Intrathecal Baclofen Therapy and Paroxysmal Dysautonomia in Severe Brain-Injured Patients
Traumatic Brain InjuryCerebral Anoxia3 moreWithin the framework of a prospective double-blind and randomized study evaluating the efficacy of continuous intrathecal baclofen therapy (CIBT) on paroxysmal dysautonomia (main objective) and hypertonia, recovery and tolerance (secondary objectives) during the initial recovery phase of severe head injury, continuous intrathecal baclofen infusion will be delivered. The first week of study is double-blind: the first of two parallel groups receives CIBT and the second group receives placebo. The main outcome (number of neurovegetative episodes) is assessed at the end of first week. The second week of study is open labeled: active treatment is continued in the first group and the second group starts active CIBT treatment. The third week of study, treatment is stopped in both groups.
Proteomics of Brain Trauma-associated Elevated Intracranial Pressure (ICP)
Brain InjuriesTraumatic1 moreThe specific aim of this research is to determine if the blood from brain-injured patients contains reproducible protein markers that appear prior to elevations in intracranial pressure (ICP).
The National Center for Testing Treatments in Chronic Spinal Cord and Traumatic Brain Injury
Spinal Cord InjuryTraumatic Brain InjuryThe NCTT is a prospective, multicenter, observational research network for subjects with chronic spinal cord and/or chronic traumatic brain injury.
Purpose in Life Survey
Breast CancerTraumatic Brain InjuryAt present, there is no empirical data that specifies the likely prevalence of purpose in life disruption among various clinical populations. Between one-third and one-half of cancer survivors report some degree of existential distress during or after their treatment, but these findings are not specific to the domain of purpose in life. To address the aforementioned gap, we propose to conduct a survey study to determine the prevalence of purpose disruption in two clinical populations and determine if the prevalence of purpose disruption in these populations is different from that of a normative population.
Non-invasive ONSD-based Neuromonitoring in a Neurointensive Care Setting
TraumaBrain2 moreIntensive care patients with established invasive intracranial neuromonitoring due to neurotrauma are subjected to a repeated non-invasive sonographic recording of the optic-nerve-sheath-diameter (ONSD). The recorded images are analyzed through a machine-learning-algorithm and an experienced ultrasound operator. Results are correlated to the parallel recorded intracranial pressure (ICP). The study aims to establish ONSD as a supplementary for raised ICP.
Impact of Pre-Military Life Experiences/Exposures on Active-Duty Service Members' Psychological...
Traumatic Brain InjuryThe goal of this observational study is to learn about the impact of historic and current Traumatic Brain Injuries on a Marine Battalion. Its main objectives are: Establish individual mental and physical performance profile and brain health baseline in Infantry Marines Develop predictive models to identify early signs of mental and/or physical degradation that can help predict "red-line" behavioral events and degradation in brain health. Gather insights that will lead to developing personalized, evidence-based interventions to restore mental and physical performance. Increase warfighter self-knowledge and personal awareness to monitor and maximize performance. Participants will wear wear smart watches and analyte sensors to track their real time physiological and sleep measures and complete subjective and psychological measures in a custom research app.
IVF in Pediatric Concussion
Pediatric Mild Traumatic Brain InjuryChildren with concussion may improve with intravenous fluids.
Improving Functional Ability in Chronic TBI With Intensive Rehabilitation Robotic Gait Training...
TBI (Traumatic Brain Injury)The purpose of this study is to investigate changes in response to robotic gait training in individuals with a traumatic brain injury.
Clinical Evaluation of the i-STAT TBI Test
Traumatic Brain InjuryThe purpose of this study is to evaluate the clinical performance of the i-STAT TBI test for the proposed intended use; to assist in determining the need for a CT scan in patients presenting with suspected mild traumatic brain injury who are 18 years of age or older. The secondary objective of this study is the collection of additional data and specimens from all study subjects that may support other purposes related to the understanding of TBI.
Tbit System Precision and Correlation of Different Blood Samples
Brain InjuriesTraumatic Brain InjuryThe Tbit™ System will detect S100B and GFAP concentrations with the blood specimen to produce and compare repeated measures from 3 blood samples from 3 fingersticks from one subject and one 1 venous whole blood sample will be collected from the same subject, on 3 different Tbit™ System by 3 different operators.