Associations Between Physician-Recommended Early Physical Activity and Concussion Recovery Outcomes in Pediatric Patients.

Objective: To investigate the associations between physician recommendations for early physical activity (PA) after concussion and prolonged recovery in youth.

Design: Retrospective observational study.

Setting: Seven concussion clinics affiliated with a children's hospital.

Adapting to vision changes: nighttime driving experiences of older adults.

Introduction: This qualitative study explored older adults' perspectives and experiences of nighttime driving, focusing on age-related vision changes.

Methods: We conducted virtual, semi-structured interviews with active drivers aged 60 or older from central Ohio. The interview guide encompassed four key domains: personal and driving history, nighttime driving practices/abilities/anxieties, the role of driving, and policy opinions.

Toward Wearable MagnetoCardioGraphy (MCG) for Cognitive Workload Monitoring: Advancements in Sensor and Study Design.

Despite cognitive workload (CW) being a critical metric in several applications, no technology exists to seamlessly and reliably quantify CW. Previously, we demonstrated the feasibility of a wearable MagnetoCardioGraphy (MCG) sensor to classify high vs. low CW based on MCG-derived heart rate variability (mHRV).

Nicotine Ingestions Among Young Children: 2010-2023.

Objective: The objective of this study is to investigate the characteristics and trends of nicotine ingestions among young children reported to US poison centers.

Study Design: We analyzed unintentional, single-substance nicotine ingestions among children younger than age 6 years reported to the National Poison Data System from 2010-2023.

Results: There were 134 663 nicotine ingestions among children younger than age 6 years reported to US poison centers, and most were among children younger than age 2 years (76.

Comparison of Machine Learning Models in Predicting Mental Health Sequelae Following Concussion in Youth.

Youth who experience concussions may be at greater risk for subsequent mental health challenges, making early detection crucial for timely intervention. This study utilized Bidirectional Long Short-Term Memory (BiLSTM) networks to predict mental health outcomes following concussion in youth and compared its performance to traditional models. We also examined whether incorporating social determinants of health (SDoH) improved predictive power, given the disproportionate impact of concussions and mental health issues on disadvantaged populations.

Artificial intelligence automated solution for hazard annotation and eye tracking in a simulated environment.

High-fidelity simulators and sensors are commonly used in research to create immersive environments for studying real-world problems. This setup records detailed data, generating large datasets. In driving research, a full-scale car model repurposed as a driving simulator allows human subjects to navigate realistic driving scenarios.

Vehicle Age and Driver Assistance Technologies in Fatal Crashes Involving Teen and Middle-Aged Drivers.

Importance: Motor vehicle crashes are the leading cause of death for US teens. Newer vehicles and driver assistance technologies show promise in reducing crashes and injury severities; however, research on the age and technologies of vehicles driven by teens involved in fatal crashes is limited.

Objective: To examine the differences in vehicle age and driver assistance technologies between vehicles driven by teen and middle-aged drivers involved in fatal crashes and to investigate the associations among vehicle age, driver assistance technologies, and driver death in these crashes.

Assessment of visual function under various lighting conditions in a cohort of active older drivers: dimensionality and principal metrics.

Purpose: While traditional driving ability evaluations typically assess visual acuity (VA) under photopic conditions, visual functions other than photopic VA also play a crucial role in driving. For older individuals, age-related vision change can impact driving abilities, particularly under mesopic lighting conditions with glare during nighttime driving. This study aims to investigate how visual functions vary across different lighting conditions, examine their correlations, and identify the principal visual function metrics that enable a more comprehensive assessment of active older drivers.

Teen Texting While Driving in Association With All-Driver and Young-Driver Cellphone Laws.

Purpose: Cellphone-related driver distraction claimed 402 lives, over 26,000 injuries, and $10 billion in economic costs including medical costs in 2022 in the United States. Young drivers exhibit a disproportionately higher prevalence of cellphone use while driving and are over-represented in traffic injuries. We assessed the impact of all-driver and young-driver cellphone laws on teen drivers' texting behaviors.

Sleep quantity and quality during the first week postinjury and time to symptom resolution in youth with concussion.

Objective: To examine bidirectional associations between objective measures of sleep quantity and quality with postconcussion symptoms (PCS) scores in concussed youth during the first week postinjury and to explore the associations between sleep measures and time to symptom resolution.

Study Design: We conducted a secondary analysis of a prospectively enrolled cohort of youth (11-17 years) with a physician diagnosed concussion within 72 hours of injury. During the first week postconcussion, sleep quantity (time in bed, total sleep time and daytime sleep) and sleep quality (sleep efficiency, WASO and number of awakenings) were measured using an ActiGraph.

Mesopic and glare driving performance in a driving simulator.

Objective: Difficulties in night driving due to deficits in visual function are a common problem among older drivers. Signage, hazards, and road markings can be more difficult to identify for those with presbyopia, especially in nighttime conditions that include glare from headlights. This study evaluated the visual function and driving abilities of participants in various lighting conditions to find efficient and effective testing procedures for predicting how older individuals will perform in night driving conditions.

Comparison of Machine Learning Models in Predicting Mental Health Sequelae Following Concussion in Youth.

Youth who experience concussions may be at greater risk for subsequent mental health challenges, making early detection crucial for timely intervention. This study utilized Bidirectional Long Short-Term Memory (BiLSTM) networks to predict mental health outcomes following concussion in youth and compared its performance to traditional models. We also examined whether incorporating social determinants of health (SDoH) improved predictive power, given the disproportionate impact of concussions and mental health issues on disadvantaged populations.

