1 00:00:04,788 --> 00:00:06,323 OKAY, WELCOME TO THE NATIONAL 2 00:00:06,323 --> 00:00:08,158 ADVISORY BOARD ON MEDICAL 3 00:00:08,158 --> 00:00:08,859 REHABILITATION RESEARCH COMING 4 00:00:08,859 --> 00:00:10,794 TO THE FROM THE DEPARTMENT OF 5 00:00:10,794 --> 00:00:12,463 HEALTH AND HUMAN SERVICES, THE 6 00:00:12,463 --> 00:00:14,098 NIH THE NATIONAL INNSITUTES OF 7 00:00:14,098 --> 00:00:14,798 HEALTH. 8 00:00:14,798 --> 00:00:18,535 THIS IS A VIRTUAL MEETING. 9 00:00:18,535 --> 00:00:21,939 WE MEET TWICE A YEAR GENERALLY 10 00:00:21,939 --> 00:00:23,574 IN MAY AND DECEMBER AND FOR THIS 11 00:00:23,574 --> 00:00:26,477 MEETING WE WILL GO FROM 10 AMTO 12 00:00:26,477 --> 00:00:27,044 4:00 P.M. EASTERN TIME. 13 00:00:27,044 --> 00:00:30,781 SO I WILL TURN IT OVER TO THE 14 00:00:30,781 --> 00:00:34,284 BOARD CHAIR DR. BARBARA BREGMAN 15 00:00:34,284 --> 00:00:35,953 TO GET US STARTED. 16 00:00:35,953 --> 00:00:37,187 THANK YOU BARBARA. 17 00:00:37,187 --> 00:00:38,222 >> GOOD MORNING RALPH, GOOD 18 00:00:38,222 --> 00:00:38,989 MORNING EVERYONE. 19 00:00:38,989 --> 00:00:40,924 I DO SO WISH WE WERE SIGHTING 20 00:00:40,924 --> 00:00:42,192 AROUND THE TABLE TOGETHER BUT 21 00:00:42,192 --> 00:00:46,196 GLAD WE'RE ABLE TO BE HERE AT 22 00:00:46,196 --> 00:00:46,730 LEAST VIRTUALLY. 23 00:00:46,730 --> 00:00:51,268 JUST, I WILL GO THROUGH THE 24 00:00:51,268 --> 00:00:53,237 ATTENDEES IN IF YOU JUST WHEN I 25 00:00:53,237 --> 00:00:57,641 CALL YOUR NAME, JUST SAY WHERE 26 00:00:57,641 --> 00:01:00,043 YOU ARE FROM AND YOUR INTEREST, 27 00:01:00,043 --> 00:01:00,277 QUICKLY. 28 00:01:00,277 --> 00:01:03,614 DAWN, WE WILL START WITH YOU. 29 00:01:03,614 --> 00:01:04,548 >> GOOD MORNING EVERYBODY, I'M 30 00:01:04,548 --> 00:01:06,150 DAWN FROM THE UNIVERSITY OF 31 00:01:06,150 --> 00:01:07,851 WASHINGTON AND SEATTLE 32 00:01:07,851 --> 00:01:09,186 WASHINGTON. 33 00:01:09,186 --> 00:01:11,355 I'M A PSYCHOLOGIST AND I AM 34 00:01:11,355 --> 00:01:12,756 INTERESTED AS YOU WILL LEARN 35 00:01:12,756 --> 00:01:14,725 LATER IN PANE AND FATIGUE 36 00:01:14,725 --> 00:01:17,728 MANAGEMENT AND PEOPLE WITH 37 00:01:17,728 --> 00:01:21,098 MULTIPLE SCLEROSIS. 38 00:01:21,098 --> 00:01:21,465 >> BOB? 39 00:01:21,465 --> 00:01:24,334 >> HI, I'M BOB, I'M AT PENN 40 00:01:24,334 --> 00:01:25,035 STATE UNIVERSITY AND PENN STATE 41 00:01:25,035 --> 00:01:28,005 COLLEGE OF MEDICINE AND MY 42 00:01:28,005 --> 00:01:31,508 INTERESTS ARE NEUROCONTROL 43 00:01:31,508 --> 00:01:33,110 MOVEMENT AND RECOVERY FROM 44 00:01:33,110 --> 00:01:42,853 NEUROLOGICAL DISEASE AND STROKE. 45 00:01:42,853 --> 00:01:43,554 LUIS? 46 00:01:43,554 --> 00:01:45,088 >> GOOD MORNING EVERYONE, LUIS 47 00:01:45,088 --> 00:01:45,989 FROM GEORGIA TECH. 48 00:01:45,989 --> 00:01:48,992 MY INTERESTS ARE IN LOOKING AT 49 00:01:48,992 --> 00:01:49,793 NEUROREHABILITATION FOLLOWING 50 00:01:49,793 --> 00:01:51,662 STROKE AND ALSO INTERACTION WITH 51 00:01:51,662 --> 00:01:55,966 PROSTHETIC LIMBS FOLLOWING UPPER 52 00:01:55,966 --> 00:01:58,669 LIMB AMPUTATION. 53 00:01:58,669 --> 00:01:58,969 >> CATHY? 54 00:01:58,969 --> 00:02:01,672 >> HI, MY NAME IS CATHY, I AM AT 55 00:02:01,672 --> 00:02:02,940 THE NATIONAL MS ASSOCIATE, 56 00:02:02,940 --> 00:02:03,841 ASSOCIATE VICE PRESIDENT OF 57 00:02:03,841 --> 00:02:05,342 RESEARCH THERE. 58 00:02:05,342 --> 00:02:08,412 I AM ALSO ADJUNCT PROFESSOR OR 59 00:02:08,412 --> 00:02:10,047 ASSOCIATE PROFESSOR OF JOHNS 60 00:02:10,047 --> 00:02:11,782 HOPKINS SCHOOL OF MEDICINE. 61 00:02:11,782 --> 00:02:13,417 MY INTEREST IS IN 62 00:02:13,417 --> 00:02:14,618 REHABILITATION, RESEARCH AND 63 00:02:14,618 --> 00:02:16,486 WELLNESS AND MS. 64 00:02:16,486 --> 00:02:19,056 THANK YOU. 65 00:02:19,056 --> 00:02:19,356 >> JOSE? 66 00:02:19,356 --> 00:02:22,092 >> GOOD MORNING THIS IS JOSE, AT 67 00:02:22,092 --> 00:02:24,294 THE UNIVERSITY OF HOUSTON, I AM 68 00:02:24,294 --> 00:02:27,631 ALSO DIRECTOR OF THE RUCRC BRAIN 69 00:02:27,631 --> 00:02:29,800 CENTER WHERE WE FOCUS ON 70 00:02:29,800 --> 00:02:30,868 DEVELOPING OUR TECHNOLOGIES, MY 71 00:02:30,868 --> 00:02:33,470 AREA OF INTEREST IS 72 00:02:33,470 --> 00:02:34,605 NEUROENGINEERING IN PARTICULAR 73 00:02:34,605 --> 00:02:37,708 THE INTERFACES AND ALSO THE 74 00:02:37,708 --> 00:02:39,543 EFFECTS OF MUSIC AND DANCE ON 75 00:02:39,543 --> 00:02:43,247 BRAIN ACTIVITY AND BRAIN HEALTH 76 00:02:43,247 --> 00:02:47,751 THANK YOU. 77 00:02:47,751 --> 00:02:48,218 >> MICHELLE JOHNSON? 78 00:02:48,218 --> 00:02:48,685 >> HELLO, EVERYONE. 79 00:02:48,685 --> 00:02:51,788 I AM MICHELLE JOHNSON, I'M 80 00:02:51,788 --> 00:02:53,390 ASSOCIATE PROFESSOR IN PHYSICAL 81 00:02:53,390 --> 00:02:54,324 MEDICINE AND REHABILITATION AT 82 00:02:54,324 --> 00:02:56,159 THE UNIVERSITY OF PENNSYLVANIA 83 00:02:56,159 --> 00:02:58,896 AND ALSO IN BIOEMERGENCYING AND 84 00:02:58,896 --> 00:03:00,097 MECHANICAL ENGINEERING AT THE 85 00:03:00,097 --> 00:03:01,231 UNIVERSITY AS WELL. 86 00:03:01,231 --> 00:03:04,067 I RUN A REHABILITATION ROBOTICS 87 00:03:04,067 --> 00:03:06,603 LAB AND MY INTEREST IS IN THE 88 00:03:06,603 --> 00:03:07,371 INTERSECTION BETWEEN TECHNOLOGY 89 00:03:07,371 --> 00:03:09,706 AND DISABILITY AND TRYING TO 90 00:03:09,706 --> 00:03:12,509 UNDERSTAND HOW WE CAN IMPROVE 91 00:03:12,509 --> 00:03:13,543 MOTOR LEARNING, MOTOR 92 00:03:13,543 --> 00:03:19,983 PERFORMANCE USING THESE 93 00:03:19,983 --> 00:03:20,684 TECHNOLOGY SYSTEMS. 94 00:03:20,684 --> 00:03:22,119 >> THANK YOU. 95 00:03:22,119 --> 00:03:23,820 STEVE? 96 00:03:23,820 --> 00:03:24,955 >> GOOD MORNING BARBARA, STEVEN 97 00:03:24,955 --> 00:03:27,357 FROM HENRY FORD HOSPITAL IN 98 00:03:27,357 --> 00:03:28,625 DETROIT. 99 00:03:28,625 --> 00:03:29,559 I DIRECT CARDIAC REHABILITATION 100 00:03:29,559 --> 00:03:34,831 IN THE DIVISION OF CARDIOLOGY. 101 00:03:34,831 --> 00:03:36,600 MY SUBINTEREST IS EXERCISE 102 00:03:36,600 --> 00:03:39,002 TESTING AND EXERCISE TREANING IN 103 00:03:39,002 --> 00:03:41,638 PATIENTS WITH HEART FAILURE, 104 00:03:41,638 --> 00:03:42,673 HEART TRANSPLANT, MECHANICAL 105 00:03:42,673 --> 00:03:44,241 HEARTS, WITH A LITTLE BIT OF A 106 00:03:44,241 --> 00:03:49,713 SIDE INTEREST IN REHAB IN 107 00:03:49,713 --> 00:03:50,380 PATIENTS WITH CANCER. 108 00:03:50,380 --> 00:03:51,114 >> THANK YOU. 109 00:03:51,114 --> 00:03:51,982 >> CHRIS IN. 110 00:03:51,982 --> 00:03:55,953 >> I'M NOT SAYING IT RIGHTLY? 111 00:03:55,953 --> 00:03:57,988 >> GOOD MORNING EVERYONE, THIS 112 00:03:57,988 --> 00:04:01,224 IS CHRIS, I'M ON FACULTY AT THE 113 00:04:01,224 --> 00:04:02,392 UNIVERSITY OF BUFFALO IN 114 00:04:02,392 --> 00:04:03,126 COMMUNICATIVE DISORDERS AND 115 00:04:03,126 --> 00:04:05,195 SCIENCES WHERE I ALSO DIRECT THE 116 00:04:05,195 --> 00:04:06,596 MOTE OR SPEECH DISORDERS LAB, 117 00:04:06,596 --> 00:04:08,432 I'M ALSO THE ASSOCIATE DEAN FOR 118 00:04:08,432 --> 00:04:09,499 NATURAL SCIENCES AND MATH IN THE 119 00:04:09,499 --> 00:04:12,135 COLLEGE OF ARTS AND SCIENCES. 120 00:04:12,135 --> 00:04:17,040 MY RESEARCH REALLY FOCUSES ON 121 00:04:17,040 --> 00:04:18,041 COMMUNICATION OUTCOMES FOLLOWING 122 00:04:18,041 --> 00:04:19,810 DISARE--ADMINISTRATIVE 3A AND WE 123 00:04:19,810 --> 00:04:22,012 ARE INTERESTED RIGHT NOW IN 124 00:04:22,012 --> 00:04:23,847 OUTCOMES FOLLOWING DEEP BRAIN 125 00:04:23,847 --> 00:04:28,652 STIMULATION IN PARKINSON'S 126 00:04:28,652 --> 00:04:28,885 DISEASE. 127 00:04:28,885 --> 00:04:29,419 >> THANK YOU. 128 00:04:29,419 --> 00:04:30,687 STEVE KRAMER. 129 00:04:30,687 --> 00:04:32,656 >> GOOD MORNING STEVE KRAMER, 130 00:04:32,656 --> 00:04:35,525 STROKE NEUROLOGIST AT UCLA, AND 131 00:04:35,525 --> 00:04:37,627 NIGH LAB WE RESEARCH STROKE 132 00:04:37,627 --> 00:04:38,996 COVERY AS MECHANISMS, 133 00:04:38,996 --> 00:04:42,332 BIOMARKERS, CLINICAL TRIALS AND 134 00:04:42,332 --> 00:04:42,966 SUCH. 135 00:04:42,966 --> 00:04:44,534 >> THANK YOU, LINDA? 136 00:04:44,534 --> 00:04:49,306 >> THIS IS LINDA JONES FROM THE 137 00:04:49,306 --> 00:04:51,441 SHIRLEY RHINE ABILITY LAB IN 138 00:04:51,441 --> 00:04:52,275 CHICAGO AT NORTHWESTERN 139 00:04:52,275 --> 00:04:52,976 UNIVERSITY, I'M A NURSE 140 00:04:52,976 --> 00:04:54,945 SCIENTIST AND A RESEARCH 141 00:04:54,945 --> 00:04:57,014 PROFESSOR IN THE DEPARTMENT OF 142 00:04:57,014 --> 00:04:58,682 PHYSICAL MEDICINE AND 143 00:04:58,682 --> 00:04:59,649 REHABILITATION AT NORTHWESTERN. 144 00:04:59,649 --> 00:05:01,852 MY RESEARCH INTERESTS LIE IN THE 145 00:05:01,852 --> 00:05:03,120 USING OF BEHAVIORIAL 146 00:05:03,120 --> 00:05:04,187 INTERVENTIONS TO INCREASE 147 00:05:04,187 --> 00:05:05,822 PHYSICAL ACTIVITY AND IMPROVE 148 00:05:05,822 --> 00:05:09,226 DIET IN CHRONIC ILLNESSES. 149 00:05:09,226 --> 00:05:13,063 >> THANK YOU SARAH BLANTON? 150 00:05:13,063 --> 00:05:15,365 >> HI, I'M SARAH BLANTON, 151 00:05:15,365 --> 00:05:16,099 PHYSICAL THERAPIST AND PROFESSOR 152 00:05:16,099 --> 00:05:18,402 IN THE DEPARTMENT OF REHAB, 153 00:05:18,402 --> 00:05:19,603 REHABILITATION MEDICINE AND 154 00:05:19,603 --> 00:05:21,071 DIVISION OF PHYSICAL THERAPY AT 155 00:05:21,071 --> 00:05:23,607 EMERY UNIVERSITY AND MY RESEARCH 156 00:05:23,607 --> 00:05:28,045 INTEREST IS AROUND FAMILY CARE 157 00:05:28,045 --> 00:05:29,379 GIVING AFTER STROKE AND 158 00:05:29,379 --> 00:05:30,781 EXPLORING WAYS WE CAN BETTER 159 00:05:30,781 --> 00:05:32,949 INTEGRATE THE FAMILY INTO THE 160 00:05:32,949 --> 00:05:34,851 REHAB PROCESS. 161 00:05:34,851 --> 00:05:43,927 >> THANK YOU. 162 00:05:43,927 --> 00:05:44,227 TIFFANY? 163 00:05:44,227 --> 00:05:46,563 >> SHE MAY NOT BE ON YET? 164 00:05:46,563 --> 00:05:49,433 >> SHE HAS JUST JOINED. 165 00:05:49,433 --> 00:05:49,699 >> OKAY. 166 00:05:49,699 --> 00:05:51,168 >> APRIL HINES? 167 00:05:51,168 --> 00:05:52,369 >> SHOULD I GO? 168 00:05:52,369 --> 00:05:53,904 THIS IS AINCHLLE, GOOD MORNING 169 00:05:53,904 --> 00:05:55,138 EVERYONE, THIS IS AINCHLLE 170 00:05:55,138 --> 00:05:57,007 HINES, IESM THE PUBLIC POLICY 171 00:05:57,007 --> 00:05:59,543 MANAGER FOR THE CHRISTOPHER AND 172 00:05:59,543 --> 00:06:00,811 DANA REEVE FOUNDATION WHERE WE 173 00:06:00,811 --> 00:06:02,412 ADVOCATE FOR PEOPLE THAT LIVE 174 00:06:02,412 --> 00:06:05,816 WITH SPINAL CORD INJURY AND 175 00:06:05,816 --> 00:06:11,321 PARALYSIS AND I AM ALSO A 176 00:06:11,321 --> 00:06:12,456 DEADICATED ADVOCATE FOR PEOPLE 177 00:06:12,456 --> 00:06:13,857 THAT LIVE WITH DISABILITY SINCE 178 00:06:13,857 --> 00:06:15,959 MY OWN DIAGNOSIS WITH MULTIPLE 179 00:06:15,959 --> 00:06:17,594 SCLEROSIS, I CHAIR THAT AS AN 180 00:06:17,594 --> 00:06:19,563 ADVISORY COMMITTEE FOR THE 181 00:06:19,563 --> 00:06:22,265 NATIONAL MULTIPLE SCLEROSIS 182 00:06:22,265 --> 00:06:23,700 SOCIETY. 183 00:06:23,700 --> 00:06:24,801 >> THANK YOU COOPER? 184 00:06:24,801 --> 00:06:26,403 >> GOOD MORNING EVERYBODY, I'M 185 00:06:26,403 --> 00:06:27,804 COOPER, I'M EXECUTIVE DIRECTOR 186 00:06:27,804 --> 00:06:29,840 AT THE AMERICAN ASSOCIATION ON 187 00:06:29,840 --> 00:06:31,241 HEALTH AND DISABILITY AND HAVE 188 00:06:31,241 --> 00:06:33,143 MY OWN LIVED EXPERIENCE AS A 189 00:06:33,143 --> 00:06:33,944 PERSON WITH PHYSICAL 190 00:06:33,944 --> 00:06:35,812 DISABILITIES SO MY INTEREST IS 191 00:06:35,812 --> 00:06:39,883 REALLY IN ADVOCATING FOR PEOPLE 192 00:06:39,883 --> 00:06:41,852 WITH DISABILITIES AND MY 193 00:06:41,852 --> 00:06:43,120 ORGANIZATION SPECIFICALLY DEALS 194 00:06:43,120 --> 00:06:44,187 WITH PUBLIC HEALTH AND 195 00:06:44,187 --> 00:06:45,755 DISABILITY AND THE INTERSECTION 196 00:06:45,755 --> 00:06:56,032 OF PUBLIC HEALTH AND DISABILITY 197 00:06:56,032 --> 00:06:58,168 >> DR. OKIN LAMI? 198 00:06:58,168 --> 00:06:59,102 TIFFANY YU? 199 00:06:59,102 --> 00:07:02,205 >> HELLO, CAN YOU NOT HEAR ME? 200 00:07:02,205 --> 00:07:05,976 >> I COULDN'T HEAR YOU, NOW I 201 00:07:05,976 --> 00:07:06,476 CAN. 202 00:07:06,476 --> 00:07:08,178 >> ALL RIGHT, I'M AN ASSISTANT 203 00:07:08,178 --> 00:07:10,413 PROFESSOR OF FAMILY MEDICINE, 204 00:07:10,413 --> 00:07:12,149 PHYSICAL MEDICINE AND 205 00:07:12,149 --> 00:07:13,416 REHABILATION, NEUROLOGY AND 206 00:07:13,416 --> 00:07:16,720 ORTHOPEDIC SURGERY AT THE AND 207 00:07:16,720 --> 00:07:20,090 ASSISTANT BOARD DIRECTOR AT UCA, 208 00:07:20,090 --> 00:07:23,126 MY CLINICAL INTERESTS ARE 209 00:07:23,126 --> 00:07:24,161 PROVIDING EQUITABLE HEALTH AND 210 00:07:24,161 --> 00:07:25,428 WELLNESS FOR PEOPLE WITH 211 00:07:25,428 --> 00:07:28,598 DISABILITIES AND I ALSO RUN 212 00:07:28,598 --> 00:07:30,500 DISABILITIES FOR THE UNIVERSITY 213 00:07:30,500 --> 00:07:31,902 PROVIDING TESTING AND 214 00:07:31,902 --> 00:07:33,170 ACCOMMODATION AND ADAPTING TO 215 00:07:33,170 --> 00:07:36,506 THE FITNESS PROGRAM, AND I TOO 216 00:07:36,506 --> 00:07:40,544 IDENTIFY AS AN INDIVIDUAL WITH 217 00:07:40,544 --> 00:07:41,711 DISABILITY AS EXPERIENCING A 218 00:07:41,711 --> 00:07:43,880 SPINAL CORD INJURY AND NOW I'M A 219 00:07:43,880 --> 00:07:45,582 WHEELCHAIR USER. 220 00:07:45,582 --> 00:07:46,416 >> THANK YOU, TIFFANY? 221 00:07:46,416 --> 00:07:47,684 >> HI, EVERYONE, THIS IS 222 00:07:47,684 --> 00:07:50,654 TIFFANY, I'M THE FOUNDER AND CEO 223 00:07:50,654 --> 00:07:53,723 OF DIVERSABILITY OR A SMALL 224 00:07:53,723 --> 00:07:56,092 NONPROFIT FOCUSED ON SUPPORTING 225 00:07:56,092 --> 00:07:57,160 DISABLED PEOPLE THROUGH WHAT WE 226 00:07:57,160 --> 00:08:00,597 CALL THEIR SHAME TO PRIDE 227 00:08:00,597 --> 00:08:02,098 TRANSFORT FORMATION AND I ALSO 228 00:08:02,098 --> 00:08:03,867 WROTE A BOOK THAT IS FOCUSED ON 229 00:08:03,867 --> 00:08:06,570 HOW WE CAN ALL TAKE ACTIONS 230 00:08:06,570 --> 00:08:08,138 TOWARD BUILDING A MORE 231 00:08:08,138 --> 00:08:08,905 DISABILITY INCLUSIVE WORLD. 232 00:08:08,905 --> 00:08:10,874 I COME INTO THIS CONVERSATION AS 233 00:08:10,874 --> 00:08:13,577 SOMEONE WHO LIVES WITH BOTH A 234 00:08:13,577 --> 00:08:14,911 PARENT AND NONA PARENT 235 00:08:14,911 --> 00:08:15,645 DISABILITIES AS A RESULT OF A 236 00:08:15,645 --> 00:08:18,148 CAR ACCIDENT AND I MOST RECENTLY 237 00:08:18,148 --> 00:08:21,718 HAVE JOINED THE USA PARACLIMBING 238 00:08:21,718 --> 00:08:22,652 NATIONAL DEVELOPMENT TEAM AND 239 00:08:22,652 --> 00:08:24,921 COME INTO THIS WITH MY OWN 240 00:08:24,921 --> 00:08:26,423 PERSONAL INTERESTS AND COMMUNITY 241 00:08:26,423 --> 00:08:27,958 INTERESTS AROUND INCREASING THE 242 00:08:27,958 --> 00:08:35,165 VISIBILITY AND RESPECT OF THE 243 00:08:35,165 --> 00:08:37,000 DISABILITY COMMUNITY. 244 00:08:37,000 --> 00:08:37,367 >> THANK YOU. 245 00:08:37,367 --> 00:08:38,969 RALPH, DID YOU WANT ME GO 246 00:08:38,969 --> 00:08:41,304 THROUGH ALL THE EXOFFICIO 247 00:08:41,304 --> 00:08:41,638 INDIVIDUALS. 248 00:08:41,638 --> 00:08:44,174 >> YES, IF YOU WOULDN'T MIND, 249 00:08:44,174 --> 00:08:52,816 LET'S GET THEM, TOO. 250 00:08:52,816 --> 00:08:53,450 >> DR. ALLYSON? 251 00:08:53,450 --> 00:08:57,487 >> HI, GOOD MORNING EVERYONE, 252 00:08:57,487 --> 00:09:08,031 ALLYSON, I'M DIRECTOR OF NICHD. 253 00:09:12,435 --> 00:09:12,602 >> LYNN? 254 00:09:12,602 --> 00:09:14,104 >> LYNDON JOSEPH? 255 00:09:14,104 --> 00:09:16,172 >> GOOD MORNING EVERYONE, MY 256 00:09:16,172 --> 00:09:18,375 NAME IS LYNDON JOSEPH, AMOLOL A 257 00:09:18,375 --> 00:09:21,077 PROGRAM OFFICER AT NATIONAL 258 00:09:21,077 --> 00:09:23,213 INSTITUTE ON AGING. 259 00:09:23,213 --> 00:09:23,546 >> TRISHA. 260 00:09:23,546 --> 00:09:25,315 >> TRISHA WITH THE DEPARTMENT OF 261 00:09:25,315 --> 00:09:28,385 VETERANS AFFAIRS, I SERVE AS 262 00:09:28,385 --> 00:09:29,953 EXECUTIVE DIRECTOR FOR 263 00:09:29,953 --> 00:09:30,787 REHABILITATION RESEARCH FOR THE 264 00:09:30,787 --> 00:09:36,860 DEPARTMENT AND WITH RESPECT TO 265 00:09:36,860 --> 00:09:38,328 REHABILITATION RESEARCH ACTIONS 266 00:09:38,328 --> 00:09:43,900 I AM FOR ALL REHAB, ALL 267 00:09:43,900 --> 00:09:45,268 ACTIVITIES, ALL ACTIONS THAT CAN 268 00:09:45,268 --> 00:09:50,106 IMPROVE AND HELP THOSE 269 00:09:50,106 --> 00:09:51,241 INDIVIDUALS WHO EXPERIENCE 270 00:09:51,241 --> 00:09:51,708 REHABILITATION NEEDS. 271 00:09:51,708 --> 00:09:55,045 OF COURSE WITH THE AGENCY WE ARE 272 00:09:55,045 --> 00:09:57,447 VETERAN-CENTRIC FOCUSED BUT THE 273 00:09:57,447 --> 00:09:58,915 KNOWLEDGE WE GAIN IS BENEFICIAL 274 00:09:58,915 --> 00:10:01,584 TO THE NATION AND BEYOND. 275 00:10:01,584 --> 00:10:04,888 THANK YOU ALL. 276 00:10:04,888 --> 00:10:07,991 >> THANK YOU MAX? 277 00:10:07,991 --> 00:10:09,726 >> GOOD MORNING I AM MAX AND I'M 278 00:10:09,726 --> 00:10:11,561 A PROGRAM DIRECTOR OF THE 279 00:10:11,561 --> 00:10:16,399 NATIONAL INTUITY ON DEAFNESS AND 280 00:10:16,399 --> 00:10:19,035 OTHER COMMUNICATION DISORDERS. 281 00:10:19,035 --> 00:10:19,536 >> THANK YOU. 282 00:10:19,536 --> 00:10:21,071 >> GOOD MORNING I'M HERE 283 00:10:21,071 --> 00:10:23,039 REPRESENTING NATIONAL INSTITUTE 284 00:10:23,039 --> 00:10:33,516 OF NEUROLOGIC DISORDERS AND 285 00:10:38,588 --> 00:10:39,422 STROKE. 286 00:10:39,422 --> 00:10:40,857 >> CHUCK? 287 00:10:40,857 --> 00:10:41,091 JOHN? 288 00:10:41,091 --> 00:10:43,593 >> GOOD MORNING EVERYONE I'M 289 00:10:43,593 --> 00:10:45,895 JOHN, DIRECTOR OF THE EXTREME 290 00:10:45,895 --> 00:10:46,963 TRAUMA AND AMPUTATION CENTER OF 291 00:10:46,963 --> 00:10:49,332 EXCELLENCE FOR THE DEPARTMENT OF 292 00:10:49,332 --> 00:10:50,600 DEFENSE AND THE DEFENSE 293 00:10:50,600 --> 00:10:53,770 SELF-AGENCY OUR INTERESTS ARE TO 294 00:10:53,770 --> 00:11:00,076 ASSIST IN PRESERVE FUNCTION IN 295 00:11:00,076 --> 00:11:01,344 EXTREMENDOUSLYITYS AND THOSE 296 00:11:01,344 --> 00:11:02,746 WITH SEVERE TRAUMA. 297 00:11:02,746 --> 00:11:03,847 THANK YOU. 298 00:11:03,847 --> 00:11:12,555 >> THANK YOU KRISTI HILL? 299 00:11:12,555 --> 00:11:12,822 >> ADAM? 300 00:11:12,822 --> 00:11:14,424 >> HI, ERCH I'M ADAM AND 301 00:11:14,424 --> 00:11:16,426 REPRESENT A DIVISION OF PROGRAM 302 00:11:16,426 --> 00:11:17,394 COORDINATION PLANNING AND 303 00:11:17,394 --> 00:11:18,294 STRATEGIC INITIATIVES IN THE 304 00:11:18,294 --> 00:11:20,096 OFFICE OF THE DIRECTOR AT NIH 305 00:11:20,096 --> 00:11:23,266 WHERE I SERVE AS THE SENIOR 306 00:11:23,266 --> 00:11:31,808 ADVISOR FOR DISABILITY HEALTH 307 00:11:31,808 --> 00:11:32,075 RESEARCH. 308 00:11:32,075 --> 00:11:32,375 >> EDWARD? 309 00:11:32,375 --> 00:11:35,345 >> HI, I AM THE CHIEF OF THE 310 00:11:35,345 --> 00:11:37,514 VOCATIONAL REHABILITATION UNIT 311 00:11:37,514 --> 00:11:39,582 AT THE REHABILITATION SERVICES 312 00:11:39,582 --> 00:11:42,619 ADMINISTRATION IN THE OFFICE OF 313 00:11:42,619 --> 00:11:44,788 SPECIAL EDUCATION AND 314 00:11:44,788 --> 00:11:45,722 REHABILITATIVE SERVICES AT THE 315 00:11:45,722 --> 00:11:47,791 U.S. DEPARTMENT OF EDUCATION AND 316 00:11:47,791 --> 00:11:50,393 WE REALLY FOCUS ON DISABILITY, 317 00:11:50,393 --> 00:11:55,098 EMPLOYMENT POM SEE AND 318 00:11:55,098 --> 00:11:55,799 COMPETITIVE INTEGRATED 319 00:11:55,799 --> 00:11:56,099 EMPLOYMENT. 320 00:11:56,099 --> 00:11:56,566 >> THANK YOU. 321 00:11:56,566 --> 00:12:00,270 >> THANKS FOR GOING THROUGH THE 322 00:12:00,270 --> 00:12:02,906 NAMES AND I WANT THANK ALL OUR 323 00:12:02,906 --> 00:12:04,007 FRIENDS AND SUPPORTERS AND 324 00:12:04,007 --> 00:12:05,708 ADVOCATES FOR BEING ON THIS AND 325 00:12:05,708 --> 00:12:08,178 WE ALSO HAVE QUITE AN AUDIENCE 326 00:12:08,178 --> 00:12:09,646 ON THE NIH VIDEOCAST SITE 327 00:12:09,646 --> 00:12:11,181 WATCHING AS WELL AND AS YOU 328 00:12:11,181 --> 00:12:13,349 FOLKS KNOW, THE NIH VIDEOCAST 329 00:12:13,349 --> 00:12:17,554 SITE WILL HAVE THIS ARCHIVED, SO 330 00:12:17,554 --> 00:12:19,856 ANYTHING YOU WANT TO MISS AND GO 331 00:12:19,856 --> 00:12:22,325 BACK OVER, YOU GO TO THE NIH 332 00:12:22,325 --> 00:12:23,827 VIDEOCAST A WEEK FROM NOW AND 333 00:12:23,827 --> 00:12:25,728 THE ARCHIVE VERSION SHOULD BE 334 00:12:25,728 --> 00:12:29,332 AVAILABLE AND IN THE VISION, WE 335 00:12:29,332 --> 00:12:31,835 WILL POST THE MINUTES OF THIS 336 00:12:31,835 --> 00:12:35,472 MEETING ON THE WEBSITE ON NICHD. 337 00:12:35,472 --> 00:12:37,040 SO BARBARA, CONTINUE. 338 00:12:37,040 --> 00:12:37,307 >> SURE. 339 00:12:37,307 --> 00:12:39,809 I ASSUME THAT EVERYONE HAD A 340 00:12:39,809 --> 00:12:42,545 CHANCE TO LOOK AT THE MINUTES 341 00:12:42,545 --> 00:12:43,480 FROM THE DECEMBER MEETING AND 342 00:12:43,480 --> 00:12:52,155 WILL ASK IF THERE THERE ARE ANY 343 00:12:52,155 --> 00:12:56,993 1 WHO DOES NOT APPROVE APPROVEE 344 00:12:56,993 --> 00:12:57,227 MINUTES? 345 00:12:57,227 --> 00:12:59,963 AND IF WE DON'T HEAR THAT WE CAN 346 00:12:59,963 --> 00:13:08,104 APPROVE BY ACCLIMATION. 347 00:13:08,104 --> 00:13:09,405 >> BOSH RA, SORRY, WE NEED A 348 00:13:09,405 --> 00:13:11,374 MOTION TO APPROVE THE MINUTES. 349 00:13:11,374 --> 00:13:13,610 >> OKAY, MAY I HAVE A MOTION TO 350 00:13:13,610 --> 00:13:14,077 APPROVE. 351 00:13:14,077 --> 00:13:18,948 >> MOVE TO APPROVE NSECOND? 352 00:13:18,948 --> 00:13:20,149 >> SECOND TO APPROVE. 353 00:13:20,149 --> 00:13:21,551 >> AND THEN IF PEOPLE COULD 354 00:13:21,551 --> 00:13:26,523 RAISE THEIR HANDS USING THE 355 00:13:26,523 --> 00:13:36,833 LITTLE HAND RAISE. 356 00:13:50,079 --> 00:13:51,080 ALL RIGHT. 357 00:13:51,080 --> 00:13:51,848 OKAY, THANK YOU. 358 00:13:51,848 --> 00:13:56,185 AND BARBARA DO YOU ALSO VOTE -- 359 00:13:56,185 --> 00:13:56,419 APPROVE? 360 00:13:56,419 --> 00:14:01,391 , I DID, I PUT MY HAND UP. 361 00:14:01,391 --> 00:14:02,292 >> OKAY, THANK YOU. 362 00:14:02,292 --> 00:14:03,526 >> REMINDER EVERYONE THAT THE 363 00:14:03,526 --> 00:14:05,161 NEXT MEETINGS IF YOU COULD SAVE 364 00:14:05,161 --> 00:14:11,267 THEM ON YOUR CALENDAR, ARE 365 00:14:11,267 --> 00:14:13,002 DECEMBER 1st AND 2nd, 2025, 366 00:14:13,002 --> 00:14:19,576 MAY FOURTH AND FIFTH, 2026, AND 367 00:14:19,576 --> 00:14:21,511 DECEMBER 7th AND 8, 2026. 368 00:14:21,511 --> 00:14:23,246 AGAIN, REMINDER THAT THIS IS 369 00:14:23,246 --> 00:14:30,053 BEING RECORDED CORDED AND WILL E 370 00:14:30,053 --> 00:14:30,320 ARCHIVED. 371 00:14:30,320 --> 00:14:33,656 I WOULD LIKE TO GO AHEAD AND 372 00:14:33,656 --> 00:14:39,929 INTRODUCE OUR FIRST SPEAKER, 373 00:14:39,929 --> 00:14:42,332 DR. ALLYSON CERNIK, BECAME THE 374 00:14:42,332 --> 00:14:43,933 DIRECTOR OF NICHD LAST MONTH AND 375 00:14:43,933 --> 00:14:48,004 SERVED AS DEPUTY DIRECTOR SINCE 376 00:14:48,004 --> 00:14:50,473 2019 AND DR. CERNIK LEADS TO THE 377 00:14:50,473 --> 00:14:52,442 DEPARTMENT OF WORKING GROUPS ON 378 00:14:52,442 --> 00:14:54,777 ROUGH ATOM PRODUCTIVE HEALTHCARE 379 00:14:54,777 --> 00:14:56,279 ACCESS, MATERNAL HEALTH, PATIENT 380 00:14:56,279 --> 00:14:58,815 CENTERED OUTCOMES, AND PRIOR TO 381 00:14:58,815 --> 00:15:00,783 SERVING AS NICHD DEPUTY 382 00:15:00,783 --> 00:15:03,553 DIRECTOR, DR. WAS THE DIRECTOR 383 00:15:03,553 --> 00:15:07,357 OF NICHD'S NATION WALCENTER FOR 384 00:15:07,357 --> 00:15:08,558 MEDICAL REHAPPEN ILLEGALSITATION 385 00:15:08,558 --> 00:15:09,993 RESEARCH WHERE SHE CHAMPIONED 386 00:15:09,993 --> 00:15:11,060 THE EFFORTS THAT IMPROVE HEALTH 387 00:15:11,060 --> 00:15:15,365 AND WELL BEING OF PEOPLE WITH 388 00:15:15,365 --> 00:15:17,066 DISABILITIES AND MANAGED A 389 00:15:17,066 --> 00:15:19,969 RESEARCH PORTFOLIO AIMED AT 390 00:15:19,969 --> 00:15:20,903 ACHIEVING THESE GOALS. 391 00:15:20,903 --> 00:15:22,505 SHE PREVIOUSLY SERVED IN THE 392 00:15:22,505 --> 00:15:24,340 DEPARTMENT OF VEDRANS APPARS, 393 00:15:24,340 --> 00:15:27,110 BOTH AS A CLINICIAN, RESEARCHER 394 00:15:27,110 --> 00:15:30,613 AND POLICY MAKER AND WAS 395 00:15:30,613 --> 00:15:31,681 DETAILED AS LIAISON FOR THE 396 00:15:31,681 --> 00:15:33,149 DEPARTMENT OF DEFENSE TO 397 00:15:33,149 --> 00:15:35,351 COORDINATE EFFORTS IN TRAUMATIC 398 00:15:35,351 --> 00:15:36,519 BRAIN YOUR AND PSYCHOLOGICAL 399 00:15:36,519 --> 00:15:41,958 HEALTH BETWEEN THE DEPARTMENTS. 400 00:15:41,958 --> 00:15:44,794 DR. CERNICH RECEIVED HER DEGREE 401 00:15:44,794 --> 00:15:47,397 FROM THE UNIVERSITY AND A BOARD 402 00:15:47,397 --> 00:15:54,470 CERTIFIED NURSE PSYCHOLOGIST. 403 00:15:54,470 --> 00:15:56,839 AND I WILL TURN THE TEAMS OVER 404 00:15:56,839 --> 00:15:57,407 TO YOU ALLYSON. 405 00:15:57,407 --> 00:15:59,676 GOOD TO SEE YOU. 406 00:15:59,676 --> 00:16:01,611 >> GOOD TO SEE YOU AND IT'S GOOD 407 00:16:01,611 --> 00:16:07,250 TO HEAR SO MANY FAMILIAR NAMES 408 00:16:07,250 --> 00:16:10,353 REALLY SPANS MY ENTIRE CAREER 409 00:16:10,353 --> 00:16:11,287 INTERESTINGLY ENOUGH AND SO I 410 00:16:11,287 --> 00:16:13,990 THINK MANY OF YOU KNOW ME FOR 411 00:16:13,990 --> 00:16:17,093 THOSE OF YOU WHO DON'T, BARBARA 412 00:16:17,093 --> 00:16:18,261 THANK YOU FOR THAT KIND 413 00:16:18,261 --> 00:16:18,761 INTRODUCTION. 414 00:16:18,761 --> 00:16:20,496 I HAVE BEEN INVOLVED IN 415 00:16:20,496 --> 00:16:23,299 REHABILITATION RESEARCH SINCE 416 00:16:23,299 --> 00:16:25,535 THE TIME OF MY GRADUATE SCHOOL 417 00:16:25,535 --> 00:16:25,768 PROGRAM. 418 00:16:25,768 --> 00:16:27,236 I HAVE WORKED WITH SOME OF YOU 419 00:16:27,236 --> 00:16:29,305 AS AN EARLY STAGE RESEARCHER AT 420 00:16:29,305 --> 00:16:31,541 THE DEPARTMENT OF VETERANS 421 00:16:31,541 --> 00:16:32,909 AFFAIRS SPECIFICALLY IN 422 00:16:32,909 --> 00:16:34,510 BALTIMORE, OTHERS OF YOU ACROSS 423 00:16:34,510 --> 00:16:37,413 MY CAREER IN VAOT POLICY SIDE OR 424 00:16:37,413 --> 00:16:40,316 AS I WAS DETAILED TO D.O.D. ON 425 00:16:40,316 --> 00:16:42,018 THE POLICY SIDE AND THEN 426 00:16:42,018 --> 00:16:43,186 OBVIOUSLY MANY OF YOU THROUGH MY 427 00:16:43,186 --> 00:16:46,856 WORK AS THE DIRECTOR OF NCMRR OR 428 00:16:46,856 --> 00:16:48,891 THE DEPUTY HERE AT NICHD, SO 429 00:16:48,891 --> 00:16:51,394 IT'S REALLY NICE TO BE IN A 430 00:16:51,394 --> 00:16:52,795 FRIENDLY ROOM AND TALK A LITTLE 431 00:16:52,795 --> 00:16:58,901 BIT ABOUT WHERE WE ARE AS NICHD, 432 00:16:58,901 --> 00:16:59,302 NIH AND HHS. 433 00:16:59,302 --> 00:17:06,175 SO IF WE CAN GO TO THE NEXT 434 00:17:06,175 --> 00:17:06,676 SLIDE, PLEASE? 435 00:17:06,676 --> 00:17:09,145 SO I WILL GIVE YOU A FEW UPDATES 436 00:17:09,145 --> 00:17:11,481 RELATED TO HHS AND NIH, I WILL 437 00:17:11,481 --> 00:17:13,716 ALSO HIGHLIGHT THINGS THAT ARE 438 00:17:13,716 --> 00:17:14,784 HAPPENING AROUND NICHD THAT 439 00:17:14,784 --> 00:17:16,452 WE'VE BEEN HIGHLIGHTING AS SOME 440 00:17:16,452 --> 00:17:17,520 OF OUR ACCOMPLISHMENTS, ALSO 441 00:17:17,520 --> 00:17:18,454 PROGRAM HIGHLIGHTS THAT MAY BE 442 00:17:18,454 --> 00:17:20,656 OF INTEREST TO YOU ALL AND THEN 443 00:17:20,656 --> 00:17:23,593 A SINGLE STAFF UP DATE. 444 00:17:23,593 --> 00:17:30,133 SO NEXT SLIDE, PLEASE. 445 00:17:30,133 --> 00:17:31,467 SO MANY OF HAVE YOU BEEN 446 00:17:31,467 --> 00:17:33,069 FOLLOWING THE NEWS, I'M SURE, WE 447 00:17:33,069 --> 00:17:41,744 HAVE A NEW HHS SECRETARY, ROBERT 448 00:17:41,744 --> 00:17:42,912 F. KENNEDY JUNIOR, AND ON THE 449 00:17:42,912 --> 00:17:45,014 SAME DAY HE WAS CONFIRMED THERE 450 00:17:45,014 --> 00:17:46,549 WAS A NEW EXECUTIVE ORDER 451 00:17:46,549 --> 00:17:48,451 RELEASED TO ESTABLISH THE 452 00:17:48,451 --> 00:17:50,186 PRESIDENT'S MAKE AMERICA HEALTHY 453 00:17:50,186 --> 00:17:50,987 AGAIN COMMISSION TO INVESTIGATE 454 00:17:50,987 --> 00:17:53,456 AND ADDRESS THE ROOT CAUSES OF 455 00:17:53,456 --> 00:17:54,190 AMERICA'S ESCALATING HEALTH 456 00:17:54,190 --> 00:17:56,192 CRISIS WITH A FOCUS ON CHILDHOOD 457 00:17:56,192 --> 00:17:57,794 CHRONIC DISEASE, AND THE CHRONIC 458 00:17:57,794 --> 00:17:59,595 DISEASES THAT WERE CALLED OUT IN 459 00:17:59,595 --> 00:18:01,998 THE EXECUTIVE ORDER INCLUDED 460 00:18:01,998 --> 00:18:03,432 MENTAL HEALTH CONDITIONS, ON 461 00:18:03,432 --> 00:18:04,700 OBESITY AND DIABETES AND THERE 462 00:18:04,700 --> 00:18:07,904 WAS SOME DISCUSSION OF IMPROVING 463 00:18:07,904 --> 00:18:10,773 NUTRITION AND ACCESS TO HEALTHY 464 00:18:10,773 --> 00:18:11,140 FOODS. 465 00:18:11,140 --> 00:18:13,109 THERE IS SUPPOSED TO BE A 466 00:18:13,109 --> 00:18:15,511 STRATEGY DOCUMENT COMING OUT OF 467 00:18:15,511 --> 00:18:17,980 THE MAKE AMERICA HEALTHY AGAIN 468 00:18:17,980 --> 00:18:19,916 COMMISSION TO ADDRESS CHILDHOOD 469 00:18:19,916 --> 00:18:22,785 CHRONIC DISEASE CRISIS AND THAT 470 00:18:22,785 --> 00:18:24,720 WILL BE WITHIN 180 DAYS, SO THAT 471 00:18:24,720 --> 00:18:31,160 WILL BE COMING UP VERY SOON. 472 00:18:31,160 --> 00:18:32,395 NEXT SLIDE, PLEASE. 