Your Weekly Dose of #5ThoughtsFriday: A description of what we think is important at BIAMD
The " Field & Stream " Edition
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The 2018 BIAMD
Scarecrow Classic
Sun, Sep 30, 2018 8:30 AM EST
Scarecrow Classic 5k and 1 Mile Walk
University of Maryland - Baltimore County, Catonsville

SEPTEMBER 30, 2018
Scarecrow Classic 5k/1Mile

This year we are
Celebrating the life of Chris Burdette
Sun, Sep 30, 2018 8:30 AM EST
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University of Maryland - Baltimore County, Catonsville
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Here are the 5 things we thought were
worth sharing with you this week:
The Centers for Disease Control and Prevention (CDC) released new clinical recommendations for healthcare providers treating children with mild traumatic brain injury (mTBI), often referred to as concussion. The CDC Guideline on the Diagnosis and Management of Mild Traumatic Brain Injury Among Children, published today in JAMA Pediatrics, is based on the most comprehensive review of the science on pediatric mTBI to date—covering 25 years of research.

“More than 800,000 children seek care for TBI in U.S. emergency departments each year, and until today, there was no evidence-based guideline in the United States on pediatric mTBI—inclusive of all causes,” said Deb Houry, MD, MPH, director of CDC’s National Center for Injury Prevention and Control. “Healthcare providers will now be equipped with the knowledge and tools they need to ensure the best outcomes for their young patients who sustain an mTBI.”

Offering 19 sets of clinical recommendations that cover diagnosis, prognosis, and management and treatment, the CDC Pediatric mTBI Guideline is applicable to healthcare providers in all practice settings. The CDC Pediatric mTBI Guideline outlines specific actions healthcare providers can take to help young patients and their parents/caregivers, including five key practice-changing recommendations:

  • Do not routinely image pediatric patients to diagnose mTBI.
  • Use validated, age-appropriate symptom scales to diagnose mTBI.
  • Assess for risk factors for prolonged recovery, including history of mTBI or other brain injury, severe symptom presentation immediately after the injury, and personal characteristics and family history (such as learning difficulties and family and social stressors).
  • Provide patients and their parents/caregivers with instructions on returning to activity customized to their symptoms.
  • Counsel patients and their parents/caregivers to return gradually to non-sports activities after no more than a 2-3 days of rest.

CLICK HERE to see all of the new clinical recommendations.
Researchers want to surpass the blood-brain barrier by sending drugs directly through the nose
A person’s brainstem controls some of the body’s most important functions, including heart beat, respiration, blood pressure and swallowing. Tumor growth in this part of the brain is therefore twice as devastating. Not only can such a growth disrupt vital functions, but operating in this area is so risky, many medical professionals refuse to consider it as an option.

New, interdisciplinary research from Washington University in St. Louis has shown a way to target drug delivery to just that area of the brain using noninvasive measures, bolstered by a novel technology: focused ultrasound.

The research comes from the lab of Hong Chen, assistant professor of biomedical engineering in the School of Engineering & Applied Science and assistant professor of radiation oncology at Washington University School of Medicine in St. Louis. Chen has developed a novel way in which ultrasound and its contrast agent — consisting of tiny bubbles — can be paired with intranasal administration, to direct a drug to the brainstem and, potentially, any other part of the brain.

The research, which included faculty from the Mallinckrodt Institute of Radiology and the Department of Pediatrics at the School of Medicine, along with faculty from the Department of Energy, Environmental & Chemical Engineering in the School of Engineering & Applied Science, was published online this week and will be in the Sept. 28 issue of the Journal of Controlled Release.

This technique may bring medicine one step closer to curing brain-based diseases such as diffuse intrinsic pontine gliomas (DIPG), a childhood brain cancer with a five-year survival rate of a scant two percent, a dismal prognosis that has remained unchanged over the past 40 years. (To add perspective, the most common childhood cancer, acute lymphoblastic leukemia, has a five-year survival rate of nearly 90 percent.)

CLICK HERE t o check out yet another remarkable study.
“We are benefiting from a number of things,” Bodor said. “Safety continues to rule the day with parents. We don’t have concussion issues in fencing. We don’t have traumatic brain injuries. We have that on our side.”
Dax Mikow, a seventh-grader at Arbutus Middle School, tried different sports in elementary school but couldn’t find one that felt right.

Finally, about two years ago, his mother told him there was a fencing club in Catonsville that might be worth a shot. Dax came to the club and quickly fell in love with the sport.

“I wasn’t interested in any other sport,” he said. “Baseball didn’t work. I didn’t really like soccer. Football was just not my sort of thing. So I said why not try [fencing]?”

The move paid off for Dax, as it has for so many other members of the Academies of Fencing in Catonsville. The Academies has three groups: one for adults, one for boys and another for girls. The operation has been in existence in various forms for 57 years, with the last seven in Catonsville.

Kathy Oles-Martin is a board member of the Academies of Fencing, which combines the TriWeapon (boys), the Fencing Institute of America Baltimore (girls) and Salle Palasz (adults). Her uncle, the late Richard Oles, longtime fencing coach at Johns Hopkins University, started the club in Homewood, and the fencers would not let it disband after he died when he was hit by a snowplow in January 2011.

Chesapeake Fencing Club quickly becoming a fixture in Towson
They found Catonsville to be a more central location and moved to Route 40. Oles-Martin said the Academies of Fencing has about 100-120 members currently and offers lessons for those at various levels, including beginner, intermediate, private and advanced competitive. The fencers employ three types of weapons: epee, foil and sabre.

“We’ll take you as far as you want to go,” Oles-Martin said. “These are the people that even if they play other sports, they’re not you’re typical sports people. They’re the intellectuals; they’re the engineers; they’re the people who are logical.”

CLICK HERE to learn more about this growing Olympic sport.
Recruiting Registered Nurses of Individuals with SCI, TBI, and/or Burn Injury

The Model Systems Knowledge Translation Center   is conducting interviews with registered nurses (RNs) who provide care and services to individuals with spinal cord injury (SCI), traumatic brain injury (TBI), and/or burn injury. Answers from the interviews will be used for research purposes to better understand (a) the health information needs of RNs who provide care and services for such injuries and (b) their participation in research studies. To be eligible to participate, RNs must meet the following criteria:

  • Must have provided services and care to patients with SCI,TBI, and/or burn injury in post-acute rehabilitation settings in the past 5 years
  • Must have 5 or more years of experience treating these injuries
  • Interviews will last approximately 60 minutes. Participants will receive $125 for their time.

Contact: If you’re interested in participating, please contact Dr. Ali Weinstein: 703-993-9632 or .  
2) What We Are Reading We Think You Might Enjoy
Hey! You Can Win The Book Below!
(currently $999.99 on Amazon)

Send an email to 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!
On May 19, 1990, Gerry Breese, a constable for seventeen years in the Royal Canadian Mounted Police (RCMP) suffered a serious brain injury in a police motorcycle crash, resulting in emotional and cognitive deficits. Janelle, his wife and mother of their two young children, found herself struggling with lack of information, fatigue and depression, as she shouldered the entire family responsibility, including advocating for treatment and fighting for compensation. Less than six months later, Gerry Breese died at home of complications attributed to the crash.

Janelle Breese Biagioni has been actively involved in the brain injury community ever since her husband's death. She has since remarried and continues to advocate for families and survivors of brain injury in the US and Canada.
For more on this great book:
  (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...

"The way to get started is to quit talking and begin doing."

Test Your Brain Injury Prevention Skills.
Can You Spot the Potential Brain Injury?
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  Thanks for reading! Have a wonderful weekend.