Traumatic Brain Injury in North Carolina

Traumatic brain injury (TBI) can range from mild concussions to life-threatening trauma. This issue of the NCMJ discusses various issues related to TBI, including the impact of North Carolina’s motorcycle helmet law, prevention and management of sports-related concussions, the need for behavioral health care for TBI survivors, the effect of TBI among North Carolina’s veterans, management of TBI among older adults, and advances in prehospital care for TBI. TABLE OF CONTENTS | FULL ISSUE (pdf) »

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The Impact of Maltreatment on the Developing Child

INVITED COMMENTARY Child maltreatment represents an extreme traumatic insult to the developing child. Chronic traumatic exposure during childhood may lead to persistent changes in brain structure and chemistry that contribute to long-term dysfunction.

BrdsNBz: A Text-Messaging Forum for Improving the Sexual Health of Adolescents in North Carolina

INVITED SIDEBAR The BrdsNBz Text Message Warm Line (hereafter, “BrdsNBz”) was launched by the Adolescent Pregnancy Prevention Campaign of North Carolina in February 2009 to address the sexual-health needs of our state’s teenage population. The primary objective of BrdsNBz is to provide a trusted forum for adolescents to ask questions and receive medically accurate information about their sexual health.

Sports-Related Concussions

INVITED COMMENTARY Concussions are an inherent part of collision sports such as football and soccer. As a subset of traumatic brain injury, concussions are neurometabolic events that cause transient neurologic dysfunction. Following a concussion, some athletes require longer neurologic recovery than others. Education and intervention aimed at prevention and management can minimize the long-term sequelae of sports-related concussions.

What Will Long-Term Care Be Like in 2040?

INVITED COMMENTARY Many innovative long-term care models can now be found in nursing homes, assisted living, and community home care settings. Key forces that will shape the future include the aging of the baby-boomer generation, personal choice, concerns about quality, new technologies, dementia research, payment issues, financial pressures, and workforce needs.

  • 76(3) Patient engagement
  • 76(4) Clinical guidelines
  • 76(5) Military health