473 00:18:32,395 --> 00:18:34,797 WE HAVE NEW LEADERS HERE AT THE 474 00:18:34,797 --> 00:18:45,341 NIH AS WELL, SO DR. BATTACHARYA, 475 00:18:45,975 --> 00:18:50,346 HE TOOK OVER FROM THE PRINCIPLE 476 00:18:50,346 --> 00:18:52,982 DRACT DR. MATH O MATT MEMOLI, 477 00:18:52,982 --> 00:18:55,885 AND HE HAS A LONG STANDARD OF 478 00:18:55,885 --> 00:18:57,053 NIH INVESTIGATOR PRIMARILY 479 00:18:57,053 --> 00:18:59,789 FUNDED ON THE NATIONAL INTUITY 480 00:18:59,789 --> 00:19:02,625 ON AGING AND DR. MEMOLI IS 481 00:19:02,625 --> 00:19:05,828 COMING TO US FROM HIS LABORATORY 482 00:19:05,828 --> 00:19:08,664 AT NIAID AND HE HAS BEEN WORKING 483 00:19:08,664 --> 00:19:12,401 WITH ALL OF US THROUGH THIS 484 00:19:12,401 --> 00:19:13,035 TRANSITION. 485 00:19:13,035 --> 00:19:14,403 AS PART OF THE TRANSITION NEW 486 00:19:14,403 --> 00:19:15,571 ACTING DIRECTORS WERE APPOINTED 487 00:19:15,571 --> 00:19:20,009 IN A NAB OF THE INSTITUTES AND 488 00:19:20,009 --> 00:19:23,079 CENTERS ACROSS THE NIH SO WE 489 00:19:23,079 --> 00:19:27,216 HAVE DR. COURTNEY AKLIN AT THE 490 00:19:27,216 --> 00:19:28,618 NURSING INSTITUTE, SHE WAS 491 00:19:28,618 --> 00:19:30,286 PROFESSOR LIDDELOW LIEUSLY AT 492 00:19:30,286 --> 00:19:33,923 NIMHD AND THE OFFICE OF THE 493 00:19:33,923 --> 00:19:35,725 DIRECTOR. 494 00:19:35,725 --> 00:19:38,127 DR. ANDREA BECKLE-MITCHENER IS 495 00:19:38,127 --> 00:19:41,097 AT THE NIMH, FOLLOWING 496 00:19:41,097 --> 00:19:42,932 RETIREMENT OF DR. SHIRLEY, MANY 497 00:19:42,932 --> 00:19:47,837 OF YOU MAY KNOW 498 00:19:47,837 --> 00:19:48,471 DR. BECKEL-MITCHENER, FROM HER 499 00:19:48,471 --> 00:19:51,240 BRAIN WORK, I HAVE THE HONOR OF 500 00:19:51,240 --> 00:19:53,376 PRIVILEGE OF SERVING AS THE 501 00:19:53,376 --> 00:19:55,278 DIRECTOR OF NICHD. 502 00:19:55,278 --> 00:19:57,580 DR. CAROLYN HUTTER IS AT THE 503 00:19:57,580 --> 00:19:59,749 NATIONAL GENOME INSTITUTE, SHE 504 00:19:59,749 --> 00:20:00,616 WAS RECENTLY APPOINTED THE 505 00:20:00,616 --> 00:20:02,652 COMMON FUND IN THE OFFICE OF THE 506 00:20:02,652 --> 00:20:07,356 DIRECTOR AND NOW OVER ACTING AT 507 00:20:07,356 --> 00:20:09,525 NHGRI, DR. JEFFREY TAUBENBURGER 508 00:20:09,525 --> 00:20:11,694 IS THE NEW DIRECTOR ON THE 509 00:20:11,694 --> 00:20:12,395 ALLERGY AND INFECTIOUS DISEASE 510 00:20:12,395 --> 00:20:14,897 AND HE IS COMING TO US FROM THE 511 00:20:14,897 --> 00:20:17,533 INTRAMURAL PROGRAM IN NIAD, AND 512 00:20:17,533 --> 00:20:18,734 DR. MONICA WEB HOOPER IS THE 513 00:20:18,734 --> 00:20:21,570 ACTING DIRECTOR OF THE NATIONAL 514 00:20:21,570 --> 00:20:23,706 INSTITUTE ON MINORITY HEALTH AND 515 00:20:23,706 --> 00:20:25,675 HEALTH DISPARITIES, SHE WAS 516 00:20:25,675 --> 00:20:26,742 PREVIOUSLY THE DEPUTY DIRECTOR 517 00:20:26,742 --> 00:20:27,376 THERE. 518 00:20:27,376 --> 00:20:29,378 SO THAT'S QUITE A RETINAL 519 00:20:29,378 --> 00:20:30,079 LOCATIONINUE OF CHANGES. 520 00:20:30,079 --> 00:20:31,681 THERE ARE OTHER CHANGES FORTH 521 00:20:31,681 --> 00:20:32,748 COMING THAT WE'RE KEEPING TRACK 522 00:20:32,748 --> 00:20:34,684 OF AND WILL KEEP YOU POSTED OVER 523 00:20:34,684 --> 00:20:39,088 THE COURSE OF THE YEAR. 524 00:20:39,088 --> 00:20:39,622 NEXT SLIDE, PLEASE. 525 00:20:39,622 --> 00:20:42,758 SO THE NEW LEADERSHIP AT NIH HAS 526 00:20:42,758 --> 00:20:43,659 ESTABLISHED PRIORITIES THAT THEY 527 00:20:43,659 --> 00:20:47,997 ARE GOING TO BE REENFORCING OVER 528 00:20:47,997 --> 00:20:53,703 TIME AND DR. BHATTACHAYYA WILL 529 00:20:53,703 --> 00:20:55,371 TALK ABOUT THESE AND THESE ARE 530 00:20:55,371 --> 00:20:56,405 TO INCLUDE POPULATION HEALTH 531 00:20:56,405 --> 00:20:57,707 WITH A FOCUS OBVIOUSLY ON 532 00:20:57,707 --> 00:21:01,143 CHRONIC DEC THAT MIRRORS THE 533 00:21:01,143 --> 00:21:02,611 SECRETARY REPRODUCIBILITY AND 534 00:21:02,611 --> 00:21:04,880 RIGOR, INNOVATION AND 535 00:21:04,880 --> 00:21:07,283 COLLABORATION, RESEARCH SAFETY 536 00:21:07,283 --> 00:21:11,187 AND TRANSPARENCY, AND ACADEMIC 537 00:21:11,187 --> 00:21:11,454 FREEDOM. 538 00:21:11,454 --> 00:21:12,955 AND I THINK MANY OF YOU ALSO SAW 539 00:21:12,955 --> 00:21:15,324 SOME OF THE NEW POLICY 540 00:21:15,324 --> 00:21:16,859 ANNOUNCEMENTS THAT ARE 541 00:21:16,859 --> 00:21:17,560 ACCOMPANYING THESE LEADERSHIP 542 00:21:17,560 --> 00:21:19,495 PRIORITIES IN PARTICULAR THE 1 543 00:21:19,495 --> 00:21:25,034 ON ACADEMIC FREEDOM LAST WEEK. 544 00:21:25,034 --> 00:21:25,501 NEXT SLIDE, PLEASE. 545 00:21:25,501 --> 00:21:27,269 SO NOW WHAT I WOULD LIKE TO DO 546 00:21:27,269 --> 00:21:28,337 IS JUST HIGHLIGHT SOME OF THE 547 00:21:28,337 --> 00:21:31,240 RESEARCH THAT IS COMING OUT OF 548 00:21:31,240 --> 00:21:34,610 NICHD, AND WE DO EVERY YEAR 549 00:21:34,610 --> 00:21:35,778 SELECTED RESEARCH ADVANCES 550 00:21:35,778 --> 00:21:38,581 SHOWCASE, THAT IS AVAILABLE ON 551 00:21:38,581 --> 00:21:39,782 OUR WEBSITE AND I WILL TELL YOU 552 00:21:39,782 --> 00:21:41,951 THAT IF YOU EVER WANT TO JUST 553 00:21:41,951 --> 00:21:45,154 GET A SENSE OF THE BREDTH, SCOPE 554 00:21:45,154 --> 00:21:47,790 AND ACCOMPLISHMENTS ACROSS OUR 555 00:21:47,790 --> 00:21:49,392 PORTFOLIO, BOTH INTRAMURAL AND 556 00:21:49,392 --> 00:21:50,459 EXTRAMURAL THIS, IS A GREAT WAY 557 00:21:50,459 --> 00:21:51,761 TO GET TO KNOW US. 558 00:21:51,761 --> 00:21:54,063 WE REALLY DO HAVE SOME EXCITING 559 00:21:54,063 --> 00:21:55,831 ADVANCES ACROSS THE BREDTH OF 560 00:21:55,831 --> 00:21:57,033 OUR PORTFOLIO, AND IT HIGHLIGHTS 561 00:21:57,033 --> 00:21:59,668 THE WAY THAT WE'RE TRYING TO 562 00:21:59,668 --> 00:22:03,372 DRIVE INNOVATION IN OUR MISSION 563 00:22:03,372 --> 00:22:03,572 AREAS. 564 00:22:03,572 --> 00:22:10,780 SO LET ME GO TO THE NEXT SLIDE. 565 00:22:10,780 --> 00:22:13,049 SO 1 OF THE THINGS WE ARE TASKED 566 00:22:13,049 --> 00:22:15,151 TO DO AT NICHD IS TO LEARN MORE 567 00:22:15,151 --> 00:22:17,019 ABOUT THE IMPACT OF MEDICATIONS 568 00:22:17,019 --> 00:22:20,556 BOTH IN PREGNANCY AND DURING 569 00:22:20,556 --> 00:22:20,823 LACTATION. 570 00:22:20,823 --> 00:22:22,858 AND SO, WANTED TO HIGHLIGHT THE 571 00:22:22,858 --> 00:22:24,794 STUDY THAT WAS PUBLISHED IN 572 00:22:24,794 --> 00:22:27,596 JANUARY THAT REALLY LOOKS AT 573 00:22:27,596 --> 00:22:29,565 WHETHER MATERNAL TREATMENT WITH 574 00:22:29,565 --> 00:22:32,034 LONG-TERM MEDICATIONS CHANGES 575 00:22:32,034 --> 00:22:33,302 THE MACRONUTRIENT COMPOSITION IN 576 00:22:33,302 --> 00:22:35,037 HUMAN MILK AND THIS WAS A STUDY 577 00:22:35,037 --> 00:22:38,474 THAT LOOKED AT MILK SAMPLES WITH 578 00:22:38,474 --> 00:22:40,342 MOTHERS TREATED WITH 579 00:22:40,342 --> 00:22:41,844 ANTIDEPRESSANTS, 106 THAT WERE 580 00:22:41,844 --> 00:22:48,851 TREATED WITH LONG-TERM 581 00:22:48,851 --> 00:22:50,052 ANTIINFLAMMATORY MEDICATIONS, 582 00:22:50,052 --> 00:22:52,221 141 WITH UNDERLYING DISEASES AND 583 00:22:52,221 --> 00:22:53,823 MATCHED MOTHERS. 584 00:22:53,823 --> 00:22:57,626 AND WE HAVE BEEN LOOKING AT THE 585 00:22:57,626 --> 00:23:01,664 MACRONUTRIENT PROFILE, SO FAT, 586 00:23:01,664 --> 00:23:02,565 PROTEIN, CARBOHEIGHTERATE AND 587 00:23:02,565 --> 00:23:04,300 TOTAL ENERGY AND SOME 588 00:23:04,300 --> 00:23:05,835 MEDICATIONS DID REFLECT CHANGES 589 00:23:05,835 --> 00:23:10,506 SO SOME SAMPLES TAKING AN 590 00:23:10,506 --> 00:23:12,007 ANTIDEPRESSANT OR CORTICO 591 00:23:12,007 --> 00:23:14,543 STEROIDS COMPARED TO LOWER 592 00:23:14,543 --> 00:23:16,245 CAMPYS FROM MOTHERS TAKE THOSE 593 00:23:16,245 --> 00:23:18,914 MEDICATIONS THERE WERE AFFECTS 594 00:23:18,914 --> 00:23:21,617 ON FATS IN TERMS OF LOWER LEVELS 595 00:23:21,617 --> 00:23:22,785 BUT CARBOHYDRATES WERE NOT 596 00:23:22,785 --> 00:23:23,319 AFFECTED. 597 00:23:23,319 --> 00:23:23,953 NEXT SLIDE, PLEASE. 598 00:23:23,953 --> 00:23:29,258 ANOTHER STUDY THAT CAME OUT OF 599 00:23:29,258 --> 00:23:29,959 OURNYONATAL RESEARCH NETWORK AND 600 00:23:29,959 --> 00:23:31,927 THIS IS A LARGE SCALE CLINICAL 601 00:23:31,927 --> 00:23:32,995 TRIALS NETWORK THAT WE HAVE, 602 00:23:32,995 --> 00:23:36,966 THIS WAS A RANDOMIZED PLACEBO 603 00:23:36,966 --> 00:23:40,035 CONTROL TRIAL WITH 29 HOSPITALS 604 00:23:40,035 --> 00:23:41,537 THAT WERE PARTICIPATING AND THIS 605 00:23:41,537 --> 00:23:42,972 WAS WAS PUBLISH INDEED APRIL, 606 00:23:42,972 --> 00:23:45,174 THE STUDY IS ENTITLED THE 607 00:23:45,174 --> 00:23:47,076 MODERATELY PRETERM INFANTS WITH 608 00:23:47,076 --> 00:23:51,780 CAFFEINE AT HOME OR APNEA OR THE 609 00:23:51,780 --> 00:23:54,083 MOCA TRIAL, AND THIS IS 1 OF THE 610 00:23:54,083 --> 00:23:56,619 MOST COMMON DISORDERS IN 611 00:23:56,619 --> 00:23:57,987 MODERATELY PRETERM INFANTS AND 612 00:23:57,987 --> 00:24:01,790 OFTEN DELAYS DISCHARGE FROM 613 00:24:01,790 --> 00:24:02,324 HOSPITAL. 614 00:24:02,324 --> 00:24:03,893 AND SO WHAT THESE INVESTIGATORS 615 00:24:03,893 --> 00:24:06,195 WANTED TO DETERMINE IS IF 616 00:24:06,195 --> 00:24:06,996 EXTENDED CAFFEINE TREATMENT 617 00:24:06,996 --> 00:24:08,998 COULD REDUCE THE DURATION OF 618 00:24:08,998 --> 00:24:09,532 HOSPITALIZATION WHILE THEY 619 00:24:09,532 --> 00:24:12,434 PARTICIPATE IN A TRIALED FOR 620 00:24:12,434 --> 00:24:13,502 PREMATURITY, AT NEOPRACTICE 621 00:24:13,502 --> 00:24:16,906 MATURITY TO RESOLVE AND THIS 622 00:24:16,906 --> 00:24:19,642 INCLUDED INFANTS BONE 29-30 623 00:24:19,642 --> 00:24:22,278 WEEKS GUESTATION THAT WERE 624 00:24:22,278 --> 00:24:24,113 RECEIVING CAFFEINE POST 625 00:24:24,113 --> 00:24:26,282 MENSTRUAL AGE, -- POSTPARTUM AGE 626 00:24:26,282 --> 00:24:29,151 AND THEY WERE COMPARED WITH THE 627 00:24:29,151 --> 00:24:29,852 PLACEBO EXTENDED CAFFEINE 628 00:24:29,852 --> 00:24:32,454 TREATMENT DID NOT SHORTEN 629 00:24:32,454 --> 00:24:39,161 HOSPITALIZATION BUT THEY DID 630 00:24:39,161 --> 00:24:41,764 BECOME RECEIVE AT THE CENTER, 631 00:24:41,764 --> 00:24:43,599 BUT HELPFUL RESULTS AND HELPING 632 00:24:43,599 --> 00:24:46,068 TO RESOLVE THESE INFANTS MORE 633 00:24:46,068 --> 00:24:47,903 QUICKLY. 634 00:24:47,903 --> 00:24:48,904 NEXT SLIDE, PLEASE. 635 00:24:48,904 --> 00:24:52,074 SORT OF STAYING ON OUR PRETERM 636 00:24:52,074 --> 00:24:53,409 INFANT THEME, WE'VE HAD EXCITING 637 00:24:53,409 --> 00:24:55,010 RESULTS IN THIS AREA, THIS WAS 638 00:24:55,010 --> 00:24:57,513 ANOTHER STUDY OUT OF THE 639 00:24:57,513 --> 00:24:58,547 NEONATAL RESEARCH NETWORK WHICH 640 00:24:58,547 --> 00:24:59,548 WAS PUBLISH INDEED FEBRUARY, AND 641 00:24:59,548 --> 00:25:01,617 THEY WERE LOOKING TO SEE THE 642 00:25:01,617 --> 00:25:03,452 SHORTEST DURATION OF CORTICO 643 00:25:03,452 --> 00:25:06,655 STEROIDS WAS THAT WOULD IMPROVE 644 00:25:06,655 --> 00:25:08,724 NEONATAL SURVIVAL AND REDUCE 645 00:25:08,724 --> 00:25:10,092 MORBIDITY IN EXTREMELY PRETERM 646 00:25:10,092 --> 00:25:12,328 INFANTS SO WHEN WE TALK ABOUT 647 00:25:12,328 --> 00:25:13,362 EXTREMELY PRETERM INFANTS WE'RE 648 00:25:13,362 --> 00:25:17,700 TALKING ABOUT THOSE BORN BETWEEN 649 00:25:17,700 --> 00:25:18,234 22-27 WEEKS GUESTATION. 650 00:25:18,234 --> 00:25:28,677 AND WE KNOW THAT ANTINATAL 651 00:25:31,780 --> 00:25:34,116 EXPOSURE IS CAUSING SEVERAL 652 00:25:34,116 --> 00:25:35,517 MALAD'SS AND THE IPAD MA BE BORN 653 00:25:35,517 --> 00:25:37,720 WITHIN AN HOUR, UP TO 24 HOURS 654 00:25:37,720 --> 00:25:42,491 AFTER, WE LOOK AT 1806 INFANTS 655 00:25:42,491 --> 00:25:45,261 BORN FREEDOMLY PRETERM AFTER A 656 00:25:45,261 --> 00:25:49,365 SINGLE DOSE OF ANTINADAL BETA 657 00:25:49,365 --> 00:25:50,899 METHA ZONE WITHIN 24 HOURS OF 658 00:25:50,899 --> 00:25:52,735 BIRTH, AND THE RESULTS THAT NOTE 659 00:25:52,735 --> 00:25:54,136 THAD EVERY ADDITIONAL HOUR OF 660 00:25:54,136 --> 00:25:55,437 ADMIN TRAIGDZ OF STEROIDS TO THE 661 00:25:55,437 --> 00:25:58,173 MOTHER AND BIRTH WAS INDEEDEDLY 662 00:25:58,173 --> 00:25:59,775 ASSOCIATE WIDE A 1 PERCENT 663 00:25:59,775 --> 00:26:01,677 RELATIVE INREECE IN SURVIVAL AND 664 00:26:01,677 --> 00:26:03,078 SURVIVAL WITHOUT SEVERE 665 00:26:03,078 --> 00:26:03,846 MORBIDITY. 666 00:26:03,846 --> 00:26:05,481 SO THIS REALLY SUGGESTS THAT IN 667 00:26:05,481 --> 00:26:07,983 PATIENTS THAT ARE AT RISK OF 668 00:26:07,983 --> 00:26:09,518 IMMINENT PREBIRTH, EVEN A SHORT 669 00:26:09,518 --> 00:26:11,487 DURATION OF EXPOSURE TO A SINGLE 670 00:26:11,487 --> 00:26:13,989 DOSE OF STEROIDS MAY BE 671 00:26:13,989 --> 00:26:15,291 BENEFICIAL WITH BENEFITS THE 672 00:26:15,291 --> 00:26:18,727 INFANT INCREASING IN A DURATION 673 00:26:18,727 --> 00:26:21,597 DEPENDENT MANNER. 674 00:26:21,597 --> 00:26:24,566 NEXT SLIDE PLEASE. 675 00:26:24,566 --> 00:26:26,468 OVER TIME NICHD REALLY HAS BEEN 676 00:26:26,468 --> 00:26:29,305 ADVANCING STUDIES RELATED TO THE 677 00:26:29,305 --> 00:26:32,174 USE OF DIGITAL MEDIA AND 678 00:26:32,174 --> 00:26:33,409 TECHNOLOGY BY YOUNGER CHILDREN. 679 00:26:33,409 --> 00:26:35,577 AND WE'VE DONE THAT BOTH THROUGH 680 00:26:35,577 --> 00:26:36,979 STUDIES THAT WE HAVE SPONSORED 681 00:26:36,979 --> 00:26:39,114 OURSELVES AND THROUGH OUR CO 682 00:26:39,114 --> 00:26:41,216 FUNDING OF THE ADOLESCENT BRAIN 683 00:26:41,216 --> 00:26:41,850 AND COGNITIVE DEVELOPMENT STUDY 684 00:26:41,850 --> 00:26:43,619 AND THIS WAS A STUDY PUBLISHED 685 00:26:43,619 --> 00:26:46,422 IN JANUARY, THAT LOOKED AT 686 00:26:46,422 --> 00:26:47,823 TECHNOLOGIES BY SUBTYPE OVER 687 00:26:47,823 --> 00:26:50,693 TIME IN THOSE PARTICIPANTS. 688 00:26:50,693 --> 00:26:51,827 IT WAS ABOUT 11,000 PARTICIPANTS 689 00:26:51,827 --> 00:26:53,228 AND THESE ARE CHILDREN FOLLOWED 690 00:26:53,228 --> 00:26:55,597 FROM THE AGES OF ABOUT 9 OR 10 691 00:26:55,597 --> 00:27:00,636 TO AGES 13 OR 14. 692 00:27:00,636 --> 00:27:01,670 AND ACROSS DIFFERENT TECHNOLOGY 693 00:27:01,670 --> 00:27:04,173 TYPES SO CHILDREN WHO WATCH TV 694 00:27:04,173 --> 00:27:06,742 OR MOVIES, ENGAGE IN VIDEO GAME 695 00:27:06,742 --> 00:27:07,710 PLAY, WATCHING YouTUBE, 696 00:27:07,710 --> 00:27:11,580 ENGAGING ON SOCIAL MEDIA, VIDEO 697 00:27:11,580 --> 00:27:13,315 CHAT AND TEXTING, THEY GOT A 698 00:27:13,315 --> 00:27:15,784 SELF-REPORT FROM THE KIDS AS 699 00:27:15,784 --> 00:27:18,654 WELL AS PARENT INTERVIEWS AND 700 00:27:18,654 --> 00:27:21,056 THEY LOOK AT THE AGREEMENT 701 00:27:21,056 --> 00:27:23,692 BETWEEN THOSE REPORTS AND 702 00:27:23,692 --> 00:27:24,493 ASSOCIATION BETWEEN EACH 703 00:27:24,493 --> 00:27:25,894 ECNOLOGY SUBTYPE AND THE 704 00:27:25,894 --> 00:27:28,130 CHARACTERISTICS OF THESE 705 00:27:28,130 --> 00:27:29,798 CHILDREN FROM A SOCIOLOGICAL 706 00:27:29,798 --> 00:27:30,866 DEMOGRAPHIC PERSPECTIVE AND THEY 707 00:27:30,866 --> 00:27:33,268 REALLY THOUGHT ABOUT, YOU KNOW 708 00:27:33,268 --> 00:27:35,003 WHAT TYPE OF TECHNOLOGY USE, HOW 709 00:27:35,003 --> 00:27:37,740 IT DIFFERS BY THE TECHNOLOGY 710 00:27:37,740 --> 00:27:40,275 TYPE, THEIR AGE, SEX AND 711 00:27:40,275 --> 00:27:42,878 HOUSEHOLD FACTORS AND REALLY 712 00:27:42,878 --> 00:27:44,513 WHAT THEY FOUND IS THAT TIME 713 00:27:44,513 --> 00:27:46,815 ASSOCIATED WITH TB AND MOVIES, 714 00:27:46,815 --> 00:27:50,819 VIDEO GAMES, SOCIAL MEDIA AND 715 00:27:50,819 --> 00:27:51,520 TEXTING INCREASE OVERTIME, THEY 716 00:27:51,520 --> 00:27:54,757 DID NOT SEE A MAJOR INREECE IN 717 00:27:54,757 --> 00:27:56,725 YouTUBE USAGE AND USAGE ALSO 718 00:27:56,725 --> 00:27:58,093 DIFFERED BY SEX. 719 00:27:58,093 --> 00:27:59,495 THERE WERE SOME FINDINGS RELATED 720 00:27:59,495 --> 00:28:04,133 TO USE OF TECHNOLOGY OF CHILDREN 721 00:28:04,133 --> 00:28:06,402 WERE IN A MARRIED HOUSEHOLD WITH 722 00:28:06,402 --> 00:28:07,903 PATIENTS IF THE PARENTS HAVE 723 00:28:07,903 --> 00:28:09,905 HIGHER INCOME OR HIGHER 724 00:28:09,905 --> 00:28:10,739 EDUCATION LEVEL. 725 00:28:10,739 --> 00:28:12,074 AND TO BE HONEST WHICH I THINK 726 00:28:12,074 --> 00:28:15,811 MANY OF US WHO ARE PARENTS 727 00:28:15,811 --> 00:28:17,646 PROBABLY WOULD EXPECT, PARENTS 728 00:28:17,646 --> 00:28:19,615 ESTIMATE OF CHILD TECHNOLOGY USE 729 00:28:19,615 --> 00:28:20,783 WAS LOWER CHAN CHILD 730 00:28:20,783 --> 00:28:22,551 SELF-REPORTING AND THIS MAY FROM 731 00:28:22,551 --> 00:28:23,819 A NUMBER OF FACTORS BUT I THINK 732 00:28:23,819 --> 00:28:26,922 MANY OF US KNOW THAT THERE'S 733 00:28:26,922 --> 00:28:29,158 OFTEN AN UNDERESTIMATION WITH 734 00:28:29,158 --> 00:28:32,194 RESPECT TO SELF-REPORT. 735 00:28:32,194 --> 00:28:32,628 NEXT SLIDE, PLEASE. 736 00:28:32,628 --> 00:28:34,129 I JUST WANT TO HIGHLIGHT A 737 00:28:34,129 --> 00:28:35,531 COUPLE OF PROGRAMS THAT HAVE 738 00:28:35,531 --> 00:28:38,333 RECENTLY HAD SOME EXCITING 739 00:28:38,333 --> 00:28:38,967 PROGRESS OR RESULTS. 740 00:28:38,967 --> 00:28:40,369 MANY OF YOU KNOW THAT WE HAVE 741 00:28:40,369 --> 00:28:43,672 BEEN TRYING TO ADVANCE OUR 742 00:28:43,672 --> 00:28:45,340 ABILITY TO RAPIDLY INNOVATE 743 00:28:45,340 --> 00:28:47,075 ESPECIALLY IN THE DIAGNOSTICS 744 00:28:47,075 --> 00:28:48,510 REALM, AND WE'VE ENGAGED WITH 745 00:28:48,510 --> 00:28:50,612 OUR PARTNERS AT THE NATIONAL 746 00:28:50,612 --> 00:28:52,247 INSTITUTE ON BIOMEDICAL IMAGING 747 00:28:52,247 --> 00:28:55,117 AND BIOENGINEERING TO USE THEIR 748 00:28:55,117 --> 00:28:56,885 RAD-X PLATFORM AND THIS IS A 749 00:28:56,885 --> 00:28:59,988 PLATFORM THAT HELPS US TO SPUR 750 00:28:59,988 --> 00:29:01,056 COMMERCIALIZATION FROM RAPID 751 00:29:01,056 --> 00:29:02,191 SCALING OF TECHNOLOGIES THROUGH 752 00:29:02,191 --> 00:29:05,694 THE USE OF CASH BASED PRIZES AND 753 00:29:05,694 --> 00:29:08,096 DIFFERENT PHASES. 754 00:29:08,096 --> 00:29:10,265 AND WE HAVE RECENTLY USED THIS 755 00:29:10,265 --> 00:29:12,367 MANY OF YOU KNOW IN THE PREVIOUS 756 00:29:12,367 --> 00:29:13,635 ADMINISTRATION, THERE WAS A 757 00:29:13,635 --> 00:29:15,904 FOCUS ON WOMEN'S HEALTH SO WE 758 00:29:15,904 --> 00:29:17,906 DECIDED THAT IN OUR SPHERE OF 759 00:29:17,906 --> 00:29:19,942 INFLUENCE RELATED TO GUIN 760 00:29:19,942 --> 00:29:21,376 ONICOLOGGIC HEALTH DISEASE AND 761 00:29:21,376 --> 00:29:23,111 WOMEN'S SPECIFIC CONDITIONS THAT 762 00:29:23,111 --> 00:29:25,781 WE COULD POTENTIALLY ENGAGE THIS 763 00:29:25,781 --> 00:29:33,789 PLATFORM TO ADVANCE DIAGNOSTICS 764 00:29:33,789 --> 00:29:36,191 FOR ENDOMETRIOSIS, SO THE RAD-X 765 00:29:36,191 --> 00:29:37,259 PROGRAM SHORTENS TIME FROM 766 00:29:37,259 --> 00:29:41,663 DIAGNOSIS WHICH IS TIME FROM 767 00:29:41,663 --> 00:29:43,265 SYMPTOM ONSET TO DEFINITIVE 768 00:29:43,265 --> 00:29:43,932 DIAGNOSIS 10 QUEERS. 769 00:29:43,932 --> 00:29:45,200 IT ALSO REQUIRES A SURNLICAL 770 00:29:45,200 --> 00:29:48,203 DIAGNOSIS AND WE WANTED TO 771 00:29:48,203 --> 00:29:51,773 ELIMINATE THE INVASIVENESS OF 772 00:29:51,773 --> 00:29:52,941 THE DIAGNOSTIC TECHNOLOGY AND WE 773 00:29:52,941 --> 00:29:54,109 WANT TO IMPROVE SAFETY, 774 00:29:54,109 --> 00:29:55,878 CONVENIENCE AND COST, SO WE 775 00:29:55,878 --> 00:29:57,813 LEVERAGE THIS INNOVATION FUNNEL 776 00:29:57,813 --> 00:30:00,649 THAT YOU'RE SEEING RIGHT NOW, 777 00:30:00,649 --> 00:30:03,952 AND THIS WAS PREVIOUSLY USED FOR 778 00:30:03,952 --> 00:30:04,620 COVID-19 DIAGNOSTICS. 779 00:30:04,620 --> 00:30:08,023 WE'VE NOW USED IT FOR POSTPARTUM 780 00:30:08,023 --> 00:30:12,928 MONITORING AS WELL AS TO 781 00:30:12,928 --> 00:30:15,864 INCREASE OUR ABILITY TO DO SOME 782 00:30:15,864 --> 00:30:18,367 OF OUR PRETERM WORK AND PRETERM 783 00:30:18,367 --> 00:30:18,634 RISK. 784 00:30:18,634 --> 00:30:20,636 AND SO WE'RE LOOKING HERE AT 3 785 00:30:20,636 --> 00:30:24,506 PHASES, WE ARE -- WE LOOKED AT 786 00:30:24,506 --> 00:30:25,340 THE TECHNOLOGY PROTOTYPES, THE 787 00:30:25,340 --> 00:30:27,476 TYPE OF TECHNOLOGY AND THEIR 788 00:30:27,476 --> 00:30:27,943 DEVELOPMENT PLANS. 789 00:30:27,943 --> 00:30:30,312 THEY HAD TO HAVE A PROTOTYPE 790 00:30:30,312 --> 00:30:31,980 ALREADY AVAILABLE AND IT HAD TO 791 00:30:31,980 --> 00:30:33,382 BE NONINVASIVE AND WE'VE HAD 8 792 00:30:33,382 --> 00:30:35,150 PHASE 1 WINNERS AND THEY WERE 793 00:30:35,150 --> 00:30:37,052 INVITED TO PARTICIPATE IN THE 794 00:30:37,052 --> 00:30:38,921 PHASE 2 SHARK TANK STYLE 795 00:30:38,921 --> 00:30:41,590 PRESENTATION OF TECHNOLOGIES TO 796 00:30:41,590 --> 00:30:42,991 AN EXTERNAL EVALUATION PANEL AND 797 00:30:42,991 --> 00:30:45,327 A PANEL OF FEDERAL JUDGES. 798 00:30:45,327 --> 00:30:47,829 WE RECENTLY SELECTED 2 PHASE 24 799 00:30:47,829 --> 00:30:49,298 WINNERS, EACH FOLKS GOT A PRIZE 800 00:30:49,298 --> 00:30:51,133 OF A HUNDRED THOUSAND DOLLARS 801 00:30:51,133 --> 00:30:52,401 AND NOW THEY'RE PARTICIPATE 802 00:30:52,401 --> 00:30:54,736 NOTHING A YEAR LONG PHASE 3 803 00:30:54,736 --> 00:30:55,537 TECHNOLOGY DEVELOPMENT SPRINT SO 804 00:30:55,537 --> 00:30:57,272 THEY WILL GET WRAP AROUND 805 00:30:57,272 --> 00:30:59,775 SUPPORT FROM SUBJECT MATTER 806 00:30:59,775 --> 00:31:01,009 EXPERTS AND TECHNOLOGY 807 00:31:01,009 --> 00:31:02,277 COMMERCIAL DEVELOPMENT AND 808 00:31:02,277 --> 00:31:02,978 COMMERCIALIZATION AND WE'RE 809 00:31:02,978 --> 00:31:04,846 HOPING TO GET THOSE PHASE 3 810 00:31:04,846 --> 00:31:06,582 WINNERS SELECT INDEED SPRING OF 811 00:31:06,582 --> 00:31:10,519 2026, SO VERY, VERY SOON AND 812 00:31:10,519 --> 00:31:11,086 NEXT SLIDE, PLEASE. 813 00:31:11,086 --> 00:31:12,955 WHAT'S GREAT ABOUT THIS IS WE'VE 814 00:31:12,955 --> 00:31:14,890 HAD SOME REALLY EXCITING 815 00:31:14,890 --> 00:31:16,091 TECHNOLOGIES EMERGE HERE, SO 816 00:31:16,091 --> 00:31:19,227 I'VE HIGHLIGHTED THE COMPANIES 817 00:31:19,227 --> 00:31:21,630 HERE IN THEIR GENERAL DIAGNOSTIC 818 00:31:21,630 --> 00:31:26,501 APPROACHES INCLUDING SOME 819 00:31:26,501 --> 00:31:30,505 IMAGING TECHNIQUES FOR EXAMPLE, 820 00:31:30,505 --> 00:31:36,211 LOOKING AT -- YOU KNOW LOOKING 821 00:31:36,211 --> 00:31:39,615 AT THINGS RELATED TO URINE 822 00:31:39,615 --> 00:31:41,583 PESTISTAL SIS, SO CONTRACTIONS 823 00:31:41,583 --> 00:31:43,018 IN THE UTERROUS AND THESE ARE 824 00:31:43,018 --> 00:31:44,386 SENSORS AND LOOKING AT 825 00:31:44,386 --> 00:31:46,722 ELECTRICAL ACTIVITY SO KIND OF 826 00:31:46,722 --> 00:31:48,590 LIKE AN ELECTROCARDIOGRAM, ALSO 827 00:31:48,590 --> 00:31:50,025 LOOKING AT ELECTROVISITING 828 00:31:50,025 --> 00:31:52,060 ROGRAPHY, LOOKING AT ELECTRICAL 829 00:31:52,060 --> 00:31:55,864 ACTIVITY OF THE GASTROINTESTINAL 830 00:31:55,864 --> 00:31:56,932 TRACT AND THINKING ABOUT HOW 831 00:31:56,932 --> 00:31:59,001 SMOOTH MUSCLES IN THE 832 00:31:59,001 --> 00:32:01,303 GASTROINTESTINAL TRACT MAY REACT 833 00:32:01,303 --> 00:32:03,472 DURING SYMPTOMATIC PERIODS, ALSO 834 00:32:03,472 --> 00:32:07,209 LOOKING AT 2 COMPANIES REALLY 835 00:32:07,209 --> 00:32:08,610 THINKING ABOUT MENSTRUAL 836 00:32:08,610 --> 00:32:10,212 AFFLUENT AND MARKERS THAT MAY BE 837 00:32:10,212 --> 00:32:12,080 AVAILABLE IN THOSE AND AT-HOME 838 00:32:12,080 --> 00:32:16,284 KITS TO THINK ABOUT HOW TO LOOK 839 00:32:16,284 --> 00:32:22,290 AT SINGLE CELL RNA SEQUENCING OR 840 00:32:22,290 --> 00:32:23,825 OTHER TRANSCRIPTOMIC BIOMARKERS, 841 00:32:23,825 --> 00:32:26,662 SO WE'RE REALLY EXCITED ABOUT 842 00:32:26,662 --> 00:32:28,363 THIS POTENTIAL AND THE RESULTS. 843 00:32:28,363 --> 00:32:29,364 NEXT SLIDE, PLEASE. 844 00:32:29,364 --> 00:32:31,266 SO THE OTHER THING AND I 845 00:32:31,266 --> 00:32:33,435 MENTIONED EARLIER, THAT 1 OF OUR 846 00:32:33,435 --> 00:32:34,636 MAJOR INITIATIVES IS TO LOOK AT 847 00:32:34,636 --> 00:32:37,305 THE EFFECTS OF MEDICATION DURING 848 00:32:37,305 --> 00:32:40,475 PREGNANCY AND LACTATION AND THIS 849 00:32:40,475 --> 00:32:42,678 IS FOR PREGNANT, POSTPARTUM AND 850 00:32:42,678 --> 00:32:43,512 LACTATING WOMEN. 851 00:32:43,512 --> 00:32:44,813 AND 1 OF THE THINGS WE HAVE DONE 852 00:32:44,813 --> 00:32:48,316 TO IMPROVE THE LEVEL OF 853 00:32:48,316 --> 00:32:49,818 INFORMATION THAT PREGNANT WOMEN 854 00:32:49,818 --> 00:32:50,952 AND LACTATING WOMEN RECEIVE, AND 855 00:32:50,952 --> 00:32:52,921 WE'VE BEEN WORKING ON THIS SINCE 856 00:32:52,921 --> 00:32:54,890 2016 BECAUSE OF A LAW THAT 857 00:32:54,890 --> 00:32:57,793 PREGNANT WOMEN, THE TASK FORCE 858 00:32:57,793 --> 00:32:58,994 ON RESEARCH, SPECIFICALLY 859 00:32:58,994 --> 00:33:00,796 PREGNANT WOMEN AND THE CURES 860 00:33:00,796 --> 00:33:01,096 ACT. 861 00:33:01,096 --> 00:33:02,964 WE'VE WORKED FOR QUITE SOMETIME 862 00:33:02,964 --> 00:33:03,899 TO BOTH PUBLIC RECOMMENDATIONS 863 00:33:03,899 --> 00:33:05,367 ON HOW TO IMPROVE THE SCIENCE 864 00:33:05,367 --> 00:33:08,070 AND THEN WE'VE DONE 2 865 00:33:08,070 --> 00:33:10,972 OPPORTUNITIES TO LOOK AT HOW 866 00:33:10,972 --> 00:33:11,773 WELL WE'VE IMPLEMENTED. 867 00:33:11,773 --> 00:33:13,175 WE REALLY NEED TO CHANGE THE 868 00:33:13,175 --> 00:33:14,543 CULTURE OF SAFETY AROUND THIS SO 869 00:33:14,543 --> 00:33:16,511 THAT WE CAN GET SAFETY 870 00:33:16,511 --> 00:33:18,814 EFFECTIVENESS AND DOSING FOR 871 00:33:18,814 --> 00:33:20,882 PREGNANT AND LACTATING WOMEN AND 872 00:33:20,882 --> 00:33:26,722 ALSO POTENTIALLY EVEN GET THE 873 00:33:26,722 --> 00:33:28,123 IMPACTS ON THEIR CHILDREN AND SO 874 00:33:28,123 --> 00:33:31,059 WE HAD A STAKEHOLDER MEET 875 00:33:31,059 --> 00:33:32,594 NOTHING JULY 2024 WHERE WE SET 876 00:33:32,594 --> 00:33:33,762 UP SOMETHING SIM LACK TO WHAT 877 00:33:33,762 --> 00:33:35,964 WE'VE DONE IN THE BEST 878 00:33:35,964 --> 00:33:36,765 PHARMACEUTICALS FOR CHILDREN 879 00:33:36,765 --> 00:33:38,233 ACT, IT'S A PRIORITIZATION 880 00:33:38,233 --> 00:33:40,402 PROCESS TO LOOK AT DRUGS AND 881 00:33:40,402 --> 00:33:41,069 OTHER THERAPEUTIC RESEARCH 882 00:33:41,069 --> 00:33:42,337 PRIORITIES AND WHAT WE HAVE BEEN 883 00:33:42,337 --> 00:33:44,539 DOING IS TO REALLY THINK ABOUT 884 00:33:44,539 --> 00:33:47,442 HOW TO CONDUCT STUDIES FOR THE 885 00:33:47,442 --> 00:33:49,478 VARYING CONDITIONS THAT WERE 886 00:33:49,478 --> 00:33:50,145 PROVIDED AS POTENTIAL PRIORITIES 887 00:33:50,145 --> 00:33:52,814 AND WE WILL START LOOKING AT THE 888 00:33:52,814 --> 00:33:53,749 THERAPEUTIC AREAS THAT WE'RE 889 00:33:53,749 --> 00:33:56,151 GOING TO CONCENTRATE IN AND 890 00:33:56,151 --> 00:33:58,420 REVISIONS TO THE PRIORITIZATION 891 00:33:58,420 --> 00:34:00,388 FRAMEWORK. 892 00:34:00,388 --> 00:34:00,822 NEXT SLIDE, PLEASE. 893 00:34:00,822 --> 00:34:02,457 I THINK MANY OF YOU ARE ALSO 894 00:34:02,457 --> 00:34:05,660 VERY AWARE THAT WE ARE A LARGE 895 00:34:05,660 --> 00:34:07,095 PORTFOLIO IN INTELLECTUAL AND 896 00:34:07,095 --> 00:34:07,729 DEVELOPMENTAL DISABILITIES AND 897 00:34:07,729 --> 00:34:11,466 WE ARE PART OF AN NIH WIDE STUDY 898 00:34:11,466 --> 00:34:13,602 THAT IS LOOKING AT THE 899 00:34:13,602 --> 00:34:15,570 INVESTIGATION OF CO OCCURRING 900 00:34:15,570 --> 00:34:18,173 CONDITIONS ACROSS THE LIFE SPAN 901 00:34:18,173 --> 00:34:19,641 TO UNDERSTAND DOWNS SYNDROME SO 902 00:34:19,641 --> 00:34:20,976 THIS A LARGE SCALE EFFORT THAT 903 00:34:20,976 --> 00:34:23,979 WE PARTNER WITH MANY OTHER NIH 904 00:34:23,979 --> 00:34:24,813 INSTITUTES AND PRIMARILY WORK 905 00:34:24,813 --> 00:34:27,816 WITH A NATIONAL INSTITUTE ON 906 00:34:27,816 --> 00:34:29,351 AGING, THE NATIONAL CANCER 907 00:34:29,351 --> 00:34:30,252 EN--STRATEGIESITUTE AND THE 908 00:34:30,252 --> 00:34:31,386 NATIONAL HEART LUNG AND BLOOD 909 00:34:31,386 --> 00:34:33,355 INSTITUTE BECAUSE OF THE 910 00:34:33,355 --> 00:34:35,791 CO-OCCURRING CONDITIONS WE OFTEN 911 00:34:35,791 --> 00:34:38,226 SEE RELATED TO ALZHEIMER'S 912 00:34:38,226 --> 00:34:38,927 DISEASE, CARDIOVASCULAR 913 00:34:38,927 --> 00:34:40,362 CONDITIONS AND ACTUALLY THE LACK 914 00:34:40,362 --> 00:34:42,831 OF SOLID TUMOR DEVELOPMENT IN 915 00:34:42,831 --> 00:34:44,366 INDIVIDUALS WITH DOWNS SYNDROME 916 00:34:44,366 --> 00:34:46,268 AND SO, THE 3 PARTS OF THIS, ARE 917 00:34:46,268 --> 00:34:47,903 REALLY THINKING ABOUT CONDUCTING 918 00:34:47,903 --> 00:34:49,638 TARGETED HIGH RISK, HIGH REWARD 919 00:34:49,638 --> 00:34:51,273 BASIC SCIENCE STUDIES IN AREAS 920 00:34:51,273 --> 00:34:52,808 RELATED TO DOWNS SYNDROME, 921 00:34:52,808 --> 00:34:54,209 BUILDING A LARGE COHORT OF 922 00:34:54,209 --> 00:34:55,377 INDIVIDUALS WITH DOWNS SYNDROME 923 00:34:55,377 --> 00:34:57,279 ACROSS THE LIFE SPAN TO 924 00:34:57,279 --> 00:34:59,047 PERFORM DEEP PHENOTYPES AND 925 00:34:59,047 --> 00:35:02,617 STUDY COEXISTING CONDITIONS AND 926 00:35:02,617 --> 00:35:04,953 TO REALLY INSURE THAT DOWNS 927 00:35:04,953 --> 00:35:06,488 SYNDROME ARE INTEGRATED IN 928 00:35:06,488 --> 00:35:07,722 CLENICAL FUTURE TRIALS, VERY 929 00:35:07,722 --> 00:35:09,791 SIMILAR TO WHAT WE'VE DONE FOR 930 00:35:09,791 --> 00:35:11,326 OTHER POPULATIONS AS I'VE 931 00:35:11,326 --> 00:35:13,495 MENTIONED TO INSURE THAT WE 932 00:35:13,495 --> 00:35:14,596 UNDERSTAND THE SAFETY, EFFICACY 933 00:35:14,596 --> 00:35:17,899 AND EFFECTIVENESS OF MEDICATIONS 934 00:35:17,899 --> 00:35:18,800 IN THIS POPULATION. 