Objectives The goal of this paper is to provide a compilation of the evidence for the treatment of posttraumatic headache (PTH) in the pediatric population. Headache features and timing of therapy were considered. Background Headache is the most common symptom following mild traumatic brain injury (mTBI), affecting more than 80% of children and adolescents. It is unclear whether treatment for PTH should be tailored based on headache characteristics, particularly the presence of migraine features, and/or chronicity of the headache. Methods Systematic literature searches of PubMed, Embase, Scopus, and Cochrane databases (1985–2021, limited to English) were performed, and key characteristics of included studies were entered into RedCAP® (Prospero ID CRD42020198703). Articles and conference abstracts that described randomized controlled trials (RCTs), cohort studies, retrospective analyses, and case series were included. Participants included youth under 18 years of age with acute (<3 months) and persistent (≥3 months) PTH. Studies that commented on headache improvement in response to therapy were included. Results Twenty‐seven unique studies met criteria for inclusion describing abortive pharmacologic therapies (9), preventative pharmacotherapies (5), neuromodulation (1), procedures (5), physical therapy and exercise (6), and behavioral therapy (2). Five RCTs were identified. Studies that focused on abortive pharmacotherapies were completed in the first 2 weeks post‐mTBI, whereas other treatment modalities focused on outcomes 1 month to over 1‐year post‐injury. Few studies reported on migrainous features (7), personal history of migraine (7), or family history of migraine (3). Conclusions There is limited evidence on the timing and types of therapies that are effective for treating PTH in the pediatric population. Prospective studies that account for headache characteristics and thoughtfully address the timing of therapies and outcome measurement are needed.
We propose VoIPLoc, a novel location fingerprinting technique and apply it to the VoIP call provenance problem. It exploits echo-location information embedded within VoIP audio to support fine-grained location inference. We found consistent statistical features induced by the echo-reflection characteristics of the location into recorded speech. These features are discernible within traces received at the VoIP destination, enabling location inference. We evaluated VoIPLoc by developing a dataset of audio traces received through VoIP channels over the Tor network. We show that recording locations can be fingerprinted and detected remotely with a low false-positive rate, even when a majority of the audio samples are unlabelled. Finally, we note that the technique is fully passive and thus undetectable, unlike prior art. VoIPLoc is robust to the impact of environmental noise and background sounds, as well as the impact of compressive codecs and network jitter. The technique is also highly scalable and offers several degrees of freedom terms of the fingerprintable space. CCS CONCEPTS• Networks → Web protocol security; Network security; • Security and privacy → Pseudonymity, anonymity and untraceability.
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