Creation of Argentina-Sports Concussion Assessment & Research Study (Arg-SCARS): study protocol

There is an urgent need for an improved understanding of the relationship between repetitive sports concussion and cognitive decline risk. The Argentina- Sports Concussion Assessment & Research Study (Arg-SCARS) explores the link between repetitive sports concussion and cognitive function declin...

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Autores:
Russo, María Julieta
salvat, fernando
Kañevsky, Agostina Linda
Helou, María-Belén
Lamaletto, Luciana
Marinangeli, Aldana Lucia
Sevlever, Gustavo
Tipo de recurso:
Article of journal
Fecha de publicación:
2022
Institución:
Corporación Universidad de la Costa
Repositorio:
REDICUC - Repositorio CUC
Idioma:
eng
OAI Identifier:
oai:repositorio.cuc.edu.co:11323/10142
Acceso en línea:
https://hdl.handle.net/11323/10142
https://repositorio.cuc.edu.co/
Palabra clave:
Concussion
Sports
Cognition
Cohort
Traumatic brain injury
Symptoms
Assessment
Dementia
Cognitive impairment
Rugby
Athletes
Longitudinal study
Conmoción cerebral
Deporte
Cognición
Cohorte
Lesión cerebral traumática
Síntomas
Evaluación
Demencia
Deterioro cognitivo
Rugby
Atletas
Estudio longitudinal
Rights
openAccess
License
Atribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0)
id RCUC2_d38e9da1121792727ede302d059f70a5
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dc.title.eng.fl_str_mv Creation of Argentina-Sports Concussion Assessment & Research Study (Arg-SCARS): study protocol
dc.title.translated.none.fl_str_mv Creación de Argentina-Sports Concussion Assessment & Research Study (Arg-SCARS): protocolo de estudio
title Creation of Argentina-Sports Concussion Assessment & Research Study (Arg-SCARS): study protocol
spellingShingle Creation of Argentina-Sports Concussion Assessment & Research Study (Arg-SCARS): study protocol
Concussion
Sports
Cognition
Cohort
Traumatic brain injury
Symptoms
Assessment
Dementia
Cognitive impairment
Rugby
Athletes
Longitudinal study
Conmoción cerebral
Deporte
Cognición
Cohorte
Lesión cerebral traumática
Síntomas
Evaluación
Demencia
Deterioro cognitivo
Rugby
Atletas
Estudio longitudinal
title_short Creation of Argentina-Sports Concussion Assessment & Research Study (Arg-SCARS): study protocol
title_full Creation of Argentina-Sports Concussion Assessment & Research Study (Arg-SCARS): study protocol
title_fullStr Creation of Argentina-Sports Concussion Assessment & Research Study (Arg-SCARS): study protocol
title_full_unstemmed Creation of Argentina-Sports Concussion Assessment & Research Study (Arg-SCARS): study protocol
title_sort Creation of Argentina-Sports Concussion Assessment & Research Study (Arg-SCARS): study protocol
dc.creator.fl_str_mv Russo, María Julieta
salvat, fernando
Kañevsky, Agostina Linda
Helou, María-Belén
Lamaletto, Luciana
Marinangeli, Aldana Lucia
Sevlever, Gustavo
dc.contributor.author.none.fl_str_mv Russo, María Julieta
salvat, fernando
Kañevsky, Agostina Linda
Helou, María-Belén
Lamaletto, Luciana
Marinangeli, Aldana Lucia
Sevlever, Gustavo
dc.subject.proposal.eng.fl_str_mv Concussion
Sports
Cognition
Cohort
Traumatic brain injury
Symptoms
Assessment
Dementia
Cognitive impairment
Rugby
Athletes
Longitudinal study
topic Concussion
Sports
Cognition
Cohort
Traumatic brain injury
Symptoms
Assessment
Dementia
Cognitive impairment
Rugby
Athletes
Longitudinal study
Conmoción cerebral
Deporte
Cognición
Cohorte
Lesión cerebral traumática
Síntomas
Evaluación
Demencia
Deterioro cognitivo
Rugby
Atletas
Estudio longitudinal
dc.subject.proposal.spa.fl_str_mv Conmoción cerebral
Deporte
Cognición
Cohorte
Lesión cerebral traumática
Síntomas
Evaluación
Demencia
Deterioro cognitivo
Rugby
Atletas
Estudio longitudinal
description There is an urgent need for an improved understanding of the relationship between repetitive sports concussion and cognitive decline risk. The Argentina- Sports Concussion Assessment & Research Study (Arg-SCARS) explores the link between repetitive sports concussion and cognitive function decline in rugby players. Its objective is to describe the study design and the preliminary results concerning clinical profiles of rugby players following sports concussion. The current paper is a descriptive study of select characteristics and clinical symptoms identified from concussed athletes within 72 h after the injury. The 92 participants had an average age of 22.64 years and had been playing rugby for a mean of 14.72 years. 66.3% had history of concussions, with an average number of clinical concussions of 1.94. The mean of symptoms reported on Post-Concussion Symptoms Scale was 5.41. The mean symptom severity score was 14.49. Acute concussion symptoms, Beck’s Depression Inventory and attentional composite score were significantly predictive of symptoms within the first 72h following concussion. As conclusions it was possible to recognize the full spectrum of post-concussion related situations is essential to monitor recovery and tailor interventions for specific cases. ArgSCARS’s findings will help understand the influence of repetitive head trauma in the progress of neurological damage in athletes.
