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Enregistrement W72410326 · doi:10.1093/pch/17.1.9

On October 28, 2008, my life changed

2012· article· en· W72410326 sur OpenAlexaffabout
Brad Madigan

Notice bibliographique

RevuePaediatrics & Child Health · 2012
Typearticle
Langueen
DomaineMedicine
ThématiqueTraumatic Brain Injury Research
Établissements canadiensWilfrid Laurier University
Organismes subventionnairesnon disponible
Mots-clésMedicine

Résumé

récupéré en direct d'OpenAlex

On October 28, 2008, my life changed. I was playing goalie for the Aurora Tigers Midget AA team. It was late in the second period when a player on the other team crashed my net. As I fell, the back of my head hit the goalpost and then the ice. The goal counted while (it is believed) I lay unconscious. I remember seeing all black as I lay on my back trying to catch my breath. I opened my eyes and slowly regained my breath. Because I was down for so long, I was required to go to the bench for the remainder of the period. My coach and trainer repeatedly asked, “are you okay to play?” I’m a competitive athlete and, like any competitive athlete, when questioned if they are okay to play, will always say “yes” regardless of the injury. Looking back, I wish I hadn’t been given the option. I returned to play in the third period, after becoming very emotional; I told my team to protect me. The third period seemed to drift by with cloudy vision. It was a sensation I had experienced several times previously – I didn’t know it was a sign of concussion. The following day I had to leave school early. I had a constant migraine and didn’t feel right. At the hospital, I was told I had a concussion, not to play hockey until the headache was gone, and to keep attending school. The headache never went away. The symptoms were getting worse and I was not myself. After numerous trips to the emergency room, I was still without answers. On the outside, I appeared to be ‘normal’ – I didn’t have a cast or crutches – but I wasn’t okay. I had suffered a serious brain injury and did not take the proper steps to recover. I was in denial, and attempted to get back into game shape and play through the pain. It wasn’t working. I didn’t want to make it look like I was ‘milking it’. The culture of hockey and most sports is to play through the pain, which was the biggest mistake I could have made throughout my minor sports career. I finally got in touch with my doctor in London (Ontario) on January 2009, and was diagnosed with postconcussion syndrome, which was a result of the many concussions that went undetected during my years of playing hockey and lacrosse. I was ‘shut down’ from my final year of high school. Being shut down consists of sitting in a dark room for as long as possible: no hockey, no brain stimulation and no life. I finished high school through night and correspondence classes. I was advised to take a year off before university, but my competitive, high-achieving personality took over. I pushed through a partial course load at the expense of my brain. By the end of the year, I crashed both mentally and physically from trying to balance school, friends, a failing relationship and the university lifestyle. I could not return to university this year knowing that I was doing more brain damage and risking my long-term health. I chose to accept the sentence to be shut down. As I write this, I have spent seven months in complete darkness in an attempt to shake postconcussion syndrome. I still have the daily headache. Thankfully, it has improved. It is now a sharp pain, as opposed to the pressure, hangover-type I had experienced for more than two years. I am hopeful for a full recovery; however, I still struggle with short-term memory loss, sensitivity to light and sound, focus issues and not feeling ‘right’. I am at the point where I could cope and live with the way I am today, but it would be a much slower life than I would have ever anticipated. Looking back, I suspect that I had been experiencing symptoms of postconcussion syndrome for seven years before being diagnosed. My doctor and I believe that I sustained at least seven concussions and, with each one, I never had the opportunity to fully recover from the previous blow to the head. In previous years, I was the only goalie on my team. With the position came pressure to play every game but I, like most goalies, took pride in playing full seasons. At the time, I was well aware that I was playing through migraines, cloudy vision and flu-like symptoms, but I always had an explanation – not eating right or just having the flu. I made countless trips to my family doctor. I underwent several blood tests to determine what was wrong with me. I was tested for mononucleosis several times; the doctors were bewildered because tests always came back negative. After being cross-checked to the face during a game of lacrosse, I went to the emergency room but was told I did not sustain a concussion. I am certain that it was a concussion because I felt nauseous and had cloudy vision finishing the game. I think my experiences show that there is a lack of awareness regarding concussions, not only in the sporting world but in the medical profession as well. I don’t like to think about what my life would be like if I had not met my doctor. I hope that by sharing my story, I can help raise awareness about the risks and consequences of concussions. I was the hard-nosed hockey mind that didn’t want the game to change. I was the hockey mind that denies there is a concussion epidemic. It is time to admit that concussions are a significant problem in sports. It is time for this invisible injury to get the recognition it deserves. Concussions are brain injuries, and young people in sport are sustaining these injuries on a regular basis. During my 12 years playing hockey, I was never educated about concussion. In all those years, I think my coaches and trainers used the word ‘concussion’, at most, 10 times. Change is happening slowly, but there is a long way to go for education and awareness to catch up. Studies have proven that there is a problem. It is now time to stop talking about the issue and start taking action – in all minor league sports.

Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.

Comment cette classification a été obtenuedéplier

Prédiction machine sur la base complète

Imitation des enseignants

Ni prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.

score de la tête « metaresearch » (Codex)0,002
score de la tête « metaresearch » (Gemma)0,009
Version: metacan-v3-hybrid-931329e0061cStatut de validation: machine_predicted_unvalidated
Catégories candidatesaucune
Catégories consensuellesaucune
DomaineSignal candidat: aucune · Signal consensuel: aucune
Devis d'étudeSignal candidat: Sans objet · Signal consensuel: Sans objet
GenreSignal candidat: Éditorial · Signal consensuel: Éditorial
Score de désaccord entre enseignants0,229
Score d'incertitude au seuil0,766

Scores du classifieur distillé par catégorie (deux têtes)

CatégorieCodexGemma
Métarecherche0,0020,009
Méta-épidémiologie (sens strict)0,0010,000
Méta-épidémiologie (sens large)0,0010,001
Bibliométrie0,0010,000
Études des sciences et des technologies0,0050,001
Communication savante0,0070,003
Science ouverte0,0010,004
Intégrité de la recherche0,0040,008
Charge utile insuffisante (le modèle a refusé de juger)0,2290,131

Scores machine (provisoires)

Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.

Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.

Tête enseignante Opus0,071
Tête enseignante GPT0,360
Écart entre enseignants0,289 · la distance entre les deux têtes enseignantes sur ce seul travail
Statut de validationscore_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle

Classification

machine, non validée

Prédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.

Les modèles n’ont appliqué aucune catégorie : rien dans la taxonomie ne correspondait à ce travail.
Devis d'étudeSans objet
Domainenon disponible
GenreÉditorial

Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».

En bref

Citations0
Publié2012
Routes d'admission2
Résumé présentoui

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