
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Healthcare Providers' Self-Reported Pediatric Mild Traumatic Brain Injury Diagnosis, Prognosis, and Management Practices: Findings From the 2019 DocStyles Survey.

    Sarmiento, Kelly / Daugherty, Jill / Haarbauer-Krupa, Juliet

    The Journal of head trauma rehabilitation

    2021  Volume 36, Issue 4, Page(s) 282–292

    Abstract: Objective: To assess adherence to 5 key recommendations in the Centers for Disease Control and Prevention evidence-based guideline on pediatric mild traumatic brain injury, this article presents results from the 2019 DocStyles survey.: Study design: ... ...

    Abstract Objective: To assess adherence to 5 key recommendations in the Centers for Disease Control and Prevention evidence-based guideline on pediatric mild traumatic brain injury, this article presents results from the 2019 DocStyles survey.
    Study design: Cross-sectional, web-based survey of 653 healthcare providers.
    Results: Most healthcare providers reported adhering to the recommendations regarding the use of computed tomography and providing education and reassurance to patients and their families. However, less than half reported routinely examining their patients with mild traumatic brain injury (mTBI) using age-appropriate, validated symptom scales, assessing for risk factors for prolonged recovery, and advising patients to return to noncontact, light aerobic activities within 2 to 3 days. Self-reported mTBI diagnosis, prognosis, and management practices varied by specialty. Only 3.8% of healthcare providers answered all 7 questions in a way that is most consistent with the 5 recommendations examined from the Centers for Disease Control and Prevention Pediatric mTBI Guideline.
    Conclusion: This study highlights several important information gaps regarding pediatric mTBI diagnosis and management. Further efforts to improve adoption of guideline recommendations may be beneficial to ensure optimal outcomes for children following an mTBI.
    MeSH term(s) Brain Concussion/diagnosis ; Brain Concussion/therapy ; Child ; Cross-Sectional Studies ; Health Personnel ; Humans ; Prognosis ; Self Report
    Language English
    Publishing date 2021-02-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639221-0
    ISSN 1550-509X ; 0885-9701
    ISSN (online) 1550-509X
    ISSN 0885-9701
    DOI 10.1097/HTR.0000000000000671
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Association Between Lifetime Sexual Violence and Recent Traumatic Brain Injury Among Adults: 2017 Connecticut Behavioral Risk Factor Surveillance System.

    Waltzman, Dana / Daugherty, Jill / Haarbauer-Krupa, Juliet / Zheng, Xi / Jorge, Celeste / Basile, Kathleen C

    Journal of interpersonal violence

    2023  Volume 39, Issue 5-6, Page(s) 1351–1367

    Abstract: Sexual violence (SV) is a critical public health problem that is associated with numerous negative health consequences, including immediate- and long-term physical and mental health conditions and health-risk behaviors. Some of these health-risk ... ...

    Abstract Sexual violence (SV) is a critical public health problem that is associated with numerous negative health consequences, including immediate- and long-term physical and mental health conditions and health-risk behaviors. Some of these health-risk behaviors (e.g., substance use, unsafe driving practices, poor mental health, lower impulse control, and abnormal brain circuitry) might increase the risk for sustaining a traumatic brain injury (TBI). A TBI causes neurological or neuropsychological changes and may also lead to various symptoms that affect a person's cognition, mobility, behavior, and mental health. Determining if those who have experienced SV are at increased risk of sustaining a TBI in their lifetime is critical given the high prevalence and health impacts of SV, the potential vulnerability to TBI after SV, and the known detrimental effects of TBI. This exploratory study examined data from the 2017 Connecticut behavioral risk factor surveillance system and found that lifetime SV victimization (controlling for age and sex) was associated with increased odds of reporting a recent TBI in the past 12 months (adjusted odds ratio [AOR] = 2.1; 95% confidence interval [CI] [1.03, 4.21]). Further research is needed to better understand how SV history is related to the risk of sustaining a TBI. Healthcare professionals can support patients who experience SV by providing resources to help reduce associated physical and mental health conditions and health-risk behaviors.
    MeSH term(s) Adult ; Humans ; Connecticut ; Behavioral Risk Factor Surveillance System ; Sex Offenses/psychology ; Mental Health ; Brain Injuries, Traumatic/epidemiology
    Language English
    Publishing date 2023-10-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2028900-5
    ISSN 1552-6518 ; 0886-2605
    ISSN (online) 1552-6518
    ISSN 0886-2605
    DOI 10.1177/08862605231203962
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Unintentional injury after traumatic brain injury: Issues, assessment, and reducing risk.

    Haarbauer-Krupa, Juliet

    NeuroRehabilitation

    2016  Volume 39, Issue 3, Page(s) 343–344

    MeSH term(s) Accident Prevention ; Accidents ; Brain Injuries, Traumatic ; Humans ; Patient Safety
    Language English
    Publishing date 2016-07-14
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1087912-2
    ISSN 1878-6448 ; 1053-8135
    ISSN (online) 1878-6448
    ISSN 1053-8135
    DOI 10.3233/NRE-161365
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Sports- and Physical Activity-Related Concussion and Risk for Youth Violence.

    Lowry, Richard / Haarbauer-Krupa, Juliet / Breiding, Matthew J / Simon, Thomas R

    American journal of preventive medicine

    2021  Volume 60, Issue 3, Page(s) 352–359

    Abstract: Introduction: Sports and physical activities are an important cause of traumatic brain injury among adolescents. Childhood traumatic brain injury has been associated with cognitive impairment, emotional problems, and impaired behavior control, and these ...