publishDate 2022
dc.date.issued.none.fl_str_mv 2022-01-20
dc.date.accessioned.none.fl_str_mv 2023-05-17T23:30:29Z
dc.date.available.none.fl_str_mv 2023-05-17T23:30:29Z
dc.type.spa.fl_str_mv Artículo de revista
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http://purl.org/coar/resource_type/c_2df8fbb1
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dc.identifier.citation.spa.fl_str_mv Russo, M.-J., Salvat, F. ., Kañevsky, A. ., Helou, M.-B. ., Lamaletto, L. ., Marinangeli, A., & Sevlever, G. . (2022). Creation of Argentina-Sports Concussion Assessment & Research Study (Arg-SCARS): study protocol: Creación de Argentina-Sports Concussion Assessment & Research Study (Arg-SCARS): protocolo de estudio. Journal of Applied Cognitive Neuroscience, 2(2), e00213990. https://doi.org/10.17981/JACN.2.2.2021.03
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/11323/10142
dc.identifier.doi.none.fl_str_mv 10.17981/JACN.2.2.2021.03
dc.identifier.eissn.spa.fl_str_mv 2745-0031
dc.identifier.instname.spa.fl_str_mv Corporación Universidad de la Costa
dc.identifier.reponame.spa.fl_str_mv REDICUC - Repositorio CUC
dc.identifier.repourl.spa.fl_str_mv https://repositorio.cuc.edu.co/
identifier_str_mv Russo, M.-J., Salvat, F. ., Kañevsky, A. ., Helou, M.-B. ., Lamaletto, L. ., Marinangeli, A., & Sevlever, G. . (2022). Creation of Argentina-Sports Concussion Assessment & Research Study (Arg-SCARS): study protocol: Creación de Argentina-Sports Concussion Assessment & Research Study (Arg-SCARS): protocolo de estudio. Journal of Applied Cognitive Neuroscience, 2(2), e00213990. https://doi.org/10.17981/JACN.2.2.2021.03
10.17981/JACN.2.2.2021.03
2745-0031
Corporación Universidad de la Costa
REDICUC - Repositorio CUC
url https://hdl.handle.net/11323/10142
https://repositorio.cuc.edu.co/
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.ispartofjournal.spa.fl_str_mv Journal of Applied Cognitive Neuroscience
dc.relation.references.spa.fl_str_mv Abrahams, S.; McFie, S.; Patricios, J.; Posthumus, M. & September, A. V. (2014). Risk factors for sports concussion: an evidence-based systematic review. British Journal of Sports Medicine, 48(2), 91–97. https://doi.org/ 10.1136/BJSPORTS-2013-092734
Ahmed, O. H. & Hall, E. E. (2017). “It was only a mild concussion”: Exploring the description of sports concussion in online news articles. Physical Therapy in Sport : Official Journal of the Association of Chartered Physiotherapists in Sports Medicine, 23, 7–13. https://doi.org/ 10.1016/J.PTSP.2016.07.003
Cosgrave, M. & Williams, S. (2019). The epidemiology of concussion in professional rugby union in Ireland. Physical Therapy in Sport : Official Journal of the Association of Chartered Physiotherapists in Sports Medicine, 35, 99–105. https://doi.org/ 10.1016/J.PTSP.2018.11.010
Cross, M. J.; Tucker, R.; Raftery, M.; Hester, B.; Williams, S.; Stokes, K. A.; Ranson, C.; Mathema, P. & Kemp, S. (2019). Tackling concussion in professional rugby union: a case-control study of tackle-based risk factors and recommendations for primary prevention. British Journal of Sports Medicine, 53(16), 1021–1025. https://doi.org/ 10.1136/BJSPORTS-2017-097912
Fann, J. R.; Ribe, A. R.; Pedersen, H. S.; Fenger-Grøn, M.; Christensen, J.; Benros, M. E. & Vestergaard, M. (2018). Long-term risk of dementia among people with traumatic brain injury in Denmark: a population-based observational cohort study. The Lancet. Psychiatry, 5(5), 424–431. https://doi.org/ 10.1016/S2215-0366(18)30065-8
Fuller, C. W.; Taylor, A. & Raftery, M. (2015). Epidemiology of concussion in men’s elite Rugby-7s (Sevens World Series) and Rugby-15s (Rugby World Cup, Junior World Championship and Rugby Trophy, Pacific Nations Cup and English Premiership). British Journal of Sports Medicine, 49(7), 478–483. https://doi.org/ 10.1136/BJSPORTS-2013-093381
Gardner, A.; Iverson, G. L.; Levi, C. R.; Schofield, P. W.; Kay-Lambkin, F.; Kohler, R. M. N. & Stanwell, P. (2015). A systematic review of concussion in rugby league. British Journal of Sports Medicine, 49(8), 495–498. https://doi.org/ 10.1136/BJSPORTS-2013-093102
Guskiewicz, K. M.; McCrea, M.; Marshall, S. W.; Cantu, R. C.; Randolph, C.; Barr, W.; Onate, J. A. & Kelly, J. P. (2003). Cumulative effects associated with recurrent concussion in collegiate football players: the NCAA Concussion Study. JAMA, 290(19), 2549–2555. https://doi.org/ 10.1001/JAMA.290.19.2549
