doctors

The latest on Brain Health and Resilience, plus a few fun Brain Teasers

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Wel­come to a new edi­tion of Sharp­Brains’ e‑newsletter, fea­tur­ing fas­ci­nat­ing neu­ro­science find­ings and tips, com­bined with fun brain teasers.

#1. To cel­e­brate this quite-chal­leng­ing Thanks­giv­ing, here are five fun brain teasers that read­ers have enjoyed the most this year so far. It is always good to learn more about (and appre­ci­ate) that most pre­cious resource we all (yes, all) have up there! Five fun brain teasers to thank evo­lu­tion for our human brains and minds

#2. Want more? Ready, Set, Go! A few brain teasers to flex those cog­ni­tive muscles

#3. “[Breath­ing tech­niques] are allow­ing you to con­scious­ly take con­trol of your breath­ing so you can take con­trol of your ner­vous sys­tem so you can take con­trol of your anx­i­ety” — James Nestor, author of Breath: The New Sci­ence of a Lost Art. New book shares sci­ence and tech­niques to breathe bet­ter and pro­mote calm­ness not anxiety

#4. Voice does matter…especially in areas of poten­tial dis­agree­ment. To call, or to text, that is the (men­tal well-being) question

#5. Fas­ci­nat­ing research + inno­va­tion event brought by the Euro­pean Insti­tute of Inno­va­tion & Tech­nol­o­gy (EIT) and mul­ti­ple part­ners. Save the Date: Pro­mot­ing Brain Health for Life, Decem­ber 15–16th, online.

#6. “This isn’t a bat­tle between AI and doc­tors, it’s about how to opti­mize doc­tors’ abil­i­ty to deliv­er bet­ter care” — P. Murali Doraiswamy, direc­tor of the Neu­rocog­ni­tive Dis­or­ders Pro­gram at Duke Uni­ver­si­ty. Next: Ana­lyz­ing typ­ing speed, speech and sleep pat­terns to iden­ti­fy cog­ni­tive decline, demen­tia, Parkinson’s, and more

#7. Google’s X team shares 3 valu­able lessons learned from their ambi­tious and (for the time being) unsuc­cess­ful moon­shot: Alphabet’s X shares Amber EEG sys­tem to expand the quest for men­tal health biomarkers

#8. “An exer­cise pre­scrip­tion is an impor­tant treat­ment option and a great adjunct to med­ica­tions. The key is pre­scrib­ing phys­i­cal activ­i­ty in a way that the patient will com­ply and remain engaged with.” Debate: How should doc­tors pre­scribe exer­cise to ensure com­pli­ance and engagement?

#9. As the study authors note, “The expan­sion of women into the labor force in the mid-20th cen­tu­ry may have pro­vid­ed a new avenue of cog­ni­tive reserve for women via enhanced social stim­u­la­tion and cog­ni­tive engage­ment.” Study: Work in adult­hood seen to sig­nif­i­cant­ly delay mem­o­ry decline after age 60, sup­port­ing the Cog­ni­tive Reserve theory

#10. “Through­out many sub­red­dits, we found sig­nif­i­cant increas­es in the use of tokens relat­ed to iso­la­tion (eg, “lone­ly,” “can’t see any­one,” “quar­an­tine”), eco­nom­ic stress (eg, “rent,” “debt,” “pay the bills”), and home (“fridge,” “pet,” “lease”), and a decrease in the lex­i­con relat­ed to motion (eg, “walk,” “vis­it,” “trav­el”).” Hope­ful­ly the promis­ing vac­cine news helps turn the tide; until then we need to pro­mote men­tal health & resilience hard. Using Red­dit as a pop­u­la­tion-lev­el “men­tal health track­er” dur­ing the COVID pandemic

#11. “BCI devices can be non-inva­sive devices that users wear, or they can be inva­sive devices, which are sur­gi­cal­ly implant­ed,” says Veljko Dublje­vi … “The inva­sive devices are more effi­cient, since they can read sig­nals direct­ly from the brain. How­ev­er, they also raise more eth­i­cal con­cerns. For exam­ple, inva­sive BCI tech­nolo­gies car­ry more asso­ci­at­ed risks such as surgery, infec­tion, and glial scar­ring — and inva­sive BCI devices would be more dif­fi­cult to replace as tech­nol­o­gy improves.” Stud­ies iden­ti­fy key eth­i­cal con­cerns raised by inva­sive and non-inva­sive neurotechnologies

#12. “(the app) uses the Watch’s sen­sors to track the heart rate and move­ment of users as they sleep. After estab­lish­ing a base­line pro­file for the patient with­in one or two nights’ sleep, the machine learn­ing algo­rithm spots heart rate or move­ment abnor­mal­i­ties pre­sum­ably caused by a night­mare. The appli­ca­tion then vibrates the smart­watch just enough to inter­rupt the wearer’s dream­ing, but not enough to wake them up or dis­rupt their cir­ca­di­an sleep cycle.” FDA grants clear­ance for Night­Ware app designed to reduce PTSD-relat­ed nightmares

 

Wish­ing you a safe and healthy December,

Alvaro Fer­nan­dez and the Sharp­Brains Team

 

Next: Analyzing typing speed, speech and sleep patterns to identify cognitive decline, dementia, Parkinson’s, and more

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AI May Help Iden­ti­fy Patients With Ear­ly-Stage Demen­tia (The Wall Street Journal):

Researchers are study­ing whether arti­fi­cial-intel­li­gence tools that ana­lyze things like typ­ing speed, sleep pat­terns and speech can be used to help clin­i­cians bet­ter iden­ti­fy patients with ear­ly-stage demen­tia. [Read more…] about Next: Ana­lyz­ing typ­ing speed, speech and sleep pat­terns to iden­ti­fy cog­ni­tive decline, demen­tia, Parkinson’s, and more