935 00:35:18,800 --> 00:35:21,102 SO WE'VE -- THIS PROGRAM 936 00:35:21,102 --> 00:35:22,637 SUPPORTED ABOUT $90 MILLION IN 937 00:35:22,637 --> 00:35:26,975 RESEARCH AND 2024. 938 00:35:26,975 --> 00:35:29,811 NEXT SLIDE, PLEASE. 939 00:35:29,811 --> 00:35:30,912 IN 2024 THAT $90 MILLION 940 00:35:30,912 --> 00:35:32,881 INCLUDED THE LAUNCH OF A 941 00:35:32,881 --> 00:35:33,949 20 MILLION-DOLLAR DOWN SYNDROME 942 00:35:33,949 --> 00:35:36,351 COHORT PROGRAM, SO WE HAD 5 943 00:35:36,351 --> 00:35:37,185 SITES PARTICIPATING PLUS 944 00:35:37,185 --> 00:35:38,253 COMMUNITY PARTNERS AND THIS IS 945 00:35:38,253 --> 00:35:39,988 REALLY TO IMPROVE OUR 946 00:35:39,988 --> 00:35:40,589 UNDERSTANDING OF THE 947 00:35:40,589 --> 00:35:41,556 HETEROGENEITY OF THE POPULATION 948 00:35:41,556 --> 00:35:43,425 AND THE NATURAL HISTORY OF DOWNS 949 00:35:43,425 --> 00:35:45,794 SYNDROME OR BE TRACKING THE 950 00:35:45,794 --> 00:35:48,797 HEALTH OF PEOPLE FROM DOWN 951 00:35:48,797 --> 00:35:50,565 SYNDROME FROM BIRTH TO ADULTHOOD 952 00:35:50,565 --> 00:35:53,201 AND THIS IS LOOKING AT THE 953 00:35:53,201 --> 00:35:54,569 SOCIAL, EXPERIENCIAL AND 954 00:35:54,569 --> 00:35:55,637 ENVIRONMENTAL FACTORS THAT 955 00:35:55,637 --> 00:35:56,705 IMPACT OUTCOMES. 956 00:35:56,705 --> 00:35:58,106 WE WANT TO ACCELERATE THE 957 00:35:58,106 --> 00:35:59,174 KNOWLEDGE OF HELT CONDITIONS 958 00:35:59,174 --> 00:36:00,642 THAT MORE COMMONLY AFFECT THOSE 959 00:36:00,642 --> 00:36:02,410 WITH DOWNS SYNDROME AND REALLY 960 00:36:02,410 --> 00:36:03,812 IMPROVE THE QUALITY OF LIFE FOR 961 00:36:03,812 --> 00:36:04,913 INDIVIDUALS AND THEIR FAMILIES. 962 00:36:04,913 --> 00:36:06,147 WE'RE HOPING TO START 963 00:36:06,147 --> 00:36:08,216 RECRUITMENT WITH THIS STUDY IN 964 00:36:08,216 --> 00:36:09,818 THE LATTER HALF OF 2025. 965 00:36:09,818 --> 00:36:14,356 AND THEN WE WILL TART TO EXPAND 966 00:36:14,356 --> 00:36:16,124 NEW STUDY SITES OVER THE NEXT 967 00:36:16,124 --> 00:36:23,164 5-10 YEARS. 968 00:36:23,164 --> 00:36:23,865 NEXT SLIDE, PLEASE. 969 00:36:23,865 --> 00:36:26,067 THIS IS A CONFIDENTIAL ONLINE 970 00:36:26,067 --> 00:36:28,036 SURVEY TOOL THAT COLLECTS 971 00:36:28,036 --> 00:36:29,004 INFORMATION ABOUT PEOPLE WITH 972 00:36:29,004 --> 00:36:31,106 DOWNS SYNDROME AND THIS WAS 973 00:36:31,106 --> 00:36:35,777 CREATED BY NICHD TO ENABLE THE 974 00:36:35,777 --> 00:36:37,212 DOWNS SYNDROME COMMUNITY TO 975 00:36:37,212 --> 00:36:39,748 EXPRESS WITH RESEARCHERS, THEY 976 00:36:39,748 --> 00:36:42,350 CAN EXPRESS CLINICAL STUDIES, 977 00:36:42,350 --> 00:36:43,518 CONDUCT SURVEYS TO IMPROVE 978 00:36:43,518 --> 00:36:45,153 UNDERSTANDING OF THEIR HEALTH 979 00:36:45,153 --> 00:36:46,988 ESPECIALLY AT THEIR AGE. 980 00:36:46,988 --> 00:36:48,690 WE'VE GOTTEN IMPORTANT HEALTH 981 00:36:48,690 --> 00:36:49,758 DATA FROM NEARLY 6000 PEOPLE 982 00:36:49,758 --> 00:36:50,926 WITH DOWNS SYNDROME AND WE 983 00:36:50,926 --> 00:36:51,793 SUPPORTED OVER A HUNDRED 984 00:36:51,793 --> 00:36:54,896 RESEARCH STUDIES IF ARE 985 00:36:54,896 --> 00:36:55,330 RECRUITMENT. 986 00:36:55,330 --> 00:36:58,166 WE PAUSED THIS REGISTRY IN 2024 987 00:36:58,166 --> 00:37:00,468 BECAUSE WE NEEDED TO REFRESH IT 988 00:37:00,468 --> 00:37:02,570 AND IMPROVE ITS FUNCTION AND SO 989 00:37:02,570 --> 00:37:04,172 WE RELAUNCHED IT IN MARCH OF 990 00:37:04,172 --> 00:37:07,475 2025 WITH AN UPDATED LOOK AND 991 00:37:07,475 --> 00:37:09,010 FEEL AND IMPROVE THE USER 992 00:37:09,010 --> 00:37:10,845 FRIENDLINESS OF IT AND INSURED 993 00:37:10,845 --> 00:37:13,048 IT WORKED ACROSS DIFFERENT 994 00:37:13,048 --> 00:37:14,215 DEVICES AND SO WE WILL CONTINUE 995 00:37:14,215 --> 00:37:16,184 TO ENHANCE THIS WORK OVER TIME 996 00:37:16,184 --> 00:37:18,586 AND REALLY TRY TO THINK ABOUT 997 00:37:18,586 --> 00:37:20,188 FEATURES THAT WILL WORK WITH THE 998 00:37:20,188 --> 00:37:23,825 COMMUNITY AND MEET THEIR NEEDS. 999 00:37:23,825 --> 00:37:24,192 NEXT SLIDE. 1000 00:37:24,192 --> 00:37:28,296 I ALSO WANT TO MAKE MANY OF YOU 1001 00:37:28,296 --> 00:37:31,733 AWARE OF THIS P. A. R. WE HAVE 1002 00:37:31,733 --> 00:37:32,634 FROM NICHD. 1003 00:37:32,634 --> 00:37:35,537 WE HAVE QUITE A LARGE NETWORK 1004 00:37:35,537 --> 00:37:37,138 INFRASTRUCTURE AND WE WANTED TO 1005 00:37:37,138 --> 00:37:39,007 INSHOULD THAT FOLKS COULD ACCESS 1006 00:37:39,007 --> 00:37:40,909 THIS INFRASTRUCTURE TO CONDUCT 1007 00:37:40,909 --> 00:37:42,844 INNOVATIVE RESEARCH IN A KIND OF 1008 00:37:42,844 --> 00:37:44,713 MORE OPEN WAY THAT STILL 1009 00:37:44,713 --> 00:37:46,681 INCLUDES SCIENTIFIC REVIEW, BUT 1010 00:37:46,681 --> 00:37:48,316 OPENS OUR NETWORK INFRASTRUCTURE 1011 00:37:48,316 --> 00:37:51,619 MORE BROADLY, AND SO THIS P. A. 1012 00:37:51,619 --> 00:37:53,455 R. LEVERAGING NETWORK 1013 00:37:53,455 --> 00:37:56,691 INFRASTRUCTURE TO CONDUCT 1014 00:37:56,691 --> 00:37:59,194 RESEARCH AND FOR PEOPLE WITH 1015 00:37:59,194 --> 00:38:00,495 DISABILITIES AND LACTATING 1016 00:38:00,495 --> 00:38:03,531 WOMEN, YOUR BUDGET IS LIMITED TO 1017 00:38:03,531 --> 00:38:04,366 DIRECT COSTS OF $6.25 MILLION 1018 00:38:04,366 --> 00:38:06,868 FOR THE ENTIRE PROJECT, THIS 1019 00:38:06,868 --> 00:38:08,570 WOULD BE PHASES, YOUR PLANNING 1020 00:38:08,570 --> 00:38:09,871 PHASE AND YOUR IMPLEMENTATION 1021 00:38:09,871 --> 00:38:13,508 PHASE BUT IT REALLY CAN BE USED 1022 00:38:13,508 --> 00:38:15,477 FOR THE DISABILITY COMMUNITY TO 1023 00:38:15,477 --> 00:38:18,747 SUPPORT CLINICAL TRIAL ANDS 1024 00:38:18,747 --> 00:38:18,980 TODAYS. 1025 00:38:18,980 --> 00:38:25,820 TODAY -- STUDIES AND THIS IS A 1026 00:38:25,820 --> 00:38:27,088 PLATFORM FOR INVESTIGATOR 1027 00:38:27,088 --> 00:38:28,289 INITTATION RESEARCH AND 1028 00:38:28,289 --> 00:38:33,194 INVESTIGATING AREAS. 1029 00:38:33,194 --> 00:38:34,062 NEXT SLIDE, PLEASE. 1030 00:38:34,062 --> 00:38:35,363 SO JUST LAST PROGRAM UPDATE I 1031 00:38:35,363 --> 00:38:38,666 HAVE FOR YOU ALL, MANY OF YOU 1032 00:38:38,666 --> 00:38:42,704 ALL ARE ALSO AWARE THAT NIH HAS 1033 00:38:42,704 --> 00:38:44,639 BEEN ACTIVELY ACTIVATING DATA 1034 00:38:44,639 --> 00:38:47,609 SHARING AND MONITORING PLANS, 1035 00:38:47,609 --> 00:38:51,379 AND THIS HUB HAS BEEN NICHD'S 1036 00:38:51,379 --> 00:38:51,980 GENERAL DEPOSITION POINT FOR 1037 00:38:51,980 --> 00:38:56,651 MOST OF OUR STUDIES FOR QUITE 1038 00:38:56,651 --> 00:38:58,119 TIME NOW. 1039 00:38:58,119 --> 00:38:59,854 IT'S A CENTRALIZED RESOURCE THAT 1040 00:38:59,854 --> 00:39:02,323 WE HOPE ALLOWS RESEARCHERS TO 1041 00:39:02,323 --> 00:39:04,526 ACCESS DEIDENTIFIED DATA FUNDED 1042 00:39:04,526 --> 00:39:06,828 BY NICHD, WE HAVE 230 STUDIES ON 1043 00:39:06,828 --> 00:39:09,597 OVER 60 TOPICS ON THE PLATFORM, 1044 00:39:09,597 --> 00:39:11,132 SO, WE HAVE RUN INTO A LITTLE 1045 00:39:11,132 --> 00:39:14,069 BIT OF A CONTRACT ISSUE WITH 1046 00:39:14,069 --> 00:39:16,071 RESPECT TO THIS AND WE DO HAVE 1047 00:39:16,071 --> 00:39:17,906 BIOSPECIMENS AVAILABLE AS WELL 1048 00:39:17,906 --> 00:39:19,607 AS DATA BUT WE ARE GOING TO 1049 00:39:19,607 --> 00:39:22,377 MIGRATE THIS TO A SHARED 1050 00:39:22,377 --> 00:39:24,479 PLATFORM THAT'S HOSTED AT NIH 1051 00:39:24,479 --> 00:39:27,315 INSTEAD OF MAINTAINING OUR OWN 1052 00:39:27,315 --> 00:39:28,817 REPOSITORY, WHAT WE FOUND IS 1053 00:39:28,817 --> 00:39:31,619 THAT BY LINK INTOG A CENTRALIZED 1054 00:39:31,619 --> 00:39:33,788 INFRASTRUCTURE WE WILL BE ABLE 1055 00:39:33,788 --> 00:39:36,257 TO GAIN REALLY EXCITING SECURITY 1056 00:39:36,257 --> 00:39:37,525 FEATURES AS WELL AS TECHNICAL 1057 00:39:37,525 --> 00:39:38,927 FEATURES THAT WILL BETTER SERVE 1058 00:39:38,927 --> 00:39:40,462 THE COMMUNITY SO WE WILL 1059 00:39:40,462 --> 00:39:42,397 TRANSITION TO THE BIOMEDICAL 1060 00:39:42,397 --> 00:39:42,997 RESEARCH INFORMATICS COMPUTING 1061 00:39:42,997 --> 00:39:45,066 SYSTEM OR THE BRICKS DATA 1062 00:39:45,066 --> 00:39:45,967 SCIENCE PLATFORM. 1063 00:39:45,967 --> 00:39:47,735 FOR THOSE IN THIS COMMUNITY, YOU 1064 00:39:47,735 --> 00:39:50,438 ARE PROBABLY REALLY ACTUALLY 1065 00:39:50,438 --> 00:39:56,277 ALREADY FAMILIAR WITH BRCS, IF 1066 00:39:56,277 --> 00:39:58,379 YOU HAVE DONE ANY HOSTING THERE, 1067 00:39:58,379 --> 00:40:03,284 SO AS WE MIGRATE OVER TO THIS 1068 00:40:03,284 --> 00:40:04,486 MODULAR WEB BASED SYSTEM WE WILL 1069 00:40:04,486 --> 00:40:09,357 TAKE THE DATA DOWN FOR A MOMENT 1070 00:40:09,357 --> 00:40:11,759 SO STARTING TODAY, ACTUALLY DASH 1071 00:40:11,759 --> 00:40:13,628 WILL BE UNABLE FOR FOLKS TO 1072 00:40:13,628 --> 00:40:14,896 PROVIDE OR RECHIEF DATA. 1073 00:40:14,896 --> 00:40:16,197 WE HAVE BEEN COMMUNICATING WITH 1074 00:40:16,197 --> 00:40:17,565 THE COMMUNITY ABOUT THIS SO IT'S 1075 00:40:17,565 --> 00:40:21,402 NOT NEW NEWS FOR THOSE WHO HAVE 1076 00:40:21,402 --> 00:40:23,371 BEEN USING IT WE'RE HOPEFUL WE 1077 00:40:23,371 --> 00:40:25,006 WILL BE ABLE TO GET THIS BACK UP 1078 00:40:25,006 --> 00:40:25,874 BY FALL WORKING WITH OUR TEAM 1079 00:40:25,874 --> 00:40:27,842 AND THIS WILL BA KNOW EXCITING 1080 00:40:27,842 --> 00:40:29,911 NEW DEVELOPMENT, I THINK WE WILL 1081 00:40:29,911 --> 00:40:31,112 GET GREAT FUNCTIONALITY OUT OF 1082 00:40:31,112 --> 00:40:36,217 THIS. 1083 00:40:36,217 --> 00:40:36,885 NEXT SLIDE, PLEASE. 1084 00:40:36,885 --> 00:40:38,319 AND I JUST WANT TO MENTION THE 1085 00:40:38,319 --> 00:40:40,688 STAFF UPDATE, NEXT SLIDE, SOME 1086 00:40:40,688 --> 00:40:43,558 OF YOU HAVE BEEN WORKING IN THE 1087 00:40:43,558 --> 00:40:45,260 CHILD AND BEHAVIORIAL 1088 00:40:45,260 --> 00:40:46,861 WREFIOUSLY, BRETT MILLER IS THE 1089 00:40:46,861 --> 00:40:48,596 ACTING DIRECTOR THERE, HE WAS 1090 00:40:48,596 --> 00:40:49,564 OVER THE LEARNING DISABILITIES 1091 00:40:49,564 --> 00:40:53,168 PROGRAM AND HAS BEEN REALLY 1092 00:40:53,168 --> 00:40:54,035 INVOLVED IN INCREASING KNOWLEDGE 1093 00:40:54,035 --> 00:40:56,104 RELEVANT TO TYPICAL AND ATYPICAL 1094 00:40:56,104 --> 00:40:57,372 DEVELOPMENT OF READING AND 1095 00:40:57,372 --> 00:40:58,206 WRITTEN LANGUAGE. 1096 00:40:58,206 --> 00:41:00,175 HE'S ALSO BEEN 1 OF THE CO-LEADS 1097 00:41:00,175 --> 00:41:02,043 OF THE TOP INITIATIVE THAT WE 1098 00:41:02,043 --> 00:41:03,912 HAVE UPDATER TAKEN WITH THE 1099 00:41:03,912 --> 00:41:06,147 NATIONAL INSTITUTE OF DEAFNESS 1100 00:41:06,147 --> 00:41:06,714 AND COMMUNICATION DISORDERS. 1101 00:41:06,714 --> 00:41:09,083 HE'S A Ph.D. AND COGNITIVE 1102 00:41:09,083 --> 00:41:11,119 PSYCHOLOGY AT THE UNIVERSITY OF 1103 00:41:11,119 --> 00:41:13,955 MASSACHUSETTS AMHURSTS AND HE IS 1104 00:41:13,955 --> 00:41:15,790 STEPPING IN FOR JAMES GRIFFIN 1105 00:41:15,790 --> 00:41:18,459 AFTER MANY YEARS OF NICHD 1106 00:41:18,459 --> 00:41:20,328 INCLUDING AS THE BRANCH CHIEF OF 1107 00:41:20,328 --> 00:41:20,528 CDBB. 1108 00:41:20,528 --> 00:41:25,433 SO WITH THAT I WILL STOP AND 1109 00:41:25,433 --> 00:41:27,202 TAKE QUESTIONS AND I WILL BE 1110 00:41:27,202 --> 00:41:29,237 MONITORING THE CHAT BUT ALSO 1111 00:41:29,237 --> 00:41:30,605 WORKING WITH OUR TEAM SO HAPPY 1112 00:41:30,605 --> 00:41:35,143 TO ANSWER ANY QUESTIONS FROM 1113 00:41:35,143 --> 00:41:35,510 FOLKS. 1114 00:41:35,510 --> 00:41:46,221 >> THANK YOU SO MUCH ALLYSON. 1115 00:41:46,221 --> 00:41:46,621 LOTS GOING ON. 1116 00:41:46,621 --> 00:41:47,922 FOR THOSE WHO HAVE QUESTIONS 1117 00:41:47,922 --> 00:41:49,424 PLEASE RAISE YOUR HAND AND I 1118 00:41:49,424 --> 00:41:50,124 SCHEDULE FOR RALPH'S HELP 1119 00:41:50,124 --> 00:41:59,100 BECAUSE I AM NOT SEEING HANDS 1120 00:41:59,100 --> 00:41:59,434 RAISED. 1121 00:41:59,434 --> 00:42:10,011 >> I DON'T SEE ANY HANDS RAISED 1122 00:42:16,784 --> 00:42:18,620 AT THIS TIME. 1123 00:42:18,620 --> 00:42:19,687 CAN I ASK ALLYSON, WHAT DO YOU 1124 00:42:19,687 --> 00:42:22,056 SEE AS THE GREATEST 1125 00:42:22,056 --> 00:42:22,890 OPPORTUNITIES MOVING FORWARD? 1126 00:42:22,890 --> 00:42:26,995 >> SO, YOU KNOW I THINK THAT WE 1127 00:42:26,995 --> 00:42:29,264 HAVE RIGHT NOW, A NUMBER OF 1128 00:42:29,264 --> 00:42:30,531 CHALLENGES, RIGHT? 1129 00:42:30,531 --> 00:42:33,835 BUT I DO SEE THE REAL 1130 00:42:33,835 --> 00:42:37,472 OPPORTUNITIES THAT I'M SEEING 1131 00:42:37,472 --> 00:42:39,774 RIGHT NOW ARE NICHD HAS BEEN 1132 00:42:39,774 --> 00:42:41,209 REALLY TRYING TO OPEN MANY OF 1133 00:42:41,209 --> 00:42:42,510 OUR PROCESSES SO THAT WE ARE AS 1134 00:42:42,510 --> 00:42:44,946 I NOTED WITH THE NETWORK 1135 00:42:44,946 --> 00:42:45,880 INFRASTRUCTURE FOR EXAMPLE, WE 1136 00:42:45,880 --> 00:42:47,382 ARE TRYING VERY HARD TO MAKE 1137 00:42:47,382 --> 00:42:51,219 MOST OF OUR RESOURCES MORE 1138 00:42:51,219 --> 00:42:53,588 AVAILABLE TO RESEARCHERS ACROSS 1139 00:42:53,588 --> 00:42:54,989 OUR DIFFERENT AREAS OF MISSION. 1140 00:42:54,989 --> 00:42:59,894 AND SO, I THINK WHAT'S REALLY 1141 00:42:59,894 --> 00:43:00,728 INTERESTING ARE THE 1142 00:43:00,728 --> 00:43:02,330 OPPORTUNITIES WE HAVE TO 1143 00:43:02,330 --> 00:43:03,197 POTENTIALLY LEVERAGE THE LARGE 1144 00:43:03,197 --> 00:43:07,635 SCALE INFRASTRUCTURE THAT WE 1145 00:43:07,635 --> 00:43:09,504 DEVELOPED AND ASK QUESTIONS 1146 00:43:09,504 --> 00:43:11,105 ABOUT VERY EARLY REHABILITATION 1147 00:43:11,105 --> 00:43:12,307 FOR EXAMPLE, OF PRETERM INFANTS 1148 00:43:12,307 --> 00:43:14,509 AND I THINK WE HAVE HAD THOSE 1149 00:43:14,509 --> 00:43:18,046 INITIATIVES IN THE PAST BUT I 1150 00:43:18,046 --> 00:43:19,747 THINK THIS REALLY PORTENDS AN 1151 00:43:19,747 --> 00:43:20,214 OPPORTUNITY. 1152 00:43:20,214 --> 00:43:21,149 THE OTHER IS BECAUSE WE 1153 00:43:21,149 --> 00:43:23,251 PARTICIPATE IN A NUMBER OF THESE 1154 00:43:23,251 --> 00:43:27,755 NIH WIDE PROGRAMS SO EXAMPLE 1155 00:43:27,755 --> 00:43:29,123 THEY INCLUDE INITTIAIVE ITS TO 1156 00:43:29,123 --> 00:43:31,826 THINK ABOUT HOW DO WE ADVANCE 1157 00:43:31,826 --> 00:43:37,265 THINGS LIKE BETTER CONSENTING OR 1158 00:43:37,265 --> 00:43:38,199 PARTICIPANT JOURNEYS AND 1159 00:43:38,199 --> 00:43:39,000 INDIVIDUALS WITH DISABILITY AND 1160 00:43:39,000 --> 00:43:40,301 WE WORK WIDE SOME OF OUR 1161 00:43:40,301 --> 00:43:41,135 PARTNERS WITH THAT ON THE PAST 1162 00:43:41,135 --> 00:43:42,403 AND I THINK WE HAVE THE 1163 00:43:42,403 --> 00:43:46,307 OPPORTUNITY TO DO MORE WITH 1164 00:43:46,307 --> 00:43:46,708 THAT. 1165 00:43:46,708 --> 00:43:48,309 AND SO I WILL JUST SAY THAT I 1166 00:43:48,309 --> 00:43:49,110 THINK THIS IS A REALLY 1167 00:43:49,110 --> 00:43:51,079 INTERESTING TIME TO ENGAGE IN 1168 00:43:51,079 --> 00:43:52,814 THIS RESEARCH, I THINK WE BUILT 1169 00:43:52,814 --> 00:43:54,148 A LOT OF INFRASTRUCTURE, SOME OF 1170 00:43:54,148 --> 00:43:57,552 YOU KNOW I HAVE AN INTRAMURAL 1171 00:43:57,552 --> 00:43:58,386 RESEARCH PROGRAM I'VE BEEN 1172 00:43:58,386 --> 00:43:59,454 WORKING WITH SOME OF YOU ON THIS 1173 00:43:59,454 --> 00:44:02,056 AND I WORK WITH THE 1174 00:44:02,056 --> 00:44:02,690 REHABILITATION MEDICINE 1175 00:44:02,690 --> 00:44:03,558 DEPARTMENT AT THE CLINICAL 1176 00:44:03,558 --> 00:44:04,359 CENTER, WE'RE WORKING WITH THE 1177 00:44:04,359 --> 00:44:09,163 ALL OF US PLATFORM TO BETTER 1178 00:44:09,163 --> 00:44:10,231 INTEGRATE DISABILITY MEASURES, 1179 00:44:10,231 --> 00:44:11,899 FUNCTIONAL STATUS AND 1180 00:44:11,899 --> 00:44:13,267 INFORMATION ABOUT ASSISTIVE 1181 00:44:13,267 --> 00:44:15,770 TECHNOLOGY AS PART OF MY 1182 00:44:15,770 --> 00:44:16,304 INTRAMURAL LAB. 1183 00:44:16,304 --> 00:44:17,572 SO I REALLY THINK THAT THE 1184 00:44:17,572 --> 00:44:20,108 RESOURCES THAT WE ARE HERE AT 1185 00:44:20,108 --> 00:44:21,843 NIH ARE ALWAYS RICH AND IT GIVES 1186 00:44:21,843 --> 00:44:23,945 US A REAL OPPORTUNITY TO BUILD 1187 00:44:23,945 --> 00:44:25,713 BOTH DISABILITY AND 1188 00:44:25,713 --> 00:44:29,183 REHABILITATION RESEARCH INTO 1189 00:44:29,183 --> 00:44:33,154 THEM. 1190 00:44:33,154 --> 00:44:34,288 >> THANK YOU. 1191 00:44:34,288 --> 00:44:39,727 ANY OTHER COMMENTS IN 1192 00:44:39,727 --> 00:44:41,629 >> THIS IS USUALLY NOT A SHY 1193 00:44:41,629 --> 00:44:43,531 GROUP SO I'M KIND OF -- 1194 00:44:43,531 --> 00:44:44,232 >> THE RAISED HAND FUNCTION IS 1195 00:44:44,232 --> 00:44:46,768 ON THE TOP OF YOUR SCREEN OR IF 1196 00:44:46,768 --> 00:44:57,111 NOT JUST SHOUT OUT. 1197 00:44:57,812 --> 00:44:57,945 LUIS? 1198 00:44:57,945 --> 00:44:58,579 >> HELLO ALLYSON GREAT TO SEE 1199 00:44:58,579 --> 00:44:59,514 YOU AND HEAR FROM YOU THIS 1200 00:44:59,514 --> 00:45:02,283 MORNING. 1201 00:45:02,283 --> 00:45:04,752 JUST A QUICK QUESTION, THINKING 1202 00:45:04,752 --> 00:45:09,223 OFF BARBARA'S QUESTION ABOUT NIH 1203 00:45:09,223 --> 00:45:10,458 WIDE INITIATIVES, CUTTING 1204 00:45:10,458 --> 00:45:11,159 PROGRAMS WE'VE BEEN FAMILIAR 1205 00:45:11,159 --> 00:45:12,393 WITH THE LAST FEW YEARS AND 1206 00:45:12,393 --> 00:45:14,362 THINKING ABOUT HOW, YOU KNOW AS 1207 00:45:14,362 --> 00:45:21,969 AN ADVISORY BOARD BUT ALSO THE 1208 00:45:21,969 --> 00:45:23,404 VISION BROADENING OUT NIEKS H 1209 00:45:23,404 --> 00:45:26,808 AND NEURO, AND VARIOUS OTHER 1210 00:45:26,808 --> 00:45:30,344 ADULT REHAB OPPORTUNITIES ACROSS 1211 00:45:30,344 --> 00:45:30,945 THE LIFE SPECTRUM. 1212 00:45:30,945 --> 00:45:39,687 FROM CHILD AS YOU INDICATED ALL 1213 00:45:39,687 --> 00:45:42,657 THE WAY THROUGH ADULTHOOD AND 1214 00:45:42,657 --> 00:45:43,324 COLLABORATIVE OPPORTUNITIES TO 1215 00:45:43,324 --> 00:45:45,726 DEVELOP SOME OF HOW YOU SEE 1216 00:45:45,726 --> 00:45:48,863 THOSE CONVERSATIONS MOVING 1217 00:45:48,863 --> 00:45:49,597 FORWARD. 1218 00:45:49,597 --> 00:45:50,431 >> SURE AND LUIS, GREAT TO HEAR 1219 00:45:50,431 --> 00:45:50,865 FROM YOU. 1220 00:45:50,865 --> 00:45:54,402 SO I THINK THE REAL 1221 00:45:54,402 --> 00:45:55,336 OPPORTUNITIES, I THINK NICE PART 1222 00:45:55,336 --> 00:45:59,207 FOR US RIGHT NOW, SO FOR 1223 00:45:59,207 --> 00:46:00,741 EXAMPLE, MYSELF AND THERESA ARE 1224 00:46:00,741 --> 00:46:04,445 STILL REALLY WORKING THROUGH THE 1225 00:46:04,445 --> 00:46:05,913 BRAIN INIAATIVE AND THE 1226 00:46:05,913 --> 00:46:08,783 BLUEPRINT FOR SCIENCE TO IMPROVE 1227 00:46:08,783 --> 00:46:10,952 THOSE THERE, SO FOR EXAMPLE THE 1228 00:46:10,952 --> 00:46:12,453 MED TECH PROGRAM IN BLUE PRIPT 1229 00:46:12,453 --> 00:46:15,122 IS A COOL OPPORTUNITY TO DEVELOP 1230 00:46:15,122 --> 00:46:18,292 NEW NEUROLOGIC DEVICES. 1231 00:46:18,292 --> 00:46:20,361 WE ALSO BRING -- WHILE IT TOOK A 1232 00:46:20,361 --> 00:46:22,230 BUDGET CUT IS STILL WORKING TO 1233 00:46:22,230 --> 00:46:23,764 FUND NEW INITIATIVES AND ADVANCE 1234 00:46:23,764 --> 00:46:24,799 TAKEN--THEY SCIENCE, SO THEY -- 1235 00:46:24,799 --> 00:46:26,334 WE SWRUOF THE REVIEWED THEIR PAY 1236 00:46:26,334 --> 00:46:27,835 PLAN FOR THIS YEAR AND THEY ARE 1237 00:46:27,835 --> 00:46:30,505 GOING TO BE FUNDING NEW GRANTS, 1238 00:46:30,505 --> 00:46:32,907 THE HEAL INITIATIVE IS STILL A 1239 00:46:32,907 --> 00:46:35,009 MAJOR PROGRAM. 1240 00:46:35,009 --> 00:46:36,878 I SERVE ON THAT EXECUTIVE 1241 00:46:36,878 --> 00:46:37,979 LEADERSHIP COMMUNITY AND I THINK 1242 00:46:37,979 --> 00:46:39,714 1 OF THE BIG ADVANCES WE HAD 1243 00:46:39,714 --> 00:46:41,616 THERE WAS THE FUNDING OF THE 1244 00:46:41,616 --> 00:46:42,450 BACK PACK INITIATIVE AND SOME OF 1245 00:46:42,450 --> 00:46:44,752 THAT WORK IS CONTINUING RELATED 1246 00:46:44,752 --> 00:46:46,821 TO BACK PAIN AND SUBTYPES OF 1247 00:46:46,821 --> 00:46:48,556 BACK PAIN, ETIOLOGY AS A BACK 1248 00:46:48,556 --> 00:46:49,991 PAIN AS WELL AS INTERVENTION 1249 00:46:49,991 --> 00:46:52,159 SYSTEM WHAT THEY'RE REALLY 1250 00:46:52,159 --> 00:46:53,961 THINKING ABOUT NOW AS WELL AS 1251 00:46:53,961 --> 00:46:57,498 WE'VE GOTTEN A NEW INIAATIVE ON 1252 00:46:57,498 --> 00:46:58,099 PEDIATRIC PAIN BECAUSE OF THE 1253 00:46:58,099 --> 00:47:00,535 WORK OF OUR TEAM AND SO, THAT IS 1254 00:47:00,535 --> 00:47:02,570 A REALLY EXCITING NEW CLINICAL 1255 00:47:02,570 --> 00:47:04,739 TRIALS INITIATIVE TO THINK ABOUT 1256 00:47:04,739 --> 00:47:06,774 HOW WE BETTER TREAT PEDIATRIC 1257 00:47:06,774 --> 00:47:08,509 PAIN IN THE ACUTE PHASE SO THAT 1258 00:47:08,509 --> 00:47:10,578 CHILDREN DO NOT GET PRIMED FOR 1259 00:47:10,578 --> 00:47:17,118 MORE CHRONIC USE OF OPIOIDS FOR 1260 00:47:17,118 --> 00:47:17,652 EXAMPLE. 1261 00:47:17,652 --> 00:47:19,420 SO THESE ARE 2 EXAMPLES, I'M 1262 00:47:19,420 --> 00:47:21,222 ACTUALLY ON WAY MORE COMMITTEES 1263 00:47:21,222 --> 00:47:22,790 THAN ANY OF YOU EVER WANT TO 1264 00:47:22,790 --> 00:47:24,292 HEAR ABOUT BUT I WILL SAY THAT I 1265 00:47:24,292 --> 00:47:26,227 THINK WITHIN EACH OF THOSE LARGE 1266 00:47:26,227 --> 00:47:27,461 SCALE INITIATIVES SOME OF YOU 1267 00:47:27,461 --> 00:47:28,863 HAVE BEEN PART OF THE STROKE NET 1268 00:47:28,863 --> 00:47:32,033 WHICH IS A MAJOR INITIATIVE OR 1269 00:47:32,033 --> 00:47:33,334 SIREN, YOU KNOW IN EACH OF THOSE 1270 00:47:33,334 --> 00:47:35,937 I THINK WE DO HAVE ACROSS THE 1271 00:47:35,937 --> 00:47:38,005 NIH OPPORTUNITIES TO REALLY 1272 00:47:38,005 --> 00:47:39,240 ADVANCE REHABILITATION SCIENCE 1273 00:47:39,240 --> 00:47:41,776 OR LOOK AT HOW TO BETTER 1274 00:47:41,776 --> 00:47:42,476 INTEGRATE INDIVIDUALS WITH 1275 00:47:42,476 --> 00:47:44,779 DISABILITY INTO THOSE FRAMEWORKS 1276 00:47:44,779 --> 00:47:46,380 AND I THINK, YOU KNOW AS YOU 1277 00:47:46,380 --> 00:47:48,649 LOOK ACROSS YOUR AREAS OF 1278 00:47:48,649 --> 00:47:49,383 SPECIALTY, NOT SOME PLACE WHERE 1279 00:47:49,383 --> 00:47:55,856 I THINK WE CAN BE MORE EFFECTIVE 1280 00:47:55,856 --> 00:47:56,891 MOVING FORWARD. 1281 00:47:56,891 --> 00:48:00,628 >> THANK YOU. 1282 00:48:00,628 --> 00:48:00,828 CATHY? 1283 00:48:00,828 --> 00:48:01,662 >> HI, ALISON, GREAT TO HEAR FRU 1284 00:48:01,662 --> 00:48:04,198 YOU AND SEE YOU, WISH IT WAS IN 1285 00:48:04,198 --> 00:48:06,167 PERSON BUT IT'S BETTER THAN 1286 00:48:06,167 --> 00:48:06,400 NOTHING. 1287 00:48:06,400 --> 00:48:10,738 I GUESS I JUST CAME BACK FROM A 1288 00:48:10,738 --> 00:48:12,073 GAIT AND BALANCE MS SYMPOSIUM 1289 00:48:12,073 --> 00:48:13,574 AND A LOT OF SCIENTISTS THERE 1290 00:48:13,574 --> 00:48:15,276 ARE ASKING QUESTIONS ABOUT HOW 1291 00:48:15,276 --> 00:48:17,478 IS THE REVIEW PROCESS FOR 1292 00:48:17,478 --> 00:48:17,945 GRANTS, WOOING. 1293 00:48:17,945 --> 00:48:22,049 WHAT IS THE POTENTIAL FOR 1294 00:48:22,049 --> 00:48:26,220 APPLYING FOR NEW GRANTS IN THE 1295 00:48:26,220 --> 00:48:28,255 AREA OF AMPUTATION AND WELLNESS. 1296 00:48:28,255 --> 00:48:30,858 I WONDERING IF YOU COULD COMMENT 1297 00:48:30,858 --> 00:48:31,192 ON THAT? 1298 00:48:31,192 --> 00:48:31,592 >> SURE. 1299 00:48:31,592 --> 00:48:33,160 I THINK MANY OF YOU HAVE HEARD 1300 00:48:33,160 --> 00:48:35,696 THAT WE'RE MOVING TOWARD A 1301 00:48:35,696 --> 00:48:36,831 CENTRALIZATION OF SCIENTIFIC 1302 00:48:36,831 --> 00:48:38,032 REVIEW, SO FOR THOSE NOT AS 1303 00:48:38,032 --> 00:48:40,267 FAMILIAR WITH THE NIH REVIEW 1304 00:48:40,267 --> 00:48:41,535 PROCESS OR HAVEN'T, YOU KNOW 1305 00:48:41,535 --> 00:48:44,972 GOTTEN VERY FAR IN THE WEEDS ON 1306 00:48:44,972 --> 00:48:46,641 THIS OFTEN WHAT WAS DONE HERE AT 1307 00:48:46,641 --> 00:48:48,709 NIH IS THAT THE CENTER FOR 1308 00:48:48,709 --> 00:48:49,777 SCIENTIFIC REVIEW WOULD PROVIDE 1309 00:48:49,777 --> 00:48:51,612 REVIEW FOR THE PARENT ANNOUNCE 1310 00:48:51,612 --> 00:48:55,383 WANTS OR SOME OF OUR SHARED 1311 00:48:55,383 --> 00:48:57,718 INITIATIVES BUT THAT OFTEN THE 1312 00:48:57,718 --> 00:49:00,087 INTUITYS WOULD REVIEW FOR OUR 1313 00:49:00,087 --> 00:49:01,956 OWN FUNDING OPPORTUNITYS, RIGHT 1314 00:49:01,956 --> 00:49:04,992 SO OUR NOTICES OF FUNDING 1315 00:49:04,992 --> 00:49:06,560 OPPORTUNITIES WE WOULD PROVIDE 1316 00:49:06,560 --> 00:49:07,361 TRAINING, ET CETERA. 1317 00:49:07,361 --> 00:49:10,064 WE ALSO PROVIDED TRAINING FOR 1318 00:49:10,064 --> 00:49:11,032 CONTRACTS, RESEARCH CONTRACKS. 1319 00:49:11,032 --> 00:49:11,966 NOW WHAT WE'RE DOING IS WE ARE 1320 00:49:11,966 --> 00:49:15,436 GOING TO BE MOVING TO A 1321 00:49:15,436 --> 00:49:16,170 CENTRALIZED REVIEW PROCESS THAT 1322 00:49:16,170 --> 00:49:17,872 WILL BE RUN BY THE CENTER FOR 1323 00:49:17,872 --> 00:49:20,675 SCIENTIFIC REVIEW. 1324 00:49:20,675 --> 00:49:22,076 THAT PROCESS IS ONGOING SO WE 1325 00:49:22,076 --> 00:49:23,244 HAVE DETAILED SOME OF OUR STAFF 1326 00:49:23,244 --> 00:49:26,147 OVER TO THE TRUSTEES FOR CENTER 1327 00:49:26,147 --> 00:49:27,114 FOR SCIENTIFIC REVIEW MORE 1328 00:49:27,114 --> 00:49:28,749 IMMEDIATELY TO WORK ON THAT 1329 00:49:28,749 --> 00:49:31,419 CENTRALIZATION AND THIS WILL BE 1330 00:49:31,419 --> 00:49:35,923 AN ONGOING PERSONNEL PROCESS. 1331 00:49:35,923 --> 00:49:37,491 WE ARE GETTING THOSE FOLKS 1332 00:49:37,491 --> 00:49:39,226 APPOINTED OVER THERE TO WORK ON 1333 00:49:39,226 --> 00:49:41,128 REFERRAL AND RECEIPT TO WORK AS 1334 00:49:41,128 --> 00:49:46,067 SROs THERE TO PROVIDE REVIEW. 1335 00:49:46,067 --> 00:49:48,035 THERE MAY BE SOME SLIGHT DELAYS 1336 00:49:48,035 --> 00:49:50,304 THIS YEAR GOING INTO WHAT WE 1337 00:49:50,304 --> 00:49:51,605 CALL ACT COUNCIL, AS MANY OF YOU 1338 00:49:51,605 --> 00:49:53,441 KNOW WE DO OUR OCTOBER COUNCILS 1339 00:49:53,441 --> 00:49:55,076 IN SEPTEMBER JUST SO WE CAN 1340 00:49:55,076 --> 00:49:56,711 INSURE WE HAVE THE OPPORTUNITY 1341 00:49:56,711 --> 00:50:02,683 TO FUND MERITORIOUS APPLICATIONS 1342 00:50:02,683 --> 00:50:03,718 POTENTIALLY GET THOSE GOING 1343 00:50:03,718 --> 00:50:03,951 EARLIER. 1344 00:50:03,951 --> 00:50:07,021 SOME OF THOSE MIGHT BE SLIGHTLY 1345 00:50:07,021 --> 00:50:08,889 DELAYED, NICHD MAY NOT HAVE AS 1346 00:50:08,889 --> 00:50:10,858 MANY OF THOSE AS OTHERS DO SO 1347 00:50:10,858 --> 00:50:13,427 OUR FUNDING IS NOT QUITE AS 1348 00:50:13,427 --> 00:50:14,095 HAMPERED BY THAT. 1349 00:50:14,095 --> 00:50:16,097 AND WE HAVE BEEN ASSURED THAT 1350 00:50:16,097 --> 00:50:18,699 CSR WILL TRY VERY HARD TO GET 1351 00:50:18,699 --> 00:50:19,800 OUR REGULAR REVIEW FOR THE 1352 00:50:19,800 --> 00:50:21,736 SUMMER DONE IN TIME FOR THAT 1353 00:50:21,736 --> 00:50:22,103 COUNCIL. 1354 00:50:22,103 --> 00:50:24,705 IT'S JUST THE NOFOs THAT MIGHT 1355 00:50:24,705 --> 00:50:25,372 BE SLIGHTLY DELAYED. 1356 00:50:25,372 --> 00:50:27,274 THEY'RE HOPING TO GET RIGHT BACK 1357 00:50:27,274 --> 00:50:30,077 ON SCHEDULE BY FY26. 1358 00:50:30,077 --> 00:50:34,482 AND I WOULD SAY THAT RIGHT NOW 1359 00:50:34,482 --> 00:50:36,751 WE ARE REALLY LOOKING TO FUND 1360 00:50:36,751 --> 00:50:38,953 WITHIN OUR REGULAR DISCRETIONARY 1361 00:50:38,953 --> 00:50:41,756 ZONE SO FOR FY25, WE KNOW OUR 1362 00:50:41,756 --> 00:50:43,491 BUDGET, WE'RE UNDER A CONTINUING 1363 00:50:43,491 --> 00:50:46,494 RESOLUTION AND SO, YOU KNOW THAT 1364 00:50:46,494 --> 00:50:48,162 MONEY IS AVAILABLE TO US AND WE 1365 00:50:48,162 --> 00:50:49,430 ARE CONTINUING TO WORK THROUGH 1366 00:50:49,430 --> 00:50:52,066 OUR PAY PLANS FOR THIS YEAR. 1367 00:50:52,066 --> 00:50:54,034 WE DID RECEIVE OUR MONEY A 1368 00:50:54,034 --> 00:50:55,903 LITTLE BIT LATE SO THERE MAY BE 1369 00:50:55,903 --> 00:50:56,403 SOME DELAYS. 