Hinton-Bayre, A. D.; Geffen, G. & Friis, P. (2004). Presentation and mechanisms of concussion in professional Rugby League Football. Journal of Science and Medicine in Sport, 7(3), 400–404. https://doi.org/ 10.1016/S1440-2440(04)80035-5
Hollis, S. J.; Stevenson, M. R.; McIntosh, A. S.; Shores, A., Collins, M. W. & Taylor, C. B. (2009). Incidence, risk, and protective factors of mild traumatic brain injury in a cohort of Australian nonprofessional male rugby players. The American Journal of Sports Medicine, 37(12), 2328–2333. https://doi.org/ 10.1177/0363546509341032
Hume, P. A.; Theadom, A.; Lewis, G. N.; Quarrie, K. L.; Brown, S. R.; Hill, R. & Marshall, S. W. (2017). A Comparison of Cognitive Function in Former Rugby Union Players Compared with Former Non-Contact-Sport Players and the Impact of Concussion History. Sports Medicine (Auckland, N.Z.), 47(6), 1209–1220. https://doi.org/ 10.1007/S40279-016-0608-8
Iverson, G. L.; Gardner, A. J.; Terry, D. P.; Ponsford, J. L.; Sills, A. K.; Broshek, D. K. & Solomon, G. S. (2017). Predictors of clinical recovery from concussion: a systematic review. British Journal of Sports Medicine, 51(12), 941–948. https://doi.org/ 10.1136/BJSPORTS-2017-097729
Kelly, J. P. (2001). Loss of Consciousness: Pathophysiology and Implications in Grading and Safe Return to Play. Journal of Athletic Training, 36(3), 249–252. Available: http://www.athletictraininghistory.com/nata/journals/NATA_JOURNAL_VOL_36_03_2001%20sm.pdf
Lee, A. J. & Garraway, M. (1996). Epidemiological comparison of injuries in school and senior club rugby. British Journal of Sports Medicine, 30(3), 213–217. https://doi.org/ BJSM.30.3.213
Li, Y.; Li, Y.; Li, X.; Zhang, S.; Zhao, J.; Zhu, X. & Tian, G. (2017). Head Injury as a Risk Factor for Dementia and Alzheimer’s Disease: A Systematic Review and Meta-Analysis of 32 Observational Studies. PLOS ONE, 12(1), 1–17. https://doi.org/ 10.1371/JOURNAL.PONE.0169650
Lopez, V.; Ma, R.; Weinstein, M. G.; Cantu, R. C.; Myers, L. S. D.; Nadkar, N. S.; Victoria, C. & Allen, A. A. (2016). Concussive Injuries in Rugby 7s: An American Experience and Current Review. Medicine and Science in Sports and Exercise, 48(7), 1320–1330. https://doi.org/ 10.1249/MSS.0000000000000892
Makdissi, M.; Darby, D.; Maruff, P.; Ugoni, A.; Brukner, P. & McCrory, P. R. (2010). Natural history of concussion in sport: markers of severity and implications for management. The American Journal of Sports Medicine, 38(3), 464–471. https://doi.org/ 10.1177/0363546509349491
Marshall, S. W. & Spencer, R. J. (2001). Concussion in Rugby: The Hidden Epidemic. Journal of Athletic Training, 36(3), 334–338. https://doi.org/ 10.17615/a349-pn82
McAllister, T. & McCrea, M. (2017). Long-Term Cognitive and Neuropsychiatric Consequences of Repetitive Concussion and Head-Impact Exposure. Journal of Athletic Training, 52(3), 309–317. https://doi.org/ 10.4085/1062-6050-52.1.14
McCrory, P.; Meeuwisse, W.; Dvořák, J.; Aubry, M.; Bailes, J.; Broglio, S.; Cantu, R. C.; Cassidy, D.; Echemendia, R. J.; Castellani, R. J.; Davis, G. A.; Ellenbogen, R.; Emery, C.; Engebretsen, L.; Feddermann-Demont, N.; Giza, C. C., Guskiewicz, K. M.; Herring, S.; Iverson, G. L.; Johnston, K. M.; Kissick, J.; Kutcher, J.; Leddy, J. J.; Maddocks, D.; Makdissi, M.; Manley, G. T.; McCrea, M.; Meehan,W. P.; Nagahiro, S.; Patricios, J.; Putukian, M.; Schneider, K. J.; Sills, A.; Tator, C. H.; Turner, M. & Vos, P. E. (2017). Consensus statement on concussion in sport-the 5 th international conference on concussion in sport held in Berlin, October 2016. British Journal of Sports Medicine, 51(11), 838–847. https://doi.org/ 10.1136/BJSPORTS-2017-097699
McKee, A. C.; Alosco, M. L. & Huber, B. R. (2016). Repetitive Head Impacts and Chronic Traumatic Encephalopathy. Neurosurgery Clinics of North America, 27(4), 529–535. https://doi.org/ 10.1016/J.NEC.2016.05.009
McMillan, T. M.; McSkimming, P.; Wainman-Lefley, J.; Maclean, L. M.; Hay, J.; McConnachie, A. & Stewart, W. (2017). Long-term health outcomes after exposure to repeated concussion in elite level: rugby union players. Journal of Neurology, Neurosurgery, and Psychiatry, 88(6), 505–511. https://doi.org/ 10.1136/JNNP-2016-314279
Meehan, W. P.; D’Hemecourt, P. & Dawn Comstock, R. (2010). High school concussions in the 2008-2009 academic year: mechanism, symptoms, and management. The American Journal of Sports Medicine, 38(12), 2405–2409. https://doi.org/ 10.1177/0363546510376737
