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Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Introspection, long upheld as a reliable route to self-knowledge, involves examining one's thoughts, emotions, and mental processes. It underpins many psychological practices, from mindfulness meditation to psychotherapy and self-help strategies. However, empirical evidence challenges the accuracy of introspection as a means of understanding oneself.Limitations of Introspective InsightSeminal work by Nisbett and Wilson demonstrated that individuals are frequently unaware of the true causes...
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Ole Isacson: Development of New Therapies for Parkinson's Disease
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Reflections on 40 years as a sideline physician.

G Robert Nugent1

  • 1Department of Neurosurgery, The Robert C. Byrd Health Sciences Center of West Virginia University, Morgantown, West Virginia 26506, USA. gnugent@hsc.wvu.edu

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|November 23, 2006
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Summary

This review examines historical football injuries, including brachial plexus and cervical spine trauma. It highlights that while some injuries like acute subdural hematoma require immediate care, others like second-impact syndrome may be less common than perceived.

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Area of Science:

  • Sports Medicine
  • Neurology
  • Orthopedics

Background:

  • Football injuries have evolved historically.
  • Understanding the nuances of various football-related injuries is crucial for player safety and management.
  • Literature reviews and personal observations provide valuable insights into injury patterns.

Observation:

  • Personal observations and literature review on football injuries.
  • Focus on specific injuries: brachial plexus, cervical spine, neurapraxia, face mask infractions, concussion, acute subdural hematoma (SDH), and second-impact syndrome.
  • Historical perspective on the diagnosis and management of these injuries.

Findings:

  • Multiple types of brachial plexus injuries exist.
  • Cervical vertebrae wedging can be a normal finding.
  • Neurapraxia poses challenges for return-to-play decisions.
  • Face mask infractions are typically minor.
  • Concussion definitions lack standardization.
  • Acute SDH necessitates urgent hospital transfer.
  • The existence of second-impact syndrome is debated.

Implications:

  • Need for standardized definitions and protocols for concussion and other head injuries.
  • Importance of recognizing different types of nerve and spinal injuries in athletes.
  • Guidelines for safe return to play after specific football-related injuries.
  • Awareness of potentially serious injuries like acute SDH and their immediate management.
  • Further research is needed to clarify the nature and incidence of conditions like second-impact syndrome.