Scientific Program

Day 1 :

  • Neurology | Neurological Disorders | Brain Injury and Rehabilitation | Brain Disorders & Therapy | Cognitive Neuropsychiatry | Addiction and Brain | Neurosurgery
Speaker
Biography:

Leigh Richardson was introduced to neurofeedback after her son was hit by a car and was searching for answers. She became part of the neurologist team that helped her son and was there for 5 years working within a medical model as a neuro therapist. In 2009 the Brain Performance Center was open offering a wider array of treatment options based on a behavioral model. In the last 15 years Leigh has worked with depression, Parkinson’s, stroke, anxiety, TBI, chronic pain, ADHD, Autism, and Addiction as a psycho therapist and neuro therapist. Leigh is a regular contributor to FOX news as a brain health expert.

 

Abstract:

Chronic pain has a variety of causes, ranging from an initial injury or ongoing illness, but there may also be no clear cause. Because of this, chronic pain can be very hard to treat and can have negative impacts on the patient’s lifestyle. It is a significant problem, as 100 million Americans suffer from chronic pain and over 1.5 billion worldwide.  It causes over 36 million Americans to miss work every year. A 2006 study carried out by the American Pain Foundation found just 23% of patients with chronic pain found opioids effective.  Few people, feel that there is a cure for chronic pain, as 66% of pain suffers expect to live with some pain for the rest of their life. Facts like these show that current approaches to chronic pain may not capture the full picture, and that the roots of chronic pain must run deeper, beyond just the physical and into the emotional and psychological.

The American Academy of Neurology has endorsed use of CBT for symptoms of pain, weakness, dizziness that are not associated with a known disease. However, this sentiment has been acknowledged for centuries, as Ancient Greeks and Romans were the first to advance the idea that the brain and central nervous system were instrumental in the perception of pain. We will build on that idea in this session and will review how the principles of Cognitive Behavioral Therapy can be applied, along with a neuro cognitive perspective, to improve quality of life and help patients manage their pain. 

We will discuss each of the different treatment modalities that are used to create regulation in the brain. This will include three different forms of neurofeedback, and three different forms of neuromodulation and photo modulation. 

Speaker
Biography:

Abstract:

Statement of the Problem: Sensory integration is one of the most utilized therapeutic interventions in ASD. Problems effectively integrating multi-sensory input can limit, amongst others, a child’s ability to develop social relationships, cognitive motor skills, planning and sequencing novel tasks and attending to tasks. New technologies for testing and therapy like multi-axle rotational devices and cognitive motor training platforms give new opportunities in multi-sensory integration and cognitive performance, however, a lack of consensus exists regarding its evidence base.

Methodology & Theoretical Orientation: The results of multiple systematic reviews indicate that sensory integration intervention meets the criteria for an evidence‐based practice according to the CEC Standards for Evidence‐Based Practices for ASD. Case studies using high-frequent videonystagmography (VNG) and computerized posturography (CPG) for testing of peripheral sensory systems and central sensory integration, and treatment interventions with multi-axle rotational devices and motor training platforms were utilized and focused on outcome measurements with VNG and CPG.

Findings: Children in these case studies showed significant changes in social behaviors, cognitive motor performance and attending to tasks. Objective measurements through VNG and CPG reflect changes in central sensory processing.

Conclusion & Significance: Children with autism ASD will benefit from multi-sensory integration combined with cognitive performance. However, further clinical studies with these new treatment interventions (multi-axle rotational devices and cognitive motor training platforms) need to be done to prove benefits compared to conventional sensory integration therapies.

  • Psychology & Neuroscience
Speaker
Biography:

Dr Ahmed Allam has his expertise in the field of neurogenesis and neurobehaviors especially in the newborns. Many of his publications and works focus on the damage which produced in the brain regions due to perinatally toxins exposure during development and how to repair this damage and reduce its hazards and how mothers could be avoided from these teratogenic factors even tough toxins or manners. Also, Dr Allam has some expertise in the following area Biochemistry, Genetics and Molecular Biology, Biological Sciences, Neuroscience, Medicine, Chemistry, Environmental Science, Pharmacology, Toxicology and Pharmaceutics Immunology.

Abstract:

The present study aimed to elucidate the abnormalities in the development of rat brains and behaviours after drinking desalinated seawater prenatally. Three types of drinking water were employed as an experimental probe (bottled water, filtered desalinated seawater and tap desalinated seawater) to investigate neurobehavioral and morphological changes in the development of pup rats. Female rats from each group were administered water from their birth until gestation and lactation. The 1st and 2nd generation pups were divided into three groups: Group C, mothers and pups administered with bottled drinking water (the control group); Group F, mothers and pups administered with filtered drinking water; Group T, mothers and pups administered with unfiltered desalinated seawater (tap water). Morphological changes (CNS aberration) and neurobehavioral changes were studied. The aberrations recorded in the brain regions (cerebellum, cerebrum, medulla oblongata) and spinal cord of rat’s newborns from groups T and F may be due to oxidative stress in these tissues such as reduced glutathione, lipid peroxidation, peroxidase and super oxide dismutase. In conclusion, drinking desalinated seawater for a long time may cause teratogenic effects in the development of New-born rats. 

Anna Olczak

Rehabilitation Clinic, Military Institute of Medicine in Warsaw, Poland

Title: The meaning of local stability for the co-ordinated movement human palm
Speaker
Biography:

Abstract:

Introduction The motoral co-ordination is ability to executing folded movements: exactly, quickly and in changing conditions. The stability of the part of the human body is the essential element for the possibility of the realization of the movement. It is the special fix point for that part of the human body during the executed movement in space.
The aim of the work is the analysis of dependence between the chosen parameters of the motoral co-ordination wrist and human palm and the local stability or its lack.
The material and methods: 81 persons study (healthy, the stroke of the brain). Age of studied: 20-80 years old, the women and men. To the investigation of the parameters of the co-ordination movement (the range of movement, speed/ frequency of the movement, the strength of the flex of the palm) were used Hand Tutor device and hand dynamometer. The patients were examined in two exit positions: sitting without the support and lying with the stability of the trunk and the tested upper limb.
Results: The introduction of local stability influenced on the change of the parameters of the motoral co-ordination of the palm fingers and wrist.
The conclusions: Local stability influences on the improvement of the co-ordination movements in the radio - carpal joint and the human palm. Local stability applied during exercises with the patient selectively improves the co-ordination movement the practiced parts of the body.
Key words: stability, motoral co-ordination, the range of the movement, speed/frequency, grip hand.