Merritt, V. C.; Lapira, K. M.; Clark, A. L.; Sorg, S. F.; Werhane, M. L.; Jak, A. J.; Bondi, M. W.; Schiehser, D. M. & Delano-Wood, L. (2019). APOE-ε4 Genotype is Associated with Elevated Post-Concussion Symptoms in Military Veterans with a Remote History of Mild Traumatic Brain Injury. Archives of Clinical Neuropsychology: The Official Journal of the National Academy of Neuropsychologists, 34(5), 706–712. https://doi.org/ 10.1093/ARCLIN/ACY082
Merritt, V. C.; Rabinowitz, A. R. & Arnett, P. A. (2015). Injury-related predictors of symptom severity following sports-related concussion. Journal of Clinical and Experimental Neuropsychology, 37(3), 265–275. https://doi.org/ 10.1080/13803395.2015.1004303
Omalu, B. I.; DeKosky, S. T.; Minster, R. L.; Kamboh, M. I., Hamilton, R. L. & Wecht, C. H. (2005). Chronic traumatic encephalopathy in a National Football League player. Neurosurgery, 57(1), 128–133. https://doi.org/ 10.1227/01.NEU.0000163407.92769.ED
Register-Mihalik, J. K.; Mihalik, J. P. & Guskiewicz, K. M. (2009). Association between Previous Concussion History and Symptom Endorsement during Preseason Baseline Testing in High School and Collegiate Athletes. Sports Health, 1(1), 61–65. https://doi.org/ 10.1177/1941738108325920
Russo, M. J.; Salvat, F.; Saco, M.; della Vedova, F., Alonso Hidalgo, I., Blaquier, J. B., Rodriguez Lucci, F.; Carpani, F.; Allegri, R. F. & Sevlever, G. (2020). Protocolo para la evaluación y el manejo de las conmociones cerebrales asociadas al deporte. Neurología Argentina, 12(2), 113–123. https://doi.org/ 10.1016/J.NEUARG.2019.12.001
WR. (2021, January 28). Concussion Guidance. World Rugby. https://www.world.rugby/news/612885
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spelling Atribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0)Copyright (c) 2021 María-Julieta Russo, Fernando Salvat, Agostina Kañevsky, María-Belén Helou, Luciana Lamaletto, Aldana Marinangeli, Gustavo Sevleverhttps://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Russo, María Julietasalvat, fernandoKañevsky, Agostina LindaHelou, María-BelénLamaletto, LucianaMarinangeli, Aldana LuciaSevlever, Gustavo2023-05-17T23:30:29Z2023-05-17T23:30:29Z2022-01-20Russo, M.-J., Salvat, F. ., Kañevsky, A. ., Helou, M.-B. ., Lamaletto, L. ., Marinangeli, A., & Sevlever, G. . (2022). Creation of Argentina-Sports Concussion Assessment & Research Study (Arg-SCARS): study protocol: Creación de Argentina-Sports Concussion Assessment & Research Study (Arg-SCARS): protocolo de estudio. Journal of Applied Cognitive Neuroscience, 2(2), e00213990. https://doi.org/10.17981/JACN.2.2.2021.03https://hdl.handle.net/11323/1014210.17981/JACN.2.2.2021.032745-0031Corporación Universidad de la CostaREDICUC - Repositorio CUChttps://repositorio.cuc.edu.co/There is an urgent need for an improved understanding of the relationship between repetitive sports concussion and cognitive decline risk. The Argentina- Sports Concussion Assessment & Research Study (Arg-SCARS) explores the link between repetitive sports concussion and cognitive function decline in rugby players. Its objective is to describe the study design and the preliminary results concerning clinical profiles of rugby players following sports concussion. The current paper is a descriptive study of select characteristics and clinical symptoms identified from concussed athletes within 72 h after the injury. The 92 participants had an average age of 22.64 years and had been playing rugby for a mean of 14.72 years. 66.3% had history of concussions, with an average number of clinical concussions of 1.94. The mean of symptoms reported on Post-Concussion Symptoms Scale was 5.41. The mean symptom severity score was 14.49. Acute concussion symptoms, Beck’s Depression Inventory and attentional composite score were significantly predictive of symptoms within the first 72h following concussion. As conclusions it was possible to recognize the full spectrum of post-concussion related situations is essential to monitor recovery and tailor interventions for specific cases. ArgSCARS’s findings will help understand the influence of repetitive head trauma in the progress of neurological damage in athletes.Argentina- Sport Concussion Assessment & Research Study (Arg-SCARS) es un estudio prospectivo y observacional que analiza el vínculo entre las conmociones cerebrales reiteradas y el deterioro cognitivo en jugadores de rugby. Su objetivo es describir el diseño del estudio y los resultados clínicos preliminares en deportistas tras sufrir conmociones cerebrales en el campo de juego. Se describen características y síntomas identificados en las 72 horas siguientes a una conmoción cerebral. De 92 participantes con edad media de 22.64 años y una media de 14.72 años practicando rugby, el 66.3 % tenían antecedentes de traumatismos