    Abstract Introduction: Sports and physical activities are an important cause of traumatic brain injury among adolescents. Childhood traumatic brain injury has been associated with cognitive impairment, emotional problems, and impaired behavior control, and these neuropsychological changes may place these youth at increased risk for engagement in violence-related behaviors.
    Methods: Data from the 2017 National Youth Risk Behavior Survey (N=14,765), a nationally representative survey of U.S. high school students, were analyzed in 2019 to examine the associations between sports- and physical activity-related concussion and violence-related behaviors occurring in the community and at school. Multivariable logistic regression models were used to calculate sex-stratified, adjusted (for race/ethnicity, grade, athlete status, impaired cognitive functioning, feeling sad/hopeless, and current substance use) prevalence ratios. Prevalence ratios were considered statistically significant if p<0.05.
    Results: Male students (17.1%) were more likely than female students (13.0%) to experience a sports- and physical activity-related concussion during the 12 months preceding the survey. Compared with students who did not have a concussion, those who experienced ≥1 sports- and physical activity-related concussion were more likely to be in a physical fight (male students, adjusted prevalence ratio=1.45; female students, adjusted prevalence ratio=1.55), carry a weapon (male students, adjusted prevalence ratio=1.24; female students, adjusted prevalence ratio=1.79), and fight at school (male students, adjusted prevalence ratio=1.40; female students, adjusted prevalence ratio=1.77). In addition, male students were more likely to carry a gun (adjusted prevalence ratio=1.62) and carry a weapon at school (adjusted prevalence ratio=1.73).
    Conclusions: Although the direction of these associations is unknown, return-to-school programs may benefit from inclusion of assessment and counseling around issues of psychological and social functioning, conflict resolution, and coordination with violence prevention programs.
    MeSH term(s) Adolescent ; Adolescent Behavior ; Brain Concussion/epidemiology ; Exercise ; Female ; Humans ; Male ; Risk-Taking ; Sports ; Violence
    Language English
    Publishing date 2021-01-07
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 632646-8
    ISSN 1873-2607 ; 0749-3797
    ISSN (online) 1873-2607
    ISSN 0749-3797
    DOI 10.1016/j.amepre.2020.10.018
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Does binge drinking mediate the relationship between four adverse childhood experiences and adult traumatic brain injury? Results from the National Longitudinal Survey of Youth 1979 Cohort.

    Daugherty, Jill / Treves-Kagan, Sarah / Gottfredson, Nisha C / Miedema, Stephanie / Haarbauer-Krupa, Juliet

    Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention

    2022  Volume 29, Issue 2, Page(s) 111–115

    Abstract: Objective: Adverse childhood experiences (ACEs) are associated with increased risk of sustaining a traumatic brain injury (TBI). Alcohol use may play an important role in this relationship. This study examines whether binge drinking mediates the ... ...

    Abstract Objective: Adverse childhood experiences (ACEs) are associated with increased risk of sustaining a traumatic brain injury (TBI). Alcohol use may play an important role in this relationship. This study examines whether binge drinking mediates the relationship between four ACEs and TBIs sustained in adulthood.
    Methods: Using the National Longitudinal Survey of Youth, 1979 cohort, we conducted longitudinal mediation analyses (n=6317). Interviews occurred annually from 1979 to 1994 and biennially until 2016. We evaluated the direct and indirect effects of individual ACEs (ie, experiencing physical violence, low parental warmth, familial alcoholism and familial mental illness; reported retrospectively) and a cumulative ACEs score on mean level of binge drinking (calculated across waves) and having a TBI in adulthood. To establish temporality, we included binge drinking that was measured at age 18 or older and before any reported TBI.
    Results: Cumulative ACEs, familial alcoholism and physical abuse exposure were significantly associated with having a TBI through binge drinking, although this only explained a small part of the association between ACEs and TBI. Other ACEs were not significantly associated with binge drinking or TBI.
    Conclusion: The results indicate that while ACEs and adult TBI risk were significantly associated, lifetime binge drinking explains only a small part of the association. Future research could examine alternative social, biological and behavioural mechanisms along the pathway between ACEs and TBI. Determining this mechanism will allow public health practitioners to design and implement effective TBI prevention programmes for those at higher risk of injury due to ACE exposure.
    MeSH term(s) Adult ; Humans ; Adolescent ; Adverse Childhood Experiences ; Binge Drinking/epidemiology ; Alcoholism ; Retrospective Studies ; Longitudinal Studies ; Brain Injuries, Traumatic/epidemiology ; Brain Injuries, Traumatic/etiology
    Language English
    Publishing date 2022-11-02
    Publishing country England
    Document type Journal Article
    ZDB-ID 1433667-4
    ISSN 1475-5785 ; 1353-8047
    ISSN (online) 1475-5785
    ISSN 1353-8047
    DOI 10.1136/ip-2022-044710
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: What Schools Need to Know about the Centers for Disease Control and Prevention's Guideline on Diagnosis/Management of Mild Traumatic Brain Injury in Children-A Commentary.

    McAvoy, Karen / Haarbauer-Krupa, Juliet

    The Journal of school health

    2019  Volume 89, Issue 12, Page(s) 941–944

    MeSH term(s) Adolescent ; Brain Concussion/diagnosis ; Brain Concussion/prevention & control ; Brain Concussion/therapy ; Centers for Disease Control and Prevention, U.S. ; Child ; Guidelines as Topic ; Humans ; Schools ; United States
    Language English
    Publishing date 2019-11-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 952835-0
    ISSN 1746-1561 ; 0022-4391
    ISSN (online) 1746-1561
    ISSN 0022-4391
    DOI 10.1111/josh.12834
    Database MEDical Literature Analysis and Retrieval System OnLINE

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