1370 00:50:56,403 --> 00:50:58,172 IT'S NOT LIKE WHEN WE GET OUR 1371 00:50:58,172 --> 00:51:00,541 FUND NOTHING OCTOBER, WHICH I 1372 00:51:00,541 --> 00:51:02,009 THINK HAS HAPPENED ONCE SINCE 1373 00:51:02,009 --> 00:51:03,310 I'VE BEEN HERE BUT MOST FOLKS 1374 00:51:03,310 --> 00:51:06,447 KNOW THAT WE WAIT AND FUND 1375 00:51:06,447 --> 00:51:07,548 CONSERVATIVELY UNTIL THEN. 1376 00:51:07,548 --> 00:51:15,222 IN TERMS OF FY26, YOU KNOW THAT 1377 00:51:15,222 --> 00:51:16,590 BUDGET FORECAST IS MORE 1378 00:51:16,590 --> 00:51:17,892 UNCERTAIN AND JUST TO REMIND 1379 00:51:17,892 --> 00:51:19,860 EVERYBODY THAT YOU MAY HAVE SEEN 1380 00:51:19,860 --> 00:51:21,395 THE PRESIDENT'S SKINNY BUDGET BE 1381 00:51:21,395 --> 00:51:22,830 RELEASED LAST WEEK, I THINK 1382 00:51:22,830 --> 00:51:26,066 THAT'S MADE THE NEWS QUITE A LOT 1383 00:51:26,066 --> 00:51:28,269 AND JUST A REMINDER THAT THAT IS 1384 00:51:28,269 --> 00:51:29,904 A PROPOSAL THAT GOES TO 1385 00:51:29,904 --> 00:51:31,172 CONGRESS, RIGHT, BACK IN OUR 1386 00:51:31,172 --> 00:51:33,340 SCHOOL HOUSE ROCK DAYS WHEN WE 1387 00:51:33,340 --> 00:51:36,911 ARE REMEMBERING OUR CIVICS, THE 1388 00:51:36,911 --> 00:51:38,412 PRESIDENT PROPOSES WHAT THE 1389 00:51:38,412 --> 00:51:39,680 EXECUTIVE OFFICE WOULD LIKE TO 1390 00:51:39,680 --> 00:51:42,082 DO AND THEN THE LEGISLATURE 1391 00:51:42,082 --> 00:51:45,219 TAKES THAT UP AND PROVIDES 1392 00:51:45,219 --> 00:51:47,121 APPROPRIATE APPROPRIATIONS BACK 1393 00:51:47,121 --> 00:51:49,657 TO THE EXECUTIVE WITH SPECIFIC 1394 00:51:49,657 --> 00:51:52,126 DIRECTIVES AND LEVELS AND SO, 1395 00:51:52,126 --> 00:51:53,994 THAT PROCESS IS NOW ONGOING. 1396 00:51:53,994 --> 00:51:56,330 WE WILL SEE THE DETAILS OF THOSE 1397 00:51:56,330 --> 00:51:58,199 BUDGETS COMING OUT IN THE COMING 1398 00:51:58,199 --> 00:52:00,901 WEEK BUT JUST AS A REMINDER THAT 1399 00:52:00,901 --> 00:52:02,636 THOSE ARE PROPOSALS, SO UNTIL WE 1400 00:52:02,636 --> 00:52:03,537 HAVE AN APPROPRIATION WITH 1401 00:52:03,537 --> 00:52:04,371 SPECIFIC FUNDING LEVELS 1402 00:52:04,371 --> 00:52:08,042 INCREASES, I CAN'T GIVE YOU ANY 1403 00:52:08,042 --> 00:52:09,710 CERTAINTY ON FY26. 1404 00:52:09,710 --> 00:52:10,911 YOU KNOW WE ARE GOING TO 1405 00:52:10,911 --> 00:52:12,213 CONTINUE TO DO OUR WORK WITHIN 1406 00:52:12,213 --> 00:52:13,147 THE CONFINES OF THE BUDGET AND 1407 00:52:13,147 --> 00:52:17,585 LAWS THAT WE HAVE. 1408 00:52:17,585 --> 00:52:18,485 >> THANK YOU. 1409 00:52:18,485 --> 00:52:19,119 >> THANK YOU. 1410 00:52:19,119 --> 00:52:25,292 >> MICHELLE, YOU HAD A QUESTION? 1411 00:52:25,292 --> 00:52:25,693 >> HELLO ALISON. 1412 00:52:25,693 --> 00:52:27,361 THANK YOU FOR YOUR PRESENTATION. 1413 00:52:27,361 --> 00:52:30,431 I JUST HAD A QUICK QUESTION 1414 00:52:30,431 --> 00:52:31,932 AROUND SOME OF THE HEALTH 1415 00:52:31,932 --> 00:52:34,401 DISPARITY KIND OF WORK THAT WE 1416 00:52:34,401 --> 00:52:36,403 NORMALLY DO AND THERE'S BEEN A 1417 00:52:36,403 --> 00:52:39,240 LOT OF TALK ABOUT WELL, HOW IS 1418 00:52:39,240 --> 00:52:44,044 THAT AFFECTED BY THE DEI KIND OF 1419 00:52:44,044 --> 00:52:46,780 CHANGES AND ALSO HOW DO WE 1420 00:52:46,780 --> 00:52:49,617 ADJUST OUR GRANT WRITING BECAUSE 1421 00:52:49,617 --> 00:52:52,753 HEALTH DISPARITY SYSTEM STILL 1422 00:52:52,753 --> 00:52:55,256 REAL SO DO YOU HAVE ANY ADVICE 1423 00:52:55,256 --> 00:52:56,690 WE COULD GIVE TO FOLKS THAT ARE 1424 00:52:56,690 --> 00:53:00,361 ASKING US ABOUT THAT AND HOW IS 1425 00:53:00,361 --> 00:53:02,730 NICHD REACTING TO THAT 1426 00:53:02,730 --> 00:53:05,232 PARTICULAR SITUATION? 1427 00:53:05,232 --> 00:53:05,566 >> RIGHT. 1428 00:53:05,566 --> 00:53:07,501 THANKS MICHELLE FOR THE 1429 00:53:07,501 --> 00:53:08,736 QUESTION, REALLY APPRECIATE THIS 1430 00:53:08,736 --> 00:53:09,003 ATTENTION. 1431 00:53:09,003 --> 00:53:11,105 I THINK THERE ARE A COUPLE 1432 00:53:11,105 --> 00:53:12,039 THINGS HAPPENING RELATED TO 1433 00:53:12,039 --> 00:53:12,273 THIS. 1434 00:53:12,273 --> 00:53:13,474 NUMBER 1 IS THAT WE ARE GOING 1435 00:53:13,474 --> 00:53:16,744 THROUGH ALL OF THE NOTICES OF 1436 00:53:16,744 --> 00:53:18,379 FUNDING OPPORTUNITY THAT'S BEING 1437 00:53:18,379 --> 00:53:19,813 DONE CENTRALLY AT NIH THROUGH 1438 00:53:19,813 --> 00:53:20,614 THE OFFICE OF EXTRAMURAL 1439 00:53:20,614 --> 00:53:22,583 RESEARCH AND WE ARE REPUBLISHING 1440 00:53:22,583 --> 00:53:24,919 MANY OF OUR NOTICES OF FUNDING 1441 00:53:24,919 --> 00:53:26,287 OPPORTUNITY TO GIVE BETTER 1442 00:53:26,287 --> 00:53:27,655 GUIDANCE TO THE EXTRAMURAL 1443 00:53:27,655 --> 00:53:28,856 COMMUNITY ABOUT THE WAY THAT 1444 00:53:28,856 --> 00:53:30,958 THIS IS BEING IMPLEMENTED, AT 1445 00:53:30,958 --> 00:53:32,793 THE NIH RELATIVE TO GRANT 1446 00:53:32,793 --> 00:53:33,027 WRITING. 1447 00:53:33,027 --> 00:53:35,763 I THINK THE OTHER THING THAT YOU 1448 00:53:35,763 --> 00:53:43,737 SHOULD BE AWARE OF IS THAT 1449 00:53:43,737 --> 00:53:44,772 DR. BHATTARYACHARIA, IS HOPING 1450 00:53:44,772 --> 00:53:46,173 TO GET GUIDANCE OUT TO THE FIELD 1451 00:53:46,173 --> 00:53:47,875 VERY SOON AND THIS WILL 1452 00:53:47,875 --> 00:53:49,243 POTENTIALLY BE REFLECTED IN THE 1453 00:53:49,243 --> 00:53:50,411 POLICY STATEMENT. 1454 00:53:50,411 --> 00:53:52,079 AND SO, I THINK THE ANSWER TO 1455 00:53:52,079 --> 00:53:54,848 YOUR QUESTION IS THIS IS 1456 00:53:54,848 --> 00:54:00,321 EVOLVING AS WE SPEAK. 1457 00:54:00,321 --> 00:54:02,289 AND THAT WE WILL PROBABLY GET 1458 00:54:02,289 --> 00:54:03,891 MORE INFORMATION RELATED TO 1459 00:54:03,891 --> 00:54:04,091 THIS. 1460 00:54:04,091 --> 00:54:08,529 MY HOPE IS WITHIN THE NEXT MONTH 1461 00:54:08,529 --> 00:54:11,532 OR SO, AND YOU KNOW ONCE WE HAVE 1462 00:54:11,532 --> 00:54:15,402 IT, I'M SURE THAT, THERESA IS 1463 00:54:15,402 --> 00:54:20,341 HER TEAM WILL GET IT OUT TO YOU 1464 00:54:20,341 --> 00:54:23,310 AND OBVIOUSLY ALSO THINK ABOUT 1465 00:54:23,310 --> 00:54:24,979 THE GRANTS AND FUNDING 1466 00:54:24,979 --> 00:54:27,414 INFORMATION STATUS PAGE BECAUSE 1467 00:54:27,414 --> 00:54:29,683 THAT WILL GIVE YOU MOST OF THE 1468 00:54:29,683 --> 00:54:32,486 INFORMATION IN TERMS OF WHAT OUR 1469 00:54:32,486 --> 00:54:33,988 CURRENT POLICIES AND STANCES ARE 1470 00:54:33,988 --> 00:54:42,896 RELATED TO THIS THESE ISSUES. 1471 00:54:42,896 --> 00:54:44,231 >> THANK YOU. 1472 00:54:44,231 --> 00:54:52,306 >> THANK YOU. 1473 00:54:52,306 --> 00:54:56,977 ANY OTHER QUESTIONS? 1474 00:54:56,977 --> 00:54:58,379 >> HI, ALISON, IT'S KARL COOPER, 1475 00:54:58,379 --> 00:55:02,182 I KNOW WHEN WE MET IN DECEMBER 1476 00:55:02,182 --> 00:55:04,218 THERE WAS DISCUSSION ABOUT THE 1477 00:55:04,218 --> 00:55:05,986 GRANTS THAT WERE HANDED OUT, DO 1478 00:55:05,986 --> 00:55:07,821 YOU KNOW THE STATUS OF THOSE, 1479 00:55:07,821 --> 00:55:10,057 HAVE THEY BEEN AFFECTED AT ALL. 1480 00:55:10,057 --> 00:55:12,659 >> TO MY KNOWLEDGE, THEY HAVE 1481 00:55:12,659 --> 00:55:14,528 NOT BEEN AFFECTED, I WILL ASK 1482 00:55:14,528 --> 00:55:15,929 THERESA TO CONFIRM THAT. 1483 00:55:15,929 --> 00:55:16,997 >> YES, THEY ARE STILL OPEN AND 1484 00:55:16,997 --> 00:55:19,066 ACTIVE AND WE HAVE NOT HEARD 1485 00:55:19,066 --> 00:55:29,309 OTHERWISE. 1486 00:55:29,309 --> 00:55:29,977 >> OKAY, THANK YOU. 1487 00:55:29,977 --> 00:55:31,478 >> ACTUALLY IF YOU DON'T MIND A 1488 00:55:31,478 --> 00:55:33,213 HAD ANOTHER QUESTION FOLLOWING 1489 00:55:33,213 --> 00:55:34,748 UP ON THE -- I KNOW LAST 1490 00:55:34,748 --> 00:55:36,917 DECEMBER WE TALKED ABOUT THE NEW 1491 00:55:36,917 --> 00:55:37,818 REVIEW POLICIES AND BLINDED 1492 00:55:37,818 --> 00:55:41,422 RERUE AND THE NEW REVIEW PROCESS 1493 00:55:41,422 --> 00:55:42,823 HAS THAT BEEN IMPLEMENTED, ARE 1494 00:55:42,823 --> 00:55:45,192 WE GOING FORWARD WITH THAT NEW 1495 00:55:45,192 --> 00:55:47,628 REVIEW PROCESS? 1496 00:55:47,628 --> 00:55:50,130 SHOULD WE BE KIND OF WRITING OUR 1497 00:55:50,130 --> 00:55:51,065 GRANTS TOWARDS THAT BECAUSE I 1498 00:55:51,065 --> 00:55:53,834 KNOW THERE WAS A DELAY IN WHICH 1499 00:55:53,834 --> 00:55:55,769 THE FORMS WERE GOING TO START 1500 00:55:55,769 --> 00:55:58,205 USING FOR THE RO-1 SO I'M JUST 1501 00:55:58,205 --> 00:56:00,707 CURIOUS ABOUT ARE WE STILL 1502 00:56:00,707 --> 00:56:04,445 TRANSITIONING TO THE NEW MORE 1503 00:56:04,445 --> 00:56:04,945 BLINDED REVIEW PROCESS. 1504 00:56:04,945 --> 00:56:09,316 >> SO WE HAVE MOVED TO THE 1505 00:56:09,316 --> 00:56:10,551 SIMPLIFIED REVIEW CRITERIA. 1506 00:56:10,551 --> 00:56:13,020 WE HAVE NOT NECESSARILY 1507 00:56:13,020 --> 00:56:16,690 IMPLEMENTED BLINDED REVIEW TO MY 1508 00:56:16,690 --> 00:56:16,957 KNOWLEDGE. 1509 00:56:16,957 --> 00:56:21,995 WHAT I THINK YOU'RE REFERRING TO 1510 00:56:21,995 --> 00:56:23,964 IS THE -- ESSENTIALLY THE WAY -- 1511 00:56:23,964 --> 00:56:25,599 THE WAY THAT THE SCORING 1512 00:56:25,599 --> 00:56:28,168 CRITERIA ARE BEING USED AND THE 1513 00:56:28,168 --> 00:56:29,670 DEEMPHASIS OF SOME OF THE 1514 00:56:29,670 --> 00:56:31,171 FACTORS RELATED TO REVIEWS, SO 1515 00:56:31,171 --> 00:56:32,739 THAT IS BEING IMPLEMENTED, THE 1516 00:56:32,739 --> 00:56:35,709 FORMS HAVE NOT FOLLOWED AS 1517 00:56:35,709 --> 00:56:36,877 QUICKLY I THINK, THERESA CAN 1518 00:56:36,877 --> 00:56:38,712 PROBABLY GIVE YOU MORE AT THE 1519 00:56:38,712 --> 00:56:39,913 DETAIL LEVEL THAN I CAN TO BE 1520 00:56:39,913 --> 00:56:41,548 QUITE HONEST WITH YOU, I THINK 1521 00:56:41,548 --> 00:56:43,183 OUR PROGRAM OFFICIALS ARE MUCH 1522 00:56:43,183 --> 00:56:45,719 MORE IN THE WEEDS ON THAT AT 1523 00:56:45,719 --> 00:56:47,387 THIS MOMENT THAN I AM, I HAVE 1524 00:56:47,387 --> 00:56:49,389 NOT GOTTEN DOWN TO THE FORM'S 1525 00:56:49,389 --> 00:56:51,692 LEVEL BUT I DON'T THINK ALL THE 1526 00:56:51,692 --> 00:56:54,595 FORMS HAVE UPDATED YET, THERESA? 1527 00:56:54,595 --> 00:56:56,430 >> THE FORMS DIDN'T NEED TO 1528 00:56:56,430 --> 00:56:57,931 UPDATE FOR THAT, BUT THERE HAVE 1529 00:56:57,931 --> 00:57:00,134 BEEN A DELAY IN THE 1530 00:57:00,134 --> 00:57:02,903 IMPLEMENTATION FOR FELLOW SHIPS, 1531 00:57:02,903 --> 00:57:04,071 SO THAT DATE IMPLEMENTATION DATE 1532 00:57:04,071 --> 00:57:08,208 WAS PUSHED BACK, BUT THOSE WENT 1533 00:57:08,208 --> 00:57:10,377 INTO EFFECT WITH ESSENTIALLY 1534 00:57:10,377 --> 00:57:12,346 FEBRUARY FIGHT DUE DATE SO WE 1535 00:57:12,346 --> 00:57:13,714 HAVEN'T SEEN THE REVIEW FOR 1536 00:57:13,714 --> 00:57:14,414 THOSE YET. 1537 00:57:14,414 --> 00:57:18,986 SO WE DON'T HAVE KIND OF 1538 00:57:18,986 --> 00:57:27,761 FEEDBACK FOR YOU. 1539 00:57:27,761 --> 00:57:28,529 >> THANK YOU. 1540 00:57:28,529 --> 00:57:34,334 NOT HEARING OR SEEING ANYMORE 1541 00:57:34,334 --> 00:57:35,469 QUESTIONS, ALISON ON BEHALF OF 1542 00:57:35,469 --> 00:57:36,770 ALL OF YOU WE WOULD LIKE TO 1543 00:57:36,770 --> 00:57:38,038 THANK YOU FOR YOUR PRESENTATION 1544 00:57:38,038 --> 00:57:40,207 AND WHAT YOU'RE DOING MOVING 1545 00:57:40,207 --> 00:57:40,440 FORWARD. 1546 00:57:40,440 --> 00:57:41,008 >> THANK YOU. 1547 00:57:41,008 --> 00:57:42,042 APPRECIATE YOU ALL, THANK YOU SO 1548 00:57:42,042 --> 00:57:44,144 MUCH AND I AM HERE IF ANYBODY 1549 00:57:44,144 --> 00:57:46,180 HAS QUESTIONS, I WILL STAY FOR 1550 00:57:46,180 --> 00:57:47,347 THERESA'S PRESENTATION SO I CAN 1551 00:57:47,347 --> 00:57:57,891 HEAR THE AWESOME THINGS GOING ON 1552 00:57:58,392 --> 00:57:58,926 IN NCMRR. 1553 00:57:58,926 --> 00:58:00,961 IN, AND THEN WE WILL TRANSITION 1554 00:58:00,961 --> 00:58:04,932 TO THERESA CRUZ FOR THE 1555 00:58:04,932 --> 00:58:06,066 NCMRR DIRECTOR'S REPORT. 1556 00:58:06,066 --> 00:58:14,942 THERESA, THE SCREEN IS YOURS. 1557 00:58:14,942 --> 00:58:15,709 >> THANK YOU. 1558 00:58:15,709 --> 00:58:17,144 I'M GOING TO TRY TO TAKE 1559 00:58:17,144 --> 00:58:17,377 CONTROL. 1560 00:58:17,377 --> 00:58:27,187 SEE IF THIS WORKS. 1561 00:58:27,187 --> 00:58:29,256 DOES THAT LOOK OKAY? 1562 00:58:29,256 --> 00:58:29,923 >> YEAH. 1563 00:58:29,923 --> 00:58:31,858 >> IT DOES NTHANKS EVERYBODY. 1564 00:58:31,858 --> 00:58:39,199 AND THANK YOU ALISON AND GIVING 1565 00:58:39,199 --> 00:58:41,101 THAT PERSPECTIVE FROM NIH AND 1566 00:58:41,101 --> 00:58:42,736 NICHD AND THANK YOU ALL FOR 1567 00:58:42,736 --> 00:58:42,970 JOINING. 1568 00:58:42,970 --> 00:58:44,805 I THINK THIS MIGHT BE THE FIRST 1569 00:58:44,805 --> 00:58:48,875 TIME WE'VE HAD EVERY MEMBER JOIN 1570 00:58:48,875 --> 00:58:57,884 SO VERY EXCITED TO HAVE A FULL 1571 00:58:57,884 --> 00:58:58,285 SLATE TODAY. 1572 00:58:58,285 --> 00:58:59,753 SO TODAY I WOULD LIKE TO TALK 1573 00:58:59,753 --> 00:59:01,955 ABOUT THE ACTIVITIES THAT 1574 00:59:01,955 --> 00:59:02,789 NCMRR HAS BEEN INVOLVED IN AND 1575 00:59:02,789 --> 00:59:05,626 SOME OF OUR COLLABORATIONS SINCE 1576 00:59:05,626 --> 00:59:07,294 WE LAST MET IN DECEMBER. 1577 00:59:07,294 --> 00:59:09,997 WE HAVE A LITTLE BIT OF DATA TO 1578 00:59:09,997 --> 00:59:13,200 SHOW YOU WHERE WE'RE LOOKING TO 1579 00:59:13,200 --> 00:59:16,203 SHOW THE VALUE OF THE WORK THAT 1580 00:59:16,203 --> 00:59:18,739 NCMRR SUPPORTS AS WELL AS SOME 1581 00:59:18,739 --> 00:59:20,807 SCIENTIFIC ADVANCES AGAIN 1582 00:59:20,807 --> 00:59:21,341 TOWARDS THAT END. 1583 00:59:21,341 --> 00:59:24,911 I DO NEED TO HAVE A CONVERSATION 1584 00:59:24,911 --> 00:59:26,213 WITH YOU ALL ABOUT THE RESEARCH 1585 00:59:26,213 --> 00:59:27,848 PLAN AND WHERE WE'RE GOING TO GO 1586 00:59:27,848 --> 00:59:31,151 FROM HERE SO THERE IS SOME 1587 00:59:31,151 --> 00:59:32,853 AUDIENCE PARTICIPATION NEEDED 1588 00:59:32,853 --> 00:59:34,688 TOWARDS THE END OF MY 1589 00:59:34,688 --> 00:59:35,022 PRESENTATION. 1590 00:59:35,022 --> 00:59:45,465 YOU'RE ON NOTICE FOR THAT. 1591 00:59:47,134 --> 00:59:49,236 SO THE FIRST THING IS THE RFA 1592 00:59:49,236 --> 00:59:50,470 THAT WE PUBLISHED, ACTUALLY THE 1593 00:59:50,470 --> 00:59:52,873 DAY WE LAST MET IN DECEMBER AND 1594 00:59:52,873 --> 00:59:57,044 THAT IS OUR CLINICIAN SCIENTIST 1595 00:59:57,044 --> 00:59:59,980 CAREER DEVELOPMENT PROGRAM, OUR 1596 00:59:59,980 --> 01:00:01,715 K12, WE HAD KIND OF SUN SET IT 1597 01:00:01,715 --> 01:00:02,783 FOR A LITTLE BIT. 1598 01:00:02,783 --> 01:00:06,486 WE HEARD FROM YOU ALL IN 1599 01:00:06,486 --> 01:00:12,626 PARTICULAR THAT THIS WAS AN 1600 01:00:12,626 --> 01:00:13,660 IMPORTANT NECESSARY PART TO 1601 01:00:13,660 --> 01:00:16,096 CAREER DEVELOPMENT IN THE FIELD, 1602 01:00:16,096 --> 01:00:23,337 A MECHANISM THAT WAS REALLY 1603 01:00:23,337 --> 01:00:24,237 APPRECIATED. 1604 01:00:24,237 --> 01:00:31,511 I AM SEEING A GRAY BAR OVER OVER 1605 01:00:31,511 --> 01:00:34,915 THE TITLE, ARE YOU ALL SEEING 1606 01:00:34,915 --> 01:00:35,349 THAT? 1607 01:00:35,349 --> 01:00:36,216 >> UNFORTUNATELY HA IS A BAR IN 1608 01:00:36,216 --> 01:00:37,684 TEAMS AND I AM TRYING TO GET RID 1609 01:00:37,684 --> 01:00:40,887 OF IT AND IT SHOULD BE GONE IN A 1610 01:00:40,887 --> 01:00:47,894 FEW MOMENTS. 1611 01:00:47,894 --> 01:00:48,428 >> APOLOGIES FOR THAT. 1612 01:00:48,428 --> 01:00:50,797 SO WE HAVE PUT OUT THAT FUNDING 1613 01:00:50,797 --> 01:00:51,098 OPPORTUNITY. 1614 01:00:51,098 --> 01:00:52,099 APPLICATIONS WERE DUE IN MARCH. 1615 01:00:52,099 --> 01:00:55,068 WE DID GET A SIGNIFICANT 1616 01:00:55,068 --> 01:00:59,539 RESPONSE TO THAT CALL FOR 1617 01:00:59,539 --> 01:01:00,273 APPLICATIONS AND I THINK 1618 01:01:00,273 --> 01:01:01,441 INDICATE THAT WAS A GOOD MOVE 1619 01:01:01,441 --> 01:01:03,410 FOR US, I WANT TO THANK RALPH 1620 01:01:03,410 --> 01:01:04,845 FOR HIS LEADERSHIP IN MOVING 1621 01:01:04,845 --> 01:01:08,949 THAT FORWARD, AGAIN, THIS IS 1622 01:01:08,949 --> 01:01:11,084 TARGETING CLINICIAN SCIENTISTS. 1623 01:01:11,084 --> 01:01:13,887 I HAVE PMNR DOCS, BUT REALLY ANY 1624 01:01:13,887 --> 01:01:16,757 DOCS THAT ARE INVOFFED IN 1625 01:01:16,757 --> 01:01:17,691 REHABILITATION ARE ELIGIBLE AS 1626 01:01:17,691 --> 01:01:20,494 WELL AS PHYSICAL AND 1627 01:01:20,494 --> 01:01:21,361 OCCUPATIONAL THERAPISTS. 1628 01:01:21,361 --> 01:01:24,531 THIS IS 1 OF THE NOFOs THAT IS 1629 01:01:24,531 --> 01:01:29,302 BEING TRANSITIONED FROM AN NICHD 1630 01:01:29,302 --> 01:01:33,240 REVIEW TO A CSR REVIEW, THAT 1631 01:01:33,240 --> 01:01:35,375 ALISOIN N JUST EXPLAINED BUT WE 1632 01:01:35,375 --> 01:01:38,044 DON'T HAVE THE DATE YET BUT WE 1633 01:01:38,044 --> 01:01:40,280 HAVE A CLES WATCH ON IT, OUR 1634 01:01:40,280 --> 01:01:40,947 REVIEW COLLEAGUES ARE KEEPING AN 1635 01:01:40,947 --> 01:01:42,916 EYE ON IT AND WE ARE CONFIDENT 1636 01:01:42,916 --> 01:01:46,853 THAT WE WILL GET THIS DONE IN 1637 01:01:46,853 --> 01:01:57,297 TIME IN ONLY A LITTLE BIT 1638 01:01:59,866 --> 01:02:01,902 DELAYED. 1639 01:02:01,902 --> 01:02:07,240 THE OTHER NOF O THAT WE HAVE HAD 1640 01:02:07,240 --> 01:02:09,309 OUT IS THE REIMAGINING OF THE 1641 01:02:09,309 --> 01:02:10,510 MEDICAL RESEARCH RESOURCE 1642 01:02:10,510 --> 01:02:10,744 CENTERS. 1643 01:02:10,744 --> 01:02:16,950 WE HAVE MOVED FROM THE P2 C TO 1644 01:02:16,950 --> 01:02:17,918 THE P50 MECHANISM, AGAIN THESE 1645 01:02:17,918 --> 01:02:19,286 CAME IN LAST YEAR. 1646 01:02:19,286 --> 01:02:22,155 WE DID HAVE ABOUT A 5 MONTH 1647 01:02:22,155 --> 01:02:27,194 DELAY IN THE REVIEW OF THOSE BUT 1648 01:02:27,194 --> 01:02:28,862 I AM VERY PLEASED TO SAY THE 1649 01:02:28,862 --> 01:02:30,297 REVIEW DID HAPPEN LAST WEEK. 1650 01:02:30,297 --> 01:02:31,998 WE ARE WORKING ON PAY PLANS 1651 01:02:31,998 --> 01:02:34,634 THOUGH I CANNOT TALK ABOUT THE 1652 01:02:34,634 --> 01:02:36,970 NEW SITES JUST YET BUT ABOUT WE 1653 01:02:36,970 --> 01:02:40,574 WILL BE TAKING A PAY PLAN TO 1654 01:02:40,574 --> 01:02:41,708 NICHD'S JUNE COUNCIL. 1655 01:02:41,708 --> 01:02:43,777 WE ARE VERY, VERY GRATEFUL TO 1656 01:02:43,777 --> 01:02:44,611 THE REVIEWERS WHO WERE PATIENT 1657 01:02:44,611 --> 01:02:51,918 WITH US AND THE APPLICANTS AS 1658 01:02:51,918 --> 01:02:53,119 WELL JOE BONNERA HAS DONE A 1659 01:02:53,119 --> 01:02:56,323 GREAT JOB WITH THIS, SO BIG 1660 01:02:56,323 --> 01:02:56,690 THANKS TO HIM. 1661 01:02:56,690 --> 01:02:59,926 GO BACK, SORRY AND WE HAVE MANY 1662 01:02:59,926 --> 01:03:00,727 PARTNERS IN THIS. 1663 01:03:00,727 --> 01:03:02,796 SO THIS IS 1 OF THE FUNDING 1664 01:03:02,796 --> 01:03:04,965 OPPORTUNITIES THAT GOES THROUGH 1665 01:03:04,965 --> 01:03:07,234 THE MEDICAL REHAB COORDINATING 1666 01:03:07,234 --> 01:03:13,773 COMMITTEE AND HAS INPUT FROM OUR 1667 01:03:13,773 --> 01:03:19,112 OTHER ICs, NINDS, NIBIB, NIDCD 1668 01:03:19,112 --> 01:03:20,247 AND NICCIH, AND AGAIN, THANK TO 1669 01:03:20,247 --> 01:03:22,682 YOU THEM. 1670 01:03:22,682 --> 01:03:23,450 NEXT SLIDE. 1671 01:03:23,450 --> 01:03:25,352 BUT I WOULD BE REALLY, REALLY 1672 01:03:25,352 --> 01:03:27,721 REMISS IF I DIDN'T ACKNOWLEDGE 1673 01:03:27,721 --> 01:03:29,723 THE OUTGOING CENTERS, THEY HAVE 1674 01:03:29,723 --> 01:03:32,792 DONE AN INCREDIBLE JOB OF 1675 01:03:32,792 --> 01:03:36,496 EDUCATING THE FIELD, OF SHOWING 1676 01:03:36,496 --> 01:03:38,131 THEIR EXPERTISE ASK PROVIDING 1677 01:03:38,131 --> 01:03:40,700 LEADERSHIP AND TRAINING 1678 01:03:40,700 --> 01:03:43,970 OPPORTUNITIES TO GROW THE 1679 01:03:43,970 --> 01:03:47,274 STRENGTH OF THE RESEARCH FIELD 1680 01:03:47,274 --> 01:03:48,141 AND REHABILITATION. 1681 01:03:48,141 --> 01:03:58,652 ABOUT A MONTH AGO, THEY HAD A 1682 01:04:00,253 --> 01:04:01,354 FAREWELL TOUR WHERE THEY TALKED 1683 01:04:01,354 --> 01:04:02,622 ABOUT THE OUTCOMES THEY WERE 1684 01:04:02,622 --> 01:04:05,759 ABLE TO ACHIEVE IN THEIR 5 YEAR 1685 01:04:05,759 --> 01:04:08,728 CYCLE, THEY FEATURED MANY OF THE 1686 01:04:08,728 --> 01:04:09,963 URINE PILOT AWARDEES OR TRAINEES 1687 01:04:09,963 --> 01:04:12,098 WHO HAD BEEN THROUGH THE CENTERS 1688 01:04:12,098 --> 01:04:15,502 AND IT WAS JUST VERY NICE TO SEE 1689 01:04:15,502 --> 01:04:22,342 KIND OF THE FRUIT OF THEIR LABOR 1690 01:04:22,342 --> 01:04:24,911 THEY ALL REMINDED US THAT THEY 1691 01:04:24,911 --> 01:04:26,413 ARE NOT DISAPPEARING, THEY ARE 1692 01:04:26,413 --> 01:04:29,149 STILL AROUND, THEY STILL HAVE 1693 01:04:29,149 --> 01:04:31,051 RESOURCES SO PLEASE, IF THEIR 1694 01:04:31,051 --> 01:04:33,019 EXPERTISE IS HELPFUL TO YOU, 1695 01:04:33,019 --> 01:04:34,955 PLEASE DON'T BE AFRAID TO REACH 1696 01:04:34,955 --> 01:04:38,925 OUT TO THEM AND A BIG THANKS TO 1697 01:04:38,925 --> 01:04:41,428 THE COORDINATING CENTER AT MUSC 1698 01:04:41,428 --> 01:04:47,367 WHO KIND OF ORGANIZED A LOT OF 1699 01:04:47,367 --> 01:04:53,473 THAT PARTICULARLY BROOK SEGAL, 1700 01:04:53,473 --> 01:04:54,107 THANK YOU. 1701 01:04:54,107 --> 01:04:54,307 OKAY. 1702 01:04:54,307 --> 01:04:56,409 ANOTHER THING THAT WE HAVE HAD 1703 01:04:56,409 --> 01:04:59,479 THE PLEASURE TO WORK ON SINCE 1704 01:04:59,479 --> 01:05:03,149 WE'VE LAST MET IN DECEMBER IS 1705 01:05:03,149 --> 01:05:06,653 OUR DISABILITY PRIZE CHALLENGE. 1706 01:05:06,653 --> 01:05:09,055 THIS IS A KIND OF JOINT EFFORT 1707 01:05:09,055 --> 01:05:11,658 AGAIN WITH NATIONAL EYE 1708 01:05:11,658 --> 01:05:19,299 INSTITUTE, DEAFNESS AND OTHER 1709 01:05:19,299 --> 01:05:20,100 COMMUNICATION DISORDER, NIAMS, 1710 01:05:20,100 --> 01:05:23,103 THE OFFICE OF THE DIRECTOR, AS 1711 01:05:23,103 --> 01:05:30,610 WELL AS OUR ACL COLLEAGUES IN 1712 01:05:30,610 --> 01:05:32,879 NIDLR, WE LAUNCHED THOSE PRIZE 1713 01:05:32,879 --> 01:05:35,248 CHALLENGE WHICH IS 2 PHASES. 1714 01:05:35,248 --> 01:05:37,884 THE FIRST PHASE WE LAUNCHED IN 1715 01:05:37,884 --> 01:05:38,284 AUGUST. 1716 01:05:38,284 --> 01:05:42,022 WE HAD A REALLY INCREDIBLE 1717 01:05:42,022 --> 01:05:46,259 RESPONSE IN NOVEMBER, OVER 120 1718 01:05:46,259 --> 01:05:48,194 APPLICATIONS FROM 33 STATES, D. 1719 01:05:48,194 --> 01:05:52,599 C. AND PUERTO RICO, I THINK AND 1720 01:05:52,599 --> 01:05:56,803 JUST -- IT WAS INCREDIBLY 1721 01:05:56,803 --> 01:05:58,605 VALUABLE TO SEE THE RESPONSE AND 1722 01:05:58,605 --> 01:06:01,141 THESE WERE ALL FROM COMMUNITY 1723 01:06:01,141 --> 01:06:02,342 GROUPS, SO WE'VE TALKED A LITTLE 1724 01:06:02,342 --> 01:06:04,044 BIT ABOUT THE IMPORTANCE OF 1725 01:06:04,044 --> 01:06:07,347 HEALTH DISPARITIES RESEARCH AND 1726 01:06:07,347 --> 01:06:09,315 REALLY WE ACKNOWLEDGE HOW 1727 01:06:09,315 --> 01:06:09,949 IMPORTANT COMMUNITY ENGAGEMENT 1728 01:06:09,949 --> 01:06:12,752 IS FOR THAT TYPE OF RESEARCH SO 1729 01:06:12,752 --> 01:06:14,821 WE WANTED TO REWARD THESE 1730 01:06:14,821 --> 01:06:16,189 COMMUNITY LED PROGRAMS THAT ARE 1731 01:06:16,189 --> 01:06:21,127 ALL WORKING TOWARDS THE GOALS OF 1732 01:06:21,127 --> 01:06:25,031 IMPROVING HEALTH FOR AMERICANS. 1733 01:06:25,031 --> 01:06:29,202 SO WE AWARDED OUR PHASE 1 1734 01:06:29,202 --> 01:06:32,806 WINNERS, SO LIKE THE ENDOTUNNEL 1735 01:06:32,806 --> 01:06:37,243 FUNNEL YOU SAW FROM ALISO'S 1736 01:06:37,243 --> 01:06:39,079 SLIDE WE'VE NARROWED THOSE FROM 1737 01:06:39,079 --> 01:06:41,414 120 DOWN TO 8 AND THOSE 8 ARE 1738 01:06:41,414 --> 01:06:44,451 CURRENTLY COMPETING AND WE WILL 1739 01:06:44,451 --> 01:06:54,360 HOPE TO HAVE OUR TOP WINNERS 1740 01:06:54,360 --> 01:06:54,694 NEXT JANUARY. 1741 01:06:54,694 --> 01:06:57,497 THE MIX OF WINNERS COVERS ALL 1742 01:06:57,497 --> 01:06:59,332 DISABILITY TYPES AS WELL AS 1743 01:06:59,332 --> 01:07:02,068 RESOURCES SO WE HAVE SOME 1744 01:07:02,068 --> 01:07:04,671 PREVENTIVE CARE, DENTAL FOR 1745 01:07:04,671 --> 01:07:07,674 EXAMPLE, WE HAVE ENGAGEMENT OF 1746 01:07:07,674 --> 01:07:10,410 NURSES, PARTICULARLY NURSES WITH 1747 01:07:10,410 --> 01:07:12,579 DISABILITIES AND NURSING 1748 01:07:12,579 --> 01:07:20,587 CURRICULUM, WE HAVE PEER SUPPORT 1749 01:07:20,587 --> 01:07:23,656 GROUPS FOR APHASIA, FISCAL 1750 01:07:23,656 --> 01:07:24,390 ACTIVITY, ACCESS TO 1751 01:07:24,390 --> 01:07:32,065 REHABILITATION AS WELL AS ACCESS 1752 01:07:32,065 --> 01:07:34,100 TO ASSISTIVE TECHNOLOGIES, LIKE 1753 01:07:34,100 --> 01:07:35,735 PREVENTATIVE AND ALTERNATIVE 1754 01:07:35,735 --> 01:07:37,203 COMMUNICATION DEVICES SO TO JUST 1755 01:07:37,203 --> 01:07:38,671 GIVE YOU AN OVERVIEW OF THE 1756 01:07:38,671 --> 01:07:40,073 TYPES OF PROJECTS THAT ARE 1757 01:07:40,073 --> 01:07:41,741 MOVING FORWARD, SO VERY PLEASED, 1758 01:07:41,741 --> 01:07:47,447 VERY EXCITED ABOUT THIS AND MORE 1759 01:07:47,447 --> 01:07:49,616 TO COME. 1760 01:07:49,616 --> 01:07:52,118 UNFORTUNATELY, WE DID HAVE TO 1761 01:07:52,118 --> 01:07:56,356 POSTPONE OUR REHAB CONFERENCE. 1762 01:07:56,356 --> 01:07:58,358 AND WE HAD BEEN -- WE HAD BEEN 1763 01:07:58,358 --> 01:07:59,626 WAITING ON MORE INFORMATION 1764 01:07:59,626 --> 01:08:03,029 ABOUT YOU KNOW HOW WE MIGHT GO 1765 01:08:03,029 --> 01:08:04,631 FORWARD WITH THIS AND WE HAVE 1766 01:08:04,631 --> 01:08:06,366 GOTTEN SOME RESEARCH IN THE LAST 1767 01:08:06,366 --> 01:08:10,069 FEW WEEKS, SO I AM HOPEFUL THAT 1768 01:08:10,069 --> 01:08:11,805 WE WILL BE RESCHEDULING THIS 1769 01:08:11,805 --> 01:08:15,775 BEFORE THE END OF THE FISCAL 1770 01:08:15,775 --> 01:08:20,713 YEAR WE DO NOT HAVE THE NEW DATE 1771 01:08:20,713 --> 01:08:22,048 SET YET AND WE WILL HAVE TO MAKE 1772 01:08:22,048 --> 01:08:26,452 ARK JUST WANTS TO THE AGENDA AND 1773 01:08:26,452 --> 01:08:29,923 THE FORMAT, BUT WE ARE GRATEFUL 1774 01:08:29,923 --> 01:08:32,458 TO THE MEMBERS OF THIS BOARD WHO 1775 01:08:32,458 --> 01:08:34,160 HELPED PLAN THIS EVENT AS WELL 1776 01:08:34,160 --> 01:08:37,163 AS THE KIND OF INTERNAL PLANNING 1777 01:08:37,163 --> 01:08:39,833 COMMITTEES WHO HAD PREPARED A 1778 01:08:39,833 --> 01:08:41,901 REALLY WONDERFUL AGENDA AND WE 1779 01:08:41,901 --> 01:08:46,539 WILL DO OUR BEST TO KEEP THAT AS 1780 01:08:46,539 --> 01:08:47,941 INTACT AS POSSIBLE BUT NOTING 1781 01:08:47,941 --> 01:08:51,611 THAT WE WILL LIKELY HAVE TO DO A 1782 01:08:51,611 --> 01:08:56,249 VIRTUAL FORMAT INSTEAD OF AN 1783 01:08:56,249 --> 01:08:58,084 IN-PERSON AND AS SOON AS WE CAN 1784 01:08:58,084 --> 01:09:02,055 GET THAT NEW DATE SETTLED, WE 1785 01:09:02,055 --> 01:09:04,524 WILL LET YOU ALL KNOW BUT AGAIN 1786 01:09:04,524 --> 01:09:15,034 APOLOGIES THAT WE DID HAVE TO 1787 01:09:18,738 --> 01:09:19,072 POSTPONE. 1788 01:09:19,072 --> 01:09:20,773 AT OUR LAST MEETING WE TALKED 1789 01:09:20,773 --> 01:09:23,243 ABOUT THE DISABILITY HEALTH 1790 01:09:23,243 --> 01:09:24,377 RESEARCH COORDINATING COMMITTEE. 1791 01:09:24,377 --> 01:09:26,546 ONE OF THE NEW LEADERSHIP 1792 01:09:26,546 --> 01:09:29,282 CHANGES AT NIH THAT ALISON 1793 01:09:29,282 --> 01:09:35,755 DIDN'T MENTION WAS THE 1794 01:09:35,755 --> 01:09:37,590 APPOINTMENT OF NICOLE CLIEN AS 1795 01:09:37,590 --> 01:09:40,693 THE ACTING DEPUTY DIRECTOR FOR 1796 01:09:40,693 --> 01:09:41,895 PROGRAM COORDINATING AND 1797 01:09:41,895 --> 01:09:42,996 STRATEGIC INITTIAIVE ITS. 1798 01:09:42,996 --> 01:09:48,368 ADAM IS HERE TODAY, KIND OF 1799 01:09:48,368 --> 01:09:50,570 REPRESENTING THE DPC PSI AND 1800 01:09:50,570 --> 01:09:51,337 THIS GROUP. 1801 01:09:51,337 --> 01:09:54,073 WE ARE STILL MEETING, WE ARE 1802 01:09:54,073 --> 01:09:58,044 STILL WORKING ON THE STRATEGIC 1803 01:09:58,044 --> 01:10:00,947 PLAN AND WE WERE ABLE TO PUT OUT 1804 01:10:00,947 --> 01:10:04,784 A REQUEST FOR INFORMATION IN 1805 01:10:04,784 --> 01:10:05,084 MIDDECEMBER. 1806 01:10:05,084 --> 01:10:07,220 THAT CLOSED IN MARCH ASK WE ARE 1807 01:10:07,220 --> 01:10:12,125 GOING THROUGH THOSE COMMENTS 1808 01:10:12,125 --> 01:10:12,425 NOW. 1809 01:10:12,425 --> 01:10:15,128 SO I THOUGHT YOU MIGHT HAVE 1810 01:10:15,128 --> 01:10:16,963 QUESTIONS ABOUT, IF THIS IS 1811 01:10:16,963 --> 01:10:18,231 STILL PROCEEDING, THERE HAVE 1812 01:10:18,231 --> 01:10:19,332 BEEN DELAYS BUT PLEASE KNOW THAT 1813 01:10:19,332 --> 01:10:24,037 WE ARE STILL WORKING ON THAT AND 1814 01:10:24,037 --> 01:10:34,480 ADAM CAN'T GET RID OF US. 1815 01:10:39,686 --> 01:10:42,121 OUR OUTREACH HAS BNT INN AS 1816 01:10:42,121 --> 01:10:44,424 EXTENSIVE AS USUAL BUT WE WERE 1817 01:10:44,424 --> 01:10:46,492 ALL ABLE TO PARTICIPATE IN 1818 01:10:46,492 --> 01:10:49,128 TIGER, WHICH WE ALL ENJOY, WE 1819 01:10:49,128 --> 01:10:50,129 ALL MEET WITH JUNIOR 1820 01:10:50,129 --> 01:10:52,098 INVESTIGATORS AND TALK TO THEM 1821 01:10:52,098 --> 01:10:53,466 ABOUT FEDERAL FUNDING 1822 01:10:53,466 --> 01:10:54,367 OPPORTUNITIES. 