Speaker
Biography:

In 1985 I graduated in Biological Science at the University of Valencia and in 1996 I finished my PhD in the IIC Institute looking for astrogliogenesis during brain development. In 1997 I spent three years at Hallamshire Hospital, Sheffield, UK. I was working in inflammation and regulation of IL-1 and IL-1 receptor. In 2000 I returned to Spain at Department of Physiology, Faculty of Medicine in University of Valencia until now. I am working in toxicity in developmental and neurodegenerative disease (such as Alzheimer’s disease) looking for oxidative stress and inflammation mechanisms

Abstract:

The amyloid precursor protein plus presenilin-1 (APP/PS1) mice are a frequently-used model for Alzheimer’s disease studies (AD). Using behavioral studies, quantitative RT-PCR and Western-blot techniques, significant findings were determined by the expression of proteins involved in inflammation comparing APP/PS1 and Wild type mice. Increased GFAP expression could be associated with the elevation in number of reactive astrocytes. IL-3 is involved in inflammation and ABDF1 intervenes normally in the transport across cell membranes and both were found up-regulated in APP/PS1 mice compared to Wild type mice. We noted for the first time, a CCR8 increase expression with diminution of its CCL1 chemokine, both normally involved in protection from bacterial infection and demyelination. Furthermore, CCR5 expression was decreased and both CCL3 and CCL4 chemokines were highly expressed indicating a possible gliosis and probably an increase in chemotaxis from lymphocytes and T cell generation. Inflammation in AD will be the next step in the therapeutic approach.

Owen Connolly

Counselling Psychologist, Ireland

Title: Infantile post-traumatic stress (Re-Set Therapy)
Speaker
Biography:

Owen Connolly- Owner & Senior Counselling Psychologist at the Owen Connolly Counselling Therapy & Education Centre. I have practised in the USA, Lebanon and the UK, now full-time in Ireland. I have over 50,000 client hours as a Counsellor. Qualifications: BSc (Hons) Psych, Cert Hsc, Cert Social Sc., Miit Grad. Professional membership: I.S.T.S.S., U.S.T.S.S., Committee member of the child & adolescent special interest group PSI, Marriage & Family therapist ILM. Publications: Author of the best selling book, the Father’s role as a parent : ‘Standing on the Shoulders of Giants’. Co-author of ‘Parenting in the Millenium. Social Media: Broadcaster and regular contributor to ‘TV Now’ magazine, ‘Ask the expert’ section, with regular contributions in the Irish Independent/Herald/Sunday World & Irish Times on a huge range of family related topics. Other memberships: Chairman of the Education Research Trust Ltd. Member of IAIMH ( Irish Association of Infant Mental Health). Director and Board Member of PPS (Psychologists Protection Society), Protecting counsellors, psychologists & psychotherapists for over 35 years Member of ACAMH (Association for Child & Adolescent Mental Health) Chairman of AMEN supporting men experiencing domestic abuse

Abstract:

I will be presenting a reflection of my body of clinical trauma work, also represented in my book ‘On the Shoulders of Giants’ which was published in 2006. This work was first presented at the PSI Conference in 2012 and again in 2013. My clinical work centres around infantile post-traumatic stress, whereby symptoms of present anxieties are traced back to birth. This treatment programme is referred to as ‘Re-set Therapy’.

Areas being addressed in this presentation centre around the first brain region to be visible in the womb; the reptilian function of the brain. This is deepest, most ancient part of the human brain, largely unchanged by evolution. The reptilian brain activates instinctive behaviour related to survival, and controls essential bodily functions required for sustaining life, including: hunger, digestion, breathing, circulation, temperature, movement, and territorial instincts. The reptilian function is visible twenty-two days after conception. From very early on, this region appears to have a defensive role, which we now recognise as the ‘fight-or-flight’ response. The fight-or-flight response is a survival response, designed to respond appropriately to real or perceived threat. When the fight-or-flight response is triggered, cortisol levels are understood to increase. An increase in cortisol levels correlate with physical and psychological presentations of anxiety and related behavioural and self-regulatory disorders, such as ADD, ADHD, OCD and others, which clinicians have been seeking to address for some time, with mixed levels of success.

The individual’s unique DNA is being formed from conception, through in-utero development and into the delivery process. Recent developments in availability of procedures such as amnio-sentisis have provided unprecedented opportunity to assess the foetus from early stage development. However, practitioners using such procedures have presented ultrasound evidence of the foetus seemingly attempting an escape – a defence mechanism against a real or perceived threat, long before the rational brain has formed. Similarly, the delivery process can be a traumatic event, where tools such as forceps and suction-cups (venteuse) correlate with the experience of distress, which can have an interfering effect on the regulation within the child. The use of fMRI scans have demonstrated changes which arise in the brain of a child separated from their caregiver. Etiological studies of attachment patterns, grounded on theories of Bowlby and others, propose vast evidence of the effect of maternal anxiety on the affective regulation of the child, in-utero. These brain changes have been indicated to negatively influence subsequent self-regulation capacity for the child as well as the capacity to effectively trust others.

The design for survival is present, active and well-formed in the brain of the individual. The body’s alarm system is well-placed, and ‘perfectly’ created. The alarm system was never designed to be triggered constantly. We consider the alarm system within the brain as we would consider an alarm system of a building. The alarm must always be present but should only triggered in the event of a ‘break in’. Where the alarm system is triggered, there are demonstrable neurobiological alterations. We use this information to retrain the brain and the body, and to re-set the alarm. We teach our brains to be in-charge of the alarm once again; to be able to re-set and to reverse the reptilian override of the rational brain, the so-called ‘brain hijack’. That is the hope which Re-set Therapy proposes and succeeds to bring. We are at a cutting-edge crossroads in that the empirical evidence is catching up with what clinical practice of Re-set Therapy has demonstrated for years.

My presentation will explore the identification of and treatment plan for individuals presenting with the vast number of anxieties and neurological ailments throughout the lifespan. Case studies and reference to emergent and established data will be used throughout, in order to illustrate comprehensively beyond theory and into the clinical experience of Re-set Therapy.

