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Report: Cognitive Testing Program Fails Soldiers, Leaving Brain Injuries Undetected

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Test­ing Pro­gram Fails Sol­diers, Leav­ing Brain Injuries Unde­tect­ed (ProP­ub­li­ca):

“In 2007, with road­side bombs explod­ing across Iraq, Con­gress moved to improve care for sol­diers who had suf­fered one of the war’s sig­na­ture wounds, trau­mat­ic brain injury.

Law­mak­ers passed a mea­sure requir­ing the mil­i­tary to test sol­diers’ brain func­tion before they deployed and again when they returned. The test was sup­posed to ensure that sol­diers received prop­er treatment.

Instead, an inves­ti­ga­tion by ProP­ub­li­ca and NPR has found, the test­ing pro­gram has failed to deliv­er on its promise, offer­ing sol­diers the appear­ance of help, but not the real­i­ty. [Read more…] about Report: Cog­ni­tive Test­ing Pro­gram Fails Sol­diers, Leav­ing Brain Injuries Undetected

Neurocognitive assessments and sports concussions

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Con­cus­sion effect ‘spans decades’ (BBC)

- “Peo­ple con­cussed in their youth show sub­tle signs of men­tal and phys­i­cal prob­lems even more than 30 years lat­er, say Cana­di­an researchers.”

- “Dr Louis de Beau­mont, who led the study, said: “This study shows that the effects of sports con­cus­sions in ear­ly adult­hood per­sist beyond 30 years post-con­cus­sion, and that it can cause cog­ni­tive and motor func­tion alter­ations as the ath­letes age.”

- “Ath­letes should be bet­ter informed about the cumu­la­tive and per­sis­tent effects of sports con­cus­sion on men­tal and phys­i­cal process­es so they know about the risk asso­ci­at­ed with return­ing to their sport.”

The study in question:

De Beau­mont L, The­o­ret H, Mon­geon D at al. Brain func­tion decline in healthy retired ath­letes who sus­tained their last sports con­cus­sion in ear­ly adult­hood. Brain 2009, Advanced online pub­li­ca­tion Jan­u­ary 27

Giv­en the impor­tance of this top­ic, which we cov­ered in our 2008 Mar­ket Research, we are hap­py to read about new resources like a new book titled Sports Neu­ropsy­chol­o­gy: Assess­ment and Man­age­ment of Trau­mat­ic Brain Injury

From a recent book review by Gary S. Solomon, Ph.D.:

- “The past 15 years has yield­ed an explo­sion of infor­ma­tion on [Read more…] about Neu­rocog­ni­tive assess­ments and sports concussions

Cognitive News November-December 2008

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Here you have sev­er­al recent arti­cles and devel­op­ments wor­thy of attention:Brain Health News

1) Boom times for brain train­ing games (CNN)
2) Nav­i­gat­ing the brain fit­ness land­scape: do’s and don’ts (McK­night’s Long Term Care News)
3) USA Hock­ey and Intel­li­gym (press release)
4) Brain Fit­ness at New York Pub­lic Library (NYPL blog)
5) McDon­nell Foun­da­tion grant har­ness­es cog­ni­tive sci­ence to improve stu­dent learn­ing (press release)
6) Health insur­ance firms offer­ing online cog­ni­tive ther­a­py for insom­nia (Los Ange­les Times)
7) Head­Min­der Cog­ni­tive Sta­bil­i­ty Index: Com­put­er­ized Neu­rocog­ni­tive … (Press release)
8) THE AGE OF MASS INTELLIGENCE (Intel­li­gent Life)
9) Work­ing Lat­er in Life May Facil­i­tate Neur­al Health (Cere­brum)
10) The Cool Fac­tor: Nev­er Let Them See You Sweat (New York Times)

Links, select­ed quotes and com­men­tary: [Read more…] about Cog­ni­tive News Novem­ber-Decem­ber 2008

Cognitive Assessments: HeadMinder, ANAM, and more

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Just saw a very inter­est­ing press release regard­ing com­put­er-based neu­rocog­ni­tive assess­ments — a crit­i­cal part of the brain fit­ness puz­zle. How long will it take before con­sumers can have access to a reli­able and cred­i­ble annu­al “men­tal check-up”/ cog­ni­tive baseline?

Head­Min­der Cog­ni­tive Sta­bil­i­ty Index: Com­put­er­ized Neu­rocog­ni­tive … (Press release)

- “The Head­Min­der web-based Cog­ni­tive Sta­bil­i­ty Index (CSI) has proven more use­ful for blast-con­cus­sion detec­tion than the ANAM com­put­er­ized test bat­tery the DoD cur­rent­ly employs. The CSI pro­vides an imme­di­ate solu­tion to clear the back­log of 400,000 IED-exposed ser­vice mem­bers in less than two years.”

- “The CSI is a 30-minute, Inter­net-based, com­put­er­ized test that pro­vides auto­mat­ed, objec­tive mea­sures of atten­tion, mem­o­ry, response speed, and pro­cess­ing speed for ini­tial eval­u­a­tion of cog­ni­tive func­tion­ing. The CSI pro­duces stan­dard­ized reports that enable triage and deci­sion-mak­ing appro­pri­ate to a user’s qual­i­fi­ca­tions — from medic to neu­ropsy­chol­o­gist to neu­rol­o­gist and oth­er treat­ment team members.”