1823 01:10:54,367 --> 01:10:57,470 WE ALSO HOSTED A WEBINAR IN 1824 01:10:57,470 --> 01:11:01,240 JANUARY TARGETED AT OUR EARLY 1825 01:11:01,240 --> 01:11:02,608 CAREER RO3 APPLICANTS AND THIS 1826 01:11:02,608 --> 01:11:05,912 SPURRED OUT OF AN ANALYSIS THAT 1827 01:11:05,912 --> 01:11:07,981 OUR PROGRAM ANALYSTS AT THE TIME 1828 01:11:07,981 --> 01:11:09,849 HAD DONE WORKING WITH PROGRAM 1829 01:11:09,849 --> 01:11:14,187 OFFICERS, AND WORKING WITH 1830 01:11:14,187 --> 01:11:16,255 REVIEW OFFICERS TO IDENTIFY KIND 1831 01:11:16,255 --> 01:11:18,458 OF COMMON MISTAKES, COMMON PIT 1832 01:11:18,458 --> 01:11:22,962 FALLS, AND TO WORK WITH THEM 1833 01:11:22,962 --> 01:11:24,831 BEFORE PIs PUT IN THEIR 1834 01:11:24,831 --> 01:11:25,865 APPLICATIONS TO KIND OF HEAD 1835 01:11:25,865 --> 01:11:27,900 SOME OF THOSE OFF. 1836 01:11:27,900 --> 01:11:30,970 SO THAT HAS BEEN POSTED AND WOE 1837 01:11:30,970 --> 01:11:34,374 HOPE THAT IT WILL BE HELPFUL TO 1838 01:11:34,374 --> 01:11:35,975 THE COMMUNITY AND THEN FINALLY I 1839 01:11:35,975 --> 01:11:38,044 HAD THE OPPORTUNITY TO 1840 01:11:38,044 --> 01:11:40,446 PARTICIPATE IN OUR LURCH AND 1841 01:11:40,446 --> 01:11:44,450 LEARN ON REHABILITATION RESEARCH 1842 01:11:44,450 --> 01:11:48,421 FOR 8-10 CONGRESSIONAL STAFFERS 1843 01:11:48,421 --> 01:11:51,357 A FEW WEEKS AGO. 1844 01:11:51,357 --> 01:11:56,295 A VIRTUAL MEETING AND I THINK AS 1845 01:11:56,295 --> 01:11:57,630 THESE OPPORTUNITIES ARE 1846 01:11:57,630 --> 01:11:59,198 PRESENTED, YOU KNOW WE ARE DOING 1847 01:11:59,198 --> 01:12:02,402 OUR BEST TO SHOW THAT THE VALUE 1848 01:12:02,402 --> 01:12:12,845 AND THE GREAT WORK THAT YOU ALL 1849 01:12:12,845 --> 01:12:13,346 DO. 1850 01:12:13,346 --> 01:12:18,918 AND THE LAST UPDATE ON OUR 1851 01:12:18,918 --> 01:12:19,986 ACTIVITIES IS CONGRATULATIONS. 1852 01:12:19,986 --> 01:12:23,456 WE HAD A P-CASE AWARDEE THAT IS 1853 01:12:23,456 --> 01:12:25,191 THE PRESIDENTIAL EARLY CAREER 1854 01:12:25,191 --> 01:12:26,893 AWARD FOR SCIENTISTS AND 1855 01:12:26,893 --> 01:12:30,797 ENGINEERS AND I WOULD SAY THAT 1856 01:12:30,797 --> 01:12:33,266 NCMRR DOES A REALLY GOOD JOB AT 1857 01:12:33,266 --> 01:12:33,966 WINNING THESE. 1858 01:12:33,966 --> 01:12:37,136 WE'RE QUITE PLEASED WITH OUR 1859 01:12:37,136 --> 01:12:40,440 TRACK RECORD, SO EVERY FEW YEARS 1860 01:12:40,440 --> 01:12:44,577 PROGRAM STAFF CAN NOMINATE 1861 01:12:44,577 --> 01:12:47,080 PEOPLE FOR THIS AWARD. 1862 01:12:47,080 --> 01:12:50,349 SEVERAL YEARS AGO THAT WE PUT 1863 01:12:50,349 --> 01:12:53,019 THIS NOMINATION FORWARD BUT IT 1864 01:12:53,019 --> 01:12:58,791 HAPPENED IN JANUARY. 1865 01:12:58,791 --> 01:13:03,729 WE WERE ALERTED THAT BROOK ANN 1866 01:13:03,729 --> 01:13:06,466 SLAVENS WHO IS A BEO MEDICAL 1867 01:13:06,466 --> 01:13:08,101 ENGINEER HAD BEEN GIVEN THIS 1868 01:13:08,101 --> 01:13:10,069 PRESTIGIOUS AWARD AND IT WAS 1869 01:13:10,069 --> 01:13:13,039 BASED ON HER RO-1 AWARD WITH 1870 01:13:13,039 --> 01:13:20,580 HUSBAND ON PREDICTING SHOULDER 1871 01:13:20,580 --> 01:13:21,881 INJURY FOR DISEASE PREVENTION IN 1872 01:13:21,881 --> 01:13:23,683 CHILDREN AND ADULTS WITH FINE 1873 01:13:23,683 --> 01:13:24,617 SALIVA--SALIVA CORD INJURY AND 1874 01:13:24,617 --> 01:13:26,119 BROOK HAS BEEN KIND ENOUGH TO 1875 01:13:26,119 --> 01:13:29,489 OFFER AND GIVE US INTERNALLY AT 1876 01:13:29,489 --> 01:13:33,126 NICHD A TALK THIS WEEK SO WE CAN 1877 01:13:33,126 --> 01:13:35,561 HEAR DIRECTLY FROM HER ABOUT HOW 1878 01:13:35,561 --> 01:13:38,297 SUCCESSFUL THIS PROJECT HAS 1879 01:13:38,297 --> 01:13:38,498 BEEN. 1880 01:13:38,498 --> 01:13:41,067 SHE JOINED REALLY GOOD COMPANY 1881 01:13:41,067 --> 01:13:45,638 ENCLOUDING SOME FORMER BOARD 1882 01:13:45,638 --> 01:13:45,905 MEMBERS. 1883 01:13:45,905 --> 01:13:47,173 WE WERE TRYING TO REMEMBER ALL 1884 01:13:47,173 --> 01:13:50,710 OF OUR WINNERS SO I WILL NOT 1885 01:13:50,710 --> 01:13:56,149 NAME THEM ALL, BUT WE ARE QUITE 1886 01:13:56,149 --> 01:13:59,185 PLEASED HOW WELL NMRR DOES FOR 1887 01:13:59,185 --> 01:14:09,662 COMPETING FOR THIS NATIONAL 1888 01:14:10,396 --> 01:14:10,563 AWARD. 1889 01:14:10,563 --> 01:14:11,764 AND WE'VE BEEN LOOKING AT THE 1890 01:14:11,764 --> 01:14:13,299 IMPACT OF OUR WORK AND 1 THING 1891 01:14:13,299 --> 01:14:18,671 WE LOOKED AT IS HOW 1892 01:14:18,671 --> 01:14:25,878 NCMRR PUBLICATIONS COMPARE TO 1893 01:14:25,878 --> 01:14:28,147 COMPARE TO OTHER AND THIS 1894 01:14:28,147 --> 01:14:32,285 ANALYSIS DEVELOPED A CITATION 1895 01:14:32,285 --> 01:14:38,558 RELATIVE CITATION RATIO WHICH IS 1896 01:14:38,558 --> 01:14:42,328 THE METRIC FOR NORMALIZING AN 1897 01:14:42,328 --> 01:14:43,129 ARTICLE'S INFLUENCE OVERTIME 1898 01:14:43,129 --> 01:14:44,463 BENCHMARKED BY THE FIELD AND HOW 1899 01:14:44,463 --> 01:14:49,302 LONG THAT PUBLICATION HAS BEEN 1900 01:14:49,302 --> 01:14:49,569 AVAILABLE. 1901 01:14:49,569 --> 01:14:53,973 AND SO WHAT WE DID IS LOOK AT 1902 01:14:53,973 --> 01:14:56,809 PUBLICATIONS THAT CAME OUT IN 1903 01:14:56,809 --> 01:15:00,313 THE YEARS 2019 THROUGH THE EARLY 1904 01:15:00,313 --> 01:15:01,781 PART OF 2025. 1905 01:15:01,781 --> 01:15:07,687 OBVIOUSLY 2025 NOT COMPLETE 1906 01:15:07,687 --> 01:15:08,020 HERE. 1907 01:15:08,020 --> 01:15:12,792 THAT WERE ASSOCIATED WITH AN 1908 01:15:12,792 --> 01:15:14,760 NCMRR GRANT, SO THE FUNDING 1909 01:15:14,760 --> 01:15:16,262 COULDN'T HAVE HAPPENED AT ANY 1910 01:15:16,262 --> 01:15:17,230 TIME PREVIOUS OR CONCURRENT BUT 1911 01:15:17,230 --> 01:15:20,299 THIS IS THE TIME PERIOD WHEN THE 1912 01:15:20,299 --> 01:15:24,537 PUBLICATIONS WERE OUT WE HAD 1913 01:15:24,537 --> 01:15:25,404 OVER 4700 PUBLICATIONS. 1914 01:15:25,404 --> 01:15:34,280 MOST OF THEM WERE AVAILABLE IN 1915 01:15:34,280 --> 01:15:35,481 THE ICITE SYSTEM. 1916 01:15:35,481 --> 01:15:38,317 THERE WAS AN SKEWED 1917 01:15:38,317 --> 01:15:41,354 DISTRIBUTION, A FEW NUMBER OF 1918 01:15:41,354 --> 01:15:41,988 HIGHLY INFLUENTIAL PUBLICATIONS 1919 01:15:41,988 --> 01:15:48,961 SO WHAT WE DID WAS KIND OF 1920 01:15:48,961 --> 01:15:50,296 MANUALLY CHECK THE TOP 50 1921 01:15:50,296 --> 01:15:52,198 PUBLICATIONS AND MAKE SURE THEY 1922 01:15:52,198 --> 01:15:56,936 WERE CORRECTLY IDENTIFIED AS 1923 01:15:56,936 --> 01:15:59,805 PART OF THE NCMRR'S PORTFOLIO AS 1924 01:15:59,805 --> 01:16:01,474 WELL AS BEING REHABILITATION 1925 01:16:01,474 --> 01:16:02,408 RELATED BECAUSE REMEMBER THIS IS 1926 01:16:02,408 --> 01:16:09,715 BASED ON WHAT AN AUTHOR REPORTS 1927 01:16:09,715 --> 01:16:10,149 IN PUB MED. 1928 01:16:10,149 --> 01:16:14,153 SO WHEN WE LOOKED LOOKED AT THE 1929 01:16:14,153 --> 01:16:16,689 RELATIVE RATIOS WE FOUND WE HAD 1930 01:16:16,689 --> 01:16:17,923 A MEAN OF 1.84. 1931 01:16:17,923 --> 01:16:19,592 REMEMBER 1 IS JUST THE NORMS SO 1932 01:16:19,592 --> 01:16:21,761 ANYTHING HIGHER THAT KNOW THAT 1933 01:16:21,761 --> 01:16:23,162 IS GOOD. 1934 01:16:23,162 --> 01:16:26,032 THAT SET OF PUBLICATIONS ALSO 1935 01:16:26,032 --> 01:16:28,034 HAD A MEDIAN OVER 1, THE 1936 01:16:28,034 --> 01:16:34,840 WEIGHTED RCR IS A THIRD WAY TO 1937 01:16:34,840 --> 01:16:35,908 REFLECT AND BASICALLY IF THAT 1938 01:16:35,908 --> 01:16:38,244 NUMBER IS GREATER THAN THE 1939 01:16:38,244 --> 01:16:39,845 NUMBER OF PUBLICATIONS, THEN IT 1940 01:16:39,845 --> 01:16:50,022 IS CONSIDERED A SIGNIFICANT SET 1941 01:16:50,022 --> 01:16:50,690 OF PUBLICATIONS. 1942 01:16:50,690 --> 01:16:53,492 SO THE NEXT THING I WOULD LIKE 1943 01:16:53,492 --> 01:16:55,561 TO TALK ABOUT, -- NOT THE LAST 1944 01:16:55,561 --> 01:16:58,297 THING -- BUT IF I COULD REMIND 1945 01:16:58,297 --> 01:16:59,398 PEOPLE TO MUTE THEMSELVES I'M 1946 01:16:59,398 --> 01:17:01,067 GETTING A LITTLE BIT OF 1947 01:17:01,067 --> 01:17:01,334 FEEDBACK. 1948 01:17:01,334 --> 01:17:08,708 WE WILL HIT JUST A COUPLE 1949 01:17:08,708 --> 01:17:09,542 SCIENCE ADVANCES SO THE FIRST 1950 01:17:09,542 --> 01:17:11,444 THING I WANT TO TELL YOU ALL 1951 01:17:11,444 --> 01:17:13,279 ABOUT IS 1 OF THE PRODUCTS OF 1 1952 01:17:13,279 --> 01:17:15,581 OF THOSE ACROSS NIH 1953 01:17:15,581 --> 01:17:19,151 COLLABORATIONS THAT ALISON 1954 01:17:19,151 --> 01:17:22,922 MENTIONED THAT IS THE NIH 1955 01:17:22,922 --> 01:17:23,656 BLUEPRINT FOR NEUROSCIENCE. 1956 01:17:23,656 --> 01:17:25,091 SO I THINK MANY OF YOU ARE 1957 01:17:25,091 --> 01:17:28,928 FAMILIAR WITH THE TOOL BOX WHICH 1958 01:17:28,928 --> 01:17:32,598 IS A SET OF DIGITAL ASSESSMENTS 1959 01:17:32,598 --> 01:17:38,838 FOR COGNITION, MOTOR, SENSATION, 1960 01:17:38,838 --> 01:17:42,441 EMOTION, THAT NIH HAS DEVELOPED 1961 01:17:42,441 --> 01:17:43,642 AND ADVERTISED FOR QUITE A 1962 01:17:43,642 --> 01:17:46,579 NUMBER OF YEARS, THEY ARE VALID, 1963 01:17:46,579 --> 01:17:47,580 RELIABLE, NORM REFERENCED, FOR 1964 01:17:47,580 --> 01:17:50,716 PEOPLE ACROSS THE LIFE SPAN FROM 1965 01:17:50,716 --> 01:17:54,053 3 YEARS TO 85 YEARS. 1966 01:17:54,053 --> 01:17:56,155 THERE WAS A WORKSHOP LAST YEAR, 1967 01:17:56,155 --> 01:17:58,090 KIND OF DELVING INTO THE TOOL 1968 01:17:58,090 --> 01:17:59,525 BOX AND I WOULD ENCOURAGE YOU TO 1969 01:17:59,525 --> 01:18:01,627 TAKE A LOOK AT THAT IF THIS IS 1970 01:18:01,627 --> 01:18:06,432 SOMETHING NEW TO YOU. 1971 01:18:06,432 --> 01:18:08,868 AND THERE ARE OVER 50 1972 01:18:08,868 --> 01:18:09,235 ASSESSMENTS. 1973 01:18:09,235 --> 01:18:10,970 BUT YOU NOTICE, I SAID THAT IT'S 1974 01:18:10,970 --> 01:18:14,774 GOOD FOR AGES 3 AND UP, SO, 1975 01:18:14,774 --> 01:18:20,579 NICHD PARTICULARLY LED BY OUR 1976 01:18:20,579 --> 01:18:21,280 CHILD DEVELOPMENT BEHAVIOR 1977 01:18:21,280 --> 01:18:25,484 BRANCH HAD ISSUED A CONTRACT IN 1978 01:18:25,484 --> 01:18:31,023 COLLABORATION WITH THE N IH 1979 01:18:31,023 --> 01:18:32,291 BLUEPRINT TO DEVELOP A BABY TOOL 1980 01:18:32,291 --> 01:18:36,629 BOX FOR CHILDREN AND INFANTS 1981 01:18:36,629 --> 01:18:37,396 AGES 1-FROM--INTEGRATION MONTHS, 1982 01:18:37,396 --> 01:18:44,069 IT'S AVAILABLE BOTH IN ENGLISH 1983 01:18:44,069 --> 01:18:46,705 AND SPANISH AND THAT TOOL KIT 1984 01:18:46,705 --> 01:18:48,040 HAS RECENTLY BEEN RELIESED SO IF 1985 01:18:48,040 --> 01:18:49,875 I ARE WORKING WITH THOSE YOUNGER 1986 01:18:49,875 --> 01:18:50,976 AGED CHILDREN WE WOULD ENCOURAGE 1987 01:18:50,976 --> 01:18:56,048 YOU TO TAKE A A LOOK AT THAT D 1988 01:18:56,048 --> 01:18:57,216 IT'S BEEN A REALLY NICE 1989 01:18:57,216 --> 01:19:00,119 COLLABORATION WITH THE REST OF 1990 01:19:00,119 --> 01:19:10,629 NICHD AND NIH WITH THEIR REHAB 1991 01:19:11,964 --> 01:19:12,364 CENTER. 1992 01:19:12,364 --> 01:19:13,532 AND THEN THE OTHER SCIENTIFIC 1993 01:19:13,532 --> 01:19:15,167 ADVANCE I WANTED TO TALK ABOUT 1994 01:19:15,167 --> 01:19:20,272 BRIEFLY WAS THE FDA APPROVAL OF 1995 01:19:20,272 --> 01:19:22,241 THE RPX DEVICE FROM ONWARD 1996 01:19:22,241 --> 01:19:23,309 MEDICAL, I THINK MANY OF YOU 1997 01:19:23,309 --> 01:19:26,011 PARTICULARLY IN THE SPINAL CORD 1998 01:19:26,011 --> 01:19:26,946 INJURY RESEARCH REALM ARE 1999 01:19:26,946 --> 01:19:30,249 PROBABLY FAMILIAR WITH THIS 2000 01:19:30,249 --> 01:19:30,983 DEVICE. 2001 01:19:30,983 --> 01:19:35,488 IT'S A NONINVASIVE SPINAL CORD 2002 01:19:35,488 --> 01:19:38,591 STIMULATOR AND THIS WAS AN 2003 01:19:38,591 --> 01:19:40,159 INDUSTRY SUPPORTED TRIAL. 2004 01:19:40,159 --> 01:19:43,863 PIVOTAL TRIAL, 60 PATIENTS IN 14 2005 01:19:43,863 --> 01:19:51,170 SITES SO IT'S ALSO INTERNATIONAL 2006 01:19:51,170 --> 01:19:51,804 COLLABORATION WHERE ELECTRODES 2007 01:19:51,804 --> 01:19:54,840 ARE PLACED ON THE SURFACE OF THE 2008 01:19:54,840 --> 01:19:56,041 SKIN ABOVE AND BELOW THE INJURY, 2009 01:19:56,041 --> 01:20:02,581 THE LEVEL OF THE INJURY. 2010 01:20:02,581 --> 01:20:05,451 THE PAPER FOR THIS PIVOTAL STUDY 2011 01:20:05,451 --> 01:20:10,656 CAME OUT LAST YEAR IN NATURE 2012 01:20:10,656 --> 01:20:10,923 MEDICINE. 2013 01:20:10,923 --> 01:20:14,393 SO THIS IS NOT AN EPIDIEWRAL 2014 01:20:14,393 --> 01:20:15,794 STIMULATION, IT'S NOT IMPLANTED 2015 01:20:15,794 --> 01:20:20,132 AND IT IS OFTEN NOT A FUNCTIONAL 2016 01:20:20,132 --> 01:20:21,734 ELECTRICAL STIMULATOR THAT 2017 01:20:21,734 --> 01:20:28,774 DIRECTLY CONTROLS THE MUSCLE 2018 01:20:28,774 --> 01:20:33,746 RATHER IT GETS THE BASE LINE OF 2019 01:20:33,746 --> 01:20:37,483 ACTIVITY CLOSER -- SORRY, IT 2020 01:20:37,483 --> 01:20:39,685 GETS THE SPINAL CORD PRIMED TO 2021 01:20:39,685 --> 01:20:44,423 MORE EASILY ACTIVATE AT THE 2022 01:20:44,423 --> 01:20:54,934 VOLITIONAL INTENT OF THE USER. 2023 01:20:56,969 --> 01:21:00,573 SO THE TARGET GOAL IS AT LEAST 2024 01:21:00,573 --> 01:21:02,174 50% PATIENTS HAVING IMPROVEMENT 2025 01:21:02,174 --> 01:21:04,910 COMPARED TO BASE LINE WHICH DID 2026 01:21:04,910 --> 01:21:05,578 INCLUDE REHABILITATION ALONE SO 2027 01:21:05,578 --> 01:21:08,981 YOU CAN SEE THERE THESE KIND OF 2028 01:21:08,981 --> 01:21:10,282 BASE LINE PERIODS WHERE THE 2029 01:21:10,282 --> 01:21:13,886 SUBJECTS BOTH IN MOTOR FUNCTION 2030 01:21:13,886 --> 01:21:20,159 AND SENSORY FUNCTION WERE FAIRLY 2031 01:21:20,159 --> 01:21:20,593 CONSISTENT. 2032 01:21:20,593 --> 01:21:22,127 THEN THE STIMULATOR WAS TURNED 2033 01:21:22,127 --> 01:21:24,430 ON, THEY CONTINUED TO HAVE 2034 01:21:24,430 --> 01:21:27,266 REHABILITATION WITH THE 2035 01:21:27,266 --> 01:21:27,900 STIMULATION, REHABILITATION WAS 2036 01:21:27,900 --> 01:21:30,869 IMPORTANT TO THE OUTCOMES AND 2037 01:21:30,869 --> 01:21:34,506 THEN YOU SEE THESE KIND OF 2038 01:21:34,506 --> 01:21:37,910 REALLY DRASTIC INCREASES BOTH IN 2039 01:21:37,910 --> 01:21:39,945 MOTOR FUNCTION SCALE AT THE TOP 2040 01:21:39,945 --> 01:21:50,489 AS WELL AS THE SENSORY FUNCTION 2041 01:21:51,757 --> 01:21:52,491 AT THE BOTTOM. 2042 01:21:52,491 --> 01:21:56,629 IN ADDITION TO THESE PRIMARY 2043 01:21:56,629 --> 01:21:57,730 OUTCOMES PARTICIPANTS REPORTED 2044 01:21:57,730 --> 01:22:01,800 IMPROVEMENTS IN MUSCLE SPASM, 2045 01:22:01,800 --> 01:22:04,670 SLEEP METRICS, I AM PRESENTING 2046 01:22:04,670 --> 01:22:08,240 THIS TODAY BECAUSE I THINK IT 2047 01:22:08,240 --> 01:22:12,511 REPRESENTS A GOOD EXAMPLE OF THE 2048 01:22:12,511 --> 01:22:14,680 ECOSYSTEM THAT WE HAVE DEVELOPED 2049 01:22:14,680 --> 01:22:19,518 IN THIS COUNTRY FOR SUPPORTING 2050 01:22:19,518 --> 01:22:19,985 BIOMEDICAL RESEARCH. 2051 01:22:19,985 --> 01:22:27,626 SO WE WOULD NOT BE HERE WITH 2052 01:22:27,626 --> 01:22:29,795 THIS PIVOTAL TRIAL WITH THIS 2053 01:22:29,795 --> 01:22:31,764 DEVICE COMPANY IF NOT FOR THE 2054 01:22:31,764 --> 01:22:35,401 DECADES OF BASIC RESEARCH INTO 2055 01:22:35,401 --> 01:22:40,906 OW ACTION POTENTIALS ARE 2056 01:22:40,906 --> 01:22:44,276 DISCHARGED AND HOW DOSE 2057 01:22:44,276 --> 01:22:46,979 DEPENDENT PLASTICITY IS USE 2058 01:22:46,979 --> 01:22:48,981 DEPENDENT PLASTICITY OCCURS. 2059 01:22:48,981 --> 01:22:54,687 THE ROLE OF ABOUT I O 2060 01:22:54,687 --> 01:22:56,689 COMPATIBILITY SO THE SUPPORT, 2061 01:22:56,689 --> 01:23:03,328 NSF, IN TRAINING THE PEOPLE WHO 2062 01:23:03,328 --> 01:23:04,930 PERFORMED THESE STUDIES, THE 2063 01:23:04,930 --> 01:23:05,864 EARLY FEASIBILITY STUDIES THAT 2064 01:23:05,864 --> 01:23:08,033 GO INTO SOMETHING LIKE THIS, SO 2065 01:23:08,033 --> 01:23:11,704 THE ROLE OF FDA AND APPROVING 2066 01:23:11,704 --> 01:23:12,771 THE DEVICE SO THAT WE'RE ALL 2067 01:23:12,771 --> 01:23:17,409 KIND OF PART OF THIS ECOSYSTEM 2068 01:23:17,409 --> 01:23:18,844 THAT IS WORKING TOGETHER TO HELP 2069 01:23:18,844 --> 01:23:28,353 THE HEALTH AND FUNCTION AND WELL 2070 01:23:28,353 --> 01:23:29,488 BEING OF AMERICANS. 2071 01:23:29,488 --> 01:23:31,990 AND I ASSURE YOU CHET DOES A 2072 01:23:31,990 --> 01:23:34,626 MUCH BETTER JOB AT THIS 2073 01:23:34,626 --> 01:23:36,128 PRESENTATION AND WE HOPE TO GET 2074 01:23:36,128 --> 01:23:40,999 HIM AT THE RESCHEDULED REHAB 2075 01:23:40,999 --> 01:23:41,300 CONFERENCE. 2076 01:23:41,300 --> 01:23:42,568 OKAY, SO THE LAST THING THAT I 2077 01:23:42,568 --> 01:23:51,744 NEED TO TALK TO YOU ALL ABOUT IS 2078 01:23:51,744 --> 01:23:52,144 THE RESEARCH PLAN. 2079 01:23:52,144 --> 01:23:54,379 WHEN WE MET IN DECEMBER I LAID 2080 01:23:54,379 --> 01:23:56,014 OUT THIS VERY NICE TIMELINE 2081 01:23:56,014 --> 01:23:59,852 WHERE WE HIGHLIGHTED THE WORK 2082 01:23:59,852 --> 01:24:01,153 WE'VE DONE UP UNTO THAT POINT 2083 01:24:01,153 --> 01:24:05,424 WORKING WITH WORKING GROUPS OF 2084 01:24:05,424 --> 01:24:09,928 THIS COUNCIL, MEDICAL REHAB 2085 01:24:09,928 --> 01:24:10,796 COORDINATING COMMITTEE, SOME OF 2086 01:24:10,796 --> 01:24:12,197 THE EARLY FEEDBACK I HAD GOTTEN 2087 01:24:12,197 --> 01:24:18,670 FROM THE AMERICAN CONGRESS OF 2088 01:24:18,670 --> 01:24:21,507 REHAB MEDICINE, AND I HAD 2089 01:24:21,507 --> 01:24:23,442 PLANNED TO PUBLISH A REQUEST FOR 2090 01:24:23,442 --> 01:24:24,476 INFORMATION TO DO MORE OUTREACH 2091 01:24:24,476 --> 01:24:26,678 AND THEN I WAS GOING TO COME TO 2092 01:24:26,678 --> 01:24:30,215 YOU TODAY AND SAY, HERE IS -- 2093 01:24:30,215 --> 01:24:34,520 HERE ARE OUR FINAL THEMES AND TO 2094 01:24:34,520 --> 01:24:36,355 ASK FOR YOUR APPROVAL AND THEN I 2095 01:24:36,355 --> 01:24:40,192 WOULD KIND OF WORK THROUGH THAT 2096 01:24:40,192 --> 01:24:44,196 WITH THE TEAM AT NCMRR AND NICHD 2097 01:24:44,196 --> 01:24:45,264 AND ACROSS NIH REALLY BECAUSE 2098 01:24:45,264 --> 01:24:47,833 THIS IS NOT THE NCMRR RESEARCH 2099 01:24:47,833 --> 01:24:56,408 PLAN, IT IS THE NIH RESEARCH 2100 01:24:56,408 --> 01:24:56,642 PLAN. 2101 01:24:56,642 --> 01:24:58,243 SO I CANNOT DO THAT TODAY. 2102 01:24:58,243 --> 01:25:00,479 WE HAVE NOT PUBLISHED THE 2103 01:25:00,479 --> 01:25:01,346 REQUEST FOR INFORMATION. 2104 01:25:01,346 --> 01:25:03,415 I DO NOT HAVE THAT FEEDBACK THAT 2105 01:25:03,415 --> 01:25:09,955 I TOLD YOU ALL THAT I WOULD 2106 01:25:09,955 --> 01:25:11,423 BRING TO YOU. 2107 01:25:11,423 --> 01:25:13,625 AS A REMINDER THESE WERE THE 2108 01:25:13,625 --> 01:25:16,595 PROPOSED THEMES WE HAD ALL 2109 01:25:16,595 --> 01:25:22,935 DISCUSSED AND TALKED THROUGH 2110 01:25:22,935 --> 01:25:25,070 OVER THE LAST YEAR SO THE 2111 01:25:25,070 --> 01:25:30,609 IMPORTANCE OF BAIVENG AND 2112 01:25:30,609 --> 01:25:33,912 MECHANISTICS STUDIES, SOCIAL 2113 01:25:33,912 --> 01:25:35,981 DEDERMINANTS OF HEALTH, 2114 01:25:35,981 --> 01:25:37,182 REHABILITATIVE AND ASSISTIVE 2115 01:25:37,182 --> 01:25:37,850 TECHNOLOGY, IMPLEMENTATION 2116 01:25:37,850 --> 01:25:39,518 RESEARCH AND TRAINING CAREER 2117 01:25:39,518 --> 01:25:43,055 DEVELOPMENT AND INFRASTRUCTURE. 2118 01:25:43,055 --> 01:25:50,295 SO MY QUESTION TO YOU ALL IS: 2119 01:25:50,295 --> 01:25:51,530 GIVEN THE KIND OF TRANSITION 2120 01:25:51,530 --> 01:25:53,098 PERIOD THAT WE'RE GOING THROUGH, 2121 01:25:53,098 --> 01:25:55,868 I DO NOT HAVE AN UPDATED 2122 01:25:55,868 --> 01:25:58,637 TIMELINE FOR WHEN I MIGHT GET 2123 01:25:58,637 --> 01:26:02,174 YOU THE INFORMATION THAT I HAD 2124 01:26:02,174 --> 01:26:05,544 INDICATED WAS IMPORTANT TO US. 2125 01:26:05,544 --> 01:26:07,179 AND I STILL THINK IS IMPORTANT 2126 01:26:07,179 --> 01:26:15,254 TO GET FEEDBACK FROM THE FIELD. 2127 01:26:15,254 --> 01:26:21,193 SO THAT BEING SAID, ARE YOU 2128 01:26:21,193 --> 01:26:22,127 COMFORTABLE IN APPROVING THESE 2129 01:26:22,127 --> 01:26:23,328 THEMES WITHOUT THAT FEEDBACK AND 2130 01:26:23,328 --> 01:26:25,163 ALLOWING US TO GO FORWARD WITH 2131 01:26:25,163 --> 01:26:28,667 THE CREATION OF THAT RESEARCH 2132 01:26:28,667 --> 01:26:32,271 PLAN OR WOULD YOU LIKE TO JUST 2133 01:26:32,271 --> 01:26:33,572 PUSH THIS OFF UNTIL THE TIME 2134 01:26:33,572 --> 01:26:37,276 THAT I CAN BRING YOU THAT 2135 01:26:37,276 --> 01:26:38,110 INFORMATION, THAT FEEDBACK FROM 2136 01:26:38,110 --> 01:26:42,848 THE FIELD AND THAT BUY-IN? 2137 01:26:42,848 --> 01:26:44,883 I DON'T HAVE A GOOD FEEL FOR 2138 01:26:44,883 --> 01:26:51,223 WHAT THAT NEW TIMELINE MIGHT BE 2139 01:26:51,223 --> 01:26:52,591 AND SOME OF THE PEOPLE THAT WERE 2140 01:26:52,591 --> 01:26:54,993 HELPING WITH THIS ARE NOT PART 2141 01:26:54,993 --> 01:26:56,028 OF THE AGENCY ANYMORE. 2142 01:26:56,028 --> 01:27:04,970 SO THERE IS ALSO SOME 2143 01:27:04,970 --> 01:27:05,304 UNCERTAINTIES. 2144 01:27:05,304 --> 01:27:08,340 SO THIS IS WHERE I OPEN IT UP TO 2145 01:27:08,340 --> 01:27:10,042 GET YOUR FEEDBACK, I SEE TRISH'S 2146 01:27:10,042 --> 01:27:11,410 HAND AND THEN I SAW A QUESTION 2147 01:27:11,410 --> 01:27:14,579 IN THE CHAT WHICH I WILL LOOK 2148 01:27:14,579 --> 01:27:15,080 AT, TOO. 2149 01:27:15,080 --> 01:27:16,014 >> I CAN WAIT, THERESA IF YOU 2150 01:27:16,014 --> 01:27:24,523 WANT TO DO THE QUESTION FIRST. 2151 01:27:24,523 --> 01:27:26,591 >> SO YES, TIFFANY WE DID HAVE A 2152 01:27:26,591 --> 01:27:27,059 PRESENTATION ON THESE. 2153 01:27:27,059 --> 01:27:33,565 I KNOW YOU HAD TO -- AT THE 2154 01:27:33,565 --> 01:27:34,132 DECEMBER 2024 MEETING. 2155 01:27:34,132 --> 01:27:36,335 IT MIGHT HAVE BEEN ON DAY 2 WHEN 2156 01:27:36,335 --> 01:27:46,812 YOU HAD ALREADY STEPPED OUT. 2157 01:27:47,112 --> 01:27:49,247 TRISH, YOUMENT TO ASK YOUR 2158 01:27:49,247 --> 01:27:49,514 QUESTION? 2159 01:27:49,514 --> 01:27:58,623 >> YEAH, WELL, MORE OF A 2160 01:27:58,623 --> 01:28:00,525 QUESTION/STATEMENT AND AS AN 2161 01:28:00,525 --> 01:28:01,827 ADHOC MEMBER I'M VERY GRATEFUL 2162 01:28:01,827 --> 01:28:04,029 TO BE PART OF YOUR GROUP AND 2163 01:28:04,029 --> 01:28:06,765 THIS NIH GROUP AND ALSO BEING A 2164 01:28:06,765 --> 01:28:09,167 FEDERAL EMPLOYEE WHO IS ALSO IN 2165 01:28:09,167 --> 01:28:12,037 CHARGE OF CONDUCTING A RESEARCH 2166 01:28:12,037 --> 01:28:17,309 PROGRAM AND KEEPING THINGS GOING 2167 01:28:17,309 --> 01:28:20,045 IN A FORWARD MANNER, I WOULD 2168 01:28:20,045 --> 01:28:28,253 JUST PROMOTE THE IDEA THAT YOU, 2169 01:28:28,253 --> 01:28:29,855 YOUR GROUP, NCMRR NOT PUT 2170 01:28:29,855 --> 01:28:32,691 THEMSELVES IN A STATIC STATE BUT 2171 01:28:32,691 --> 01:28:34,860 BE IN AS FORWARD MOVING STATE AS 2172 01:28:34,860 --> 01:28:37,729 YOU CAN WITH THE INFORMATION YOU 2173 01:28:37,729 --> 01:28:39,865 HAVE FROM PEOPLE WHO'VE GIVEN 2174 01:28:39,865 --> 01:28:42,401 YOU INPUT THUS FAR AND OF COURSE 2175 01:28:42,401 --> 01:28:44,436 HAVING A REALLY GOOD 2176 01:28:44,436 --> 01:28:46,104 UNDERSTANDING OF THE FIELD AND 2177 01:28:46,104 --> 01:28:49,975 THE NEEDS OF THE COMMUNITY AT 2178 01:28:49,975 --> 01:28:51,977 LARGE THAT YOU FRANKLY, YOU KNOW 2179 01:28:51,977 --> 01:28:55,580 NOT BE STATIC BUT BE AS FORWARD 2180 01:28:55,580 --> 01:28:59,017 MOVING AS YOU CAN AND AS COURSE 2181 01:28:59,017 --> 01:29:02,521 CORRECTIONS ARE NEEDED, YOU MAKE 2182 01:29:02,521 --> 01:29:03,655 COURSE CORRECTIONS BECAUSE WE DO 2183 01:29:03,655 --> 01:29:04,856 THAT, WE DO THAT ANYWAY. 2184 01:29:04,856 --> 01:29:07,325 WE DO THAT ANYWAY. 2185 01:29:07,325 --> 01:29:09,995 SO JUST THAT'S MY THOUGHTS FOR 2186 01:29:09,995 --> 01:29:13,632 YOU AND YOUR GROUP. 2187 01:29:13,632 --> 01:29:15,000 THANK YOU. 2188 01:29:15,000 --> 01:29:19,638 >> THANK YOU. 2189 01:29:19,638 --> 01:29:19,871 LUIS? 2190 01:29:19,871 --> 01:29:21,873 >> HEY, THERESA, THIS KIND OF IS 2191 01:29:21,873 --> 01:29:23,542 SORT OF SECOND I THINK WHAT 2192 01:29:23,542 --> 01:29:25,310 TRISH SAID, I KIND OF AGREE, I 2193 01:29:25,310 --> 01:29:29,481 MEAN I THINK IT'S REASONABLE TO 2194 01:29:29,481 --> 01:29:32,584 YOU KNOW PUT FORWARD SOME, YOU 2195 01:29:32,584 --> 01:29:34,052 KNOW, MAYBE A PRELIMINARY 2196 01:29:34,052 --> 01:29:35,687 PRIORITIES OR SOME SORT OF 2197 01:29:35,687 --> 01:29:38,957 LANGUAGE TO MAKE THIS VERY CLEAR 2198 01:29:38,957 --> 01:29:40,859 THAT THIS WAS KIND OF DRIVEN BY 2199 01:29:40,859 --> 01:29:42,260 THE ADVISORY BOARD BUT YOU KNOW 2200 01:29:42,260 --> 01:29:44,729 CERTAINLY DOWN THE LINE THERE 2201 01:29:44,729 --> 01:29:46,498 COULD BE CHANGES TO SCOPE, 2202 01:29:46,498 --> 01:29:49,434 THINGS LIKE THAT, BUT I WOULD 2203 01:29:49,434 --> 01:29:52,270 NOT WANT TO HAVE MOMENTUM 2204 01:29:52,270 --> 01:29:53,872 STALLED ON GETTING THE IMPORTANT 2205 01:29:53,872 --> 01:29:59,478 WORK DONE AND STARTING TO MAKE 2206 01:29:59,478 --> 01:30:02,214 SOME STRATEGIC PRIORITIES 2207 01:30:02,214 --> 01:30:02,547 AACCOMPLISHED. 2208 01:30:02,547 --> 01:30:02,981 IT'S TOO IMPORTANT. 2209 01:30:02,981 --> 01:30:05,250 I MEAN WE HAVE SO MANY THINGSEE 2210 01:30:05,250 --> 01:30:07,085 RELATED TO THE RESEARCH, THINGS 2211 01:30:07,085 --> 01:30:08,019 WE'VE ALREADY SEEN AND HEARD 2212 01:30:08,019 --> 01:30:10,222 FROM SO MANY THINGS THAT ARE 2213 01:30:10,222 --> 01:30:11,289 BEING PRIORITIZED, THAT NEED TO 2214 01:30:11,289 --> 01:30:12,591 BE PRIORITIZED THAT ARE ON THIS 2215 01:30:12,591 --> 01:30:15,594 LIST THAT YOU PUT UP JUST A 2216 01:30:15,594 --> 01:30:16,795 LITTLE BIT AGO, I WANT TO MAKE 2217 01:30:16,795 --> 01:30:19,331 SURE THAT AT LEAST SOME 2218 01:30:19,331 --> 01:30:21,666 STRATEGIC THINKING CAN BE 2219 01:30:21,666 --> 01:30:22,467 PLANNED AND INITIATED AROUND 2220 01:30:22,467 --> 01:30:25,337 THESE THINGS AND MAYBE HAVE THEM 2221 01:30:25,337 --> 01:30:27,305 MODIFIED A LITTLE BIT DOWN THE 2222 01:30:27,305 --> 01:30:29,908 LINE BUT THIS IS A GOOD 2223 01:30:29,908 --> 01:30:34,045 CONVERSATION STARTER I THINK AND 2224 01:30:34,045 --> 01:30:36,248 I WOULD WHOLE HEARTEDLY SUPPORT 2225 01:30:36,248 --> 01:30:41,653 KIND OF MOVING THIS FORWARD 2226 01:30:41,653 --> 01:30:41,887 MYSELF. 2227 01:30:41,887 --> 01:30:49,761 >> THANK YOU. 2228 01:30:49,761 --> 01:30:50,095 TIFFANY? 2229 01:30:50,095 --> 01:30:51,763 I THINK YOU'RE STILL MUTED. 2230 01:30:51,763 --> 01:30:55,267 >> HI THIS, IS TIFFANY, I WANTED 2231 01:30:55,267 --> 01:30:56,701 TO ECHO WHAT OTHER SPEAKER SAID 2232 01:30:56,701 --> 01:30:57,869 ABOUT CONTINUING TO MOVE FORWARD 2233 01:30:57,869 --> 01:31:00,972 WITH THE AGENDA AND I WAS ALSO 2234 01:31:00,972 --> 01:31:02,807 CURIOUS, YOU KNOW I APPRECIATED 2235 01:31:02,807 --> 01:31:04,476 KIND OF THE SLIDES YOU SHARED 2236 01:31:04,476 --> 01:31:08,713 AROUND SOME OF THE PROGRESS THAT 2237 01:31:08,713 --> 01:31:10,815 HAS BEEN MADE WITH WITH THIS AND 2238 01:31:10,815 --> 01:31:12,117 THE ECOSYSTEM THAT UPHOLDS AND I 2239 01:31:12,117 --> 01:31:14,286 WAS CURIOUS IF THERE'S ANYTHING 2240 01:31:14,286 --> 01:31:15,453 THAT WE AS ADVISORY BOARD 2241 01:31:15,453 --> 01:31:18,890 MEMBERS CAN DO TO HELP REALLY 2242 01:31:18,890 --> 01:31:19,958 AMPLIFY THAT WORK AND SOME OF 2243 01:31:19,958 --> 01:31:21,259 THOSE WINS THAT HAVE BEEN, YOU 2244 01:31:21,259 --> 01:31:22,794 KNOW APPROVED BY THE FDA AND 2245 01:31:22,794 --> 01:31:28,500 OTHER THINGS LIKE THAT TO JUST 2246 01:31:28,500 --> 01:31:29,568 LED TO THE IMPORTANCE OF WHAT 2247 01:31:29,568 --> 01:31:31,770 YOU ALL ARE DOING? 2248 01:31:31,770 --> 01:31:33,738 >> THANK YOU FOR THE QUESTION 2249 01:31:33,738 --> 01:31:36,775 TIFFANY, SO OF COURSE YOU ALL 2250 01:31:36,775 --> 01:31:38,043 ARE AS PRIVATE CITIZEN BUT NOT 2251 01:31:38,043 --> 01:31:41,112 THE DAYS THAT YOUR SPECIAL 2252 01:31:41,112 --> 01:31:46,184 GOVERNMENT EMPLOYEES ARE ABLE TO 2253 01:31:46,184 --> 01:31:47,319 TALK TO YOUR REPRESENTATIVES 2254 01:31:47,319 --> 01:31:48,653 ABOUT WHAT YOU THINK IS 2255 01:31:48,653 --> 01:31:51,089 IMPORTANT DIRECTIONS FOR THE 2256 01:31:51,089 --> 01:31:55,794 LEGISLATION TO MOVE IN AND YOU 2257 01:31:55,794 --> 01:31:59,464 CAN TALK ABOUT YOU KNOW HOW NIH 2258 01:31:59,464 --> 01:32:02,534 AND FEDERALLY SUPPORTED RESEARCH 2259 01:32:02,534 --> 01:32:10,141 HAS SUPPORTED THE AMERICAN 2260 01:32:10,141 --> 01:32:10,375 PEOPLE. 2261 01:32:10,375 --> 01:32:14,346 >> GOOD MORNING, THANK YOU FOR 2262 01:32:14,346 --> 01:32:14,913 YOUR REPORT. 2263 01:32:14,913 --> 01:32:17,048 I WOULD JUST LIKE TO SECOND MY 2264 01:32:17,048 --> 01:32:18,083 OTHER COLLEAGUES ABOUT THE NEED 2265 01:32:18,083 --> 01:32:19,851 TO MOVE FORWARD WITH THIS 2266 01:32:19,851 --> 01:32:23,188 RESEARCH PLAN. 2267 01:32:23,188 --> 01:32:26,024 WE SEE 2 WAYS, 1 IS TECHNOLOGY 2268 01:32:26,024 --> 01:32:28,193 CONVERGENCE, YOU KNOW THINGS 2269 01:32:28,193 --> 01:32:30,528 GOING REALLY FAST, AI, 2270 01:32:30,528 --> 01:32:32,464 CONNECTIVITY, BCI AND OTHERS, 2271 01:32:32,464 --> 01:32:33,665 BUT ALSO SCIENCE CONVERGES, SO 2272 01:32:33,665 --> 01:32:35,734 THIS IS MOVING SO FAST THAT IT 2273 01:32:35,734 --> 01:32:41,640 WOULD BE REALLY CRITICAL TO MOVE 2274 01:32:41,640 --> 01:32:41,906 FORWARD. 