  • Neurological Disorders
Speaker
Biography:

Dr. Garcia-Alix Alfredo, MD, PhD, completed his doctorate in 1990 at the Autonoma University of Madrid. He began his training as a pediatrician in 1982 at the Children's Hospital La Paz in Madrid and spent a year and half (1988-1989) training in Neonatal Neurology in the Department of Neurology of the Children's Hospital of San Luis, University of Washington. In addition to work in the field of neonatal neurology since1990, at present he is the president of NeNe Foundation, a non-profit organization that seeks to promote the development of neonatal neurology. He has been associate professor of pediatrics at Autonoma University in Madrid and actually he is associate professor at the University of Barcelona. He has published more than 100 articles registered in the Pubmed and is an honorary professor at the Universidad de Concepcion, Chile.

Abstract:

Symptomatic Neonatal Arterial Ischemic Stroke (NAIS) refers to a perinatal ischemic stroke (revealed by brain imaging) with clinical signs; mainly focal seizures. NAIS is surprisingly common, affecting near 1 in 4,000 neonates at birth and produces a significant morbidity and long-term neurologic deficits.

Methods. We performed a multicenter observational prospective study in which 66 neonates more than 35 weeks of gestational age and NAIS were included between 2006-2016.  The objectives of this study were: 1) to investigate the pathogenic factors of NAIS (particularly prothrombotic factors), 2) to generate a distribution map based on early MRI data, 3) to analyze the relationship between CSF-NSE levels and brain lesions in neuroimaging (topology and volume), as well as the correlation between both biomarkers with the outcome at two years of age.

To examine the role of family history, maternal diseases and thrombophilia, 129 controls were recruited prospectively. The correlation between cortico-subcortical lesions and outcomes in motor, cognitive function and language function and epilepsy was performed by means of voxel-based lesion-symptom mapping technique.

Results. Thrombophilia, maternal diseases and thromboembolic events in the families did not differ between cases and controls.

The region posterior to the central sulcus was the most frequently affected in NAIS (71%) and this explains the reason that functional alterations related to language were the most prevalent outcome (40%).

CSF-NSE appears to be an early biomarker after an NAIS due to there was a relation between size, arterial territory of the infarct, and neurodevelopment at two years of age. Outcome at two years correlated well with infarct volume and topology. While descending corticospinal tracts diffusion-weighted MRI signal is predictive of motor outcome, cognitive function was mainly correlated with Stroke volume, being the most important cognitive predictor the stroke involving main branch MCA

Galina Diachkova

Russian Ilizarov Scientific Centre, Russian Federation

Title: Complex Radiological Findings in Congenital Pseudarthrosis of the Tibia
Speaker
Biography:

Professor G. Dyachkova has 45 years of experience in traumatology and orthopedics, radiology. With her participation, 15 new diagnostic methods based on multislice and magnetic resonance tomography were developed, comprehensive studies were carried out to study the quality of bone in patients with diseases of the musculoskeletal system, which made it possible to increase the effectiveness of radiology diagnostics in justifying Ilizarov treatment methods for patients with injuries and bone diseases, improve the quality of life of patients. Professor Dyachkova published more than 350 papers on various aspects of radiology, the organization of health care, and received 18 patents for new methods of treatment and diagnostics.

Abstract:

Statement of the Problem: Congenital pseudoarthrosis of the tibia (CPT) remains one of the most complicated and rare condition, and this pathology still remains the subject of focus for many specialists, because complicated long and multi-stage surgical treatment and poor outcomes in 20-50% of cases. To study changes of bone and soft tissues in patients with congenital pseudoarthrosis by MSCT and MRI.

 Methodology & Theoretical Orientation:: The work is based on the study of results of treatment and examination of 25 patients with CPT, among them 11 were females, 14–males. In 93% of patients CPT was located in the lower third of the tibia. In most of the cases, etiology of CPT was associated with neurofibromatosis type 1 (46%), in 23%-fibrous dysplasia and in 31%-was idiopathic. We studied condition of bone and soft tissues at the site of congenital pseudoarthrosis of the tibia before commencing treatment, using radiographic methods- multi slice computed tomography (MSCT), magnetic resonance imaging (MRI) in order to make prognosis of treatment outcome and recurrence of the disease.

Findings: 25 patients with congenital pseudoarthrosis of the tibia (CPT) in the age group 8 to 40 years were examined by above mentioned radiographic methods, multi slice computed tomography (MSCT), magnetic resonance imaging (MRI) before treatment and after recurrence. The peculiarities and changes in structure of tibial and fibular cortex, periosteum and muscles at the site of pseudoarthrosis. We derived at complex findings and changes that cause recurrence, of pseudarthrosis after deformity correction, or treatment. We developed criteria for evaluation of bone quality in patients with CPT.

Conclusion & Significance: Structural changes in the soft tissue and the bone at the site of CPT, detected by MRI and MSCT, allow for rather precise interpretation of condition of bone, periosteum, muscles during various stages of treatment and this information can be used to choose appropriate technique and methods of treatment.

  • Brain Disorders and Therapy
Speaker
Biography:

MS. SUCHI is an experienced International Pre School Principal/Manager who picked up  Laughter exercises from many coaches around the world. She then designed ‘Laughter Therapy' which is being used  in many places such as hospitals and Senior Activity Centres. She provides individual and group therapy in educational and home settings.

A former Manager / Trainer is now engages in building social awareness about Holistic approach for recovery. Be it Depression,  Anxiety caused by physical or emotional pain,  Death  in the family  and the harm the unhappiness brings to people, families and communities. Her aim is to encourage people to seek help early and get on the path to recovery. Her works has been featured in local press, TV and Radio and has been an invited speaker at various community clubs and educational  Institutions.  She has also been awarded by MINDS and various community clubs  in recognition of her social work.

 

Abstract:

Statement of the Problem: There is a lack of awareness about what happy hormones are, how to use positive words to feel energetic and what can be done to get happy hormones. People tend to feel unhappy for multiple reasons and neuropathic pain adds on Stress levels of not only the patient but the caregivers as well. Being in pain leads to feeling depressed and anxious in some cases.

