2009
05.30
Autism and I Phone
Autism and I Phone

By Amy Price PhD

I Phone has come up with a really decent app for non verbal  people it is called Proloquo2go. This app is a bargain as similar technology is several thousand dollars and the IPhone has the ‘cool’ factor which would make other kids curious and increase socialization.
 I think it would be very useful for all of us who travel to places we don’t speak the language as it uses pictures and comes with verbal support. In my house my husband decides we should go to a  new country and then expects me to learn the language so he can get what he needs which is often something like a cell phone charger he left behind that is not even available in that country yet.
This is not so hard if the language has a similar alphabet but when the sign for the ladies room looks more like a drawing than a name it makes for an interesting journey!
Travel to places where I don’t speak the language well has given me understanding for non verbal people as it is very isolating to want to communicate but be stuck with language skills that even a resourceful three year old can top.
We sometimes work with people in resettlement and displaced person’s camps  and communication skills are a must. I have taken  palm pilots from the days of the  first model available  in with me to communicate with the children  I think this tool has a great future!
The I Phone Apps store has text2speech .99, which will read text aloud. I converse  helps communication by symbols 9.99 s and pictures can be added for assistive communication. Signing time ASL  4.99 teaches sign language with flash cards. Coin math 1.99 teaches how much coins are worth or for .99 you can learn or teach children  common features of word families.
The wonderful ideas below are from a Speech Pathologists’s Blog She uses these with higher functioning students on Iphone or I Touch. Visit this blog for practical ideas on how to help  people you know with language or developmental problems.
“Cute Math: adding and subtracting in entertaining animal and landscape scenes
Herod’s Lost Tomb: I Spy type of activities
Match: concentration activity with animal characters .PreSchool Adventure: activities for colors, body, matching, shapes, and sounds Word Magic: spelling game that involves choosing the missing letter BookShelf: eBook reader WordWhirl: using random letters to create multiple words”
There are lots of free apps too  like maze finger and lumosity, children and adults alike  love the touchscreen and  ease of use and the phone can be strapped to an arm to prevent loss.
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2009
05.21

soreneckAccording to a report released back in 1993, the total costs for motor vehicle accidents in the US were $333 billion in 1988. WHO states “On average in the industrialized countries, and also in many developing countries, one hospital bed in ten is occupied by an accident victim.”

 Traffic accidents are a major cause of severe injuries in most countries. Studies involving live humans have demonstrate that a motor vehicle accident of as little as 5 mph can induce cervical (neck) injury. However, other studies show cars can often withstand crashes of 10 mph or more without sustaining damage. Explanation? A vehicle is solid a human is not. A good comparison would be to drop an apple and a metal toy car from a flight of stairs. Will the metal car have bruises or go bad because of this experience?

Many studies have found a significant number of individuals to be symptomatic for many months and even years after a motor vehicle accident. In one such study, 75 percent of individuals remained symptomatic 6 months after the accident. If you have pain after 3 months there is a 78% chance of still having pain after two years. Another study shows when disabling levels of pain are still present after one month there is an almost 100% chance this pain will be present at six months. Another study, published in the European Spine Journal, found that during the period of time between the first and second years following a motor vehicle accident over 20 percent of individuals had  symptoms worsen.

In parts of Canada, individuals who could suffer a life time of pain with whiplash grade two are allowed less than 3000 dollars to cover the costs of the injury over a lifetime! Is this justice?

According to the National Safety Council (NSA), there are more than 12 million motor vehicle accidents annually including more than 20 million vehicles. This results in over 5 million non fatal accidents annually of which approximately 2 million are disabling injuries including approximately 1 million work-related auto disabling injuries. A 1990 National Highway Traffic Safety Administration (NHTSA) study reported  28 percent of occupants in motor vehicle accidents incur minor to moderate injury while 6 percent incur severe to fatal injuries. Vehicle crashes are the leading cause of death for individuals under 34 years of age according to NHSA
 Forensic Epidemiologist states in an interview with Anderson Cooper ” You’re eventually being judged by what your car looks like, not by what your doctor says. Or by what the impact of a particular crash has had or an injury has had on your life. That’s not fair. It’s not right. It’s fraud “(cited in Anderson 360 click here and scroll to insurance surprises)

The US Department of Transportation estimates that the typical driver will have a near automobile accident one to two times per month and all will be in a collision of some type on average of every 6 years.