2275 01:32:41,906 --> 01:32:43,275 SO TAKE THAT FROM ME. 2276 01:32:43,275 --> 01:32:45,143 I WOULD ALSO LIKE TO SECOND ON 2277 01:32:45,143 --> 01:32:50,148 YOUR COMMENT ON THE STUDY ON 2278 01:32:50,148 --> 01:32:50,715 NONINVASIVE SPINAL CORD 2279 01:32:50,715 --> 01:32:54,319 STIMULATION, I MEAN THIS IS 2280 01:32:54,319 --> 01:32:58,757 REALLY AN OUTCOME OF YEARS OF 2281 01:32:58,757 --> 01:33:03,128 NIH SUPPORT, YOU KNOW TO 2282 01:33:03,128 --> 01:33:04,963 SCIENCE, WE HAVE COMMUNITIES AND 2283 01:33:04,963 --> 01:33:07,065 I THINK, ALSO VERY HAPPY THAT 2284 01:33:07,065 --> 01:33:09,000 THIS IS A NONINVASIVE STRATEGY 2285 01:33:09,000 --> 01:33:11,903 BECAUSE WE NEED SOLUTIONS. 2286 01:33:11,903 --> 01:33:13,672 SO WE TEND TO SPEND A LOT OF 2287 01:33:13,672 --> 01:33:16,741 TIME TALKING ABOUT INVASIVE 2288 01:33:16,741 --> 01:33:19,477 SOLUTIONS BUT YOU KNOW THESE ARE 2289 01:33:19,477 --> 01:33:20,545 EQUALLY IMPORTANT SO I'M HAPPY 2290 01:33:20,545 --> 01:33:23,315 YOU SELECTED THAT STUDY AS AN 2291 01:33:23,315 --> 01:33:25,150 EXAMPLE OF NIH, THANK YOU. 2292 01:33:25,150 --> 01:33:31,556 >> THANK YOU. 2293 01:33:31,556 --> 01:33:31,890 CATHY? 2294 01:33:31,890 --> 01:33:33,925 >> HI, --I WANTED TO SECOND WHAT 2295 01:33:33,925 --> 01:33:34,993 EVERYBODY SAID SO FAR, I 2296 01:33:34,993 --> 01:33:36,161 APPRECIATE THE LIST, I THINK IT 2297 01:33:36,161 --> 01:33:37,595 IS THE RIGHT LIST TO MOVE 2298 01:33:37,595 --> 01:33:40,332 FORWARD, I WANTED TO EXPRESS -- 2299 01:33:40,332 --> 01:33:43,835 JUST, I WANTED TO I GUESS 2300 01:33:43,835 --> 01:33:45,337 PROVIDE SOME COMMENTS ON CLARITY 2301 01:33:45,337 --> 01:33:50,075 AROUND BASIC AND MECHANISTIC 2302 01:33:50,075 --> 01:33:52,110 STUDIES AND I AGREE, BOB, THAT 2303 01:33:52,110 --> 01:33:53,311 THESE ARE SUPER IMPORTANT, HE 2304 01:33:53,311 --> 01:33:54,779 WROTE A COMMENT ABOUT THE 2305 01:33:54,779 --> 01:33:56,715 IMPORTANCE OF BASIC MECHANISMS 2306 01:33:56,715 --> 01:33:59,284 BUT I AGREE WITH THAT, I AM NOT 2307 01:33:59,284 --> 01:34:00,352 DISAGREEING BUT I THINK WE NEED 2308 01:34:00,352 --> 01:34:01,886 TO BE SURE TO PRESENT THIS IN A 2309 01:34:01,886 --> 01:34:04,456 WAY THAT IS MEANT TO GET AT 2310 01:34:04,456 --> 01:34:05,490 REHABILITATION SOME WAY, RIGHT? 2311 01:34:05,490 --> 01:34:07,158 SO IT'S NOT JUST GOING TO BE 2312 01:34:07,158 --> 01:34:08,226 BASIC MECHANISMS FOR THE 2313 01:34:08,226 --> 01:34:09,060 DEVELOPMENT OF MEDICATIONS FOR 2314 01:34:09,060 --> 01:34:10,462 EXAMPLE, THAT THE GOAL HERE IS 2315 01:34:10,462 --> 01:34:13,131 REALLY TO STICK WITH THIS 2316 01:34:13,131 --> 01:34:17,068 REHABILITATION THEME, IS THAT 2317 01:34:17,068 --> 01:34:17,302 TRUE? 2318 01:34:17,302 --> 01:34:21,139 >> YEAH, SO THOSE ARE VERY HIGH 2319 01:34:21,139 --> 01:34:26,311 LEVEL BUT I THINK THE TEXT 2320 01:34:26,311 --> 01:34:28,313 UNDERNEATH THAT WAS REALLY 2321 01:34:28,313 --> 01:34:30,048 IMPORTANT SO ALISON MENTIONED 2322 01:34:30,048 --> 01:34:31,750 BACP A C, SO THE IMPORTANCE OF 2323 01:34:31,750 --> 01:34:34,586 DEEP PHENOTYPING SO WE CAN 2324 01:34:34,586 --> 01:34:35,320 IDENTIFYING WHICH PATIENTS WILL 2325 01:34:35,320 --> 01:34:38,723 BE GOOD FOR THE RIGHT 2326 01:34:38,723 --> 01:34:39,190 INTERVENTIONS. 2327 01:34:39,190 --> 01:34:46,398 SO KIND OF THAT UNDERLYING MORE 2328 01:34:46,398 --> 01:34:48,199 MECHANISTIC WORK IS A WAY TO GET 2329 01:34:48,199 --> 01:34:49,067 AT THAT. 2330 01:34:49,067 --> 01:34:49,801 >> OKAY, PERFECT. 2331 01:34:49,801 --> 01:34:50,135 THAT'S GREAT. 2332 01:34:50,135 --> 01:34:51,469 I WANT TO BE SURE THAT I WAS 2333 01:34:51,469 --> 01:34:52,637 CLEAR ON THAT AND I APPRECIATE 2334 01:34:52,637 --> 01:34:55,473 ALL THE WORK YOU'VE DONE AND 2335 01:34:55,473 --> 01:34:56,641 GIVEN THE CIRCUMSTANCES, I AGREE 2336 01:34:56,641 --> 01:34:58,143 WE NEED TO KEEP THINGS MOVING 2337 01:34:58,143 --> 01:35:04,716 FORWARD AS MUCH AS POSSIBLE. 2338 01:35:04,716 --> 01:35:11,289 >> OKAY, SO IF THERE ARE NO MORE 2339 01:35:11,289 --> 01:35:12,690 QUESTIONS, OR COMMENTS, SO WHAT 2340 01:35:12,690 --> 01:35:18,062 I'M HEARING IS THAT YOU ALL ARE 2341 01:35:18,062 --> 01:35:20,832 OKAY WITH ENDORSING THE THEMES 2342 01:35:20,832 --> 01:35:27,205 THAT WE HAVE COME UP WITH BOTH 2343 01:35:27,205 --> 01:35:28,473 COLLABORATIVELY AND FROM 2344 01:35:28,473 --> 01:35:29,607 FEEDBACK FROM THE COMMUNITY EVEN 2345 01:35:29,607 --> 01:35:31,242 THOUGH IT'S NOT QUITE THE SAME 2346 01:35:31,242 --> 01:35:35,079 LEVEL OF FEEDBACK AS WE HAD 2347 01:35:35,079 --> 01:35:36,314 HOPED. 2348 01:35:36,314 --> 01:35:39,784 SO BARBARA WOULD YOU MIND 2349 01:35:39,784 --> 01:35:45,223 CALLING A VOTE TO ENDORSE THE 2350 01:35:45,223 --> 01:35:50,028 THEMES OF THE 2026 NIH RESEARCH 2351 01:35:50,028 --> 01:35:52,063 PLAN FOR REHABILITATION. 2352 01:35:52,063 --> 01:35:55,900 >> SO, DO WE NEED A MOTION OR -- 2353 01:35:55,900 --> 01:35:57,302 >> YEAH, WE NEED A MOTION. 2354 01:35:57,302 --> 01:35:58,937 >> CAN SOMEONE MAKE A MOTION TO 2355 01:35:58,937 --> 01:36:02,340 ENDORSE THE THEMES FOR THE 2356 01:36:02,340 --> 01:36:02,841 REHABILITATION RESEARCH? 2357 01:36:02,841 --> 01:36:05,677 >> I MAKE A MOTION TO ENDORSE 2358 01:36:05,677 --> 01:36:06,811 THESE. 2359 01:36:06,811 --> 01:36:08,213 >> SECOND? 2360 01:36:08,213 --> 01:36:08,513 >> SECOND. 2361 01:36:08,513 --> 01:36:08,980 >> SECOND. 2362 01:36:08,980 --> 01:36:09,547 >> SECOND,. 2363 01:36:09,547 --> 01:36:20,058 >> ALL IN FAVOR PLEASE RAISE 2364 01:36:24,829 --> 01:36:25,697 YOUR HANDS? 2365 01:36:25,697 --> 01:36:27,799 OKAY, I THINK WE GOT EVERYBODY. 2366 01:36:27,799 --> 01:36:28,266 THANK YOU ALL. 2367 01:36:28,266 --> 01:36:35,106 SO I WILL TAKE THIS BACK, AGAIN, 2368 01:36:35,106 --> 01:36:37,442 TO THE GROUP AND THE MEDICAL 2369 01:36:37,442 --> 01:36:39,611 REHAB COORDINATING COMMITTEE AT 2370 01:36:39,611 --> 01:36:47,552 NIH AND WE WILL CONTINUE TO MOVE 2371 01:36:47,552 --> 01:36:47,986 THIS FORWARD. 2372 01:36:47,986 --> 01:36:55,126 WE WILL TRY TO GET THAT RFI OUT 2373 01:36:55,126 --> 01:36:56,961 SO WE DO HAVE OPPORTUNITY FOR 2374 01:36:56,961 --> 01:36:58,363 PUBLIC INPUT BUT I'M GRATEFUL WE 2375 01:36:58,363 --> 01:37:06,237 CAN KIND OF CONTINUE THE WAY WE 2376 01:37:06,237 --> 01:37:08,773 WERE GOING. 2377 01:37:08,773 --> 01:37:10,542 RATHER THAN WAIT FOR AN UNKNOWN 2378 01:37:10,542 --> 01:37:14,846 LENGTH OF TIME. 2379 01:37:14,846 --> 01:37:21,853 >> STAR WORK THERESA. 2380 01:37:21,853 --> 01:37:22,654 >> THANK YOU. 2381 01:37:22,654 --> 01:37:24,756 SO I CAN OPEN IT UP FOR ANY 2382 01:37:24,756 --> 01:37:35,300 OTHER QUESTIONS FROM THE GROUP? 2383 01:37:37,402 --> 01:37:37,802 MICHELLE? 2384 01:37:37,802 --> 01:37:39,070 >> MOY QUESTION WASN'T UPDATED, 2385 01:37:39,070 --> 01:37:40,505 I THINK I DIDN'T PUT DOWN MY 2386 01:37:40,505 --> 01:37:41,973 HAND FROM THE VOTE. 2387 01:37:41,973 --> 01:37:42,941 >> ALL RIGHT. 2388 01:37:42,941 --> 01:37:53,184 HOW ABOUT BOB? 2389 01:37:56,321 --> 01:37:57,422 SMRKS SORRY ABOUT THAT. 2390 01:37:57,422 --> 01:37:58,523 THAT WAS MY OLD HAND. 2391 01:37:58,523 --> 01:38:00,024 I JUST WANTED TO INTEGRATE WHAT 2392 01:38:00,024 --> 01:38:03,394 CATHY AND I BOTH SAID, I THINK 2393 01:38:03,394 --> 01:38:09,434 THAT THERE'S A HISTORY FOR 2394 01:38:09,434 --> 01:38:10,635 DECADES OF NCMRR INVESTING IN 2395 01:38:10,635 --> 01:38:13,071 BASIC SCIENCE THAT IS TARGETED 2396 01:38:13,071 --> 01:38:16,608 TO UNDERSTANDING THE MECHANISMS 2397 01:38:16,608 --> 01:38:18,776 THAT CAN UNDERLIE THIS FUNCTION 2398 01:38:18,776 --> 01:38:24,115 IN ORDER TO DEVELOP PATIENT 2399 01:38:24,115 --> 01:38:24,916 SPECIFIC AND DYSFUNCTION 2400 01:38:24,916 --> 01:38:26,317 SPECIFIC INTERVENTIONS THAT ARE 2401 01:38:26,317 --> 01:38:27,518 MORE SPECIFIC THAN WHAT WE ARE 2402 01:38:27,518 --> 01:38:30,989 USED TO DOING IN THE PAST FOR 2403 01:38:30,989 --> 01:38:32,390 REHABILITATION, BUT ANYWAY, MY 2404 01:38:32,390 --> 01:38:34,125 HAND WAS UP BY MISTAKE NNOW I 2405 01:38:34,125 --> 01:38:36,127 DID PUT UP MY HAND DELIBERATELY. 2406 01:38:36,127 --> 01:38:39,263 I MENTIONED FOR THE MR3, YOU 2407 01:38:39,263 --> 01:38:41,766 KNOW A LOT OF THE MEDICAL REHAB 2408 01:38:41,766 --> 01:38:43,401 CENTERS THAT SOME OF THEM WERE 2409 01:38:43,401 --> 01:38:44,702 LEAVING, WHICH WERE THE 1S THAT 2410 01:38:44,702 --> 01:38:49,607 WERE NO LONGER GOING TO BE 2411 01:38:49,607 --> 01:38:50,208 QUOTE-UNQUOTE FUNDED OR 2412 01:38:50,208 --> 01:38:51,776 OFFICIALLY PART OF THE NETWORK 2413 01:38:51,776 --> 01:38:53,378 THAT WOULD STILL EXIST? 2414 01:38:53,378 --> 01:38:58,349 >> SO WE DON'T HAVE THE NEW SET 2415 01:38:58,349 --> 01:39:00,918 OF P50S YET, SO WE'RE STILL 2416 01:39:00,918 --> 01:39:03,021 GOING THROUGH THAT PROFESS, BUT 2417 01:39:03,021 --> 01:39:08,493 BECAUSE WE CHANGED MECHANISMS, I 2418 01:39:08,493 --> 01:39:11,696 CAN SAY THAT ALL THE P2 Cs ARE 2419 01:39:11,696 --> 01:39:13,197 ENDING AND THEIR PROJECT PERIODS 2420 01:39:13,197 --> 01:39:14,399 END OVER THE SUMMER AND WE WILL 2421 01:39:14,399 --> 01:39:22,006 HAVE KIND OF THIS NEW P50 2422 01:39:22,006 --> 01:39:23,074 STRUCTURE THAT STARTS OFF 2423 01:39:23,074 --> 01:39:24,976 HOPEFULLY BY THE END OF SUMMER. 2424 01:39:24,976 --> 01:39:26,144 >> OKAY, SO EVERYTHING THAT WAS 2425 01:39:26,144 --> 01:39:29,180 EXISTING IS KIND OF 2426 01:39:29,180 --> 01:39:32,750 TRANSITIONING TO THIS NEW 2427 01:39:32,750 --> 01:39:33,217 NETWORK? 2428 01:39:33,217 --> 01:39:34,052 OKAY, THAT WASN'T CLEAR. 2429 01:39:34,052 --> 01:39:34,886 I GOT IT THEN. 2430 01:39:34,886 --> 01:39:37,155 THE OTHER QUESTION I HAD WAS, I 2431 01:39:37,155 --> 01:39:39,924 KNOW ALISON HAD MENTIONED THERE 2432 01:39:39,924 --> 01:39:43,428 IS NOW A NEW CENTRALIZED GRANTS 2433 01:39:43,428 --> 01:39:44,996 WOULD BE UNDER THIS CENTRALIZED 2434 01:39:44,996 --> 01:39:46,497 REVIEW AND OTHER GRANDS WILL 2435 01:39:46,497 --> 01:39:49,100 STAY UNDER THE AGENCY REVIEW, I 2436 01:39:49,100 --> 01:39:51,069 JUST ACTUALLY MEANT TO ASK WHAT 2437 01:39:51,069 --> 01:39:53,004 ARE THE PROs AND CONS OF THAT 2438 01:39:53,004 --> 01:39:55,907 JUST IF YOU COULD YOU KNOW 2439 01:39:55,907 --> 01:39:57,642 ESPECIALLY FOR NICHD, WHAT DOES 2440 01:39:57,642 --> 01:40:00,712 THAT MEAN IN TERMS OF WHAT'S 2441 01:40:00,712 --> 01:40:03,915 GOOD ABOUT THAT AND WHAT'S 2442 01:40:03,915 --> 01:40:06,217 POTENTIALLY CHALLENGING ABOUT 2443 01:40:06,217 --> 01:40:07,018 THAT, JUST CURIOUS. 2444 01:40:07,018 --> 01:40:08,219 >> SO JUST TO CLARIFY, THE WAY 2445 01:40:08,219 --> 01:40:12,190 WE USED TO DO IT WAS ABOUT 2446 01:40:12,190 --> 01:40:13,458 75-80% OF GRANTS WERE DONE AT 2447 01:40:13,458 --> 01:40:16,427 THE CENTER FOR SCIENTIFIC REVIEW 2448 01:40:16,427 --> 01:40:20,098 AND 25% OF THE REVIEWS WERE DONE 2449 01:40:20,098 --> 01:40:21,766 AT THE INSTITUTE. 2450 01:40:21,766 --> 01:40:24,969 SAME PROCEDURES, STILL RUN BY 2451 01:40:24,969 --> 01:40:28,239 SROs, THE SAME QUALITY OF 2452 01:40:28,239 --> 01:40:28,506 REVIEW. 2453 01:40:28,506 --> 01:40:31,008 NOW, EVERYTHING WILL BE DONE, 2454 01:40:31,008 --> 01:40:32,744 ALL THE REVIEWS WILL BE MANAGED 2455 01:40:32,744 --> 01:40:36,447 BY THE TRUSTEES FOR SCIENTIFIC 2456 01:40:36,447 --> 01:40:37,749 REVIEW AND THAT TRANSITION IS 2457 01:40:37,749 --> 01:40:39,183 HAPPENING FOR THE APPLICATIONS 2458 01:40:39,183 --> 01:40:43,988 THAT ARE REVIEWED THIS SUMMER. 2459 01:40:43,988 --> 01:40:44,455 OKAY? 2460 01:40:44,455 --> 01:40:45,556 >> OH, OKAY. 2461 01:40:45,556 --> 01:40:49,227 >> SO, I MEAN, WE'RE STILL KIND 2462 01:40:49,227 --> 01:40:51,262 OF WORKING THROUGH THE 2463 01:40:51,262 --> 01:40:55,366 CHALLENGES THAT IT PRESENTS. 2464 01:40:55,366 --> 01:40:57,034 WHAT ALISON MENTIONED IS THAT 2465 01:40:57,034 --> 01:40:58,536 THE PEOPLE, THE SROs WE HAVE 2466 01:40:58,536 --> 01:41:01,372 BEEN WORKING WITH FOR MANY, MANY 2467 01:41:01,372 --> 01:41:03,441 YEARS MOST OF THEM ARE 2468 01:41:03,441 --> 01:41:05,076 TRANSITIONING WITH THOSE GRANTS. 2469 01:41:05,076 --> 01:41:08,179 SO IT'S THE SAME PEOPLE THAT WE 2470 01:41:08,179 --> 01:41:09,580 AND WORK WITH, KIND OF JUST 2471 01:41:09,580 --> 01:41:12,550 MOVING INTO A DIFFERENT PART OF 2472 01:41:12,550 --> 01:41:13,584 NIH. 2473 01:41:13,584 --> 01:41:16,220 SO WE'RE YOU KNOW HOPEFUL WE 2474 01:41:16,220 --> 01:41:18,723 WILL CONTINUE TO HAVE THOSE 2475 01:41:18,723 --> 01:41:19,724 STRONG RELATIONSHIPS AND YOU 2476 01:41:19,724 --> 01:41:21,592 KNOW I'M SURE THERE WILL BE SOME 2477 01:41:21,592 --> 01:41:25,196 BUMPS IN THE ROAD AS WE 2478 01:41:25,196 --> 01:41:26,130 TRANSITION BUT WE'RE ALL 2479 01:41:26,130 --> 01:41:33,304 DEDICATED TO HAVING GOOD REVIEWS 2480 01:41:33,304 --> 01:41:34,205 AND TIMELY REVIEWS. 2481 01:41:34,205 --> 01:41:38,743 NYEAH, AND MICHELLE, I WILL ADD, 2482 01:41:38,743 --> 01:41:41,579 NONI THE DIRECTOR FOR THE 2483 01:41:41,579 --> 01:41:42,747 SCIENTIFIC VERMEN INFECTED VIEW 2484 01:41:42,747 --> 01:41:43,681 HAS BEEN COMMUNICATING OVER TIME 2485 01:41:43,681 --> 01:41:45,216 WITH US ABOUT THIS. 2486 01:41:45,216 --> 01:41:46,784 THE THING I HEARD FROM THE 2487 01:41:46,784 --> 01:41:47,552 COMMUNITY IS MAKING SURE WE 2488 01:41:47,552 --> 01:41:48,786 STILL HAVE THE LEVEL OF 2489 01:41:48,786 --> 01:41:51,322 SPECIALTY WE NEED FOR THE AREAS 2490 01:41:51,322 --> 01:41:53,624 THAT WE WERE REVIEWING 2491 01:41:53,624 --> 01:41:55,726 PREVIOUSLY AND THEY HAVE BEEN 2492 01:41:55,726 --> 01:41:57,094 LOOKERRING AT THAT 2493 01:41:57,094 --> 01:41:57,929 CONSTITUTIONAL REVIEWS, THEY'RE 2494 01:41:57,929 --> 01:41:59,564 ALSO TRYING TO INSURE THAT THE 2495 01:41:59,564 --> 01:42:03,734 MEMBERSHIP OF THOSE REVIEW 2496 01:42:03,734 --> 01:42:06,470 PANELS IS ALSO CONSITUTED MOSTLY 2497 01:42:06,470 --> 01:42:07,972 IN WHOLE AS WE MOVE FORWARD AND 2498 01:42:07,972 --> 01:42:13,110 THEN THEY WILL BE REPORTING OUT, 2499 01:42:13,110 --> 01:42:14,612 NONI REGULARLY REPORTS OUT WHEN 2500 01:42:14,612 --> 01:42:16,013 I'M THERE ON PERFORMANCE METRICS 2501 01:42:16,013 --> 01:42:17,949 AS WELL AS THE TYPES OF PANELS 2502 01:42:17,949 --> 01:42:21,485 THAT THEY HAVE. 2503 01:42:21,485 --> 01:42:23,354 SO I THINK WE WILL CONTINUE 2504 01:42:23,354 --> 01:42:24,856 UPDATES ON THAT SO JUST TO 2505 01:42:24,856 --> 01:42:25,923 REASSURE YOU ALL THAT THIS IS 2506 01:42:25,923 --> 01:42:28,025 SOMETHING WE ARE ACTIVELY 2507 01:42:28,025 --> 01:42:32,363 WORKING ON WITH THEM. 2508 01:42:32,363 --> 01:42:39,136 >> OKAY, THANK YOU. 2509 01:42:39,136 --> 01:42:39,670 >> AL? 2510 01:42:39,670 --> 01:42:42,139 >> IF I MAY, I WANT TO REINFORCE 2511 01:42:42,139 --> 01:42:44,642 2-POINTS THAT CAME UP, THE 2512 01:42:44,642 --> 01:42:46,010 RESEARCH INFRASTRUCTURE PROGRAM 2513 01:42:46,010 --> 01:42:47,778 HAS BEEN A VERY SUCCESSFUL 2514 01:42:47,778 --> 01:42:49,547 PROGRAM, OUR COLLEAGUE AT OTHER 2515 01:42:49,547 --> 01:42:50,581 NIH INSTITUTES HAVE ALSO 2516 01:42:50,581 --> 01:42:52,617 BELIEVED IN AND CONTRIBUTED 2517 01:42:52,617 --> 01:42:54,151 WHICH IS A MAJOR THING AND A LOT 2518 01:42:54,151 --> 01:42:57,221 OF YOU HAVE ALSO BEEN PART OF 2519 01:42:57,221 --> 01:42:58,322 THAT PROGRAM IN VARIOUS LEVELS. 2520 01:42:58,322 --> 01:43:02,426 THIS IS A BIT OF A SHIFT TO MORE 2521 01:43:02,426 --> 01:43:03,928 CENTRALIZED RESEARCH AT 2522 01:43:03,928 --> 01:43:05,763 INSTITUTIONS, SO IT'S A BIT OF 2523 01:43:05,763 --> 01:43:07,632 AN UPSHIFT IN OW THE PROGRAM'S 2524 01:43:07,632 --> 01:43:08,199 GOING TO FUNCTION. 2525 01:43:08,199 --> 01:43:09,700 I SPEAK TO OUR COLLEAGUE JOE 2526 01:43:09,700 --> 01:43:10,902 BONNER ON THAT AND THEN THE 2527 01:43:10,902 --> 01:43:12,536 OTHER POINT THAT A LOT OF YOU, 2528 01:43:12,536 --> 01:43:14,238 COUPLE OF YOU MADE ABOUT 2529 01:43:14,238 --> 01:43:17,074 SUPPORTING THE RESEARCH PLAN, 2530 01:43:17,074 --> 01:43:18,943 AND BASIC RESEARCH, AGAIN IT'S A 2531 01:43:18,943 --> 01:43:20,478 CHANCE TO REINFORCE THIS IS A 2532 01:43:20,478 --> 01:43:22,747 RESEARCH PLAN ACROSS NIH. 2533 01:43:22,747 --> 01:43:25,149 AND A LOLT OF THAT BASIC 2534 01:43:25,149 --> 01:43:25,850 RESEARCH COMES FROM OUR 2535 01:43:25,850 --> 01:43:27,018 COLLEAGUES AND OTHER INSTITUTES 2536 01:43:27,018 --> 01:43:28,419 AND WE'VE BEEN LUCKY TO HAVE 2537 01:43:28,419 --> 01:43:30,154 SOME COLLEAGUES WHO VERY MUCH 2538 01:43:30,154 --> 01:43:33,624 BELIEVE IN REHAB RESEARCH, AND 2539 01:43:33,624 --> 01:43:35,493 YOU KNOW THE WAY WE'VE BEEN ABLE 2540 01:43:35,493 --> 01:43:37,828 TO FUNCTION AND REALLY SPREAD 2541 01:43:37,828 --> 01:43:40,031 OUR INFLUENCE IS BY HAVING OTHER 2542 01:43:40,031 --> 01:43:41,732 INSTITUTES, YOU KNOW SUPPORT 2543 01:43:41,732 --> 01:43:42,900 REHAB RESEARCH WITH WHEN THEY DO 2544 01:43:42,900 --> 01:43:44,969 BEST AND OUR CENTER TRIES TO 2545 01:43:44,969 --> 01:43:46,904 SUPPORT, YOU KNOW THOSE PROGRAMS 2546 01:43:46,904 --> 01:43:50,708 THAT ARE EVEN MORE FOCUSED ON 2547 01:43:50,708 --> 01:43:51,909 REHAB IMPAIRMENTS AND FUNCTION 2548 01:43:51,909 --> 01:43:52,877 AND DISABILITY. 2549 01:43:52,877 --> 01:43:59,350 SO THERE'S REALLY A VERY NICE 2550 01:43:59,350 --> 01:44:00,251 COOPERATION ACROSS INSTITUTES 2551 01:44:00,251 --> 01:44:01,419 AND AGAIN AS THERESA MENTIONED 2552 01:44:01,419 --> 01:44:03,321 THIS IS A PLAN FOR ALL OF NIH 2553 01:44:03,321 --> 01:44:10,661 AND REHAB IS A VERY TRANSIENT 2554 01:44:10,661 --> 01:44:15,900 ANT ISSUE, FORTUNATELY. 2555 01:44:15,900 --> 01:44:16,600 >> OKAY. 2556 01:44:16,600 --> 01:44:18,169 THANK YOU RALPH. 2557 01:44:18,169 --> 01:44:19,937 >> I BELIEVE FRANCISCO HAD A 2558 01:44:19,937 --> 01:44:21,439 COMMENT AS WELL. 2559 01:44:21,439 --> 01:44:26,610 >> OH, OKAY, SORRY, FRANCISCO? 2560 01:44:26,610 --> 01:44:28,245 >> NO, I WAS JUST WANTING TO IN 2561 01:44:28,245 --> 01:44:33,084 THE PAST AGREE WITH WHAT PEOPLE 2562 01:44:33,084 --> 01:44:34,552 WERE SAYING ABOUT THE PROPOSED 2563 01:44:34,552 --> 01:44:37,054 THEMES THAT YOU HAVE, I THINK 2564 01:44:37,054 --> 01:44:38,556 THEY WERE THOROUGHLY THROWN OUT, 2565 01:44:38,556 --> 01:44:40,624 SURE THEY COULD USE REFINING BUT 2566 01:44:40,624 --> 01:44:43,728 I THINK THE 90% THERE AND THANK 2567 01:44:43,728 --> 01:44:45,429 YOU FOR CONTINUING YOUR FORWARD 2568 01:44:45,429 --> 01:44:49,900 POSITIVE MOVEMENT WITH THIS. 2569 01:44:49,900 --> 01:44:54,438 >> THANK YOU. 2570 01:44:54,438 --> 01:44:54,905 DAWN? 2571 01:44:54,905 --> 01:44:55,706 >> THERESA AND EVERYBODY, THANK 2572 01:44:55,706 --> 01:44:58,509 YOU FOR ALL YOUR WORK, I 2573 01:44:58,509 --> 01:45:01,112 APOLOGIZE IS THIS TIME FOR ANY 2574 01:45:01,112 --> 01:45:03,180 QUESTIONS FOR YOU ARE ARE THEY 2575 01:45:03,180 --> 01:45:03,447 SPECIFIC? 2576 01:45:03,447 --> 01:45:05,516 I LOST MY INTERNET FOR 5 MINUTES 2577 01:45:05,516 --> 01:45:07,385 AND I WASN'T SURE I MISSED THAT. 2578 01:45:07,385 --> 01:45:09,920 MY QUESTION PERTAINS TO THE 2579 01:45:09,920 --> 01:45:10,721 CAREER DEVELOPMENT AWARDS THAT 2580 01:45:10,721 --> 01:45:12,390 JUST IF YOU HAVE ANY COMMENTS ON 2581 01:45:12,390 --> 01:45:16,494 THIS, ARE THEY CURRENTLY IN 2582 01:45:16,494 --> 01:45:17,028 EXISTENCE MOVING FORWARD, 2583 01:45:17,028 --> 01:45:19,363 ANYTHING YOU CAN SAY ABOUT 2584 01:45:19,363 --> 01:45:19,563 THOSE? 2585 01:45:19,563 --> 01:45:24,101 AND WHAT ROLE THEY MIGHT PLAY? 2586 01:45:24,101 --> 01:45:26,437 >> SO THE K12S OR ALL -- 2587 01:45:26,437 --> 01:45:26,937 >> K23,. 2588 01:45:26,937 --> 01:45:30,541 >> I WAS THINKING MORE ALONG THE 2589 01:45:30,541 --> 01:45:32,743 INDIVIDUAL K23S, KO1s. 2590 01:45:32,743 --> 01:45:34,912 >> SO THE INDIVIDUAL Ks ARE 2591 01:45:34,912 --> 01:45:36,280 STILL ACTIVE. 2592 01:45:36,280 --> 01:45:39,250 WE STILL HAVE NOFOs OUT. 2593 01:45:39,250 --> 01:45:43,954 WE'RE STILL ACCEPTING 2594 01:45:43,954 --> 01:45:44,321 APPLICATIONS. 2595 01:45:44,321 --> 01:45:47,825 IF THERE IS -- WE SEE THEM AS AN 2596 01:45:47,825 --> 01:45:52,029 IMPORTANT PART OF THE LANDSCAPE. 2597 01:45:52,029 --> 01:45:53,564 YOU KNOW WE'VE SHOWN THAT IT'S 2598 01:45:53,564 --> 01:45:54,598 NOT JUST INSTITUTIONAL AND NOT 2599 01:45:54,598 --> 01:45:57,635 JUST INDIVIDUAL THAT WE REALLY 2600 01:45:57,635 --> 01:46:06,377 NEED THIS NETWORK OF SUPPORT. 2601 01:46:06,377 --> 01:46:08,913 >> WE SHOULD ADD THAT THE CAREER 2602 01:46:08,913 --> 01:46:09,647 DEVELOPMENT APPLICATION THAT 2603 01:46:09,647 --> 01:46:10,581 THERESA MENTIONED THOSE ARE THE 2604 01:46:10,581 --> 01:46:12,483 1S THAT WERE FORMALLY REVIEWED 2605 01:46:12,483 --> 01:46:13,451 AT THE INSTITUTE STUDY SECTIONS 2606 01:46:13,451 --> 01:46:15,953 AND THEY WILL NOW BE 2607 01:46:15,953 --> 01:46:19,690 TRANSITIONED OVER TO CSR, AND 2608 01:46:19,690 --> 01:46:20,558 HOPEFULLY, THE BROADER 2609 01:46:20,558 --> 01:46:23,394 COMMITTEES WILL SEE THE INHERENT 2610 01:46:23,394 --> 01:46:24,795 VALUE OF WHAT YOU FOLKS ARE 2611 01:46:24,795 --> 01:46:25,996 DOING SO IT MAY CHANGE A LITTLE 2612 01:46:25,996 --> 01:46:28,099 BIT HOW YOU HAVE TO MAKE YOUR 2613 01:46:28,099 --> 01:46:30,267 DIALOGUE AND EXPLAIN, BUT I 2614 01:46:30,267 --> 01:46:31,302 THINK WE'LL COMPETE VERY WELL 2615 01:46:31,302 --> 01:46:33,337 BECAUSE I THINK OUR RESEARCHERS 2616 01:46:33,337 --> 01:46:35,372 AND OUR CAREER FOLKS ARE DOING 2617 01:46:35,372 --> 01:46:38,142 SOME VERY IMPORTANT RESEARCH AD 2618 01:46:38,142 --> 01:46:40,511 WILL GET THE ATTENTION OF THOSE 2619 01:46:40,511 --> 01:46:40,778 PANELS. 2620 01:46:40,778 --> 01:46:44,548 >> ALL RIGHT, THANK YOU. 2621 01:46:44,548 --> 01:46:50,387 >> THAT'S A GOOD POINT, RALPH. 2622 01:46:50,387 --> 01:46:53,124 CSR HAS ALWAYS DONE FELLOWSHIPS. 2623 01:46:53,124 --> 01:47:02,466 SO IT WOULD NOT BE THAT MUCH OF 2624 01:47:02,466 --> 01:47:03,467 A CHANGE. 2625 01:47:03,467 --> 01:47:14,011 ANY OTHER QUESTIONS FOR THERESA? 2626 01:47:14,378 --> 01:47:16,147 OKAY, WELL, THANK YOU EVERYONE, 2627 01:47:16,147 --> 01:47:18,349 I THINK WE ARE AT TIME FOR A 2628 01:47:18,349 --> 01:47:18,582 BREAK. 2629 01:47:18,582 --> 01:47:20,251 >> SO WE WILL BE TAKING A BREAK 2630 01:47:20,251 --> 01:47:21,185 AND COMING BACK IN THE 2631 01:47:21,185 --> 01:47:21,452 AFTERNOON. 2632 01:47:21,452 --> 01:47:23,721 WE WILL SHIFT GEARS A BIT AND 2633 01:47:23,721 --> 01:47:25,389 HEARING 3 TALKS FROM SOME OF THE 2634 01:47:25,389 --> 01:47:31,028 BOARD MEMBERS, TALKS ABOUT THEIR 2635 01:47:31,028 --> 01:47:31,996 OWN ACTIVITIES BARBARA WILL TALK 2636 01:47:31,996 --> 01:47:34,431 ABOUT HER RESEARCH ON SPINAL 2637 01:47:34,431 --> 01:47:37,735 CORD PLASTICITY AND HER BROADER 2638 01:47:37,735 --> 01:47:38,435 REFLECTIONS ON MENTORING AND 2639 01:47:38,435 --> 01:47:41,071 DAWN'S GOING TO TALK ABOUT SOME 2640 01:47:41,071 --> 01:47:43,140 OF HER BEHAVIORIAL RESEARCH ON 2641 01:47:43,140 --> 01:47:45,342 CHRONIC PAIN AND FATIGUE, MAJOR 2642 01:47:45,342 --> 01:47:46,310 ISSUES ACROSS THE REHAB FIELD. 2643 01:47:46,310 --> 01:47:47,945 SHE'S GOING TO BE TALKING ABOUT 2644 01:47:47,945 --> 01:47:50,948 SPECIFICALLY IN THE CONTEXT OF 2645 01:47:50,948 --> 01:47:51,982 MULTIPLE SCLEROSIS, AND 2646 01:47:51,982 --> 01:47:53,784 FRANCISCO WILL TALK ABOUT SOME 2647 01:47:53,784 --> 01:47:57,121 OF HIS OWN WORK IN PUTTING 2648 01:47:57,121 --> 01:48:01,358 SENSORS IN MUSCLES AND UNSUNG 2649 01:48:01,358 --> 01:48:02,726 HEROS OF NEUROMUSCULAR CONTROL. 2650 01:48:02,726 --> 01:48:04,495 AND WE WILL FINISH OFF THE 2651 01:48:04,495 --> 01:48:05,930 ULTIMATE PART OF THE AFTERNOON 2652 01:48:05,930 --> 01:48:08,933 WILL BE BECAUSE IT'S A TIME OF 2653 01:48:08,933 --> 01:48:09,600 TRANSITIONING SEVERAL BOARD 2654 01:48:09,600 --> 01:48:10,868 MEMBERS WHO ARE FINERBING THEIR 2655 01:48:10,868 --> 01:48:12,136 TERMS SO WE WILL HEAR REMARKS 2656 01:48:12,136 --> 01:48:13,337 FROM A QUITE A FEW OF YOU. 2657 01:48:13,337 --> 01:48:15,206 WE HAVE A BIT MORE TRANSITION 2658 01:48:15,206 --> 01:48:16,273 THAN USUAL, JUST HAPPENS TO BE 2659 01:48:16,273 --> 01:48:19,910 THE WAY THE TERMS OF STACKED AND 2660 01:48:19,910 --> 01:48:24,782 FINALLY, AT THE VERY END, JUST 2661 01:48:24,782 --> 01:48:26,383 3:45 WE WILL LOOK FOR COMMENTS 2662 01:48:26,383 --> 01:48:27,818 FROM YOU FOR WHAT YOU WANT US TO 2663 01:48:27,818 --> 01:48:30,454 BRING UP AT FUTURE MEETINGS. 2664 01:48:30,454 --> 01:48:31,822 WE'VE HAD GREAT INPUT SO WE'RE 2665 01:48:31,822 --> 01:48:34,091 THINKING AHEAD TO THE AGENDA AND 2666 01:48:34,091 --> 01:48:37,795 TOPICS AND HOW WE GO ON TO 2667 01:48:37,795 --> 01:48:38,729 INFLUENCE AND ADVOCATE FROM 2668 01:48:38,729 --> 01:48:39,096 THERE. 2669 01:48:39,096 --> 01:48:41,465 SO WE'RE HERE COMING UP ALMOST 2670 01:48:41,465 --> 01:48:45,302 AT NOON EASTERN TIME. 2671 01:48:45,302 --> 01:48:46,570 YOU'LL HAVE UNTIL 1:00 P.M. EAST 2672 01:48:46,570 --> 01:48:49,206 COAST TIME TO TAKE A BREAK, TO 2673 01:48:49,206 --> 01:48:51,575 REFRESH, AND WE WILL SEE YOU 2674 01:48:51,575 --> 01:48:53,544 BACK. 2675 01:48:53,544 --> 01:48:56,146 THANK YOU. 2676 01:48:56,146 --> 01:48:58,249 [ 2677 01:48:58,249 --> 01:49:02,019 OH, AND PLEASE STAY ONLINE, STAY 2678 01:49:02,019 --> 01:49:03,223 CONNECTED. 2679 01:49:03,223 --> 01:49:04,391 OKAY, I GUESS WE WILL GET 2680 01:49:04,391 --> 01:49:04,858 STARTED NOW. 2681 01:49:04,858 --> 01:49:07,160 I WOULD LIKE TO WELCOME 2682 01:49:07,160 --> 01:49:09,863 EVERYBODY BACK TO THE AFTERNOON 2683 01:49:09,863 --> 01:49:12,866 SESSION OF THE NATIONAL ADVISORY 2684 01:49:12,866 --> 01:49:15,702 BOARD ON MEDICAL AND 2685 01:49:15,702 --> 01:49:17,070 REHABILITATION RESEARCH FROM THE 2686 01:49:17,070 --> 01:49:20,407 U.S. DEPARTMENT OF HEALTH OF 2687 01:49:20,407 --> 01:49:27,914 HUMAN SERVICES, THE NIH AND THE 2688 01:49:27,914 --> 01:49:29,449 EEUNICE KENNEDY AND INSTITUTE OF 2689 01:49:29,449 --> 01:49:29,749 DEVELOPMENT. 2690 01:49:29,749 --> 01:49:31,885 WE WILL START OFF WITH RESEARCH 2691 01:49:31,885 --> 01:49:34,421 TALKS AND REFLECTIONS FROM OUR 2692 01:49:34,421 --> 01:49:36,489 OWN DR. BARBARA BREGMAN, AND 2693 01:49:36,489 --> 01:49:40,460 SHE'S CHIEF CHAIR OF THEA REHAB 2694 01:49:40,460 --> 01:49:40,961 MEDICINE DEPARTMENT AT 2695 01:49:40,961 --> 01:49:41,962 GEORGETOWN UNIVERSITY MEDICAL 2696 01:49:41,962 --> 01:49:44,664 CENTER, SHE'S ALSO DIRECTOR OF 2697 01:49:44,664 --> 01:49:47,033 RESEARCH AND EDUCATION AND 2698 01:49:47,033 --> 01:49:50,103 TRAINING IN THE 2699 01:49:50,103 --> 01:49:50,971 NEUROREHABILITATION AT NATIONAL 2700 01:49:50,971 --> 01:49:51,738 REHAB HOSPITAL. 2701 01:49:51,738 --> 01:49:53,239 SHE EARNED HER Ph.D. IN 2702 01:49:53,239 --> 01:49:56,509 ANATOMY AT THE MEDICAL COLLEGE 2703 01:49:56,509 --> 01:49:57,911 OF PENNSYLVANIA HER RESEARCH 2704 01:49:57,911 --> 01:50:00,380 INTERESTS INCLUDE CENTRAL 2705 01:50:00,380 --> 01:50:03,350 NERVOUS SYSTEM PLASTICITY. 2706 01:50:03,350 --> 01:50:04,884 RECOVERY OF FUNCTION AFTER 2707 01:50:04,884 --> 01:50:06,853 SPINAL CORD INJURY. 2708 01:50:06,853 --> 01:50:11,558 SPINAL CORD REGENERATION, AXONAL 2709 01:50:11,558 --> 01:50:12,826 REGENERATION AFTER SPINAL CORD 2710 01:50:12,826 --> 01:50:13,059 INJURY. 2711 01:50:13,059 --> 01:50:14,394 WE ALSO HAVE THE PLEASURE, THIS 2712 01:50:14,394 --> 01:50:16,629 GIVES ME A CHANCE TO ACKNOWLEDGE 2713 01:50:16,629 --> 01:50:17,664 THAT BARBARA HAS CHAIRED OUR 2714 01:50:17,664 --> 01:50:19,866 BOARD FOR THE LAST 2 YEARS AND 2715 01:50:19,866 --> 01:50:21,568 AGAIN, I THANK HER FOR THAT ROLE 2716 01:50:21,568 --> 01:50:23,436 AS L. SO NOW BARBARA I TURN IT 2717 01:50:23,436 --> 01:50:26,439 OVER TO YOU TO HEAR YOUR 2718 01:50:26,439 --> 01:50:28,274 COMMENTS AND REFLECTIONS ON 2719 01:50:28,274 --> 01:50:30,977 MENTORSHIP AND YOUR AREAS OF 2720 01:50:30,977 --> 01:50:31,244 RESEARCH. 2721 01:50:31,244 --> 01:50:34,080 >> THANKS SO MUCH RALPH. 2722 01:50:34,080 --> 01:50:38,218 AS I HAVE -- I HAVE NO 2723 01:50:38,218 --> 01:50:39,019 DISCLOSURES. 2724 01:50:39,019 --> 01:50:44,491 AND -- OOPS -- OH, AMY, HELP. 2725 01:50:44,491 --> 01:50:54,968 THAT GRAY BOX HAS RETURNED. 2726 01:51:03,510 --> 01:51:04,310 >> NO SLIDES. 2727 01:51:04,310 --> 01:51:05,311 >> SORRY JUST A SECOND. 2728 01:51:05,311 --> 01:51:07,013 >> THIS WORKED AT THE BREAK JUST 2729 01:51:07,013 --> 01:51:07,213 FINE. 2730 01:51:07,213 --> 01:51:14,320 SO WHILE THE SLIDES ARE COMING 2731 01:51:14,320 --> 01:51:16,823 BACK UP BE I WILL JUST SHARE AS 2732 01:51:16,823 --> 01:51:19,426 RALPH INDICATED I AM A PHYSICAL 2733 01:51:19,426 --> 01:51:22,362 THERAPIST AND NURSE SCIENTIST 2734 01:51:22,362 --> 01:51:24,931 WITH OVER 25 YEARS OF NIH 2735 01:51:24,931 --> 01:51:26,900 SUPPORTED RESEARCH IN CENTRAL 2736 01:51:26,900 --> 01:51:32,172 NERVOUS SYSTEM PLASTICITY AND 2737 01:51:32,172 --> 01:51:42,549 RECOVERY OF FUNCTION. 