Methodology & Theoretical Orientation: 

Review of Books and Research shows that getting a dosage of happy hormones will not only ease slight pain of the patient but feeling happy will also have a positive impact on the recovery of the patient. Adopting Laughter therapy and getting hormones which makes one feel good will help many to recover from Neuropathic pain /Long term sadness caused by having grief, Anger or Resentment, Depression & Anxiety.

Findings: One needs to work on his/her energies using Laughter Therapy which is a positive approach for not having Depression & Anxiety caused by Neuropathic pain. The therapy can be used as a Holistic way to recovery. 

Conclusion & Significance: The Laughter therapy which includes ways to get the dosage of happy hormones promotes overcoming Depression & Anxiety caused by Neuropathic pain, is a fun way to manage pain.  Repeated sessions to be conducted to remind patients that life while having pain or during the recovery should go beyond just seeking medical and counselling help and also include rebuilding Spiritual, Physical, Emotional, Relational and Mental health. The model has been put together from for testing in many settings including hospitals, elderly homes and senior citizen centres.  This is not a research book or paper. It is just an effort to demystify the help available for Depression & Anxiety caused by pain. It is an attempt to motivate and encourage people to seek help and take a simple approach to remember and work on all aspects of their recovery. 

  • Stem Cell Therapies

Session Introduction

Marcos R. Costa

Instituto do Cérebro - Universidade Federal do Rio Grande do Norte (UFRN)

Title: Cell lineage reprogramming of astroglia into region-specific induced neurons
Speaker
Biography:

Areas of interest: Desenvolvimento do córtex cerebral, neurogênese adulta e terapias celulares

 

Abstract:

Astroglial cells are abundant in the injured central nervous system and have been proposed as an endogenous source of cells for neuronal repair. Notably, genetic manipulation of these cells using exogenous genes, micro RNAs or small molecules has been shown to induce their phenotypic conversion into induced neuronal cells (iN), capable of integrating into the brain circuitry following in situ transplantation. Recent work in my laboratory has contributed to unravel the potential of astroglial cells isolated from distinct central nervous system structures. Using astroglial cells isolated from the neocortex, cerebellum and retina, we could show the widespread potential of these cells to be lineage reprogrammed into iNs. Importantly, we show that astroglia isolated from different regions differentiate into iNs with phenotypes resembling that of endogenous neurons, suggesting that region-specific astroglia are prompted to regenerate neurons of the same region. However, integration of astroglia-derived iNs in the adult mouse brain is limited as compared to the post-natal brain, indicating that further improvements are required towards the development of astroglia-based therapies.

 

  • Brain Injury and Rehabilitation

Session Introduction

Radu Mutihac

University of Bucharest, ROMANIA

Title: Functional Neuroimaging for Prognostics and Diagnostics in Brain Disorders
Speaker
Biography:

Professor Emeritus Radu Mutihac is Chair of Medical Physics, University of Bucharest, and works in Neuroscience, Neural Networks, Signal Processing, Microelectronics, and Artificial Intelligence. As postdoc/research associate/visiting professor/full professor he has conducted research at the University of Bucharest, International Centre for Theoretical Physics (Italy), Ecole Polytechnique (France), Institut Henri Poincaré (France), KU Leuven (Belgium). Data mining and exploratory analysis of neuroimaging time series were addressed during two Fulbright Grants in Neuroscience (Yale University, CT, and University of New Mexico, NM, USA). His research in fused biomedical imaging modalities was carried out at the Johns Hopkins University, National Institutes of Health, and Walter Reed Army Institute of Research, MD, USA.

Since 2008, Prof. Mutihac has been nominated PhD student supervisor in the field of Biophysics and Medical Physics at the University of Bucharest, Romania.
Prof. Mutihac is member of the ISMRM, ESMRMB, OHBM, Romanian US Alumni Association, and fellow of Signal Processing and Neural Networks Society IEEE, as well as referee for several journals of the Institute of Physics (London, UK), Neural Networks (Elsevier), IEEE Transactions on Image Processing, and evaluator/expert for the ISMRM, OHBM, ARACIS, CNCSIS, UEFISCDI, The Romanian – U.S. Fulbright Commission, and the European Commission (FP7, H2020).
Prof. Mutihac published over 120 scientific papers in reputed peer-reviewed journals, 12 monographs, and contributed with chapters in other 11 textbooks published by renowned scientific publishing houses. He participated in more than 150 scientific meetings with posters and oral presentations, seminars, invited, plenary, and keynote lectures, as well as acting as member of the organizing committees, special session organizer, and chairperson.
Following his scientific activity, Prof. Mutihac has been nominated scientific referee for 12 journals, such as IOP, IEEE journals and alike, as well as Member of the Editorial Board of 9 journals in the field of Neuroscience: J. Romanian College of Medical Physicists, J. Childhood & Developmental Disorders, J. Neurology and Clinical Neuroscience, Medical and Clinical Reviews, J. of Translational Neurosciences, Epilepsy J., The Neurologist - Clinical and Therapeutics J., Advances in Neurology and Neuroscience, and J. of Brain Imaging.

Abstract:

The human brain is a large-scale complex network whose function relies on the interaction between its various regions. Recent studies of the human brain connectivity using resting-state/sleep functional magnetic resonance imaging (rsfMRI), diffusion tensor imaging (DTI), and, more recently, diffusion tensor spectroscopic imaging (DSI) data have provided deeper insight on the organization of structural and functional brain networks that continuously share information. Brain's energy is largely consumed at rest during spontaneous neuronal activity (~20%), while task-related increases in metabolism energy are minor (<5%). Spontaneous ultralow-frequency fluctuations in BOLD-based rsfMRI signals (<0.01Hz) at the level of large-scale neural systems are not noise, but orderly and organized in a series of functional networks that permanently maintain a high level of temporal coherence among brain areas that are structurally segregated and functionally linked in resting state networks (RSNs). There is evidence suggesting that such signals permit to extract information about the connectivity and functionality of specific networks. It is also documented that functional connectivity reflects the underlying structural connectivity, which, at rest undergoes specific alterations in several neurological and psychiatric disorders. Human brain function imaged by rsfMRI allows accessing both sides of human mind-brain interface (subjective experience and objective observations). As such, functional neuroimaging moves onto new potential applications like reading the brain states, discriminate neurological dysfunctions (if any), artificial intelligence (AI), brain-computer interfaces (BCI), lie detection, and alike. The presentation aims to review and evaluate the most current approaches for early detection and classification of various forms of dementia, particularly among syndromes with relatively similar behavioral effects, as well as stages in a given syndrome, based on modifications of the brain connectivity at rest explored by rsfMRI, DTI, and DSI.