cerebrales, con una media de 1.94 traumatismos. La media de síntomas informados en la Escala de Síntomas Posconmoción fue 5.41, y el puntaje medio de 14.49. Los síntomas agudos, el Inventario de Depresión de Beck y el puntaje de atención fueron muy predictores de los síntomas de las primeras 72 horas tras estas lesiones. Como conclusiones se pudo reconocer todas las situaciones posteriores a una conmoción cerebral es esencial para supervisar la recuperación y personalizar intervenciones. Los hallazgos ayudarán a comprender cómo influyen los traumatismos cerebrales reiterados en el deterioro neurológico.19 páginasapplication/pdfengCorporación Universidad de la CostaColombiahttps://revistascientificas.cuc.edu.co/JACN/article/view/3990Creation of Argentina-Sports Concussion Assessment & Research Study (Arg-SCARS): study protocolCreación de Argentina-Sports Concussion Assessment & Research Study (Arg-SCARS): protocolo de estudioArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85Journal of Applied Cognitive NeuroscienceAbrahams, S.; McFie, S.; Patricios, J.; Posthumus, M. & September, A. V. (2014). Risk factors for sports concussion: an evidence-based systematic review. British Journal of Sports Medicine, 48(2), 91–97. https://doi.org/ 10.1136/BJSPORTS-2013-092734Ahmed, O. H. & Hall, E. E. (2017). “It was only a mild concussion”: Exploring the description of sports concussion in online news articles. Physical Therapy in Sport : Official Journal of the Association of Chartered Physiotherapists in Sports Medicine, 23, 7–13. https://doi.org/ 10.1016/J.PTSP.2016.07.003Cosgrave, M. & Williams, S. (2019). The epidemiology of concussion in professional rugby union in Ireland. Physical Therapy in Sport : Official Journal of the Association of Chartered Physiotherapists in Sports Medicine, 35, 99–105. https://doi.org/ 10.1016/J.PTSP.2018.11.010Cross, M. J.; Tucker, R.; Raftery, M.; Hester, B.; Williams, S.; Stokes, K. A.; Ranson, C.; Mathema, P. & Kemp, S. (2019). Tackling concussion in professional rugby union: a case-control study of tackle-based risk factors and recommendations for primary prevention. 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Neurosurgery, 57(1), 128–133. https://doi.org/ 10.1227/01.NEU.0000163407.92769.EDRegister-Mihalik, J. K.; Mihalik, J. P. & Guskiewicz, K. M. (2009). Association between Previous Concussion History and Symptom Endorsement during Preseason Baseline Testing in High School and Collegiate Athletes. Sports Health, 1(1), 61–65. https://doi.org/ 10.1177/1941738108325920Russo, M. J.; Salvat, F.; Saco, M.; della Vedova, F., Alonso Hidalgo, I., Blaquier, J. B., Rodriguez Lucci, F.; Carpani, F.; Allegri, R. F. & Sevlever, G. (2020). Protocolo para la evaluación y el manejo de las conmociones cerebrales asociadas al deporte. Neurología Argentina, 12(2), 113–123. https://doi.org/ 10.1016/J.NEUARG.2019.12.001WR. (2021, January 28). Concussion Guidance. World Rugby. https://www.world.rugby/news/61288519122ConcussionSportsCognitionCohortTraumatic brain injurySymptomsAssessmentDementiaCognitive impairmentRugbyAthletesLongitudinal studyConmoción cerebralDeporteCogniciónCohorteLesión cerebral traumáticaSíntomasEvaluaciónDemenciaDeterioro cognitivoRugbyAtletasEstudio longitudinalPublicationORIGINALCreation of Argentina-Sports Concussion Assessment.pdfCreation of Argentina-Sports Concussion Assessment.pdfArtículoapplication/pdf532785https://repositorio.cuc.edu.co/bitstreams/7e2a22a8-ad85-4280-ab9e-899339afd6b1/download99f39a3e1aed744438b71c4a5088a233MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-814828https://repositorio.cuc.edu.co/bitstreams/6d8efd85-7752-44ce-bcff-219e2a9a44c5/download2f9959eaf5b71fae44bbf9ec84150c7aMD52TEXTCreation of Argentina-Sports Concussion Assessment.pdf.txtCreation of Argentina-Sports Concussion Assessment.pdf.txtExtracted texttext/plain49088https://repositorio.cuc.edu.co/bitstreams/0ff7eae5-adde-438b-8606-eef61fb8fc5d/download724be645ef242bb8955f7093ae39437fMD53THUMBNAILCreation of Argentina-Sports Concussion Assessment.pdf.jpgCreation of Argentina-Sports Concussion Assessment.pdf.jpgGenerated Thumbnailimage/jpeg13444https://repositorio.cuc.edu.co/bitstreams/42aebbd2-7449-47c3-9848-7d836cdda0b6/downloadd401b92a573f668c0fcf55cc940bb652MD5411323/10142oai:repositorio.cuc.edu.co:11323/101422024-09-17 11:02:42.229https://creativecommons.org/licenses/by-nc-nd/4.0/Copyright (c) 2021 María-Julieta Russo, Fernando Salvat, Agostina Kañevsky, María-Belén Helou, Luciana Lamaletto, Aldana Marinangeli, Gustavo Sevleveropen.accesshttps://repositorio.cuc.edu.coRepositorio de la Universidad de la Costa 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ada en las Obras Colectivas.