We cov­ered this emerg­ing type of assess­ments in the arti­cle Com­put­er­ized Cog­ni­tive Assess­ments: oppor­tu­ni­ties and concerns

- “In fact, one of the [Read more…] about Cog­ni­tive Assess­ments: Head­Min­der, ANAM, and more

The Cognitive Health and Fitness Market On The Move

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As you have prob­a­bly seen, the Cog­ni­tive Health and Brain Fit­ness field is rapid­ly evolv­ing, so let me high­light some of the main recent devel­op­ments affect­ing the field:

1) Pub­lic pol­i­cy initiatives: 
— The Gov­ern­ment of Ontario, Cana­da, announced a $10m invest­ment in Bay­crest Research Cen­ter to help devel­op and com­mer­cial­ize brain fit­ness tech­nolo­gies. This $10m invest­ment was matched with an addi­tion­al $10m by local investors.
— In the US, The Paul Well­stone and Pete Domeni­ci Men­tal Health Par­i­ty and Addic­tion Equi­ty Act of 2008 was signed into law, includ­ed in the recent­ly-approved eco­nom­ic bailout bill. The pas­sage of this law has sig­nif­i­cant impli­ca­tions for health­care providers and tech­nol­o­gy ven­dors alike.

2) Com­put­er­ized Cog­ni­tive Assess­ments Used by the US Military: 
The US Army launched a new pol­i­cy requir­ing cog­ni­tive screen­ings of all sol­diers before deploy­ment (in order to bet­ter diag­nose poten­tial prob­lems such as PTSD and TBI upon return). ANAM was the select­ed com­put­er­ized bat­tery of tests.

3) Ven­ture & Angel Fundrais­ing for Cog­ni­tive Train­ing companies: 
A num­ber of devel­op­ers have raised mon­ey. Cog­niFit received $5m (from Milk Cap­i­tal), Lumos Labs $3m (First­Mark Cap­i­tal ‑pre­vi­ous­ly called Pequot Ventures‑, Nor­west Ven­ture Part­ners), Sci­en­tif­ic Brain Train­ing $1.5m (issued shares), Viv­i­ty Labs $1m (undis­closed angel investors), This is, of course, on top of the Feb­ru­ary $10.6 invest­ment in Dakim (Galen Part­ners) that we already includ­ed in our mar­ket report.

4) Major Ini­tia­tives by Insur­ance Companies: 
— All­state launched a large-scale research project to mea­sure impact of Posit Sci­ence InSight (visu­al pro­cess­ing train­ing) on dri­ver safe­ty for adults over 50.
— OptumHealth announced a 3‑year, $18m agree­ment with Brain Resource to offer web-based cog­ni­tive assess­ments as part of clin­i­cians’ deci­sion sup­port systems.
— Humana decid­ed not to renew its agree­ment with Posit Sci­ence to offer Posit’s audi­to­ry pro­cess­ing train­ing pro­gram to Medicare members.

5) New Research:
— In a sig­nif­i­cant new study, a team from the Uni­ver­si­ty of Michi­gan pub­lished a high-qual­i­ty paper in the Pro­ceed­ings of the Nation­al Acad­e­my of Sci­ences show­ing how com­put­er­ized work­ing mem­o­ry train­ing can gen­er­al­ize and improve flu­id intel­li­gence (one of the domains that tends to decline with age).
— Learn­ing and Teach­ing Scot­land released an inter­nal study show­ing how Nin­ten­do Brain Train­ing can help children’s math and con­cen­tra­tion skills. The study gained sig­nif­i­cant media atten­tion, despite the fact it hasn’t been pub­lished in a respect­ed journal.

Note: This is an excerpt from the 6‑Month Mar­ket Update we will  release lat­er this month, cov­er­ing the many impor­tant devel­op­ments that have occurred since we launched the inau­gur­al Brain Fit­ness Mar­ket Report in March this year. This spe­cial report will be avail­able exclu­sive­ly for our Pre­mi­um Research Spon­sors.

Computerized Cognitive Assessments: opportunities and concerns

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You know your weight. And your phys­i­cal fit­ness. And a vari­ety of health-relat­ed metrics.

What about your brain fitness?

Two recent announce­ments bring out how the assess­ment of cog­ni­tive abil­i­ties, or brain func­tions, is increas­ing­ly being done thanks to new com­put­er­ized options:

1) Last week, OptumHealth announced an exclu­sive 3‑year agree­ment (esti­mat­ed at $18m) with the Aus­tralian com­pa­ny Brain Resource. OptumHealth will be embed­ding the Brain Resource plat­form into their over­all Behav­ioral Solu­tions program.

- OptumHealth Behav­ioral Solu­tions will work with Brain Resource to pro­vide clin­i­cians with a Web-based assess­ment that mea­sures gen­er­al cog­ni­tion (how peo­ple process infor­ma­tion) and social cog­ni­tion (how peo­ple man­age their emo­tions). This 40-minute assess­ment is based on well-known and val­i­dat­ed tests of mem­o­ry, atten­tion, exec­u­tive func­tion, and response speed, and mood, social skills and emo­tion­al resilience.

[Read more…] about Com­put­er­ized Cog­ni­tive Assess­ments: oppor­tu­ni­ties and concerns