Lundsgaardgarza0456

043), as well as an interaction between time and group in the CM score (p=0.047) in favor of the DT group.

The results demonstrate that digital therapeutics can be used to achieve similar, if not superior, short and long-term outcomes as conventional approaches after ARCR, while being far less human resource intensive than conventional care.

II.

II.

Head trauma experienced in contact football is a growing health concern, but limited research has been conducted to assess associations between head trauma exposure and long-term concussion-related symptoms (CRS) among former college football players.

We surveyed 275 former college football players who were at least 10 years post competition to determine the association between head trauma exposure and CRS later in life. Respondents provided data on their youth, high school, and college playing experience, undiagnosed head injury, diagnosed concussions, and eight CRS. A Poisson regression was conducted to examine the association between playing experience and reported head trauma with reported symptom count, and significance was set at p<.05.

Few participants reported diagnosed concussions in college (17.5%), but a large number reported undiagnosed football related head injuries (68.8%) that might have resulted in a concussion. A minority of participants (40.7%) reported CRS. After controlling for age, high school football participation, and non-football concussions (lifetime), diagnosed concussions in high school or college did not significantly predict concussion symptoms later in life. However, undiagnosed football head injury (range 1 to 8 injuries) reported 350% - 855% greater CRS later in life.

Undiagnosed head injuries, which are less likely to be managed by a healthcare professional, were significantly associated with CRS later in life. These findings suggest that proper identification and management of concussions may prevent later symptoms, but more research is needed to test this conclusion.

Undiagnosed head injuries, which are less likely to be managed by a healthcare professional, were significantly associated with CRS later in life. These findings suggest that proper identification and management of concussions may prevent later symptoms, but more research is needed to test this conclusion.

To better address sociodemographic-related health disparities, this study examined which sociodemographic variables most strongly correlate with self-reported health in patients with chronic musculoskeletal pain.

This single-center, cross-sectional study examined adult patients followed by a physiatrist for chronic (≥4 years) musculoskeletal pain. Sociodemographic variables considered were race, sex, and disparate social disadvantage (measured as residential address in the worst versus best Area Deprivation Index national quartile). The primary comparison was the adjusted effect size of each variable on physical and behavioral health (measured by Patient-Reported Outcomes Measurement Information System (PROMIS)).

In 1,193 patients (age 56.3±13.0 years), disparate social disadvantage was associated with worse health in all domains assessed (PROMIS Physical Function Β -2.4 points [95%CI -3.8--1.0], Pain Interference 3.3 [2.0-4.6], Anxiety 4.0 [1.8-6.2], and Depression 3.7 [1.7-5.6]). Black race was associated with greater anxiety than white race (3.2 [1.1-5.3]), and female sex was associated with worse physical function than male sex (-2.5 [-3.5--1.5]).

Compared to race and sex, social disadvantage is more consistently associated with worse physical and behavioral health in patients with chronic musculoskeletal pain. Investment to ameliorate disadvantage in geographically defined communities may improve health in sociodemographically at-risk populations.

Compared to race and sex, social disadvantage is more consistently associated with worse physical and behavioral health in patients with chronic musculoskeletal pain. Investment to ameliorate disadvantage in geographically defined communities may improve health in sociodemographically at-risk populations.

i) identifying relationships between functional and psychological aspects with community integration and quality of life (QoL) assessments in people with chronic traumatic spinal cord injury (TSCI) ii) analyzing clinical and demographic predictors of QoL dimensions.

Observational cohort study, correlation coefficients were calculated between the Functional Independence Measure (FIM), the Hospital Anxiety and Depression Scale (HADS), the Community Integration Questionnaire (CIQ) and the WHOQOL-BREF dimensions (Physical (D1), Psychological (D2), Social (D3) and Environmental (D4)). QoL predictors were identified using multiple linear regression analyses.

975 people with TSCI assessed since 2007 to 2020 were included. CIQ home integration correlated strongly with FIM self-care (r=0.74) and transfers (r=0.62) for participants with tetraplegia. Oxythiamine chloride Specific HADS items (known as the anhedonia subscale) correlated strongly with D1 (r=-0.65), D2 (r=-0.69), D3 (r=-0.53) and D4 (r=-0.51) for participants with paraplegia and D1 (r=-0.53), D2 (r=-0.61), D3(r=-0.47) and D4(r=-0.53) for participants with tetraplegia. HADS Depression was the most relevant predictor of D1 (β = -0.61 and D2(β = -0.76).

FIM transfers and self-care were strongly associated to CIQ home integration (in participants with tetraplegia). Anhedonia was strongly related to all 4 WHOQOL-BREF dimensions, being HADS depression the most relevant predictor of D1 and D2.

FIM transfers and self-care were strongly associated to CIQ home integration (in participants with tetraplegia). Anhedonia was strongly related to all 4 WHOQOL-BREF dimensions, being HADS depression the most relevant predictor of D1 and D2.

The nasal packing material after closed reduction of nasal bone fracture may be bioabsorbable or nonbioabsorbable. To investigate the usefulness of the packing method using bioabsorbable and nonbioabsorbable materials simultaneously, a chart review was retrospectively performed involving 255 patients. Group A (n = 119), Nasopore (bioabsorbable) was cut appropriately and packed, and subsequently, supportive packing with Merocel (nonbioabsorbable) was performed. Group B (n = 78), nasal packing was performed with Vaseline roll gauze. Group C (n = 49), packed only Merocel. Pain and rhinorrhea were significantly lower in Merocel + Nasopore group (P < 0.05). It is thought that rhinorrhea is reduced by less mucosal irritation and maximizing the discharge absorption capacity by using Merocel and Nasopore simultaneously. By packing Nasopore first, pain is thought to be reduced by reducing the contact surface between Merocel and the injured mucosa and preventing a direct force to the fracture site. Therefore, our packing method, which uses Merocel and Nasopore simultaneously, can be recommended because it can provide sufficient support for the reduced fracture site, cause less pain, and maximize discharge absorption.