b.	Distribuir copias o fonogramas de las Obras, exhibirlas públicamente, ejecutarlas públicamente y/o ponerlas a disposición pública, incluyéndolas como incorporadas en Obras Colectivas, según corresponda.

c.	Distribuir copias de las Obras Derivadas que se generen, exhibirlas públicamente, ejecutarlas públicamente y/o ponerlas a disposición pública.
Los derechos mencionados anteriormente pueden ser ejercidos en todos los medios y formatos, actualmente conocidos o que se inventen en el futuro. Los derechos antes mencionados incluyen el derecho a realizar dichas modificaciones en la medida que sean técnicamente necesarias para ejercer los derechos en otro medio o formatos, pero de otra manera usted no está autorizado para realizar obras derivadas. Todos los derechos no otorgados expresamente por el Licenciante quedan por este medio reservados, incluyendo pero sin limitarse a aquellos que se mencionan en las secciones 4(d) y 4(e).

4. Restricciones.
La licencia otorgada en la anterior Sección 3 está expresamente sujeta y limitada por las siguientes restricciones:

a.	Usted puede distribuir, exhibir públicamente, ejecutar públicamente, o poner a disposición pública la Obra sólo bajo las condiciones de esta Licencia, y Usted debe incluir una copia de esta licencia o del Identificador Universal de Recursos de la misma con cada copia de la Obra que distribuya, exhiba públicamente, ejecute públicamente o ponga a disposición pública. No es posible ofrecer o imponer ninguna condición sobre la Obra que altere o limite las condiciones de esta Licencia o el ejercicio de los derechos de los destinatarios otorgados en este documento. No es posible sublicenciar la Obra. Usted debe mantener intactos todos los avisos que hagan referencia a esta Licencia y a la cláusula de limitación de garantías. Usted no puede distribuir, exhibir públicamente, ejecutar públicamente, o poner a disposición pública la Obra con alguna medida tecnológica que controle el acceso o la utilización de ella de una forma que sea inconsistente con las condiciones de esta Licencia. Lo anterior se aplica a la Obra incorporada a una Obra Colectiva, pero esto no exige que la Obra Colectiva aparte de la obra misma quede sujeta a las condiciones de esta Licencia. Si Usted crea una Obra Colectiva, previo aviso de cualquier Licenciante debe, en la medida de lo posible, eliminar de la Obra Colectiva cualquier referencia a dicho Licenciante o al Autor Original, según lo solicitado por el Licenciante y conforme lo exige la cláusula 4(c).