2738 01:51:50,123 --> 01:51:50,723 LET'S SEE. 2739 01:51:50,723 --> 01:51:52,559 >> YOU SHOULD HAVE CONTROL. 2740 01:51:52,559 --> 01:51:57,564 >> YES, AGAIN, NO DISCLOSURES. 2741 01:51:57,564 --> 01:52:01,167 AND SO, OVER 25 YEARS OF 2742 01:52:01,167 --> 01:52:02,602 NIH RO-1 SUPPORT IN PLASTICITY 2743 01:52:02,602 --> 01:52:06,706 AND RECOVERY FUNCTION AND I ALSO 2744 01:52:06,706 --> 01:52:08,274 HAVE A STRONG COMMITMENT TO 2745 01:52:08,274 --> 01:52:10,210 MENTORSHIP OF GRADUATE STUDENTS, 2746 01:52:10,210 --> 01:52:11,578 POST DOCTORAL FELLOWS ACCIDENT 2747 01:52:11,578 --> 01:52:14,114 JUNIOR FACULTY AND CLINICIAN 2748 01:52:14,114 --> 01:52:14,447 SCIENTISTS. 2749 01:52:14,447 --> 01:52:17,684 I WOULD LIKE TO DO IN OUR TIME 2750 01:52:17,684 --> 01:52:18,718 TOGETHER THIS AFTERNOON IS SHARE 2751 01:52:18,718 --> 01:52:20,987 SOME OF THE LESSONS LEARNED FROM 2752 01:52:20,987 --> 01:52:21,921 THE OUTSTANDING MENTORS THAT 2753 01:52:21,921 --> 01:52:24,324 HAVE GUIDED MY JOURNEY AND TO 2754 01:52:24,324 --> 01:52:27,994 SHARE SOME OF MY PHILOSOPHY ON 2755 01:52:27,994 --> 01:52:29,062 PRINCIPLES OF MENTORSHIP FOR 2756 01:52:29,062 --> 01:52:38,605 GROWING THE NEXT GENERATION OF 2757 01:52:38,605 --> 01:52:39,405 CLINICIAN SCIENTISTS. 2758 01:52:39,405 --> 01:52:42,475 SO A PRACTICED AS A CLINICAL 2759 01:52:42,475 --> 01:52:43,309 PHYSICAL THERAPISTS AND THEN 2760 01:52:43,309 --> 01:52:46,112 WENT INTO RESEARCH AND THE 2761 01:52:46,112 --> 01:52:48,381 RESEARCH IS FOCUSED ON 2762 01:52:48,381 --> 01:52:50,250 IDENTIFYING OBSTACLES TO REPAIR 2763 01:52:50,250 --> 01:52:51,718 AND RECOVERY. 2764 01:52:51,718 --> 01:52:52,785 IDENTIFYING WINDOWS OF 2765 01:52:52,785 --> 01:52:55,722 OPPORTUNITIES TO MODIFY THE 2766 01:52:55,722 --> 01:52:57,090 RESPONSE TO INJURY AND WILL ALSO 2767 01:52:57,090 --> 01:53:03,563 TOOK A LITTLE BIT ABOUT CURRENT 2768 01:53:03,563 --> 01:53:04,063 OUTLOOKS ON PLASTICITY. 2769 01:53:04,063 --> 01:53:09,135 SO I THINK IF YOU REFLECT BACK, 2770 01:53:09,135 --> 01:53:11,771 MENTORS HAVE MADE A CRITICAL -- 2771 01:53:11,771 --> 01:53:14,741 PLAYED A CRITICAL ROLE IN MY 2772 01:53:14,741 --> 01:53:15,542 JOURNEY IN NEUROPLASTICKITY. 2773 01:53:15,542 --> 01:53:19,445 CHALLENGING THE WAY I THINK, 2774 01:53:19,445 --> 01:53:20,613 CREATING ENVIRONMENTS THAT 2775 01:53:20,613 --> 01:53:22,015 SUPPORT AN ACTIVE EXCHANGE OF 2776 01:53:22,015 --> 01:53:24,717 IDEAS, AND AS WE GET STARTED, 2777 01:53:24,717 --> 01:53:27,453 LIKE YOU TO JUST TAKE A MOMENT 2778 01:53:27,453 --> 01:53:29,522 AND THINK ABOUT SOME OF THE 2779 01:53:29,522 --> 01:53:37,197 INDIVIDUALS WHO HAVE SHAPED YOUR 2780 01:53:37,197 --> 01:53:38,097 JOURNEY PROFESSIONALLY. 2781 01:53:38,097 --> 01:53:40,700 I STARTED PRACTICE AS A CLINICAL 2782 01:53:40,700 --> 01:53:42,902 PHYSICAL THERAPISTS ALWAYS 2783 01:53:42,902 --> 01:53:43,937 INTERESTED IN 2784 01:53:43,937 --> 01:53:45,572 NEUROREHABILITATION, SPINAL CORD 2785 01:53:45,572 --> 01:53:48,741 INJURY, TRAUMATIC BRAIN INJURY, 2786 01:53:48,741 --> 01:53:57,750 STROKE, AND WAS ALSO VERY 2787 01:53:57,750 --> 01:53:58,985 INTERESTED INNYONATAL INJURIES. 2788 01:53:58,985 --> 01:54:00,787 AS I WAS FIRST PRACTICING, I 2789 01:54:00,787 --> 01:54:01,821 SHARED WITH LEADERS IN THE 2790 01:54:01,821 --> 01:54:03,690 PROGRAM AT GEORGE WASHINGTON 2791 01:54:03,690 --> 01:54:05,291 UNIVERSITY MY INTERESTS IN 2792 01:54:05,291 --> 01:54:08,027 NEUROAND IN EARLY LESIONS AND I 2793 01:54:08,027 --> 01:54:10,063 WAS PLACED IN A POSITION WHERE I 2794 01:54:10,063 --> 01:54:18,638 GOT ALL OF THENYONATAL REFERRALS 2795 01:54:18,638 --> 01:54:20,106 FOR THE NEONATAL INTENSIVE CARE 2796 01:54:20,106 --> 01:54:23,476 UNIT, DID A HUGE SPINAL CORD AND 2797 01:54:23,476 --> 01:54:24,310 TRAUMATIC BRAIN INJURY PRACTICE. 2798 01:54:24,310 --> 01:54:25,979 AND 1 OF THE THINGS THAT STARTED 2799 01:54:25,979 --> 01:54:30,049 MY YOWRNY ON MENTORSHIP WAS THE 2800 01:54:30,049 --> 01:54:33,820 REALIZATION THAT IT IS IMPORTANT 2801 01:54:33,820 --> 01:54:36,456 TO GIVE INDIVIDUALS AGENCY AND 2802 01:54:36,456 --> 01:54:43,529 ALLOW THEM TO DEVELOP IN THE 2803 01:54:43,529 --> 01:54:44,230 DIRECTIONS THAT THEY 2804 01:54:44,230 --> 01:54:46,232 INDIVIDUALLY WANT TO GROW AND I 2805 01:54:46,232 --> 01:54:47,734 CERTAINLY HAD THAT OPPORTUNITY. 2806 01:54:47,734 --> 01:54:50,470 AFTER I PRACTICED CLINICALLY FOR 2807 01:54:50,470 --> 01:54:55,475 A WHILE, I MOVED INTO A ROLE AS 2808 01:54:55,475 --> 01:54:56,676 AN EDUCATOR IN PHYSICAL THERAPY 2809 01:54:56,676 --> 01:55:00,380 AND I WAS 1 OF 3 INDIVIDUALS WHO 2810 01:55:00,380 --> 01:55:02,515 BUILT THE PHYSICAL THERAPY 2811 01:55:02,515 --> 01:55:03,883 PROGRAM AT HOWARD UNIVERSITY 2812 01:55:03,883 --> 01:55:13,259 ALONG WITH GENE MOORE, AND 2813 01:55:13,259 --> 01:55:14,527 GLORIA LAWSON. 2814 01:55:14,527 --> 01:55:16,162 IT WAS AN INCREDIBLE OPPORTUNITY 2815 01:55:16,162 --> 01:55:20,600 TO BUILD SOMETHING NEW FROM THE 2816 01:55:20,600 --> 01:55:25,371 GROUND UP AND AGAIN BUILDING 2817 01:55:25,371 --> 01:55:25,872 BUILDING AN 2818 01:55:25,872 --> 01:55:27,106 ENVIRONMENT THAT SUPPORTS THE 2819 01:55:27,106 --> 01:55:27,940 GROWTH AND DEVELOPMENT OF THE 2820 01:55:27,940 --> 01:55:28,241 INDIVIDUAL. 2821 01:55:28,241 --> 01:55:30,510 NOW THIS WAS A LONG TIME AGO AND 2822 01:55:30,510 --> 01:55:31,911 I AM ABSOLUTELY DELIGHTED TO BE 2823 01:55:31,911 --> 01:55:33,646 ABLE TO SAY THEY AM STILL IN 2824 01:55:33,646 --> 01:55:37,984 TOUCH WITH SOME OF THE STUDENTS 2825 01:55:37,984 --> 01:55:42,955 WHO I FIRST ENCOUNTERED AT 2826 01:55:42,955 --> 01:55:43,389 HOWARD. 2827 01:55:43,389 --> 01:55:46,826 I ALSO HAD THE OPPORTUNITY TO 2828 01:55:46,826 --> 01:55:47,660 ENCOUNTER GREAT LEADERSHIP AT 2829 01:55:47,660 --> 01:55:50,797 HOWARD AND THAT WAS WITH DEAN 2830 01:55:50,797 --> 01:55:55,201 HARLEY FLACK, SO IT WAS A NEW 2831 01:55:55,201 --> 01:55:57,937 PROGRAM, JEAN, GLORIA AND I WERE 2832 01:55:57,937 --> 01:56:03,142 NEW IN BUILDING THIS AND HARLEY 2833 01:56:03,142 --> 01:56:04,210 WAS NEW NONAPOPTOTIC HOWARD AND 2834 01:56:04,210 --> 01:56:09,549 HE DID AN ABSOLUTELY AMAZING JOB 2835 01:56:09,549 --> 01:56:14,454 IN FOSTERING THE DEVELOPMENT OF 2836 01:56:14,454 --> 01:56:15,321 THE PROGRAM. 2837 01:56:15,321 --> 01:56:17,523 AGAIN, ALLOWING ME TO FOCUS ON 2838 01:56:17,523 --> 01:56:20,660 MY INTEREST IN 2839 01:56:20,660 --> 01:56:22,962 NEUROREHABILITATION AND I ALSO 2840 01:56:22,962 --> 01:56:27,333 KNEW THAT EVENTUALLY I WAS GOING 2841 01:56:27,333 --> 01:56:29,969 TO MOVE INTO RESEARCH AND SO I 2842 01:56:29,969 --> 01:56:34,073 WAS TEACHING RESEARCH BASED 2843 01:56:34,073 --> 01:56:35,942 CLASSES IN NEURORECOVERY AND HAD 2844 01:56:35,942 --> 01:56:42,815 AN OPPORTUNITY FOCUSED ON GO TO 2845 01:56:42,815 --> 01:56:43,783 THE SOCIETY FOR NEUROSCIENCE AS 2846 01:56:43,783 --> 01:56:45,151 PART OF MY EDUCATIONAL 2847 01:56:45,151 --> 01:56:49,088 RESPONSIBILITIES AND THAT WAS 2848 01:56:49,088 --> 01:56:55,561 WHEN I FIRST MET MICHAEL 2849 01:56:55,561 --> 01:56:55,862 GOLDBERGER. 2850 01:56:55,862 --> 01:56:57,363 AND I WAS FOLLOWING HIS WORK, I 2851 01:56:57,363 --> 01:57:01,667 KNEW THEY WANTED TO GO INTO WORK 2852 01:57:01,667 --> 01:57:04,804 SIMILAR TO WHAT HE WAS DOING IN 2853 01:57:04,804 --> 01:57:09,642 PLASTICITY AND RECOVERY OF 2854 01:57:09,642 --> 01:57:09,909 FUNCTION. 2855 01:57:09,909 --> 01:57:15,114 AND THE OTHER THING THAT MADE 2856 01:57:15,114 --> 01:57:18,851 THAT POSSIBLE WAS HARLEY FLACK 2857 01:57:18,851 --> 01:57:22,021 SAID TO ME, BARBARA, YOU NEED TO 2858 01:57:22,021 --> 01:57:27,093 APPLY FOR THIS GRANT AND HE 2859 01:57:27,093 --> 01:57:29,595 SAYS, I DON'T KNOW. 2860 01:57:29,595 --> 01:57:32,899 HE ASKED ME, ADVISED THAT I 2861 01:57:32,899 --> 01:57:34,934 APPLY TO THE MARK FACULTY 2862 01:57:34,934 --> 01:57:36,702 PREDOCTORAL FELLOWSHIP AND I 2863 01:57:36,702 --> 01:57:38,738 SAID HARLEY, THEY DON'T NEED ME 2864 01:57:38,738 --> 01:57:41,707 BUT THEY DID. 2865 01:57:41,707 --> 01:57:44,811 THIS WAS MY FIRST GRANT AND IT 2866 01:57:44,811 --> 01:57:47,079 TRULY MADE AN INCREDIBLE 2867 01:57:47,079 --> 01:57:48,314 DIFFERENCE IN WHAT I'VE BEEN 2868 01:57:48,314 --> 01:57:52,952 ABLE TO DO THROUGHOUT MY CAREER. 2869 01:57:52,952 --> 01:57:56,589 MINORITY ACCESS TO RESEARCH 2870 01:57:56,589 --> 01:58:01,694 CAREERS PROVIDED TRAINING FOR 2871 01:58:01,694 --> 01:58:03,930 FACULTY AT -- FOR MINORITY 2872 01:58:03,930 --> 01:58:06,232 INSTITUTIONS TO PURSUE THEIR 2873 01:58:06,232 --> 01:58:11,771 RESEARCH AND THIS IS WHAT MADE 2874 01:58:11,771 --> 01:58:13,105 THE DIFFERENCE FOR ME MY HUSBAND 2875 01:58:13,105 --> 01:58:15,408 AND I LIVED IN ARLINGTON. 2876 01:58:15,408 --> 01:58:16,542 MICHAEL'S LAB WAS IN 2877 01:58:16,542 --> 01:58:17,710 PHILADELPHIA AT WHAT WAS THEN 2878 01:58:17,710 --> 01:58:21,948 THE MEDICAL COLLEGE OF 2879 01:58:21,948 --> 01:58:23,916 PENNSYLVANIA AND THIS GRANT MADE 2880 01:58:23,916 --> 01:58:27,820 IT POSSIBLE FOR ME TO ACTUALLY 2881 01:58:27,820 --> 01:58:29,155 DO MY GRADUATE WORK WHERE I 2882 01:58:29,155 --> 01:58:37,296 REALLY WANTED TO DO IT. 2883 01:58:37,296 --> 01:58:41,133 AND LOOKING BACK WITH 2020 HIND 2884 01:58:41,133 --> 01:58:43,769 SITE ON MY DECISION WHERE TO GO 2885 01:58:43,769 --> 01:58:45,204 FOR GRADUATE SCHOOL IT COULD NOT 2886 01:58:45,204 --> 01:58:47,507 HAVE BEEN BETTER WORKING WITH 2887 01:58:47,507 --> 01:58:48,774 MICHAEL AT MEDICAL COLLEGE 2888 01:58:48,774 --> 01:58:55,214 PENNSYLVANIA WAS A REALLY 2889 01:58:55,214 --> 01:58:56,282 UNUSUAL ENVIRONMENT AND THE 2890 01:58:56,282 --> 01:58:57,483 FURTHER AND FURTHER I GO ALONG, 2891 01:58:57,483 --> 01:58:58,985 THE MORE I VALUE IT. 2892 01:58:58,985 --> 01:59:01,120 SO MY INTEREST WAS ALWAYS IN 2893 01:59:01,120 --> 01:59:02,722 PLASTICITY AND RECOVERY OF 2894 01:59:02,722 --> 01:59:05,324 FUNCTION AFTER DAMAGE TO THE 2895 01:59:05,324 --> 01:59:06,726 DEVELOPING NERVOUS SYSTEM, WORK 2896 01:59:06,726 --> 01:59:08,694 IN MICHAEL'S LAB WAS SOLELY IN 2897 01:59:08,694 --> 01:59:10,196 THE ADULT NERVOUS SYSTEM. 2898 01:59:10,196 --> 01:59:15,501 IT DID NOT MATTER TO HIM. 2899 01:59:15,501 --> 01:59:16,903 HE REALLY WANTED INDIVIDUALS TO 2900 01:59:16,903 --> 01:59:22,742 DO THE WORK THAT THEY WANTED TO 2901 01:59:22,742 --> 01:59:23,809 DO AND CREATE AN ENVIRONMENT FOR 2902 01:59:23,809 --> 01:59:26,979 THAT TO BE POSSIBLE. 2903 01:59:26,979 --> 01:59:28,414 SO MY MENTORING PRINCIPLE THAT I 2904 01:59:28,414 --> 01:59:30,950 TAKE AWAY FROM THAT IS THE 2905 01:59:30,950 --> 01:59:32,351 INDEPENDENT OF TRAINEES TO WORK 2906 01:59:32,351 --> 01:59:33,853 ON SOMETHING RELATED TO THE 2907 01:59:33,853 --> 01:59:36,255 GOALS OF THE LAB, BUT ALSO 2908 01:59:36,255 --> 01:59:37,423 SOMETHING THAT THEY WILL TAKE 2909 01:59:37,423 --> 01:59:43,496 AWAY WITH THEM AND THAT'S 2910 01:59:43,496 --> 01:59:44,564 SOMETHING THAT HAS BEEN TRYING 2911 01:59:44,564 --> 01:59:48,301 DO WITH ALL THE FOLKS COMING 2912 01:59:48,301 --> 01:59:49,402 THROUGH MY LABORATORY. 2913 01:59:49,402 --> 01:59:52,138 AT THE TIME, PLASTICITY WAS 2914 01:59:52,138 --> 01:59:55,541 REALLY PUSHING THE SCIENTIFIC 2915 01:59:55,541 --> 01:59:56,142 BOUNDARIES BECAUSE PLASTICITY 2916 01:59:56,142 --> 02:00:00,112 THEA THE TIME WAS NOT WELL 2917 02:00:00,112 --> 02:00:00,580 ACCEPTED. 2918 02:00:00,580 --> 02:00:04,850 I MUST SAY THAT MICHAEL'S 1 OF 2919 02:00:04,850 --> 02:00:11,257 THE BRIGHTEST AND BEST CRITICAL 2920 02:00:11,257 --> 02:00:12,992 THINKERS I'VE EVER KNOWN. 2921 02:00:12,992 --> 02:00:13,893 ANOTHER LESSON FROM PIE TIME 2922 02:00:13,893 --> 02:00:15,962 THERE IS THAT IT REALLY WAS A 2923 02:00:15,962 --> 02:00:16,529 COMMUNITY OF LEARNING. 2924 02:00:16,529 --> 02:00:20,299 THERE WERE INDIVIDUALS WHO WERE 2925 02:00:20,299 --> 02:00:21,233 STUDYING PLASTICITY, SOME OF US 2926 02:00:21,233 --> 02:00:23,636 IN THE SPINAL CORD, SOME OF US 2927 02:00:23,636 --> 02:00:27,840 IN THE VISUAL SYSTEM, SOME IN 2928 02:00:27,840 --> 02:00:30,943 THE HIPPOCAMPUS, SOME IN THE 2929 02:00:30,943 --> 02:00:32,645 AUTONOMIC NERVOUS SYSTEM BUT THE 2930 02:00:32,645 --> 02:00:35,715 THEME WAS PLASTICITY AND IT WAS 2931 02:00:35,715 --> 02:00:39,051 REALLY A COMMUNITY OF LEARNING, 2932 02:00:39,051 --> 02:00:40,319 LESSONED LEARNED, XA EXCELLENCE 2933 02:00:40,319 --> 02:00:46,759 IS THE STANDARD, GOOD ENOUGH IS 2934 02:00:46,759 --> 02:00:48,127 NEVER GOOD ENOUGH. 2935 02:00:48,127 --> 02:00:50,696 LOOK FOR WHAT'S GOOD FIRST 2936 02:00:50,696 --> 02:00:52,732 RATHER THAN TRYING TO TEAR DOWN 2937 02:00:52,732 --> 02:00:53,566 SCIENTIFIC IDEAS. 2938 02:00:53,566 --> 02:00:55,001 LOOK FIRST WHAT'S GOOD AND THEN 2939 02:00:55,001 --> 02:00:56,102 BUILD FROM THERE. 2940 02:00:56,102 --> 02:00:57,503 AND I GUESS 1 OF THE OTHER 2941 02:00:57,503 --> 02:01:00,473 THINGS ABOUT THIS THAT WAS SO 2942 02:01:00,473 --> 02:01:01,974 TRANSFORMATIONAL WAS AT THE TIME 2943 02:01:01,974 --> 02:01:03,376 I WAS THERE, FIRST OF ALL FROM 2944 02:01:03,376 --> 02:01:06,946 THE TIME I TALKED IN THE DOOR, I 2945 02:01:06,946 --> 02:01:11,517 WAS NEVER SEEN AS ANYTHING LESS 2946 02:01:11,517 --> 02:01:14,253 THAN ANY INDIVIDUAL THAT WAS 2947 02:01:14,253 --> 02:01:15,321 THERE AROUND THE TABLE. 2948 02:01:15,321 --> 02:01:19,058 SO I NEVER SEEN AS A GRADUATE 2949 02:01:19,058 --> 02:01:19,859 STUDENT. 2950 02:01:19,859 --> 02:01:24,363 I WAS A PEER FROM DAY 1. 2951 02:01:24,363 --> 02:01:29,101 AND PART OF THAT 2952 02:01:29,101 --> 02:01:29,835 TRANSFORMATIONAL EXPERIENCE, THE 2953 02:01:29,835 --> 02:01:31,971 FACULTY WAS PUTTING TOGETHER A 2954 02:01:31,971 --> 02:01:37,376 PROGRAM PROJECT GRANT IN 2955 02:01:37,376 --> 02:01:38,778 NEUROPLASTICKITY AND I WAS 1 OF 2956 02:01:38,778 --> 02:01:41,447 THE INDIVIDUALS AT THE TABLE, 2957 02:01:41,447 --> 02:01:44,383 REVIEWING EVERY DRAFT, MAKING 2958 02:01:44,383 --> 02:01:47,420 COMMENTS, MY COMMENTS WERE 2959 02:01:47,420 --> 02:01:50,022 CONSIDERED OF EQUAL WEIGHT TO 2960 02:01:50,022 --> 02:01:55,394 ANYONE ELSE THERE AROUND THE 2961 02:01:55,394 --> 02:01:55,828 TABLE. 2962 02:01:55,828 --> 02:02:02,134 SO, PINS PEL -- PRINCIPLE OF 2963 02:02:02,134 --> 02:02:03,335 MENTORING IS TO MAKE SURE THAT 2964 02:02:03,335 --> 02:02:06,272 ERCH HAS THE MIND SET TO GET 2965 02:02:06,272 --> 02:02:08,774 INPUT AS PAPERS, AS GRANTS ARE 2966 02:02:08,774 --> 02:02:10,576 BEING DEVELOPED. 2967 02:02:10,576 --> 02:02:12,378 SO THE TO GET AN OUTSIDE SET OF 2968 02:02:12,378 --> 02:02:16,849 EYES ON WHAT YOU'RE DOING. 2969 02:02:16,849 --> 02:02:19,085 SO THE WORK ARE LOOKING AT 2970 02:02:19,085 --> 02:02:21,153 LESIONS IN DEVELOPMENT, TAKE 2971 02:02:21,153 --> 02:02:26,826 AWAY MESSAGES, AGE AT THE TIME 2972 02:02:26,826 --> 02:02:27,526 OF INJURY MATTERS. 2973 02:02:27,526 --> 02:02:29,929 THE RESPONSE IS EXCITATORY 2974 02:02:29,929 --> 02:02:30,896 INNED, THERE'S GREATER 2975 02:02:30,896 --> 02:02:33,365 PLASTICITY AROUND THE PATHWAYS 2976 02:02:33,365 --> 02:02:36,235 BOTH AROUND THE SITE LEADING TO 2977 02:02:36,235 --> 02:02:38,070 MEDIATING RECOVERY FUNCTION AND 2978 02:02:38,070 --> 02:02:44,510 THERE'S ALSO GREATER CELL DEATH 2979 02:02:44,510 --> 02:02:46,045 OF IMMATURE AXOTOMIZED NEURONS. 2980 02:02:46,045 --> 02:02:53,519 THIS IS 1 EXAMPLE LOOKING AT A 2981 02:02:53,519 --> 02:02:54,620 CORTICALE MEDIATED RESPONSE, 2982 02:02:54,620 --> 02:02:55,121 IT'S AUTOMATIC. 2983 02:02:55,121 --> 02:03:00,292 IT'S IN THE CONTROL ANIMALS. 2984 02:03:00,292 --> 02:03:05,698 IT DEVELOPS, WE WERE WORKING IN 2985 02:03:05,698 --> 02:03:08,234 NEONATAL KITTENS, IT'S ABSENT IN 2986 02:03:08,234 --> 02:03:09,301 NEW BORN KITTENS. 2987 02:03:09,301 --> 02:03:13,973 LESION MADE FIRST IN THE ANIMALS 2988 02:03:13,973 --> 02:03:18,144 THAT WERE LESIONED EARLY PLACING 2989 02:03:18,144 --> 02:03:19,445 EVENTUALLY DEVELOPS ABOUT 10-12 2990 02:03:19,445 --> 02:03:24,683 DAYS OF AGE AND IT'S ALWAYS 2991 02:03:24,683 --> 02:03:27,219 PERMANENT TACTILE PLACING IS 2992 02:03:27,219 --> 02:03:27,987 ALWAYS PERMANENTLY ABOLISHED 2993 02:03:27,987 --> 02:03:36,395 AFTER LESIONS IN THE ADULT. 2994 02:03:36,395 --> 02:03:38,497 LOOKING AT RETROGRADE TRACING, 2995 02:03:38,497 --> 02:03:40,099 WE FOUND THAT GIVING INJECTIONS 2996 02:03:40,099 --> 02:03:42,401 OF TRACER INTO THE SPINAL CORD 2997 02:03:42,401 --> 02:03:45,471 BELOW THE LEVEL OF THE INJURY 2998 02:03:45,471 --> 02:03:49,375 THAT AFTER NEONATAL LESIONS, 2999 02:03:49,375 --> 02:03:51,043 THERE IS NOT ONLY LABELING IN 3000 02:03:51,043 --> 02:03:54,547 THE INTACT CORTEX BUT ALSO IN 3001 02:03:54,547 --> 02:03:59,518 THE CORTEX THAT HAD THE PATHWAY 3002 02:03:59,518 --> 02:04:06,192 DAMAGED WHEREAS IN NEONATAL, 3003 02:04:06,192 --> 02:04:08,294 WHEREAS IN THE ADULT THERE'S NO 3004 02:04:08,294 --> 02:04:09,361 LONG-TERM GROWTH AROUND THE YOUR 3005 02:04:09,361 --> 02:04:09,562 SITE. 3006 02:04:09,562 --> 02:04:12,565 WE ALSO FOUND IF WE LOOK AT THE 3007 02:04:12,565 --> 02:04:14,300 RED NUCLEACE INSTEAD, THERE'S NO 3008 02:04:14,300 --> 02:04:16,302 PLASTICITY IN THE RED NUCLEACE, 3009 02:04:16,302 --> 02:04:20,172 AND INSTEAD THERE IS SIGNIFICANT 3010 02:04:20,172 --> 02:04:21,207 RETROGRADE CELL LOSS. 3011 02:04:21,207 --> 02:04:24,143 ANOTHER LESSON FROM THIS EARLY 3012 02:04:24,143 --> 02:04:28,013 TIME WAS THE IMPORTANCE OF 3013 02:04:28,013 --> 02:04:32,218 INTERINSTITUTIONAL INTERACTIONS 3014 02:04:32,218 --> 02:04:34,553 AT THE TIME I -- FROM MEDICAL 3015 02:04:34,553 --> 02:04:38,290 COLLEGE PENNSYLVANIA, WE HAD 3016 02:04:38,290 --> 02:04:43,195 ROUTINE MEETINGS WITH COLLEAGUES 3017 02:04:43,195 --> 02:04:44,263 AT PEN. 3018 02:04:44,263 --> 02:04:45,898 JOHN LU, BILL CHAMBERS, SOME OF 3019 02:04:45,898 --> 02:04:48,267 THE INDIVIDUALS WHO WERE 3020 02:04:48,267 --> 02:04:49,768 CRITICAL IN GUIDING OUR 3021 02:04:49,768 --> 02:04:53,806 UNDERSTANDING OF PLASTICITY AND 3022 02:04:53,806 --> 02:04:59,178 THAT IT WAS IN FACT OCCUR. 3023 02:04:59,178 --> 02:05:02,615 ANOTHER EXAMPLE OF THE 3024 02:05:02,615 --> 02:05:04,583 IMPORTANCE OF OUTSIDE INPUT TO 3025 02:05:04,583 --> 02:05:07,887 WHAT YOU'RE DOING, PAT GOLD MAN, 3026 02:05:07,887 --> 02:05:11,790 LATER PAT GOLD MAN RAKIC WAS THE 3027 02:05:11,790 --> 02:05:16,161 EXTERNAL MEMBER OF MY THESIS 3028 02:05:16,161 --> 02:05:17,763 COMMITTEE AND I SHARED THE WORK 3029 02:05:17,763 --> 02:05:21,233 WITH HER AND SHE SAID TO ME, 3030 02:05:21,233 --> 02:05:25,838 BARBARA, YOU NEED TO WRITE THIS 3031 02:05:25,838 --> 02:05:26,171 UP. 3032 02:05:26,171 --> 02:05:28,607 AND YES, I WAS WRITING UP THE 3033 02:05:28,607 --> 02:05:30,242 PAPERS AND SHE SAID, NO, YOU 3034 02:05:30,242 --> 02:05:33,045 NEED TO WRITE THIS UP AND SUBMIT 3035 02:05:33,045 --> 02:05:38,851 IT TO SCIENCE AND SO MY VERY 3036 02:05:38,851 --> 02:05:40,452 FIRST PROFESSIONAL PUBLICATION 3037 02:05:40,452 --> 02:05:44,290 BECAUSE OF PAT WAS IN SCIENCE, 3038 02:05:44,290 --> 02:05:45,925 MICHAEL NEVER WOULD HAVE THOUGHT 3039 02:05:45,925 --> 02:05:48,761 OF THIS, I CERTAINLY WOULD HAVE 3040 02:05:48,761 --> 02:05:56,302 NEVER THOUGHT OF THIS, BUT 3041 02:05:56,302 --> 02:05:57,569 AGAIN, IT'S BROADENING YOUR 3042 02:05:57,569 --> 02:05:58,938 ENVIRONMENT OF INDIVIDUALS WHO 3043 02:05:58,938 --> 02:06:05,411 ARE HELPING YOU TO GROW AND MOVE 3044 02:06:05,411 --> 02:06:05,644 FORWARD. 3045 02:06:05,644 --> 02:06:09,248 SOME OF THE LESSONS LEARNED FROM 3046 02:06:09,248 --> 02:06:11,050 MENTORS AND FRIENDS, QUESTION 3047 02:06:11,050 --> 02:06:13,252 AUTHORITY, BE BOLD, THINK BIG, 3048 02:06:13,252 --> 02:06:14,887 EXPECT THE UNEXPECTED, CREATE A 3049 02:06:14,887 --> 02:06:16,121 LEARNING AND GROWING ENVIRONMENT 3050 02:06:16,121 --> 02:06:22,161 DRIVEN BY EACH INDIVIDUAL, AND 3051 02:06:22,161 --> 02:06:24,096 THINK CRITICALLY. 3052 02:06:24,096 --> 02:06:25,798 WHAT IF? 3053 02:06:25,798 --> 02:06:29,668 NOT WE CAN'T BECAUSE ... 3054 02:06:29,668 --> 02:06:31,737 AND LOOK FOR WHAT'S POSITIVE IN 3055 02:06:31,737 --> 02:06:34,139 BUILDING GROWTH FROM THERE AND 3056 02:06:34,139 --> 02:06:43,282 THAT EVERY VOICE MATTERS. 3057 02:06:43,282 --> 02:06:49,822 WHEN I FINISHED MY GRADUATE WORK 3058 02:06:49,822 --> 02:06:54,059 WITH MICHAEL, I TOOK THE BRIDGE 3059 02:06:54,059 --> 02:06:56,028 TO POST DOCTORAL SUPPORT, POST 3060 02:06:56,028 --> 02:06:58,764 DOCTORAL STUDIES, AND WORKED 3061 02:06:58,764 --> 02:07:01,500 WITH PAUL RYER AT THE UNIVERSITY 3062 02:07:01,500 --> 02:07:06,605 OF MARYLAND AND AT THAT TIME HE 3063 02:07:06,605 --> 02:07:08,707 WAS ALSO LOOKING AT SPINAL CORD 3064 02:07:08,707 --> 02:07:11,276 INJURY IN ADULTS, IN RATS, 3065 02:07:11,276 --> 02:07:13,178 LOOKING AT NEURAL TISSUE 3066 02:07:13,178 --> 02:07:15,581 TRANSPLANTS WHICH WE NOW IN 3067 02:07:15,581 --> 02:07:17,516 RETROSPECT UNDERSTAND WERE STEM 3068 02:07:17,516 --> 02:07:19,151 CELLS LOOKING AT THEIR 3069 02:07:19,151 --> 02:07:23,522 CONTRIBUTION TO CNS REPAIR AND 3070 02:07:23,522 --> 02:07:24,123 PLASTICITY. 3071 02:07:24,123 --> 02:07:26,859 AND WE MADE SPINAL CORD OVER 3072 02:07:26,859 --> 02:07:30,029 HEAVY SECTION LESIONS AND 3073 02:07:30,029 --> 02:07:31,397 TRANSANGZS, PUT FEIGNAL PINEAL 3074 02:07:31,397 --> 02:07:35,601 CORD TISSUE INTO THE LESION AND 3075 02:07:35,601 --> 02:07:37,302 THE TRANSPLANT SURVIVED IN ALL 3076 02:07:37,302 --> 02:07:39,405 OF THEM AND WE FOUND THAT THE 3077 02:07:39,405 --> 02:07:43,709 TRANSPLANTS FOR THE STEM CELLS 3078 02:07:43,709 --> 02:07:46,045 RESCUED THE IMMATURE EGGS OUT OF 3079 02:07:46,045 --> 02:07:47,880 MICE NEURONS FROM CELL DEATH, 3080 02:07:47,880 --> 02:07:49,415 SUPPORTED THE REGENERATION OF 3081 02:07:49,415 --> 02:07:51,050 AXONS ACROSS THE LESION SITE AND 3082 02:07:51,050 --> 02:07:54,420 HELPED TO MEDIATE RECOVERY OF 3083 02:07:54,420 --> 02:07:54,787 FUNCTION. 3084 02:07:54,787 --> 02:07:59,691 SO IN TERMS OF THE RED NUCLEUS, 3085 02:07:59,691 --> 02:08:01,427 IN CONTROL ANIMALS, YOU CAN SEE 3086 02:08:01,427 --> 02:08:07,633 THE RED NUCLEUS, THE LOSS OF RED 3087 02:08:07,633 --> 02:08:09,902 NUCLEUS NEURONS AFTER NEONATAL 3088 02:08:09,902 --> 02:08:12,571 INJURY BUT THE TRANSPLANT 3089 02:08:12,571 --> 02:08:14,106 RESCUED THOSE NEURONS 3090 02:08:14,106 --> 02:08:14,673 SIGNIFICANTLY. 3091 02:08:14,673 --> 02:08:18,077 IN TERMS OF TRANSSECTION, HERE'S 3092 02:08:18,077 --> 02:08:21,380 AN EXAMPLE OF THE TRANSECTED 3093 02:08:21,380 --> 02:08:24,650 SPINAL CORD, TRANSECTED AT 3094 02:08:24,650 --> 02:08:26,185 BIRTH, ANIMAL WAS TRANSECTED AS 3095 02:08:26,185 --> 02:08:28,654 AN ADULT AND THE SPINAL CORD 3096 02:08:28,654 --> 02:08:29,621 TRANSPLANT IN THE LESION SITE 3097 02:08:29,621 --> 02:08:34,326 AND WE FOUND THAT THE 3098 02:08:34,326 --> 02:08:35,561 TRANSPLANTS SUPPORTED THE GROWTH 3099 02:08:35,561 --> 02:08:38,997 OF SUPER SPINAL AXONS ACROSS THE 3100 02:08:38,997 --> 02:08:42,301 LESION SITE AND BACK INTO THE 3101 02:08:42,301 --> 02:08:44,636 HOST SPINAL CORD KAWDAL TO THE 3102 02:08:44,636 --> 02:08:47,473 TRANSACTION AFTER THE NEONATAL 3103 02:08:47,473 --> 02:08:48,073 INJURY. 3104 02:08:48,073 --> 02:08:49,341 AND USING RETROGRADE DOUBLE 3105 02:08:49,341 --> 02:08:50,609 LABELING TECHNIQUES, WE WERE 3106 02:08:50,609 --> 02:08:53,879 ABLE TO SHOW THAT AFTER THE 3107 02:08:53,879 --> 02:08:56,381 EARLY LESIONS BOTH REGENERATING 3108 02:08:56,381 --> 02:08:59,651 AND LATE GROWING AXONS 3109 02:08:59,651 --> 02:09:08,193 CONTRIBUTED TO THE RECOVERY. 3110 02:09:08,193 --> 02:09:10,729 SO PLASTICITY OCCURS IN THE 3111 02:09:10,729 --> 02:09:12,498 NEONATAL AND THE ADULT NERVOUS 3112 02:09:12,498 --> 02:09:15,267 SYSTEM, THE EXTENT OF PLASTICITY 3113 02:09:15,267 --> 02:09:17,102 IS GREATER AFTER EARLY LESIONS 3114 02:09:17,102 --> 02:09:26,378 BUT IT CAN BE MODIFIED AND AFTER 3115 02:09:26,378 --> 02:09:28,247 A COUPLE OF YEARS AS A POST DOC, 3116 02:09:28,247 --> 02:09:30,916 I THINK A WAS A POST DOC FOR 2 3117 02:09:30,916 --> 02:09:32,918 YEARS WITH PAUL RYER, I DID 3118 02:09:32,918 --> 02:09:35,521 SOMETHING THAT I USUALLY ADVISE 3119 02:09:35,521 --> 02:09:36,922 MY POST DOCTORAL FELLOWS TO 3120 02:09:36,922 --> 02:09:37,422 AVOID. 3121 02:09:37,422 --> 02:09:40,159 I TOOK A FACULTY POSITION AT THE 3122 02:09:40,159 --> 02:09:44,463 UNIVERSITY OF MARYLAND AND 3123 02:09:44,463 --> 02:09:45,130 ESTABLISHED MY INDEPENDENT 3124 02:09:45,130 --> 02:09:46,732 LABORATORY AT THE INSTITUTION I 3125 02:09:46,732 --> 02:09:50,068 DID MY POST DOC. 3126 02:09:50,068 --> 02:09:51,737 AS IT TURNED OUT, IT WORKED OUT 3127 02:09:51,737 --> 02:09:55,240 WELL FOR ME, I GOT MY SECOND 3128 02:09:55,240 --> 02:09:57,743 MOST IMPORTANT GRANT, MY 3129 02:09:57,743 --> 02:10:01,046 INDIVIDUAL RO-1 SHORTLY AFTER I 3130 02:10:01,046 --> 02:10:04,783 BECAME A FACULTY MEMBER AND 3131 02:10:04,783 --> 02:10:06,084 COUPLE YEARS LATER, PAUL MOVED 3132 02:10:06,084 --> 02:10:07,619 FROM MARYLAND TO FLORIDA, SO I 3133 02:10:07,619 --> 02:10:13,525 DID NOT HAVE TO DEAL WITH THE 3134 02:10:13,525 --> 02:10:16,428 PERCEPTION OF INDIVIDUALS 3135 02:10:16,428 --> 02:10:17,930 OUTSIDE OF THE DEPARTMENT THAT I 3136 02:10:17,930 --> 02:10:21,833 WAS JUST A CLONE OF ANOTHER 3137 02:10:21,833 --> 02:10:23,035 FACULTY MEMBER. 3138 02:10:23,035 --> 02:10:32,110 AND IN THOSE SUBSEQUENT STUDIES, 3139 02:10:32,110 --> 02:10:32,945 COLLABORATIONS ACROSS 3140 02:10:32,945 --> 02:10:34,580 INSTITUTIONS AND STRUCTURES WORK 3141 02:10:34,580 --> 02:10:38,550 WITH FOLKS AT REGENERATED RON IN 3142 02:10:38,550 --> 02:10:41,520 THE PHARMACEUTICAL INDUSTRY TO 3143 02:10:41,520 --> 02:10:46,725 SHOW THAT BDNF, NT-3, AND NT-4, 3144 02:10:46,725 --> 02:10:50,562 NEUROTROAPIC FACTORS INCREASE 3145 02:10:50,562 --> 02:10:53,198 AFTER PLASTICITY AFTER INJURY IN 3146 02:10:53,198 --> 02:10:56,268 THE ADULT ACROSS THE BOARD 3147 02:10:56,268 --> 02:11:02,140 WORKING WITH MAURI, WE WERE ABLE 3148 02:11:02,140 --> 02:11:04,476 TO SHOW THAT TRANSPLANTS 3149 02:11:04,476 --> 02:11:05,544 INCREASED THE CELLULAR RESPONSE 3150 02:11:05,544 --> 02:11:07,112 TO RENAL CANCER GENERATION WHICH 3151 02:11:07,112 --> 02:11:09,314 IS NOT -- REGENERATION WHICH IS 3152 02:11:09,314 --> 02:11:12,951 NOT SEEN AFTER INJURY ALONE. 3153 02:11:12,951 --> 02:11:15,454 AND THEN, LOOKING AT THE 3154 02:11:15,454 --> 02:11:17,189 INCREASE OF GROWTH IN THE 3155 02:11:17,189 --> 02:11:20,025 NEOINATE AND THE ADULT WITH 3156 02:11:20,025 --> 02:11:21,159 TRANSPLANTS COMPARED TO INJURY 3157 02:11:21,159 --> 02:11:22,160 ALONE AND SO WHEN YOU THINK 3158 02:11:22,160 --> 02:11:24,363 ABOUT THE THINGS THAT PREVENT 3159 02:11:24,363 --> 02:11:27,599 REGENERATION, AND THE POTENTIAL 3160 02:11:27,599 --> 02:11:29,701 STRATEGIES FOR REPAIR, CERTAINLY 3161 02:11:29,701 --> 02:11:31,903 THE INTRINSIC NEURONAL FACTORS, 3162 02:11:31,903 --> 02:11:35,540 CELL DEATH, ATROPHY, LACK OF 3163 02:11:35,540 --> 02:11:37,609 UPREGULATION OF ASSOCIATE 3164 02:11:37,609 --> 02:11:42,247 REGENERATION ASSOCIATED GENES, 3165 02:11:42,247 --> 02:11:44,182 WITHIN THE EXTRINSIC 3166 02:11:44,182 --> 02:11:48,353 ENVIRONMENT, GLUE MARIOUSOSEIS, 3167 02:11:48,353 --> 02:11:50,088 THE INHIBITORY EXTRA CELLULARY 3168 02:11:50,088 --> 02:11:58,397 MATRIX AND WORKING WITH MARTIN 3169 02:11:58,397 --> 02:12:00,032 SCHWAB, AND LISA, WE WERE ABLE 3170 02:12:00,032 --> 02:12:03,135 TO SHOW THE GROWTH OF NEURONS 3171 02:12:03,135 --> 02:12:04,670 AFTER INJURY. 3172 02:12:04,670 --> 02:12:09,675 SO THERE ARE LOTS OF WINDOWS OF 3173 02:12:09,675 --> 02:12:10,976 OPPORTUNITY AFTER CNS INJURY TO 3174 02:12:10,976 --> 02:12:13,145 OFFER THE EXTERNAL ENVIRONMENT, 3175 02:12:13,145 --> 02:12:14,112 INTRINSIC CAPACITY FOR GROWTH, 3176 02:12:14,112 --> 02:12:15,881 THAT THESE LED TO RECOVERY OF 3177 02:12:15,881 --> 02:12:20,285 SKILLED AND PATTERN MOVEMENT AND 3178 02:12:20,285 --> 02:12:23,121 THE TEMPORAL WINDOWS EXTEND 3179 02:12:23,121 --> 02:12:25,524 BEYOND THE ACUTE INJURY PERIOD. 3180 02:12:25,524 --> 02:12:28,460 IT WAS ALSO EFFECTIVE AFTER 3181 02:12:28,460 --> 02:12:31,930 CHRONIC YOUR AND ACTIVITY, 3182 02:12:31,930 --> 02:12:34,800 REHABILITATION CAN MODIFY 3183 02:12:34,800 --> 02:12:35,634 PLASTICITY. 