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Neurotrauma research in Taiwan

  • Conference paper
Reconstructive Neurosurgery

Part of the book series: Acta Neurochirurgica Supplementum ((NEUROCHIRURGICA,volume 101))

Abstract

Because of the rapid industrial and economic growth, Taiwan and other developing countries have faced an enormous increase in the number of motorcycles, which has subsequently caused a rapid increase of the motorcycle-related traumatic brain injuries (TBI). In order to tackle this serious problem, stepwise approaches for TBI were implemented in Taiwan from 1991 to 2007.

Step 1 was to do a nationwide TBI registry in order to identify the risk factors and determinants. We found that the major cause of TBI in Taiwan was motorcycle-related injury, and very few motorcyclists wore a helmet. Step 2 was to launch the implementation of the helmet use law on June 1, 1997. A rapid decline of TBI hospitalizations and deaths was demonstrated soon thereafter. Step 3 was to enroll into international collaborations with the Global Spine and Head Injury Prevention Project (Global SHIP Project) groups for TBI. The comparative results thus obtained could be used to develop prevention strategies for developing countries. Step 4 was to implement clinical researches for TBI, which included a Propofol study, hyperbaric oxygen therapy (HBOT), brain parenchymal oxygen (PbtO2) monitoring, etc. Step 5 was to develop guidelines for the management of severe TBI in Taiwan. Through a 2-year period of review, discussion, and integration, a 9-chapter guideline was published in June 2007. In summary, our experience and process for management of TBI in Taiwan can be used as a reference for other developing countries.

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Author information

Authors and Affiliations

  1. Department of Neurosurgery, Taipei Medical University-Wan Fang Hospital, 111, Section 3, Hsing-Long Road, 116, Taipei, Taiwan

    J. W. Lin, C. M. Lin, K. S. Hung, C. C. Hung & Wen-Ta Chiu M.D., Ph.D.

  2. Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan

    J. W. Lin, C. M. Lin & Wen-Ta Chiu M.D., Ph.D.

  3. Institute of Biomedical Engineering, National Yang-Ming University, Taipei, Taiwan

    J. T. Tsai

  4. Department of Radiation-oncology, Taipei Medical University-Wan Fang Hospital, Taipei, Taiwan

    J. T. Tsai

  5. Graduate Institute of Injury Prevention and Control, Taipei Medical University, Taipei, Taiwan

    Wen-Ta Chiu M.D., Ph.D.

Authors
  1. J. W. Lin
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  2. C. M. Lin
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  3. J. T. Tsai
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  4. K. S. Hung
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  5. C. C. Hung
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  6. Wen-Ta Chiu M.D., Ph.D.
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Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Municipal Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan, R.O.C.

    Wen-Ta Chiu

  2. Department of Neurosurgery, Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan, R.O.C.

    Yung-Hsiao Chiang

  3. Department of Neurosurgery, National Taiwan University Hospital, National Taiwan University, Taipei, Taiwan, R.O.C.

    Ming-Chien Kao  & Ching-Chang Hung  & 

  4. Center for Neuropsychiatry, China Medical University Hospital, China Medical University, Taichung, Taiwan, R.O.C.

    Shinn-Zong Lin

  5. Department of Neurosurgery, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan, R.O.C.

    Han-Jung Chen

  6. Department of Rehabilitation Medicine, Chang Gung Memorial Hospital, Chang Gung University, Taipei, Taiwan, R.O.C.

    Simon F. T. Tang

  7. National Institute on Drug Abuse, National Institute of Health, Baltimore, USA

    Barry J. Hoffer

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© 2008 Springer-Verlag

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Lin, J.W., Lin, C.M., Tsai, J.T., Hung, K.S., Hung, C.C., Chiu, WT. (2008). Neurotrauma research in Taiwan. In: Chiu, WT., et al. Reconstructive Neurosurgery. Acta Neurochirurgica Supplementum, vol 101. Springer, Vienna. https://doi.org/10.1007/978-3-211-78205-7_19

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  • DOI: https://doi.org/10.1007/978-3-211-78205-7_19

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-78204-0

  • Online ISBN: 978-3-211-78205-7

  • eBook Packages: MedicineMedicine (R0)

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