b.	Usted no puede ejercer ninguno de los derechos que le han sido otorgados en la Sección 3 precedente de modo que estén principalmente destinados o directamente dirigidos a conseguir un provecho comercial o una compensación monetaria privada. El intercambio de la Obra por otras obras protegidas por derechos de autor, ya sea a través de un sistema para compartir archivos digitales (digital file-sharing) o de cualquier otra manera no será considerado como estar destinado principalmente o dirigido directamente a conseguir un provecho comercial o una compensación monetaria privada, siempre que no se realice un pago mediante una compensación monetaria en relación con el intercambio de obras protegidas por el derecho de autor.

c.	Si usted distribuye, exhibe públicamente, ejecuta públicamente o ejecuta públicamente en forma digital la Obra o cualquier Obra Derivada u Obra Colectiva, Usted debe mantener intacta toda la información de derecho de autor de la Obra y proporcionar, de forma razonable según el medio o manera que Usted esté utilizando: (i) el nombre del Autor Original si está provisto (o seudónimo, si fuere aplicable), y/o (ii) el nombre de la parte o las partes que el Autor Original y/o el Licenciante hubieren designado para la atribución (v.g., un instituto patrocinador, editorial, publicación) en la información de los derechos de autor del Licenciante, términos de servicios o de otras formas razonables; el título de la Obra si está provisto; en la medida de lo razonablemente factible y, si está provisto, el Identificador Uniforme de Recursos (Uniform Resource Identifier) que el Licenciante especifica para ser asociado con la Obra, salvo que tal URI no se refiera a la nota sobre los derechos de autor o a la información sobre el licenciamiento de la Obra; y en el caso de una Obra Derivada, atribuir el crédito identificando el uso de la Obra en la Obra Derivada (v.g., "Traducción Francesa de la Obra del Autor Original," o "Guión Cinematográfico basado en la Obra original del Autor Original"). Tal crédito puede ser implementado de cualquier forma razonable; en el caso, sin embargo, de Obras Derivadas u Obras Colectivas, tal crédito aparecerá, como mínimo, donde aparece el crédito de cualquier otro autor comparable y de una manera, al menos, tan destacada como el crédito de otro autor comparable.

d.	Para evitar toda confusión, el Licenciante aclara que, cuando la obra es una composición musical:

i.	Regalías por interpretación y ejecución bajo licencias generales. El Licenciante se reserva el derecho exclusivo de autorizar la ejecución pública o la ejecución pública digital de la obra y de recolectar, sea individualmente o a través de una sociedad de gestión colectiva de derechos de autor y derechos conexos (por ejemplo, SAYCO), las regalías por la ejecución pública o por la ejecución pública digital de la obra (por ejemplo Webcast) licenciada bajo licencias generales, si la interpretación o ejecución de la obra está primordialmente orientada por o dirigida a la obtención de una ventaja comercial o una compensación monetaria privada.

ii.	Regalías por Fonogramas. El Licenciante se reserva el derecho exclusivo de recolectar, individualmente o a través de una sociedad de gestión colectiva de derechos de autor y derechos conexos (por ejemplo, los consagrados por la SAYCO), una agencia de derechos musicales o algún agente designado, las regalías por cualquier fonograma que Usted cree a partir de la obra (“versión cover”) y distribuya, en los términos del régimen de derechos de autor, si la creación o distribución de esa versión cover está primordialmente destinada o dirigida a obtener una ventaja comercial o una compensación monetaria privada.

e.	Gestión de Derechos de Autor sobre Interpretaciones y Ejecuciones Digitales (WebCasting). Para evitar toda confusión, el Licenciante aclara que, cuando la obra sea un fonograma, el Licenciante se reserva el derecho exclusivo de autorizar la ejecución pública digital de la obra (por ejemplo, webcast) y de recolectar, individualmente o a través de una sociedad de gestión colectiva de derechos de autor y derechos conexos (por ejemplo, ACINPRO), las regalías por la ejecución pública digital de la obra (por ejemplo, webcast), sujeta a las disposiciones aplicables del régimen de Derecho de Autor, si esta ejecución pública digital está primordialmente dirigida a obtener una ventaja comercial o una compensación monetaria privada.