Anna Olczak

Rehabilitation Clinic, Military Institute of Medicine in Warsaw, Poland

Title: The analysis of exercises stabilise the trunk for the co-ordinated movement of the upper limb
Speaker
Biography:

Abstract:

The motoral co-ordination is the notion which evolves together with the growth of knowledge and developing the science in this subject.
The aim of the work was the analysis of the movement of the upper limb in relation to the patients stable and unstable trunk after the stroke of the brain and also the valuation of practices havings on the aim of the stabiliti of the trunk.
32 patients spending on the department of neurological rehabilitation with the the recognition of the stroke at which any functional deficit stepped out in the upper limb took the part in the investigation. It was 16 women and 16 men in the group. The meaning of trunk for the co-ordination of the upper limb was estimated on the device ArmeoControl using of three games estimating: „Hunting perpendicular”; „Hunting horizontal”; „Time of the reaction” and two the authors' tests: „ wall” and „abacus”.
It was observed essential (p=0,015) the difference of results in the game estimating ”the time of the reaction” executed before practices, engaging work on the stable trunk and after the period 10 days of the therapy. Essential steps out statisticly the difference of results between first and second investigation executed in the supervisory group for the author's test „abacus”, for the game „hunting perpendicular” the and „time of the reaction”, before and after 10 the days of standard neurological physiotherapy in the supervisory group. It was observed also statisticly essential (p=0,040) the difference of results between groups in the game „hunting perpendicular”.
Both physiotherapy with the practices of the stability of the trunk and standard physiotherapy improves the prehensile efficiency of the hand. Physiotherapy steered on the strengthener of the trunk has the influence on enlargement of the co-ordination of the upper limb in the range of movements executed in the front plane. The improvement of the co-ordination of the upper limb is the effect of standard neurological physiotherapy in the range of movements executed in the arrow and front plane.
Key words: motive co-ordination, stable trunk, practices stabilise of the trunk

William B. Lawson

Dell Medical School University of Texas (emeritus) and the University of Maryland, USA

Title: Brain Injury and Corrections
Speaker
Biography:

Lawson is recently retired as  Associate Dean for Health Disparities and professor of psychiatry, at the Dell Medical School, University of Texas, Austin, where he also held appointments in psychology and pharmacy. He was also Professor of psychology at Huston-Tillotson where he was Director of Community Health Programs at the Sandra Joy Anderson Community Health and Wellness Center and also the Director of Health Disparities Policy and Research at Austin Travis County Integral Care.  He received a PhD in Psychology from the University of New Hampshire and MD from the Pritzker School of Medicine University of Chicago, did his residency at Stanford University and a fellowship at the National Institute of Mental Health. He has held faculty positions at the University of Illinois, Urbana, University of California, Irvine, Vanderbilt University, University of Arkansas, and Howard University. He has held numerous senior positions and received national recognition including past President of the DC chapter of Mental Health America, Past President of the Washington Psychiatric Society, past Chair of the Section of Psychiatry and Behavioral Sciences of the National Medical Association, and past president of the Black Psychiatrists of America. He  received  the American Psychiatric Foundation Award for Advancing Minority Mental Health, the Solomon Carter Fuller Award by the American Psychiatric Association, the Sigma XI the scientific honor society and Alpha Omega Alpha, the medical honor society, the National Alliance for the Mentally Ill Exemplary Psychiatrist Award and Outstanding Psychologist Award, the Jeanne Spurlock Award from the American Psychiatric Association, and the E.Y. Williams Clinical Scholar of Distinction Award from the NMA, and  the  George Winokur Clinical Research Award from the American Academy of Clinical Psychiatrists. He has over 200 publications, and is the editor in chief of the Journal of the National Medical Association. He has continuously received federal, industry, and foundation funding to address mental and substance abuse disparities. He has incorporated to address to use research, education, and clinical care to reduce racial disparities in mental health outcomes.

 

Abstract:

Close head injuries have been recognized as an important public health and issues that in the past was ignored or minimized in some settings. In the United States combat veterans returning to the community often were unable to function effectively due to a spectrum of residue effects including frank neuropsychological impairment, attentional problems, irritability, and a host of executive function issues. More recently such issues have gotten publicity in the National Football League where veterans of the game retire with a host of neuropsychological consequences. Public awareness campaigns have led to various programs for screening and recognizing these individuals. Moreover various interventions have been introduced including the use of potential cognitive enhancing agents, educational and employment accommodation, peer support programs. A history of head injury is often found in individuals in the correctional system. Part of the problem may be related to the socioeconomic status of individuals in the system, but it may related to why people are incarcerated in the first place. Those with known mental disorders are overrepresented in the correctional system. It should not be a surprise that individuals with neuropsychological impairments would be over represented.  We will present cases showing how unrecognized impairment may lead to more frequent incarcerations and failure to abide by rules of parole. We will discuss potential cognitive enhancing agents that may be effective and the use of odorants and nasal stimulation to improve function.

Day 2 :

  • Neurology | Neurological Disorders | Brain Injury and Rehabilitation | Brain Disorders & Therapy | Cognitive Neuropsychiatry | Addiction and Brain | Neurosurgery

Session Introduction

Fine Farhani Muliati

Medical Faculty of Halu Oleo University, Indonesia

Title: Dementia: Current Status in Indonesia and Future Trends
Speaker
Biography:

Fine Farhani Muliati Rahman, MD. a general practitioners from the Medical Faculty of Halu Oleo University, Kendari, Southeast Sulawesi, Indonesia. She has completed her program bachelor of medicine in 2016 and now she was doing her internship at hospital in Indonesia as a general practitioners. Her interest lies in the field of geriatrics patient with neurological disorders.

