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Practices for controlling intracranial pressure (ICP) in traumatic brain injury (TBI) patients admitted to the intensive care unit (ICU) vary considerably between centres. To help understand the rational basis for such variance in care, this study aims to identify the patient-level predictors of changes in ICP management. We extracted all heterogeneous data (2008 pre-ICU and ICU variables) collected from a prospective cohort (n = 844, 51 ICUs) of ICP-monitored TBI patients in the Collaborative European NeuroTrauma Effectiveness Research in TBI study.

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Review of Functional Cranioplasty and Implantable Neurotechnology.

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Department of Otolaryngology-Head and Neck Surgery, Neuroplastic and Reconstructive Surgery, Naval Medical Center Portsmouth, Portsmouth, VA.

Cranioplasty for secondary reconstruction of cranial defects has historically focused on simply replacing the missing cranial bone to restore cerebral protection and fluid dynamics, but recent innovations have led to the development of customized cranial implants that address both bone and soft tissue deficits while avoiding postoperative complications such as temporal hollowing. In addition, customized cranial implants have incorporated implantable neurotechnology like ventriculostomy shunts, intracranial pressure monitoring devices, and medicine delivery systems within low-profile designs to convert previously "basic" implants into "smart" implants for added functionality. These "smart" implants aim to reduce complications and improve patient outcomes by leveraging the cranial space to house advanced technologies, providing benefits such as real-time biosensing, and treatment of chronic neurological conditions.

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  • Abdominal aortic aneurysm (AAA) is a major health issue with no effective medical treatments, so researchers are exploring IL-6 signaling inhibition as a potential therapy.
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Sex differences in brain MRI using deep learning toward fairer healthcare outcomes.

Front Comput Neurosci

November 2024

Department of Electrical and Software Engineering, University of Calgary, Calgary, AB, Canada.

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Monitoring Guideline Adherence in Severe Traumatic Brain Injury.

Stud Health Technol Inform

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CHU Rennes, INSERM, LTSI-UMR 1099, Univ Rennes, 35000 Rennes, France.

Traumatic brain injuries (TBI) significantly impact global health, often resulting in death or long-term disability. We developed a quality dashboard to monitor adherence to severe TBI guidelines, leveraging data from Rennes University Hospital's clinical data warehouse collected between January 2020 and December 2023. We included 193 patients from the surgical ICU who were over 18 years old and excluded those without adequate intracranial pressure (ICP) monitoring data.

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