5. Representaciones, Garantías y Limitaciones de Responsabilidad.
A MENOS QUE LAS PARTES LO ACORDARAN DE OTRA FORMA POR ESCRITO, EL LICENCIANTE OFRECE LA OBRA (EN EL ESTADO EN EL QUE SE ENCUENTRA) “TAL CUAL”, SIN BRINDAR GARANTÍAS DE CLASE ALGUNA RESPECTO DE LA OBRA, YA SEA EXPRESA, IMPLÍCITA, LEGAL O CUALQUIERA OTRA, INCLUYENDO, SIN LIMITARSE A ELLAS, GARANTÍAS DE TITULARIDAD, COMERCIABILIDAD, ADAPTABILIDAD O ADECUACIÓN A PROPÓSITO DETERMINADO, AUSENCIA DE INFRACCIÓN, DE AUSENCIA DE DEFECTOS LATENTES O DE OTRO TIPO, O LA PRESENCIA O AUSENCIA DE ERRORES, SEAN O NO DESCUBRIBLES (PUEDAN O NO SER ESTOS DESCUBIERTOS). ALGUNAS JURISDICCIONES NO PERMITEN LA EXCLUSIÓN DE GARANTÍAS IMPLÍCITAS, EN CUYO CASO ESTA EXCLUSIÓN PUEDE NO APLICARSE A USTED.

6. Limitación de responsabilidad.
A MENOS QUE LO EXIJA EXPRESAMENTE LA LEY APLICABLE, EL LICENCIANTE NO SERÁ RESPONSABLE ANTE USTED POR DAÑO ALGUNO, SEA POR RESPONSABILIDAD EXTRACONTRACTUAL, PRECONTRACTUAL O CONTRACTUAL, OBJETIVA O SUBJETIVA, SE TRATE DE DAÑOS MORALES O PATRIMONIALES, DIRECTOS O INDIRECTOS, PREVISTOS O IMPREVISTOS PRODUCIDOS POR EL USO DE ESTA LICENCIA O DE LA OBRA, AUN CUANDO EL LICENCIANTE HAYA SIDO ADVERTIDO DE LA POSIBILIDAD DE DICHOS DAÑOS. ALGUNAS LEYES NO PERMITEN LA EXCLUSIÓN DE CIERTA RESPONSABILIDAD, EN CUYO CASO ESTA EXCLUSIÓN PUEDE NO APLICARSE A USTED.

7. Término.

a.	Esta Licencia y los derechos otorgados en virtud de ella terminarán automáticamente si Usted infringe alguna condición establecida en ella. Sin embargo, los individuos o entidades que han recibido Obras Derivadas o Colectivas de Usted de conformidad con esta Licencia, no verán terminadas sus licencias, siempre que estos individuos o entidades sigan cumpliendo íntegramente las condiciones de estas licencias. Las Secciones 1, 2, 5, 6, 7, y 8 subsistirán a cualquier terminación de esta Licencia.

b.	Sujeta a las condiciones y términos anteriores, la licencia otorgada aquí es perpetua (durante el período de vigencia de los derechos de autor de la obra). No obstante lo anterior, el Licenciante se reserva el derecho a publicar y/o estrenar la Obra bajo condiciones de licencia diferentes o a dejar de distribuirla en los términos de esta Licencia en cualquier momento; en el entendido, sin embargo, que esa elección no servirá para revocar esta licencia o que deba ser otorgada , bajo los términos de esta licencia), y esta licencia continuará en pleno vigor y efecto a menos que sea terminada como se expresa atrás. La Licencia revocada continuará siendo plenamente vigente y efectiva si no se le da término en las condiciones indicadas anteriormente.

8. Varios.

a.	Cada vez que Usted distribuya o ponga a disposición pública la Obra o una Obra Colectiva, el Licenciante ofrecerá al destinatario una licencia en los mismos términos y condiciones que la licencia otorgada a Usted bajo esta Licencia.

b.	Si alguna disposición de esta Licencia resulta invalidada o no exigible, según la legislación vigente, esto no afectará ni la validez ni la aplicabilidad del resto de condiciones de esta Licencia y, sin acción adicional por parte de los sujetos de este acuerdo, aquélla se entenderá reformada lo mínimo necesario para hacer que dicha disposición sea válida y exigible.

c.	Ningún término o disposición de esta Licencia se estimará renunciada y ninguna violación de ella será consentida a menos que esa renuncia o consentimiento sea otorgado por escrito y firmado por la parte que renuncie o consienta.

d.	Esta Licencia refleja el acuerdo pleno entre las partes respecto a la Obra aquí licenciada. No hay arreglos, acuerdos o declaraciones respecto a la Obra que no estén especificados en este documento. El Licenciante no se verá limitado por ninguna disposición adicional que pueda surgir en alguna comunicación emanada de Usted. Esta Licencia no puede ser modificada sin el consentimiento mutuo por escrito del Licenciante y Usted.