Abstract:

The Global burden of dementia has been estimated that 35.6 million people are living with dementia worldwide and projected to increase to 65.7 million by 2030 and 115.4 million by 2050. In Indonesia, the dementia prevalence increased twice every 5 years after passes 60 years old and reached to the ninth place of nine countries in Asia. It was estimated in 2010 that around 7.2% of population of aged people more than 60 years old in Indonesia. Yogyakarta was one of province in Indonesia with the highest aged people prevalence. Prevalence was counted from wide scale survey of aged people in Yogyakarta which was representative in describing population such as dementia survey in Yogyakarta. Dementia prevalence calculation was specifically done by using three mesaurement tools such as MMSE, AD8, and IADL. Dementia prevalence of 60 years old and more aged people in Yogyakarta achieved 20.1%. People living with age over 65 years could have increase dementia prevalence. Women had higher dementia prevalence than man because of the hormone estrogen’s effect and longer life span than men. From the environmental perspective point of view, aged people lived in urban area have lower dementia prevalence than in rural area. This happened because of activity and education factor which stimulated more brain using in the city than countryside. In conclusion, prevalence rate of dementia depends on age, sex, and environment factors.

Speaker
Biography:

Abstract:

Introduction: Astrocytes increase neuronal viability and mitochondrial biogenesis, protecting from oxidative stress and inflammation induced by toxic amyloid peptide (Aguirre et al. 2015 a, b). Aspirin has been used as anti-inflammatory and anti-aggregate for decades but the precise mechanism(s) of action after the presence of the toxic peptide Aβ1-42 in cultured astrocytes remains poorly resolved. Here we use low-doses of aspirin (10-7 M) in astrocytes in primary culture in presence or absence of Aβ1-42 toxic peptide.

Results: It was observed an increase of cell viability and proliferation with or without Aβ1-42 peptide presence in aspirin treated cells. In addition, a decrease in apoptosis, determined by Caspase 3 activity and the expression of Cyt c and Smac/Diablo, were detected. Also, aspirin diminished necrosis process (LDH levels).

Conclusions: Taken together, our results show that aspirin, at low doses increases astrocytes viability and proliferation, decreases apoptosis (Caspase 3, Cyt c and Smac/Diablo) and necrosis (LDH), in the presence or absence of 1-42 peptide.

Speaker
Biography:

Abstract:

Alzheimer’s disease (AD) causes decline in memory and is the most common neurodegenerative disease implicated in the aging process (Lane et al. 2018). The prominent features of AD include amyloid plaques, intraneuronal tangles, cell death, inflammatory changes and oxidative stress (Perry et al. 2002; Selkoe et al. 2016). In this study, we were interested in exploring the action of aspirin in both inflammatory and ROS (reactive oxygen species) events associated with Alzheimer’s disease (AD) by using the amyloid β1-42 in astrocytes in primary culture. Aspirin diminished pro-inflammatory mediators (IL-β and TNF-α) and NF-á´‹B protein expression, increasing anti-inflammatory PPAR-γ protein expression, preventing Aβ1-42 toxic effects. Aspirin inhibited COX-2 and iNOS without changes in COX-1 expression, increasing anti-oxidant protein (Cu/Zn-SOD and Mn-SOD) expression in presence or absence of Aβ1-42. The key finding of our study, is that at low doses of aspirin a recovery of oxidative stress and inflammation, induced previously by Aβ1-42 toxic peptide on astrocytes in primary culture, was detected. This indicates that administration of low dose of aspirin to AD patients, could be more useful than high doses.

  • Neuroscience | Cellular Neuroscience | Cellular and Molecular Basis of Neurodegenerative Diseases | Parkinsons Disease | Dementia | Alzheimers Disease
  • Poster Presentation
Speaker
Biography:

Abstract:

Introduction:

We have previously shown beneficial effects of manipulating the renin-angiotensin system (RAS) to improve functional outcome following spinal cord injury in rats. Furthermore, corresponding analyses of changes in gene expression at the injury site suggest that drug treatment altered several chemokines associated with infiltration of inflammatory cells. Compounds such as captopril, an angiotensin-converting enzyme (ACE) inhibitor, and losartan, an angiotensin II type 1 receptor (AT1R) blocker, have been associated with beneficial regulatory control of the neuroinflammatory response in models of CNS disorders (e.g., Alzheimer disease).

Within the injured spinal cord, macrophages express distinct functional phenotypes. M1 phenotypes exhibit tissue destructive properties while M2 phenotypes promote tissue repair. Although our previous work showed that treatment with captopril or losartan did not affect the overall macrophage response to injury at the injury epicenter, it is possible that the functional profile of the macrophages was altered by drug treatment. The aim of the present study was to extend these initial data and determine whether losartan treatment promoted deviation toward an M2 phenotype in macrophages either at the site of injury or rostral and caudal to the injury site. We used immunohistochemical techniques to analyze histopathological changes in response to spinal cord injury in rats treated with losartan and examined the functional phenotype of macrophages entering the spinal cord after compression injury. Tissues were stained with an antibody that specifically binds to mannose receptor, type C, a scavenger receptor associated with a reparative M2 macrophage phenotype. Rostral and caudal to the site of injury (lesion margins) we observed a decrease in the M2 response over time from 7 days post-injury to 28 days post-injury with an associated increase in the M1 response. These data suggest that the beneficial effects of RAS inhibition following SCI are not due to promotion of an intraspinal M2 phenotype.

Hypothesis: We hypothesized that inhibition of RAS via administration of an angiotensin receptor blocker (ARB) would alter the phenotype of recruited macrophages and other immune cells in spinal-injured rats.

Methods:

Anesthetized female Sprague-Dawley rats underwent a laminectomy at vertebral level T8 and were given SCI by lateral compression with modified forceps. Animals were treated daily with losartan (i.p.) and sacrificed at 7, 14, and 28 days post-injury.
Immunohistochemistry

Spinal cords were excised at the above mentioned days and stored at -80°C in a OCT compound before being cut on a cryostat at 10 mm intervals. 0.1 M phosphate buffer was used as our primary buffer solution, and biotinylated horse anti- mouse (BHAM) was used as a secondary antibody. Myelin was evaluated using Eriochrome Cyanine histochemistry and sections were stained macrophage and T-cells using the following specific antibody clones:

GFAP: astrocyte intermediate filament protein
OX-42: recognizes most macrophages via the integrin alpha M antigen which participates in various adhesive interactions of monocytes, macrophages, and granulocytes.
CD-206: mannose receptor type C present on both dendritic cells and macrophages. Selectively expressed on M2 macrophages and associated with initiation of tissue repair

Immunohistochemistry for proportional area of stained tissue was measured using NIH ImageJ software. Images were imported into ImageJ and converted to 8-bit grayscale. The cross-section of the spinal cord was outlined and a thresholding tool was used to highlight the positively stained tissue. To determine the proportional area, the area of positively stained tissue was measured and divided by the total cross-sectional area of the spinal cord. The epicenter section was defined by the tissue section exhibiting the least amount of spared myelin. Sections were analyzed at 2 mm increments up to 6 mm rostral and 6 mm caudal to the epicenter for each animal. Glial cells were assessed using three antibodies that recognize different antigens: GFAP, OX42 and CD206.