Trend: With 25% of US physicians aged 65+, hospitals test older doctors on mental and physical acuity

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When Are Doc­tors Too Old to Prac­tice? (The Wall Street Journal):

“In Feb­ru­ary, Robert Brown received an email that left him trou­bled. The New Jer­sey hos­pi­tal where the 71-year-old pedi­a­tri­cian was prac­tic­ing informed him that doc­tors age 72 and old­er would have to take a test to assess their phys­i­cal and men­tal health—or risk los­ing their priv­i­leges [Read more…] about Trend: With 25% of US physi­cians aged 65+, hos­pi­tals test old­er doc­tors on men­tal and phys­i­cal acuity

Grand Rounds: Best of Health and Medical Blogging

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Wel­come to a new edi­tion of Grand Rounds blog car­ni­val, the week­ly edi­tion of what’s best in the health and med­ical blo­gos­phere. This week, twen­ty four blog­gers share data, insights, ques­tions, reflec­tions and more. Enjoy! [Read more…] about Grand Rounds: Best of Health and Med­ical Blogging

Alzheimer’s Disease: is our Healthcare System Ready?

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In the midst of much health­care reform talk, not Alzheimer's Disease reportenough atten­tion seems focused on ensur­ing health­care sys­tems’ pre­pared­ness to deal with cog­ni­tive health issues ‑with Alzheimer’s Dis­ease as the most dra­mat­ic exam­ple- which are pre­dict­ed to grow giv­en aging pop­u­la­tion trends.

Today is World Alzheimer’s Day, and the USA Today com­ments on a new report that makes stark predictions:
Glob­al Alzheimer’s cas­es expect­ed to rise sharply (USA Today)

- “The 2009 World Alzheimer’s Report, released today, esti­mates 35 mil­lion peo­ple world­wide are liv­ing with Alzheimer’s and oth­er forms of demen­tia. The fig­ure is a 10% increase over 2005 numbers.”

- “The num­ber of peo­ple affect­ed by Alzheimer’s is grow­ing at a rapid rate, and the increas­ing per­son­al costs will have sig­nif­i­cant impact on the world’s economies and health care sys­tems,” said Har­ry Johns, Pres­i­dent and CEO of the Alzheimer’s Asso­ci­a­tion. “We must make the fight against Alzheimer’s a pri­or­i­ty here in the Unit­ed States and world­wide,” he said.

- “The report by Lon­don-based non­prof­it Alzheimer’s Dis­ease Inter­na­tion­al (ADI), an inter­na­tion­al fed­er­a­tion of 71 nation­al Alzheimer orga­ni­za­tions (includ­ing the Alzheimer’s Asso­ci­a­tion), indi­cates that the num­ber of peo­ple with demen­tia is expect­ed to grow sharply to 65.7 mil­lion in 2030 and 115.4 mil­lion in 2050.”

Link to report: Here

The Alzheimer’s Asso­ci­a­tion is orga­niz­ing mul­ti­ple Mem­o­ry Walks to raise aware­ness and funds. You can learn more and join Here. (Per­haps a good oppor­tu­ni­ty to orga­nize a “walk­ing book group” as Arthur Kramer sug­gest­ed in the Sharp­Brains Guide?)

The City of San Fran­cis­co, led by its Depart­ment of Aging and Adult Ser­vices (DAAS), con­vened since san francisco2008 an Alzheimer’s/ Demen­tia Expert Pan­el to iden­ti­fy gaps and issue rec­om­men­da­tions to address the grow­ing cri­sis in demen­tia care at the city lev­el, and is about to release a pio­neer­ing plan that may well influ­ence pub­lic health ini­tia­tives in oth­er cities and states. An inter­im doc­u­ment can be found here: 2020 Fore­sight-Strat­e­gy For Excel­lence in Demen­tia Care (pdf)

One of the major areas of focus for that strat­e­gy was Edu­ca­tion & Pre­ven­tion, and below we can share a sum­ma­ry of the pre­lim­i­nary find­ings and rec­om­men­da­tions. We will high­light the final report when ready.

ALZHEIMER’S/DEMENTIA EXPERT PANEL 

EDUCATION AND PREVENTION SUBCOMMITTEE 

FINDINGS AND RECOMMENDATIONS

The subcommittee’s charge was to con­sid­er how best to edu­cate the San Fran­cis­co com­mu­ni­ty about Alzheimer’s and relat­ed demen­tias to change atti­tudes, beliefs, behav­iors, stan­dards of prac­tice, and out­comes asso­ci­at­ed with the disease.

Spe­cif­ic top­ics addressed include:
· Pro­tec­tive fac­tors relat­ing to demen­tia, includ­ing risk fac­tors and brain health
· Ear­ly iden­ti­fi­ca­tion of dementia
· Ear­ly access to services
· Com­mu­ni­ty education
· Edu­ca­tion of pro­fes­sion­als and non­pro­fes­sion­als, includ­ing physi­cians, psy­chi­a­trists and psy­chol­o­gists, social work­ers, nurs­es, and oth­er care­givers, both paid care­givers and infor­mal care­givers such as fam­i­ly and friends
· Eth­i­cal issues
· Pol­i­cy issues

The dis­sem­i­na­tion of accu­rate infor­ma­tion about Alzheimer’s and relat­ed demen­tias can play an impor­tant role in [Read more…] about Alzheimer’s Dis­ease: is our Health­care Sys­tem Ready?