Tianeptine Exposures Reported to United States Poison Centers, 2015-2023.

Introduction: Tianeptine is an atypical tricyclic antidepressant not approved for medical use in the US but is found in dietary supplements. This study investigates single-substance tianeptine exposures reported to US poison centers.

Methods: We analyzed cases involving tianeptine reported to the National Poison Data System from 2015 to 2023.

Gabapentin and pregabalin exposures reported to United States poison centers, 2012-2022.

Background: Gabapentin and pregabalin were originally introduced as anticonvulsant medications but are now also prescribed on- and off-label for multiple medical disorders, especially for pain management. The national opioid crisis has led to increased use of non-opioid pain medications, including gabapentinoids, which has been associated with changing patterns of adverse events associated with these medications. This study investigated the characteristics and trends of gabapentin and pregabalin exposures reported to US poison centers from 2012 to 2022.

Factors Influencing Participation and Engagement in a Teen Safe Driving Intervention: A Qualitative Study.

(1) Background: Few teen driving safety programs focus on increasing parental engagement with high-risk teen drivers, specifically those with a traffic violation. This study explored parents'/guardians' ('parents') experiences with a teen driving safety program, ProjectDRIVE, including facilitators and barriers to program engagement. (2) Methods: We conducted virtual, semi-structured interviews with parents who completed ProjectDRIVE, which included in-vehicle driving feedback technology and individualized virtual training with parents on effective parent-teen communication.

Visual Function and Driving Performance Under Different Lighting Conditions in Older Drivers: Preliminary Results From an Observational Study.

Background: Age-related vision changes significantly contribute to fatal crashes at night among older drivers. However, the effects of lighting conditions on age-related vision changes and associated driving performance remain unclear.

Objective: This pilot study examined the associations between visual function and driving performance assessed by a high-fidelity driving simulator among drivers 60 and older across 3 lighting conditions: daytime (photopic), nighttime (mesopic), and nighttime with glare.

Headgear use in girls' lacrosse-stakeholders not ready for change.

Purpose: Mandating headgear for field players in girls' lacrosse to reduce head injuries, including concussion, has been heavily debated. However, research regarding the need and effectiveness of mandated headgear use in girls' lacrosse is still developing. Therefore, this qualitative study aimed to identify the need for and barriers to the development of mandated headgear use policies in girls' lacrosse in Ohio.

Physical activity, anxiety, depression, and coping in Turkish men and women during the first wave of COVID-19.

A need exists to better understand the relationships between COVID-19, coping behaviors, physical activity and stress, and COVID-19's impact on way of life. A cross-sectional study design was used to examine adult physical activity, hope, depression, anxiety, and coping status by gender during the COVID-19 pandemic, and to determine the impact of these variables on the coping process. The study also examined the effect of gender on the relation between physical activity and dependent variables.

ProjectDRIVE: study protocol for a randomized controlled trial to improve driving practices of high-risk teen drivers with a traffic violation.

Background: Teen drivers with a traffic violation are at increased risk for crashes and crash-related injuries; however, most parent-focused interventions target teen drivers with supervised learner's permits. Very few interventions are implemented at the probationary driver's license stage or target high-risk teen drivers, such as those with traffic violations. This paper describes the protocol of ProjectDRIVE, A Randomized Controlled Trial to Improve Driving Practices of High-Risk Teen Drivers with a Traffic Violation, which targets improving parent-teen communication about safe driving practices to reduce unsafe driving behaviors and traffic violation recidivism of teen drivers cited for traffic violation.

R2DRV: study protocol for longitudinal assessment of driving after mild TBI in young drivers.

Background: Mild traumatic brain injury (mTBI) and traffic-related injuries are two major public health problems disproportionately affecting young people. Young drivers, whose driving skills are still developing, are particularly vulnerable to impaired driving due to brain injuries. Despite this, there is a paucity of research on how mTBI impacts driving and when it is safe to return to drive after an mTBI.

Exploring the association between cognitive activity and symptom resolution following concussion in adolescents aged 11-17 years.

Objective: As opposed to postconcussion physical activity, the potential influence of cognitive activity on concussion recovery is not well characterised. This study evaluated the intensity and duration of daily cognitive activity reported by adolescents following concussion and examined the associations between these daily cognitive activities and postconcussion symptom duration.

Methods: This study prospectively enrolled adolescents aged 11-17 years with a physician-confirmed concussion diagnosis within 72 hours of injury from the emergency department and affiliated concussion clinics.

Differences in Overuse Injuries in Gender-Comparable Sports: A Nationally Representative Sample of High School Athletes.

Context: Participation in high school sports has physical, physiological, and social development benefits, while also increasing the risk of acute and overuse injuries. Risk of sport-related overuse injury differs between boys and girls.

Objective: To investigate differences in overuse injuries among US high school athletes participating in the gender-comparable sports of soccer, basketball, and baseball/softball.

Hydrocarbon ingestions among individuals younger than 20 years old reported to United States Poison Centers, 2000-2021.

Background: Hydrocarbon-based products have many household and commercial uses and exposure to these substances is common. Severe clinical effects can occur if these products are ingested. This study investigated the characteristics and trends of hydrocarbon ingestions reported to United States Poison Centers.