Industry insiders say 80 to 90 percent of accident victims don’t fight. They take what the insurance company offers. A

In an 18-month investigation across the country, CNN found that if you are injured in a minor accident, chances are high the two companies would challenge your medical claim, offering you barely a fraction of your expenses.  They would do it by forcing people into court, dragging out court cases for years and by convincing the public it was all designed to fight growing fraud in the car accident business. The three Ds Delay, Deny, Defend are the fingers pointing back to insurance company rhetoric.

According to Nevada Insurance Law Professor, Jeff Stempel, the new get tough strategy is adding up to billions in profit for the insurance companies and little, if anything, for the public. We can see that policyholders individually are getting hurt by being dragged into court on fender bender claims. And yet we don’t see collateral benefit in the form of reduced premiums, even for the other policyholders. So, I think now we can say to continue this kind of program is, in my view, institutionalized bad faith.

For an interesting look at what both sides are saying click here  and scroll quite a ways down. Here is an  older but still informative picture of international safety and fatality statistics

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2009
05.17

By Amy Price PhD

One significant problem in traumatic brain injury is that secondary cell death occurs when the injured cells block the path for the other cells to get oxygen. One product that is used extensively in other countries but not the USA is Piracetam. It is interesting that research in pub med is showing promise for efficacy in human trials. There have been rat, rabbit, and fruit fly trials available for years but there is a lot that can differ between these and seeing actual human benefit.
I used this product to good effect many years ago without side effects and am encouraged to see studies supporting its effectiveness. The alternatives available to many people with TBI as far as psychotropic meds to restore some measure of function are concerned can sometimes have unexpected reactions or be of no effect.
Piracetam has been shown to alter the physical properties of the plasma membrane by increasing its fluidity and by protecting the cell against hypoxia. It increases red cell deformability and normalizes aggregation of hyperactive platelets according to Winnicka K, Tomasiak M, Bielawska A (2005) They are saying treatment with piracetam improves learning, memory, brain metabolism, and capacity by the interaction of this molecule with the membrane phospholipids to restore membrane fluidity . The graph below is from smart publications
The positive therapeutic effects of piracetam on cognitive (memory, attention, executive functions) and motor (coordination) functions as well as the speed of cognitive and motor performance were demonstrated in a study done by Zh Nevrol Psikhiatr Im S S Korsakova. 2008 for adolescents who sustained TBI’s.
Its efficacy is documented in cognitive disorders and dementia, vertigo, cortical myoclonus, dyslexia, and sickle cell anemia according to Winblad B (2005).
The results of a meta-analysis Waegemans T, Wilsher CR, Danniau A, Ferris SH, Kurz A, Winblad B. (2002) demonstrate a difference between those individuals treated with piracetam and those given placebo, both as significant odds ratio and as a favourable number needed to treat. While there may be problems in meta-analyses and the interpretation of the statistical results, the results of this analysis provide compelling evidence for the global efficacy of piracetam in a diverse group of older subjects with cognitive impairment.
This post does not in any way constitute any medical advice or recommendation. These posts are educational only to share with others some of the direction research is taking. Any medical information gained online should be supported and endorsed by your own doctor.
References:
[The consequences of closed traumatic brain injury and piracetam efficacy in their treatment in adolescents]
Zavadenko NN, Guzilova LS.
Zh Nevrol Psikhiatr Im S S Korsakova. 2008;108(3):43-8. Russian.
PMID: 18427539 [PubMed - indexed for MEDLINE]
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Piracetam–an old drug with novel properties?
Winnicka K, Tomasiak M, Bielawska A.
Acta Pol Pharm. 2005 Sep-Oct;62(5):405-9. Review.
PMID: 16459490 [PubMed - indexed for MEDLINE]
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Piracetam: a review of pharmacological properties and clinical uses.
Winblad B.
CNS Drug Rev. 2005 Summer;11(2):169-82. Review.
PMID: 16007238 [PubMed - indexed for MEDLINE]
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Clinical efficacy of piracetam in cognitive impairment: a meta-analysis.
Waegemans T, Wilsher CR, Danniau A, Ferris SH, Kurz A, Winblad B.
Dement Geriatr Cogn Disord. 2002;13(4):217-24.
PMID: 12006732 [PubMed - indexed for MEDLINE]
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