Your Weekly Dose of #5ThoughtsFriday: A description of what we think is important at BIAMD
  #5ThoughtsFriday
The " James Bond Premieres" Edition
10/05/2018
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Here are the 5 things we thought were
worth sharing with you this week:
Cutting back on screen time, along with the right amount of sleep and physical activity, is linked to improvements in cognition among children, a study suggests.

The  observational study  analyzed data from a broader study funded by the National Institutes of Health, focusing on 4,500 children ages 8 to 11.

Researchers compared time spent on screens, sleeping and engaging in physical activity from that study against the Canadian 24-hour Movement Guidelines, created by the Canadian Society for Exercise Physiology to advise how kids should spend their time in a given day.

The study associates kids who met the guidelines – which include nine to 11 hours of sleep, at least one hour of physical activity and less than two hours on screens – with improvements in cognition.

CLICK HERE to see see more on the findings.
Previous estimates of the prevalence of head injury have ranged from 7% to 60% in selected populations. 2  The results, including a prevalence of head injury that was higher in populations with stroke or depression than in those without these conditions, are broadly consistent with those of other population-based studies
Head injury is associated with substantial morbidity and mortality, 1  but the extent of the problem in the general U.S. population has not been well characterized. We studied a nationally representative sample in the United States from the 2011–2014 National Health and Nutrition Examination Survey (NHANES) cohort (a description of the methods is provided in the  Supplementary Appendix , available with the full text of this letter at NEJM.org) to estimate the prevalence of head injury and its associated risk factors. In a cross-sectional analysis, we assessed head injury among 7399 participants 40 years of age or older with the use of the question, “Have you ever had loss of consciousness because of a head injury?”

The prevalence of self-reported head injury among U.S. adults 40 years of age or older was 15.7% (95% confidence interval, 14.2 to 17.2) ( Table 1 , and Fig. S1 in the  Supplementary Appendix ). In estimates from two models, the prevalence was higher among men (20.0%) than among women (12.0%) and was highest among non-Hispanic white respondents (18.0%) and lowest among non-Hispanic black respondents (8.9%). Smoking, health that was reported by the respondent as fair or poor, sleep disorders and shorter nightly sleep duration, heavy alcohol consumption, a history of stroke, and depressive symptoms were associated with head injury. Head injury was most common among respondents with a college education (17.3% of whom reported a head injury) but also occurred at high frequency among those with lower family income (16.4%), as compared with respondents with other levels of education and income.

CLICK HERE t o see more on the New England Journal of Medicines exploration of this subject.
 The  BRAIN-ICU study  from Vanderbilt University suggests that 40 per cent of ICU survivors who developed delirium in the hospital function at the level of someone with moderate traumatic brain injury and 26 per cent at the level of someone with mild Alzheimer’s disease.
Since intensive care units (ICU) were created in hospitals more than a half a century ago, there has been  a steady decline in death rates  for individuals who are critically ill and require life support. That’s significant and meaningful progress, and it’s thanks to the pioneering work of many doctors, nurses and researchers who have discovered better ways to liberate patients from life support so that they can leave the hospital breathing and functioning on their own.

But as a neurologist who practices medicine in the intensive care unit, I’ve come to recognize that we now need to focus the same attention on the neurological health of patients leaving the ICU.   New studies  are shedding light on the high rates of acute brain dysfunction – or delirium — for patients who have undergone treatment in hospital intensive care units.
Depending on the study, the rate of acquiring delirium as a result of treatment in ICU  ranges from 30 to 80 percent  – staggering numbers by any measure. What does delirium look like? Delirium is characterized by a  fluctuating level of consciousness  – when someone drifts in and out of awareness — poor attention and disorganized thinking.

What we see ranges from a patient lying in bed completely inattentive and disengaged from their environment to patients that are agitated and combative. Delirium can be excruciating for family members to watch.

On our bedside rounds, families often ask, “How is it that my mom was admitted three days ago with pneumonia and now she just stares at me blankly like she’s never seen me before?” That’s hospital-acquired delirium.

Questions like these are difficult to answer, mostly because we simply don’t know.

CLICK HERE to find out more about this critical hospital issue.
2) What We Are Reading We Think You Might Enjoy
Hey! You Can Win The Book Below!

Send an email to info@biamd.org with the
Subject Line: I Like To Read! and your name and mailing address in the email . We will enter your name into a drawing to receive a free copy of the book mailed to you for your reading pleasure!
There are some things people don'’t get over easily
pain from the past is one of them.

Trauma changes people: It changes values, priorities, worldviews, and most of all …it changes how we relate to others. Painful, life-threatening experiences take people beyond the normal day-to-day life, leaving them stuck behind defensive walls that keep them from re-entering the world they have always known as "“home”." So how does it happen? How do we lose the loving closeness with those around us? And better yet, how do we re-gain what pain has robbed us of? 

"Down Range" ” is not only a book explaining war trauma, it is required reading for anyone seriously interested about how to make healthy transitions from war to peace.

Bridget C. Cantrell, Ph.D. and Vietnam veteran, Chuck Dean have joined forces to present this vital information and resource manual for both returning troops and their loved ones. Here you will find answers, explanations, and insights as to why so many combat veterans suffer from flashbacks, depression, fits of rage, nightmares, anxiety, emotional numbing, and other troubling aspects of Post-Traumatic Stress Disorder (PTSD).

This Vet-To-Vet Guidebook can be a lifesaving reference.

  (If you decide to buy anything mentioned in #5ThoughtsFriday, don't forget to use  Amazon Smile  and select the Brain Injury Association of Maryland as your donation beneficiary.) 
1) Quote We Are Contemplating...

"If we can see past preconceived limitations, then the possibilities are endless."

BIAMD is very excited to announce the newest Brain Injury Caregiver Support Group in the Maryland.

PLEASE NOTE - The group will start at 6:30pm
JUST for OCTOBER

THE GROUP WILL START AT 6:00PM
MOVING FORWARD. 

Any questions?
Please contact Jeanne Slater
(410) 313-5174
HAVE A TERRIFIC WEEKEND. 

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  Thanks for reading! Have a wonderful weekend.