Results:

GFAP: There was a significant effect of distance from the epicenter at 7 and 14 dpi, suggesting that the magnitude of GFAP expression differs across the rostrocaudal extent of the lesion. There was a significant effect of treatment with losartan observed at 28 dpi. Treatment with losartan decreased the magnitude of GFAP staining rostral and caudal to the epicenter, suggesting that inhibition of AT1R altered lesion dynamics and the induction of the astroglial scar.

OX-42: There was a significant effect of distance from the epicenter at 7, 14, and 28 dpi, suggesting that the macrophage response decreases as the distance from the epicenter increases. The overall macrophage response to injury was not affected by treatment with losartan, suggesting that beneficial effects on locomotor recovery were not due to changes in the magnitude of the inflammatory response to injury.

CD206: The relative expression of CD206 was similar at all rostrocaudal lesion locations at 7 and 28 dpi. Given that the overall magnitude of the macrophage response diminished at sites distal to the lesion epicenter, but expression of CD206 was maintained suggests that macrophages further from the injury epicenter are more likely to express an M2, or reparative phenotype. There was no effect of losartan on the proportion of M2 macrophages at any time point assessed.

Conclusion:

These findings suggest an effect of losartan on the astroglial scar, but not on the macrophage response to injury. Thus, it is possible that the beneficial effects observed on locomotor recovery in this model, and neuroprotective effects described in other models of CNS injuries, are not due to modulation of neuroinflammation, but instead may be due to effects on endogenous glial cells.

Jose Maria G. Pelayo III

Assessment, Counselling And Placement (ACAP) Center Systems Plus College Foundation, Philippines

Title: Music Therapy for Children with Autism Spectrum Disorder
Speaker
Biography:

Abstract:

The study identified possible posterns and alternative methods, specifically Music Therapy, in treating children with Autism Spectrum Disorder (ASD). Children diagnosed with ASD are presently under special schools with an altered type of curriculum. Numerous approaches have been utilized by psychologists and psychiatrists in managing children diagnosed with ASD. Children with mental or physical disabilities have been isolated in the common educational environment. The objective is to possibly ascertain and enhance methods that may, in return, be a catalyst in the rehabilitation and reintegration of children with mental and physical disabilities, specifically children with ASD. A multiple case study in a period of five (5) years concluded that “Beat” was an influential aspect in getting the attention of the client. “Melody” and “Harmony” were the building blocks for further developments in the interaction between therapist and client. Establishing a relationship around music was an effective method in engaging with clients diagnosed with ASD. Music therapy opened doorways to communication, learning and interaction between the therapist and the client. In the minds of these autistic children, music was one of their connections to our world.

Speaker
Biography:

Abstract:

Purpose. The aim of this study is to investigate the possible role of heavy metals (lead and cadmium) and imbalance of trace elements (chromium, iron, zinc, copper, and manganese) in death among patients with severe traumatic brain injury. Material and Methods. A case-control study was conducted with 64 comatose patients with severe TBI, in the Department of Anesthesiology and Reanimation, Ibn Sina University Hospital and Hospital of Specialties in Rabat, Morocco; 22 healthy volunteers were recruited in Blood Transfusion Center of Rabat. Blood samples were collected from TBI patients, in the frst week (3h afer admission and each 48h during one week) and from healthy volunteers one time. Concentration of heavy metals and trace elements in serum was determined by electrochemical atomic absorption spectrometry. Statistical analysis was performed using Statistical sofware (SPSS) and the cases and controls were compared using the Mann–Whitney U test and Student’s t-test for cadmium according to gender and fnal evolution. A P-value <<0.05was considered to be statistically signifcant. Results. Our data showed that the diference of heavy metals concentration (lead and cadmium) between patients and healthy subjects was not statistically signifcant. However, the diference of some trace elements concentration (iron, copper, chromium, and selenium) between patients and healthy subjects was statistically signifcant. According to the fnal evolution, the concentration of manganese was higher in dead patients and statistically signifcant (p = 0.04) for heavy metals; the concentration of lead was not statistically signifcant while the concentration in cadmium was statistically signifcant (p = 0.004). By sex, lead and cadmium were statistically signifcant, respectively p = 0.02, p = 0.001, and cadmium was higher in women, while lead was higher in men. Conclusion. Among all studied heavy metals (lead and cadmium) and trace elements (iron, zinc, copper, selenium, chromium, and manganese), manganese and cadmium may play a role in the death of patients from severe traumatic brain injury.

  • Video Presentation
Speaker
Biography:

Abstract:

Brain disorders, like all pathologies, have a contributing genetic component, if not via direct mutation such a nucleotide polymorphism, copy number variation or splice variation of a suite of structural genes.  This genomic contribution includes gene products that (for example) regulate neuroimmune responses, subcellular signal transduction, programmed cell death, autophagy, or the driving of action potentials, synaptic trafficking and the cycling of membrane polarization. This genetic contribution can be well described or occult but, in neither case, does it fully explain the presentation of neuropsychiatric disorders just as any human disease cannot be explained by examining dysfunction in healthy physiological processes as underscored by myriad biochemical events. There are two other interacting and cohering mechanisms which must be included in order to begin an architectonic reasoning of human disease of which neuropsychiatric disorders are the most complex and least understood. The second member of this trigonal planar network to consider is the molecular cellular and physico-chemical environment which is in constant flux both internally and externally. For example, the environment within the CNS is changing stochastically with respect to oxidative metabolism and the production and subsequent removal of reactive oxygen and nitrogen species. These inorganic compounds move through autocatalytic and metal-ion activated oxidation states that produce highly reactive free radical unpaired electrons that will partially reduce other molecular species including fatty acid and cholesteryl ester unsaturated lipids. These oxylipids then induce local inflammatory responses that can further damage membranes and macromolecules such as protein, RNA and DNA. These interactions, when occurring in the CNS at specific neural loci, impart the prodromal phases of neuropsychiatric pathologies and thus interact with the genome either by removal of the toxic molecular environment or a now mutated axis of dysregulation leading to frank disease with its presentations and deficits as described in psychiatry. The external environment including biofuel accommodation (glucose vs. ketone bodies) oxygen availability including ischaemic and traumatic brain injuries and unconditioned senescence -biological aging- are all equally involved in the process. Finally, the   natural-native system that encompasses all of the features describing this neuropsychiatric interactome and its axis is the systemic immune system. The neuro immune system offers defensive and offensive biochemical pathways and in conjunction with epigenetic mechanisms, generates the existing individual. This is a perpetuating neural network that can learn, via attention and ascent to stress, to function within the world. Such a biologically adaptive phenomena is accomplished via homologous recombination of variable regions of both the immunoglobulin family and the T Cell receptor in concert with chromatin remodeling, the Histone code and both the acetylome and methylome of cohering DNA. This connection might be the molecular and cellular adaptive immunological interactome that serves to generate neural tracts according to developmental, endocrine and peripheral stimuli while maintaining repair processes in the CNS by using the complex interactions among astrocytes, oligodendrocytes, microglia and neurons. An event ontology that reaches across the neural network of genetic and environmental interaction is articulated and synthesized through epigenetic modifications of the classical immune system thus creating a responsive plastic and elastic memory field capable of learning, ideation, imagination and understanding through time.  This diaeventontologicome involves the central existing individual agentically interacting through the events obtained across the inherited genome, the changing environment and the transcendental immunoepigenome through time. This presentation will address the potential to take a paradigmatic shift in our research and therapy for brain disorders. Here I will implement this diaeventontological perspective within current neuroscientific research, including brain disorders.

Speaker
Biography:

As the CEO / Founder of ECA Paul Lang has operational expertise and experience in a global non-profit organisation that provides support and awareness for Epilepsy, but also an online affiliate network that groups Charity, Medical, Government and Public entities based in Epilepsy services into a centralised database and collaborative network(s). Having to provide information to the public via awareness campaigns and private enquiry combined with providing online services to charity to do similar requires a large amount of research into medical, social and technical fields. Due to the varying fields of research ECA has to cover and CEO analyse, several publications from the foundation and presentations made by CEO Paul Lang are based on cross-analytical studies done from research into current studies ECA / Paul has compiled through work from enquiries, campaigns and various collaborative efforts with the foundations from ECA’s Connection base spread around the world across numerous fields.

Abstract:

Statement of the Problem: A major issue with research into treatment of Neurological conditions is due to the mechanisms behind the brain's functions not being fully understood, it is very hard to then interpret malfunctions as we have no base from which to define a fault. Current research into Neurology is now shedding new light into how combined factors create a balanced and cohesive system that operates the human brain. This study provides a cross-analysis of several current research fields that apply to the operation of the brain's electrical activity at how this combined information could provide new avenues for the detection, treatment and future research for seizures and other Neurological conditions.

Method: Several recent studies were examined across the fields of RNA gene Neuromodulation, timing malfunctions in Neuron pores creating irregularities in ion intakes, Neurological flaring caused by both increases in Excitatory neuron activity AND decreases in Inhibitory Neuron activity, research into possible Neurological and Psychological data encryption in the brain’s electrical signals and studies being done

into medical applications for advanced computer modelling of Neurological systems. These studies were analysed in the context of detection and possible medical research applications into Epileptic seizures.

Findings: Numerous fields of study are finding that even if a minute malfunction occurs that is part of the system that regulates or influences the brain’s normal operational functions... if that fault is repetitive there is a domino effect that results in the fault not only increasing - but becoming exponential in effect by spreading to surrounding systems.

Conclusion: Given the highly complex mathematical nature of the issues and implausibility of being able to do any form of physical testing of these kinds of malfunctions, Advanced Computer Modelling via simulation seems the most likely first step in studying this in real detail. 

Speaker
Biography:

MS. SUCHI is an experienced International Pre School Principal/Manager who picked up  Laughter exercises from many coaches around the world. She then designed ‘Laughter Therapy' which is being used  in many places such as hospitals and Senior Activity Centres. She provides individual and group therapy in educational and home settings.

A former Manager / Trainer is now engages in building social awareness about Holistic approach for recovery. Be it Depression,  Anxiety caused by physical or emotional pain,  Death  in the family  and the harm the unhappiness brings to people, families and communities. Her aim is to encourage people to seek help early and get on the path to recovery. Her works has been featured in local press, TV and Radio and has been an invited speaker at various community clubs and educational  Institutions.  She has also been awarded by MINDS and various community clubs  in recognition of her social work.

 

Abstract:

Statement of the Problem: There is a lack of awareness about what happy hormones are, how to use positive words to feel energetic and what can be done to get happy hormones. People tend to feel unhappy for multiple reasons and neuropathic pain adds on Stress levels of not only the patient but the caregivers as well. Being in pain leads to feeling depressed and anxious in some cases.

Methodology & Theoretical Orientation: 

Review of Books and Research shows that getting a dosage of happy hormones will not only ease slight pain of the patient but feeling happy will also have a positive impact on the recovery of the patient. Adopting Laughter therapy and getting hormones which makes one feel good will help many to recover from Neuropathic pain /Long term sadness caused by having grief, Anger or Resentment, Depression & Anxiety.

Findings: One needs to work on his/her energies using Laughter Therapy which is a positive approach for not having Depression & Anxiety caused by Neuropathic pain. The therapy can be used as a Holistic way to recovery. 

Conclusion & Significance: The Laughter therapy which includes ways to get the dosage of happy hormones promotes overcoming Depression & Anxiety caused by Neuropathic pain, is a fun way to manage pain.  Repeated sessions to be conducted to remind patients that life while having pain or during the recovery should go beyond just seeking medical and counselling help and also include rebuilding Spiritual, Physical, Emotional, Relational and Mental health. The model has been put together from for testing in many settings including hospitals, elderly homes and senior citizen centres.  This is not a research book or paper. It is just an effort to demystify the help available for Depression & Anxiety caused by pain. It is an attempt to motivate and encourage people to seek help and take a simple approach to remember and work on all aspects of their recovery.