3184 02:12:35,634 --> 02:12:38,804 SO AGE MATTERS, TIME MATTERS, 3185 02:12:38,804 --> 02:12:40,539 SPECIFICITY OF THE ACTIVITY 3186 02:12:40,539 --> 02:12:43,141 MATTERS, NOT ALL PLASTICITY'S 3187 02:12:43,141 --> 02:12:46,311 BENEFICIAL, AND THE PLASTICITY 3188 02:12:46,311 --> 02:12:49,948 OCCURS AT MULTIPLE LEVELS OF THE 3189 02:12:49,948 --> 02:12:51,883 NERVOUS SYSTEM, THE LESSONS 3190 02:12:51,883 --> 02:12:53,485 QUESTIONED AUTHORITY, BE BOLD, 3191 02:12:53,485 --> 02:12:56,888 THINK BIG, EXPECT THE 3192 02:12:56,888 --> 02:12:57,189 UNEXPECTED. 3193 02:12:57,189 --> 02:12:58,623 AND THAT EVERYONE HAS A VOICE 3194 02:12:58,623 --> 02:13:01,660 AND A VOICE MATTERS. 3195 02:13:01,660 --> 02:13:03,295 AND THESE ARE THE COLLABORATIONS 3196 02:13:03,295 --> 02:13:05,997 I'VE HAD OVER TIME. 3197 02:13:05,997 --> 02:13:14,072 I'VE ALSO SPENT A LOT OF TIME 3198 02:13:14,072 --> 02:13:21,847 BEING -- HAVING THE ABILITY TO 3199 02:13:21,847 --> 02:13:23,115 TRAIN INDIVIDUALS. 3200 02:13:23,115 --> 02:13:28,620 I HAD AN T32 IN RECOVERY 3201 02:13:28,620 --> 02:13:29,688 FUNCTION AFTER CENTRAL NERVOUS 3202 02:13:29,688 --> 02:13:32,657 SYSTEM INJURY, THIS WAS THE 3203 02:13:32,657 --> 02:13:33,492 FIRST INSTITUTIONAL TRAINING 3204 02:13:33,492 --> 02:13:36,695 GRANT AT GEORGE TOWN AND IT 3205 02:13:36,695 --> 02:13:40,899 SUPPORTED 4 PREDOCTORAL AND 4 3206 02:13:40,899 --> 02:13:44,936 POSTDOCTORAL FELLOWS AND 2 3207 02:13:44,936 --> 02:13:48,974 SUMMER RESEARCH POSITIONS THE 3208 02:13:48,974 --> 02:13:50,008 NIDDRR, ADVANCED REHABILITATION 3209 02:13:50,008 --> 02:13:56,214 RESEARCH TRAINING AND THEN 3210 02:13:56,214 --> 02:13:57,249 NICHDR24 IN RECOVERY AFTER 3211 02:13:57,249 --> 02:13:57,582 INJURY. 3212 02:13:57,582 --> 02:14:00,352 IN EACH OF THE LATTER 2, IT WAS 3213 02:14:00,352 --> 02:14:04,423 A GROUP OF INDIVIDUALS BEYOND A 3214 02:14:04,423 --> 02:14:06,291 GIVEN INSTITUTION, SO THEY WERE 3215 02:14:06,291 --> 02:14:08,660 NOT JUST INDIVIDUALS AT GEORGE 3216 02:14:08,660 --> 02:14:08,860 TOWN. 3217 02:14:08,860 --> 02:14:13,932 WE ABOUT BUILT COMMUNITIES OF 3218 02:14:13,932 --> 02:14:15,934 SUPPORT ACROSS THE WASHINGTON 3219 02:14:15,934 --> 02:14:18,236 AREA AND FURTHER. 3220 02:14:18,236 --> 02:14:20,472 AND LOOKING AT THE OUTCOMES OF 3221 02:14:20,472 --> 02:14:22,541 THE R24, I KNOW SOME OF THIS IS 3222 02:14:22,541 --> 02:14:24,176 -- SOME OF THIS IS SMALL, BUT 3223 02:14:24,176 --> 02:14:28,146 INDIVIDUALS WHO WERE SUPPORTED 3224 02:14:28,146 --> 02:14:33,251 AS ASSISTANT PROFESSORS ARE NOW 3225 02:14:33,251 --> 02:14:34,119 PROFESSORS WITH NIH SUPPORT, 3226 02:14:34,119 --> 02:14:39,024 SOME OF THE NAMES WILL BE 3227 02:14:39,024 --> 02:14:47,232 FAMILIAR TO YOU. 3228 02:14:47,232 --> 02:14:50,902 MARK BOWDEN, DEBBACCAUS, GEORGE 3229 02:14:50,902 --> 02:14:51,837 WITTEN BURG. 3230 02:14:51,837 --> 02:14:55,540 MONICA PEREZ, ALL OF THESE 3231 02:14:55,540 --> 02:15:00,479 INDIVIDUALS ARE CONTINUING TO 3232 02:15:00,479 --> 02:15:02,447 PLAY LEADERSHIP ROLES IN THEIR 3233 02:15:02,447 --> 02:15:06,384 REHABILATION ACROSS THE COUNTRY. 3234 02:15:06,384 --> 02:15:08,019 SO THE FIRST IMPORTANT GRANT TO 3235 02:15:08,019 --> 02:15:11,790 ME WAS THE MARK FELLOWSHIP, THE 3236 02:15:11,790 --> 02:15:20,565 SECOND WAS MY INDIVIDUAL RO-1 3237 02:15:20,565 --> 02:15:21,600 AND SUBSEQUENT, THE 1 THING 3238 02:15:21,600 --> 02:15:23,568 TODAY THAT HAS BEEN THE MOST 3239 02:15:23,568 --> 02:15:25,303 IMPORTANT TO ME AS BEEN THE 3240 02:15:25,303 --> 02:15:26,538 INSTITUTIONAL K12 THAT WE JUST 3241 02:15:26,538 --> 02:15:28,139 FINISHED FROM THE NATIONAL 3242 02:15:28,139 --> 02:15:32,177 CENTER FOR MEDICAL 3243 02:15:32,177 --> 02:15:32,677 REHABILITATION RESEARCH. 3244 02:15:32,677 --> 02:15:36,948 HAD IS A GRANT THAT ALEX 3245 02:15:36,948 --> 02:15:39,384 DROMERICK AND I LAUNCHED AND 3246 02:15:39,384 --> 02:15:42,787 SHARED AS MPIs BEFORE HIS 3247 02:15:42,787 --> 02:15:43,355 DEATH. 3248 02:15:43,355 --> 02:15:45,323 EARLY CAREER DEVELOPMENT AND 3249 02:15:45,323 --> 02:15:46,691 MENTORING PROGRAM TARGETING 3250 02:15:46,691 --> 02:15:48,894 JUNIOR FACULTY, AND FOCUSED ON 3251 02:15:48,894 --> 02:15:50,795 PREPARING INDIVIDUALS FOR 3252 02:15:50,795 --> 02:15:54,799 RESEARCH CAREERS THAT LOOK AT 3253 02:15:54,799 --> 02:15:57,502 PLASTICITY AND RECOVERY FUNCTION 3254 02:15:57,502 --> 02:16:03,408 FOLLOWING CENTRAL NERVOUS SYSTEM 3255 02:16:03,408 --> 02:16:07,312 INJURY AND LOOKING AT A BROAD 3256 02:16:07,312 --> 02:16:08,213 NETWORK OF INDIVIDUALS. 3257 02:16:08,213 --> 02:16:10,649 NO PROFESSIONAL OR GEOGRAPHIC 3258 02:16:10,649 --> 02:16:11,550 BOUNDARIES. 3259 02:16:11,550 --> 02:16:14,653 WE RECRUITED SCHOLARS WITH ANY 3260 02:16:14,653 --> 02:16:15,954 ADVANCED NEUROREHABILITATION 3261 02:16:15,954 --> 02:16:18,390 RELATED DEGREES. 3262 02:16:18,390 --> 02:16:24,796 MDs, MD-Ph.D.s, 3263 02:16:24,796 --> 02:16:27,399 NEUROLOGIST, GERIATRICIANS, 3264 02:16:27,399 --> 02:16:28,667 PODIA TRYSTS, SPEECH LANGUAGE 3265 02:16:28,667 --> 02:16:30,302 PATHOLOGIST AND ALEX IN OUR 3266 02:16:30,302 --> 02:16:31,136 ORIGINAL CONCEPT THOUGHT OKAY, 3267 02:16:31,136 --> 02:16:34,005 WE WILL HAVE A BROAD NETWORK 3268 02:16:34,005 --> 02:16:35,840 THAT SORT OF GOES BETWEEN BOSTON 3269 02:16:35,840 --> 02:16:40,245 AND D. C. SORT OF AN AMTRAK 3270 02:16:40,245 --> 02:16:42,781 TRAIN HERE, AS IT TURNS OUT AS 3271 02:16:42,781 --> 02:16:44,849 WE PUT OUT THE CALL FOR 3272 02:16:44,849 --> 02:16:47,485 APPLICATIONS WE ACTUALLY HAD 3273 02:16:47,485 --> 02:16:51,923 SCHOLARS FROM ACROSS THE 3274 02:16:51,923 --> 02:16:52,157 COUNTRY. 3275 02:16:52,157 --> 02:16:54,726 THE GOALS WERE TO PROVIDE 3276 02:16:54,726 --> 02:16:56,695 OUTSTANDING RESEARCH TRAINING 3277 02:16:56,695 --> 02:16:58,430 AND MENTORSHIP, FOR CLINICAL 3278 02:16:58,430 --> 02:16:59,497 SCHOLARS AND THEIR 3279 02:16:59,497 --> 02:17:00,098 REHABILITATION, ANOTHER MAJOR 3280 02:17:00,098 --> 02:17:04,235 GOAL WAS TO CREATE A COMMUNITY 3281 02:17:04,235 --> 02:17:07,572 OF SCHOLARS AND TO PREPARE THESE 3282 02:17:07,572 --> 02:17:10,875 INDIVIDUALS FOR SUSTAINED AND 3283 02:17:10,875 --> 02:17:13,712 PRODUCTIVE CAREERS IN 3284 02:17:13,712 --> 02:17:14,879 NEUROREHABILITATION. 3285 02:17:14,879 --> 02:17:19,384 WE HAD AN INTERDISCIPLINARY, 3286 02:17:19,384 --> 02:17:21,353 INTERINSTITUTIONAL ADVISORY 3287 02:17:21,353 --> 02:17:24,589 BOARD COMPOSED OF MEMBERS FROM 3288 02:17:24,589 --> 02:17:26,424 SEVERAL CLINICAL DISCIPLINES, 3289 02:17:26,424 --> 02:17:30,128 ACCOMPLISHED VERY LONGS WHO KNEW 3290 02:17:30,128 --> 02:17:31,863 THE BARRIERS TO INTERDIN PLINARY 3291 02:17:31,863 --> 02:17:34,466 RESEARCH AND RESEARCH TRAINING. 3292 02:17:34,466 --> 02:17:40,472 AND REALLY HAD AN 3293 02:17:40,472 --> 02:17:41,072 INTERDISCIPLINARY WORLD VIEW. 3294 02:17:41,072 --> 02:17:43,908 ALEX AND SOME OF THE FOLKS AT 3295 02:17:43,908 --> 02:17:46,945 OUR ADVISORY BOARD, ALEX AND I 3296 02:17:46,945 --> 02:17:49,447 AND THEN SUSAN FROM NATIONAL 3297 02:17:49,447 --> 02:17:53,451 REHAB HOSPITAL, AMY FROM 3298 02:17:53,451 --> 02:17:54,285 HOPKINS, GEORGE WITTENBERG AT 3299 02:17:54,285 --> 02:17:56,354 THE UNIVERSITY OF MARYLAND, NOW 3300 02:17:56,354 --> 02:18:00,592 HE IS AT PITT. 3301 02:18:00,592 --> 02:18:03,561 RAJ RATTAN FROM CORNELL, LISA 3302 02:18:03,561 --> 02:18:05,296 CONNOR AT MASS GENERAL INSTITUTE 3303 02:18:05,296 --> 02:18:12,203 FOR HEALTH PROFESSIONALS, SHE'S 3304 02:18:12,203 --> 02:18:14,039 NOW AT WASH-U. 3305 02:18:14,039 --> 02:18:19,210 CATHY SCHLAUG FROM AT THAT TIME 3306 02:18:19,210 --> 02:18:21,846 HARVARD AND KREBS FROM THE 3307 02:18:21,846 --> 02:18:23,548 INSTITUTE OF TECHNOLOGY. 3308 02:18:23,548 --> 02:18:24,916 SCHOLARLY CHARACTERISTICS WE 3309 02:18:24,916 --> 02:18:26,151 LOOKED AT. 3310 02:18:26,151 --> 02:18:27,786 JUNIOR FACULTY, RECRUITED FROM 3311 02:18:27,786 --> 02:18:29,320 ALL RELEVANT DISCIPLINES, 3312 02:18:29,320 --> 02:18:35,560 RECRUITED NATIONALLY, USING OUR 3313 02:18:35,560 --> 02:18:37,996 BROADER LEADERSHIP TEAM THE 3314 02:18:37,996 --> 02:18:39,397 PROGRAM FOCUSED ON NERVOUS 3315 02:18:39,397 --> 02:18:45,837 SYSTEM, THE LEADERSHIP TEAM WAS 3316 02:18:45,837 --> 02:18:46,471 INTERDISCIPLINARY. 3317 02:18:46,471 --> 02:18:47,439 THE INTENT WAS TO FUND 3318 02:18:47,439 --> 02:18:49,874 INDIVIDUALS FOR 2 OR 3 YEARS AND 3319 02:18:49,874 --> 02:18:53,411 WE ASKED A COMMITMENT FROM THEIR 3320 02:18:53,411 --> 02:18:58,516 HOME INSTITUTION THAT THE HOME 3321 02:18:58,516 --> 02:19:00,118 INSTITUTION COMMIT AT LEAST 50% 3322 02:19:00,118 --> 02:19:02,320 OF THEIR EFFORT FOR THE NEXT 3 3323 02:19:02,320 --> 02:19:02,520 YEARS. 3324 02:19:02,520 --> 02:19:09,461 WE LOOKED AT TRAINING, BOTH AT 3325 02:19:09,461 --> 02:19:11,696 UNIVERSITIES, PLUS NONPROFIT 3326 02:19:11,696 --> 02:19:16,134 ACADEMIC AND REHAB SETTINGS, THE 3327 02:19:16,134 --> 02:19:17,669 MENTORING, COULD OCCUR ANYWHERE, 3328 02:19:17,669 --> 02:19:19,571 INCLUDES BOTH BASIC AND CLINICAL 3329 02:19:19,571 --> 02:19:23,508 SCIENTISTS ON EACH INDIVIDUALS 3330 02:19:23,508 --> 02:19:25,510 MENTORSHIP TEAM, THE LOCAL 3331 02:19:25,510 --> 02:19:27,712 MENTORS WERE SUPPLEMENTED BY THE 3332 02:19:27,712 --> 02:19:30,548 NATIONAL MENTORS IDENTIFIED BY 3333 02:19:30,548 --> 02:19:32,250 THE EXECUTIVE COMMITTEE AND WE 3334 02:19:32,250 --> 02:19:36,054 ALSO INCLUDED AN EXECUTIVE COACH 3335 02:19:36,054 --> 02:19:38,389 AS A MENTOR. 3336 02:19:38,389 --> 02:19:43,695 SO WHAT THE PROCESS LOOKED LIKE 3337 02:19:43,695 --> 02:19:48,233 WE HAD WE HAD AS THE SCHOLARS 3338 02:19:48,233 --> 02:19:49,868 APPLIED WE HAD A MENTORSHIP TEAM 3339 02:19:49,868 --> 02:19:51,736 OF THE PROGRAM DIRECTORS AND 3340 02:19:51,736 --> 02:19:54,205 EACH MENTORSHIP TEAM INCLUDED 3341 02:19:54,205 --> 02:20:00,378 BOTH BASIC SCIENCE AND CLINICAL 3342 02:20:00,378 --> 02:20:02,013 SCIENCE AS THE SCHOLARS ENTERED 3343 02:20:02,013 --> 02:20:04,716 THE PROGRAM, THEY DEVELOPED BOTH 3344 02:20:04,716 --> 02:20:06,785 THEIR RESEARCH PLAN AND AN 3345 02:20:06,785 --> 02:20:12,223 INDIVIDUAL CAREER DEVELOPMENT 3346 02:20:12,223 --> 02:20:12,557 PLAN. 3347 02:20:12,557 --> 02:20:19,731 WE HAD ONGOING ACTIVITIES, 3348 02:20:19,731 --> 02:20:21,132 MONTHLY SEMINARS ROUTINE 3349 02:20:21,132 --> 02:20:22,801 MEETINGS WITH THE MENTORS AND 3350 02:20:22,801 --> 02:20:30,141 THE MENTORSHIP COMMITTEE, WE HAD 3351 02:20:30,141 --> 02:20:34,846 TWICE YEARLY WE HAD TWICE YEARLY 3352 02:20:34,846 --> 02:20:36,581 IN-PERSON MEETINGS, 1 WITH THE 3353 02:20:36,581 --> 02:20:37,615 AMERICAN ASSOCIATE FOR REHAD 3354 02:20:37,615 --> 02:20:38,683 BEEN ILLEGALSITATION, WE WOULD 3355 02:20:38,683 --> 02:20:41,186 RUN A WORKSHOP FOR 2 DAYS AHEAD 3356 02:20:41,186 --> 02:20:43,955 A DAY AND A HALF OF THAT WAS 3357 02:20:43,955 --> 02:20:47,559 COMMITTED TO OUR SCHOLARS ALONE, 3358 02:20:47,559 --> 02:20:48,960 THE SECOND HALF A DAY WAS A 3359 02:20:48,960 --> 02:20:54,365 WORKSHOP THAT WAS OPEN TO THE 3360 02:20:54,365 --> 02:20:56,201 BROADER COMMUNITY OF ASMR 3361 02:20:56,201 --> 02:21:02,140 PARTICIPANTS WHO WERE GETTING 3362 02:21:02,140 --> 02:21:02,473 THERE EARLY. 3363 02:21:02,473 --> 02:21:08,980 AND 1 OF THE THINGS THAT I AM SO 3364 02:21:08,980 --> 02:21:12,283 PROUD TO SAY IS THAT OF ALL OF 3365 02:21:12,283 --> 02:21:14,352 THE SCHOLARS THAT WE TRAINED, 3366 02:21:14,352 --> 02:21:17,989 ALL OF THEM ARE STILL ACTIVELY 3367 02:21:17,989 --> 02:21:18,223 ENGAGED. 3368 02:21:18,223 --> 02:21:21,726 SO WE HAVE PLASTICITY CENTERED 3369 02:21:21,726 --> 02:21:25,797 MEETINGS THIS THEY COME TO NOW 3370 02:21:25,797 --> 02:21:29,701 THANKS TO COVID, WE'RE ABLE TO 3371 02:21:29,701 --> 02:21:30,802 DO THESE REMOTELY. 3372 02:21:30,802 --> 02:21:34,105 WE ARE DOING THEM HYBRID NOW. 3373 02:21:34,105 --> 02:21:43,514 A JOURNAL CLUB SERIES AND LET'S 3374 02:21:43,514 --> 02:21:48,720 SEE -- I'VE LOST CONTROL AGAIN. 3375 02:21:48,720 --> 02:21:51,389 >> BARBARA IF YOU JUST CLICK ON 3376 02:21:51,389 --> 02:21:52,457 THE PRESENTATION SHOULD YOU BE 3377 02:21:52,457 --> 02:21:53,291 GOOD. 3378 02:21:53,291 --> 02:21:54,325 THERE YOU GO. 3379 02:21:54,325 --> 02:21:55,326 >> THANK YOU. 3380 02:21:55,326 --> 02:21:56,728 THANK YOU. 3381 02:21:56,728 --> 02:21:58,897 WANDERING, WANDERING TOO MUCH. 3382 02:21:58,897 --> 02:22:01,232 SO YES, THE SCHOLAR TIMELINES 3383 02:22:01,232 --> 02:22:06,504 AND MILESTONES, THE INDIVIDUAL 3384 02:22:06,504 --> 02:22:11,109 AND CAREER DEVELOPMENT AND 3385 02:22:11,109 --> 02:22:15,980 RESEARCH PLANS GETTING THEIR 3386 02:22:15,980 --> 02:22:17,048 INTERDISCIPLINARY MENTORSHIP 3387 02:22:17,048 --> 02:22:18,716 TEAM TOGETHER, EXPECTING THEM TO 3388 02:22:18,716 --> 02:22:23,488 WRITE AN INDEPENDENT GRANT EARLY 3389 02:22:23,488 --> 02:22:28,026 ON DOING GRANTS -- GRANTS ISSUES 3390 02:22:28,026 --> 02:22:28,993 WRITING TRAINING BOTH LOCALLY 3391 02:22:28,993 --> 02:22:30,328 AND THEN IN THE SECOND YEAR 3392 02:22:30,328 --> 02:22:33,231 WE'VE ASKED THEM TO APPLY TO THE 3393 02:22:33,231 --> 02:22:35,099 TIGER, AND MANY OF THOSE 3394 02:22:35,099 --> 02:22:38,136 PARTICIPATED IN THAT AS WELL. 3395 02:22:38,136 --> 02:22:40,405 THE SPRING MEETING ASSOCIATED 3396 02:22:40,405 --> 02:22:45,209 WITH THE AMERICAN SOCIETY FOR 3397 02:22:45,209 --> 02:22:45,743 NEUROREHABILITATION. 3398 02:22:45,743 --> 02:22:49,814 THE FALL MEETING WE HAVE LOCALLY 3399 02:22:49,814 --> 02:22:56,554 AT GEORGE TOWN AND IT HAS -- 3400 02:22:56,554 --> 02:22:58,823 CLICK ON THIS AGAIN. 3401 02:22:58,823 --> 02:23:03,494 AND THE SORTS OF THINGS THAT WE 3402 02:23:03,494 --> 02:23:09,100 HAVE INCORPORATED IN THE SCHOLAR 3403 02:23:09,100 --> 02:23:13,638 TRAINING, GRANT AND BUDGET 3404 02:23:13,638 --> 02:23:14,939 MANAGEMENT, SKILLS AND, THE 3405 02:23:14,939 --> 02:23:17,141 DEVELOPMENT OF LEADERSHIP 3406 02:23:17,141 --> 02:23:18,609 SKILLS, SCIENTIFIC WRITING, 3407 02:23:18,609 --> 02:23:21,045 GRANT WRITING, PEER, NEAR PEER, 3408 02:23:21,045 --> 02:23:21,546 MENTOR SUPPORT. 3409 02:23:21,546 --> 02:23:25,049 AS Is ALL OF OUR EARLY 3410 02:23:25,049 --> 02:23:28,753 SCHOLARS CONTINUE TO BE ENGAGED 3411 02:23:28,753 --> 02:23:30,722 AND THEY ARE REALLY AN 3412 02:23:30,722 --> 02:23:31,689 INCREDIBLE COMMUNITY OF 3413 02:23:31,689 --> 02:23:31,990 SCHOLARS. 3414 02:23:31,990 --> 02:23:36,094 ONE OF THE FELLOWS WAS STARTING 3415 02:23:36,094 --> 02:23:38,596 TMS IN HER LABORATORY IN ROUGH 3416 02:23:38,596 --> 02:23:42,000 ATOM CHESTER SCHOLAR AT CASE 3417 02:23:42,000 --> 02:23:44,869 WESTERN HAD IT UP AND RUNNING, 3418 02:23:44,869 --> 02:23:46,604 HE BROUGHT HIS LAB UP TO ROUGH 3419 02:23:46,604 --> 02:23:54,445 ATOM CHEST -- ROCHESTER AND 3420 02:23:54,445 --> 02:23:56,180 HELPERRED HER GET HER DMS 3421 02:23:56,180 --> 02:23:59,917 RESEARCH UP AND GOING. 3422 02:23:59,917 --> 02:24:02,220 WE'RE CONCENTRATING ON 3423 02:24:02,220 --> 02:24:03,187 RECRUITMENT, SCIENCE, 3424 02:24:03,187 --> 02:24:04,022 DISSEMINATION AND 3425 02:24:04,022 --> 02:24:04,622 IMPLEMENTATION. 3426 02:24:04,622 --> 02:24:06,924 AND RESEARCH METHODS AND HEALTH 3427 02:24:06,924 --> 02:24:13,064 OUTCOMES AND DISABILITY STUDIES. 3428 02:24:13,064 --> 02:24:17,635 AND THIS JUST SHOWS THE 3429 02:24:17,635 --> 02:24:19,137 MULTIDISCIPLINARY TRAINING, THE 3430 02:24:19,137 --> 02:24:27,745 COMMUNITY ENGAGEMENT AND THE K12 3431 02:24:27,745 --> 02:24:28,413 SCHOLAR OUTCOMES. 3432 02:24:28,413 --> 02:24:29,380 I MENTIONED WE HAVE A 3433 02:24:29,380 --> 02:24:31,115 PROFESSIONAL COACH BECAUSE A LOT 3434 02:24:31,115 --> 02:24:34,318 OF TIMES AS SCHOLARS ARE 3435 02:24:34,318 --> 02:24:35,186 TRANSITIONING TO AN INDEPENDENT 3436 02:24:35,186 --> 02:24:36,320 CAREER, THERE ARE A LOT OF 3437 02:24:36,320 --> 02:24:39,357 THINGS THAT ARE NOT SCIENCE 3438 02:24:39,357 --> 02:24:44,062 RELATED THAT CAN LIMIT THEIR 3439 02:24:44,062 --> 02:24:45,630 PRODUCTIVITY AND ADVANCEMENT. 3440 02:24:45,630 --> 02:24:49,667 SO, YOU KNOW, GETTING THEM TO 3441 02:24:49,667 --> 02:24:52,003 HAVE A SAFE SPACE THAT THEY CAN 3442 02:24:52,003 --> 02:24:56,474 WORK WITH THE COACH AND SO THE 3443 02:24:56,474 --> 02:25:01,446 COACH WAS A CERTIFIED COACH, 3444 02:25:01,446 --> 02:25:03,981 LORI OFFERING OUTSIDE 3445 02:25:03,981 --> 02:25:05,249 PERSPECTIVE WHILE THE SCHOLARS 3446 02:25:05,249 --> 02:25:08,786 WERE SUPPORTED BY THE K12, SHE 3447 02:25:08,786 --> 02:25:12,290 MET WITH THEM MONTHLY AND THEN 3448 02:25:12,290 --> 02:25:15,693 HAD THE OVERALL GROUP SESSIONS 3449 02:25:15,693 --> 02:25:20,098 IN THE FALL AND THE SPRING AS 3450 02:25:20,098 --> 02:25:24,302 PART OF OUR -- AS PART OF OUR 3451 02:25:24,302 --> 02:25:24,635 WORKSHOPS. 3452 02:25:24,635 --> 02:25:26,637 >> BARB, YOU HAVE JUST UNDER 10 3453 02:25:26,637 --> 02:25:28,272 MINUTES LEFT, JUST SO YOU KNOW. 3454 02:25:28,272 --> 02:25:29,574 >> I AM ABSOLUTELY THERE, THANK 3455 02:25:29,574 --> 02:25:33,578 YOU FOR THE HEADS UP ON THAT 3456 02:25:33,578 --> 02:25:33,911 RALPH. 3457 02:25:33,911 --> 02:25:37,115 SO, LOOKING AT THEIR VISION AND 3458 02:25:37,115 --> 02:25:38,583 GOALS, ARTICULATING WHERE 3459 02:25:38,583 --> 02:25:43,254 THEY'RE GOING AND THERE'S OFTEN 3460 02:25:43,254 --> 02:25:45,857 DYNAMIC WITH A NEW FAC 3461 02:25:45,857 --> 02:25:48,092 ULTIMATELYY MEMBER BEING 3462 02:25:48,092 --> 02:25:51,028 UNCERTAIN OF THEIR ABILITY TO 3463 02:25:51,028 --> 02:25:53,531 HAVE A VOICE IN A DEPARTMENT. 3464 02:25:53,531 --> 02:25:55,333 SO GIVING THEM THE SKILLS TO BE 3465 02:25:55,333 --> 02:26:00,138 ABLE TO DO THAT, SO THAT CAN 3466 02:26:00,138 --> 02:26:05,409 CONTINUE TO DRIVE THEIR RESEARCH 3467 02:26:05,409 --> 02:26:07,245 AND THEIR LAB DEVELOPMENT. 3468 02:26:07,245 --> 02:26:15,219 THE K12 SCHOLARS THAT WE 3469 02:26:15,219 --> 02:26:18,589 SUPPORTED WERE BERK REHAB, 3470 02:26:18,589 --> 02:26:20,958 CORNELL, UNIVERSITY OF MARYLAND 3471 02:26:20,958 --> 02:26:31,402 AT BALTIMORE, ROCHESTER, 3472 02:26:32,436 --> 02:26:34,605 RUTGERS, MATT Mc LAUGHIN AT 3473 02:26:34,605 --> 02:26:40,244 UNIVERSITY OF KANSAS CITY, 3474 02:26:40,244 --> 02:26:44,982 SHASHWATI GE, D AT UTEP. 3475 02:26:44,982 --> 02:26:49,754 UNIVERSITY OF TEXAS AT EL PASO, 3476 02:26:49,754 --> 02:26:54,325 ANDREW DEMARC O, AT NRH, AND 3477 02:26:54,325 --> 02:26:59,564 DAVID CUNNINGHAM FROM CASE 3478 02:26:59,564 --> 02:27:00,865 WESTERN, SELES GADSON, SHE WAS 3479 02:27:00,865 --> 02:27:04,869 AT GEORGE TOWN, SHE PASSED AWAY 3480 02:27:04,869 --> 02:27:08,139 EARLIER THIS YEAR. 3481 02:27:08,139 --> 02:27:12,076 ABHISHEK JAYWANT AT CORNELL, 3482 02:27:12,076 --> 02:27:15,413 SARRA PILLAY, AT COLLEGE OF 3483 02:27:15,413 --> 02:27:16,414 WISCONSIN, SARAH HUSSAIN, AT 3484 02:27:16,414 --> 02:27:20,685 UNIVERSITY OF TEXAS AT AUSTIN, 3485 02:27:20,685 --> 02:27:21,719 MACKENZY FAMA AT GEORGE 3486 02:27:21,719 --> 02:27:22,620 WASHINGTON UNIVERSITY AND THEN 3487 02:27:22,620 --> 02:27:25,756 WE HAD 2 FULL PARTICIPANTS WHO 3488 02:27:25,756 --> 02:27:28,826 WERE SUPPORTED BY INDEPENDENT 3489 02:27:28,826 --> 02:27:29,293 K-AWARDS. 3490 02:27:29,293 --> 02:27:33,097 SO IT WAS OLUWOLE AWOSIKA AT 3491 02:27:33,097 --> 02:27:35,199 UNIVERSITY OF SIN SUDDEN ATY WAS 3492 02:27:35,199 --> 02:27:37,501 SPRPTED BY THE DEVELOPMENT OF 3493 02:27:37,501 --> 02:27:40,638 NEUROLOGY AWARD AND EMILY 3494 02:27:40,638 --> 02:27:41,272 GRATTAN, FIRST AT UNIVERSITY OF 3495 02:27:41,272 --> 02:27:44,875 SOUTH CAROLINA AND NOW AT PITT, 3496 02:27:44,875 --> 02:27:48,746 BY A VA INDEPENDENT FELLOWSHIP. 3497 02:27:48,746 --> 02:27:59,223 AND THESE ARE THEIR FACES. 3498 02:28:02,893 --> 02:28:13,371 ANIA, ROBIN, KONSTANTINOS, MATT, 3499 02:28:15,373 --> 02:28:18,643 SELES, DAVID, ANDREW, ABISHEN, 3500 02:28:18,643 --> 02:28:24,982 AND SARAH, AND THEN EMILY, 3501 02:28:24,982 --> 02:28:25,182 OLEWI. 3502 02:28:25,182 --> 02:28:28,085 EACH OF THEM DEVELOPED A STRONG 3503 02:28:28,085 --> 02:28:29,820 INDEPENDENT LAB, HAS STRONG 3504 02:28:29,820 --> 02:28:33,424 PUBLICATION RECORD INCLAUDING 3505 02:28:33,424 --> 02:28:36,394 PAPERS IN PNS JOURNAL OF 3506 02:28:36,394 --> 02:28:37,528 NEUROSCIENCE, THEY ARE NOW 3507 02:28:37,528 --> 02:28:39,964 INVOLVED IN THEIR OWN TRAINING 3508 02:28:39,964 --> 02:28:42,300 OF GRADUATE STUDENTS, POST DOCS 3509 02:28:42,300 --> 02:28:42,933 AND MEDICAL STUDENTS. 3510 02:28:42,933 --> 02:28:45,036 SOME OF THEM PLAY LEADERSHIP 3511 02:28:45,036 --> 02:28:49,106 ROLES IN CLINICAL TRIALS, SUCH 3512 02:28:49,106 --> 02:28:51,375 AS SITE PIs FOR STROKE NET AND 3513 02:28:51,375 --> 02:28:52,109 THEY ARE TRULY A COMMUNITY AND 3514 02:28:52,109 --> 02:28:58,449 THAT IS THE BIGGEST GIFT THAT I 3515 02:28:58,449 --> 02:29:00,418 CAN IMAGINE. 3516 02:29:00,418 --> 02:29:02,353 I DO BELIEVE THAT THEY WILL BE 3517 02:29:02,353 --> 02:29:12,363 THE NEXT GENERATION OF SCHOLARS 3518 02:29:12,363 --> 02:29:13,030 IN NEUROREHABILITATION 3519 02:29:13,030 --> 02:29:13,331 NATIONALLY. 3520 02:29:13,331 --> 02:29:15,499 AND ALMOST ALL OF THE SCHOLARS 3521 02:29:15,499 --> 02:29:17,301 HAVE ATTAINED INDEPENDENT 3522 02:29:17,301 --> 02:29:20,204 EXTRAMURAL FUNDING. 3523 02:29:20,204 --> 02:29:24,942 K99, RO-1s, K23S, RO3S, AND 3524 02:29:24,942 --> 02:29:31,849 OTHERS WITH FOUNDATION GRANTS. 3525 02:29:31,849 --> 02:29:34,785 SO FOR EXAMPLE, ROBIN BRAN, WITH 3526 02:29:34,785 --> 02:29:37,822 AN RO3, ANIA WITH AN RO3, DAVID 3527 02:29:37,822 --> 02:29:39,323 CUNNINGHAM WITH AN RO-1 AND IT 3528 02:29:39,323 --> 02:29:40,291 JUST SHOW HAPPENED YOU KNOW 3529 02:29:40,291 --> 02:29:42,560 SOMETIMES THERE ARE GIFTS IN 3530 02:29:42,560 --> 02:29:47,832 LIFE, WE WERE AT AN OCTOBER 3531 02:29:47,832 --> 02:29:50,568 WORKSHOP FOR THE K12 WHEN HE GOT 3532 02:29:50,568 --> 02:29:51,736 THE NOTIFICATION FROM NIH THAT 3533 02:29:51,736 --> 02:29:53,771 HE GOT HIS AWARD. 3534 02:29:53,771 --> 02:29:57,341 YOU CAN IMAGINE THE CELEBRATION 3535 02:29:57,341 --> 02:29:58,209 AT THAT TIME. 3536 02:29:58,209 --> 02:30:03,447 ANDREW DEMARC O WITH K99 ROO. 3537 02:30:03,447 --> 02:30:04,548 MCKENZIE WITH FOUNDATION 3538 02:30:04,548 --> 02:30:08,152 SUPPORT, BEFORE SHE DIED SELES 3539 02:30:08,152 --> 02:30:11,722 HAD A AAAS FELLOWSHIP AND SHE 3540 02:30:11,722 --> 02:30:14,825 WAS NAMED AT AMERICAN SOCIETY 3541 02:30:14,825 --> 02:30:23,901 FOR NEUROREHAPPEN 3542 02:30:23,901 --> 02:30:25,302 ILLEGALSITATION DIVERSITY 3543 02:30:25,302 --> 02:30:32,643 FELLOW, R21, K23S AND IN FACT, 3544 02:30:32,643 --> 02:30:35,179 VIV HUSSAINE HAS MULTIPLE RO-1S 3545 02:30:35,179 --> 02:30:36,881 IN ADDITION TO SUPPORT, THEY 3546 02:30:36,881 --> 02:30:38,983 CONTINUE AS A COMMUNITY. 3547 02:30:38,983 --> 02:30:41,752 THE SCHOLARS COLLABORATE WITH 3548 02:30:41,752 --> 02:30:44,288 EACH OTHER AND THEY ARE PART OF 3549 02:30:44,288 --> 02:30:46,857 THE FUTURE OF NEUROREHAB. 3550 02:30:46,857 --> 02:30:50,127 THE LESSONED LEARNED AS I SAID 3551 02:30:50,127 --> 02:30:53,964 BEFORE, QUESTION AUTHORITY, 3552 02:30:53,964 --> 02:30:55,833 THINK BOLD, CREATE A LEARNING 3553 02:30:55,833 --> 02:30:56,801 DEVELOPMENT, LOOK FOR WHAT'S 3554 02:30:56,801 --> 02:30:57,768 POSITIVE AND BUILD FROM THERE 3555 02:30:57,768 --> 02:30:59,670 AND THAT EVERYONE HAS A VOICE 3556 02:30:59,670 --> 02:31:01,772 AND EVERY VOICE MATTERS. 3557 02:31:01,772 --> 02:31:03,774 IN TERMS OF MENTORSHIP, IT'S 3558 02:31:03,774 --> 02:31:08,913 ESSENTIAL TO HAVE A COMMUNITY OF 3559 02:31:08,913 --> 02:31:12,483 SCHOLARS, INTERDISCIPLINARY, 3560 02:31:12,483 --> 02:31:12,883 INTERPROFESSIONAL, 3561 02:31:12,883 --> 02:31:13,417 INTERINSTITUTIONAL. 3562 02:31:13,417 --> 02:31:15,152 I BELIEVE STRONGLY THAT ANY 3563 02:31:15,152 --> 02:31:19,223 MENTORSHIP TEAM NEEDS TO BE 3564 02:31:19,223 --> 02:31:21,058 MULTILINGUAL IN CELLULAR AND 3565 02:31:21,058 --> 02:31:23,994 MOLECULAR SYSTEMS AND CLINICAL 3566 02:31:23,994 --> 02:31:24,995 AREAS. 3567 02:31:24,995 --> 02:31:28,499 EVERYONE HAS A VOICE AND NEED TO 3568 02:31:28,499 --> 02:31:29,934 CREATE A SAFE SPACE. 3569 02:31:29,934 --> 02:31:40,077 SO THANK YOU. 3570 02:31:40,077 --> 02:31:41,712 >> WELL, WOW, VERY MUCH 3571 02:31:41,712 --> 02:31:43,614 APPRECIATE THE TALK. 3572 02:31:43,614 --> 02:31:46,217 AS A PROGRAM OFFICIAL, I'VE BEEN 3573 02:31:46,217 --> 02:31:48,085 ABLE TO LOOK OVER YOUR SHOULDER 3574 02:31:48,085 --> 02:31:49,720 A LITTLE BIT AND I APPRECIATE 3575 02:31:49,720 --> 02:31:51,422 HOW YOU BROUGHT THESE PEOPLE 3576 02:31:51,422 --> 02:31:53,123 TOGETHER AND DO TO CREATE A 3577 02:31:53,123 --> 02:31:54,758 COMMUNITY AND DO IT ACROSS 3578 02:31:54,758 --> 02:31:55,493 MULTIPLE CLINICAL DISCIPLINE 3579 02:31:55,493 --> 02:31:57,428 ANDS QUITE A TRICK SO WE 3580 02:31:57,428 --> 02:31:58,662 APPRECIATE NOT ONLY YOUR OWN 3581 02:31:58,662 --> 02:31:59,663 RESEARCH BUT YOU'VE GIVEN SO 3582 02:31:59,663 --> 02:32:01,031 MUCH BACK TO THE COMMUNITY. 3583 02:32:01,031 --> 02:32:03,200 SO LET'S TAKE QUESTIONS. 3584 02:32:03,200 --> 02:32:05,169 I THINK I SAW MICHELLE, DO YOU 3585 02:32:05,169 --> 02:32:08,205 HAVE A QUESTION THERE? 3586 02:32:08,205 --> 02:32:09,507 >> I WAS ACTUALLY REACTING AND 3587 02:32:09,507 --> 02:32:13,410 JUST SAYING BARB THAT WAS A 3588 02:32:13,410 --> 02:32:15,546 REALLY GREAT AND INSPIRATIONAL 3589 02:32:15,546 --> 02:32:18,048 TALKMENT I REALLY ENJOYED JUST 3590 02:32:18,048 --> 02:32:23,954 SEEING HOW YOUR CAREER KIND OF 3591 02:32:23,954 --> 02:32:24,989 UPLIFTED SO MANY DIFFERENT 3592 02:32:24,989 --> 02:32:27,258 PEOPLE XI RESONATE WITH THE IDEA 3593 02:32:27,258 --> 02:32:29,527 THAT YOU SAID IT TAKES A 3594 02:32:29,527 --> 02:32:33,564 COMMUNITY AND THAT YOU KNOW TO 3595 02:32:33,564 --> 02:32:34,865 SUCCEED AS A SCIENTIST, YOU 3596 02:32:34,865 --> 02:32:36,200 REALLY NEED TO BE BUILDING ON 3597 02:32:36,200 --> 02:32:38,702 THE BACKS OF OTHER PEOPLE AND 3598 02:32:38,702 --> 02:32:41,071 BRINGING OTHER PEOPLE ALONG WITH 3599 02:32:41,071 --> 02:32:45,342 YOU IN ORDER TO KIND OF BE 3600 02:32:45,342 --> 02:32:46,410 EXCELLENT AND YOU KNOW THANK YOU 3601 02:32:46,410 --> 02:32:49,246 FOR THE WORK THAT YOU'VE DONE IN 3602 02:32:49,246 --> 02:32:50,948 THIS FIELD. 3603 02:32:50,948 --> 02:32:52,449 IT'S JUST PHENOMENAL AND JUST 3604 02:32:52,449 --> 02:32:54,051 EXCITING TO SEE JUST HOW MUCH 3605 02:32:54,051 --> 02:32:58,522 YOU'VE AFFECTED SO MANY PEOPLE. 3606 02:32:58,522 --> 02:33:00,190 >> THANK YOU. 3607 02:33:00,190 --> 02:33:02,693 >> LUIS, I SEE YOU'RE HAND UP 3608 02:33:02,693 --> 02:33:04,161 NYEAH, THANK YOU BARBARA, I WANT 3609 02:33:04,161 --> 02:33:05,863 TO TAKE A MOMENT JUST TO SAY 3610 02:33:05,863 --> 02:33:08,866 THANKS 3611 02:33:08,866 --> 02:33:10,501 THANKS FOR YOUR YEARS AND YOUR 3612 02:33:10,501 --> 02:33:11,635 AWESOME EXAMPLE YOU SERVE TO SO 3613 02:33:11,635 --> 02:33:13,637 MANY PEOPLE AND SPEAKING ON 3614 02:33:13,637 --> 02:33:15,706 BEHALF OF ASMR, YOU KNOW NOW 3615 02:33:15,706 --> 02:33:16,740 TAKEN--THEY I'M PRESIDENT OF 3616 02:33:16,740 --> 02:33:19,209 THEIR SOCIETY IT'S BEEN AWESOME 3617 02:33:19,209 --> 02:33:21,645 TO ENGAGE WITH THE K12 OVER THE 3618 02:33:21,645 --> 02:33:22,713 YEARS AND SEE THE NUMBER OF 3619 02:33:22,713 --> 02:33:26,417 PEOPLE THAT HAVE COME TO OUR 3620 02:33:26,417 --> 02:33:28,385 MEETING AND OUR SOCIETY THAT 3621 02:33:28,385 --> 02:33:35,225 EXEMPLIFY EXACTLY THE GOALS OF 3622 02:33:35,225 --> 02:33:42,633 WHAT YOU TRY DO AND ALSO JUST BY 3623 02:33:42,633 --> 02:33:46,604 MENTION, DR. GADSON, WE HAD A 3624 02:33:46,604 --> 02:33:47,905 MEMORIAL FOR HER, AND IT WAS 3625 02:33:47,905 --> 02:33:51,308 WONDERFUL TO KNOW OF HER AND 3626 02:33:51,308 --> 02:33:52,409 INFLUENCE IN THE SOCIETY BUT 3627 02:33:52,409 --> 02:33:54,345 ALSO THE RIPPLES TO GO BACK TO 3628 02:33:54,345 --> 02:33:55,980 THE METAPHOR YOU USE THERE, THE 3629 02:33:55,980 --> 02:33:57,815 RIPPLES SHE WAS MAKING AND THAT 3630 02:33:57,815 --> 02:33:59,383 SHE CERTAINLY MADE IN THE LIVES 3631 02:33:59,383 --> 02:33:59,950 OF MANY PEOPLE. 3632 02:33:59,950 --> 02:34:01,785 SO THANK YOU SO MUCH FOR ALL THE 3633 02:34:01,785 --> 02:34:03,887 WORK YOU'RE DOING AND CONTINUE 3634 02:34:03,887 --> 02:34:08,292 TO DO, HAVE DONE, WE CERTAINLY 3635 02:34:08,292 --> 02:34:10,127 APPRECIATE YOU AT ASNR. 3636 02:34:10,127 --> 02:34:15,199 NTHANK YOU LOUIS AND I THINK THE 3637 02:34:15,199 --> 02:34:21,138 ABILITY OF ASNR, TO ADDRESS 3638 02:34:21,138 --> 02:34:22,940 ACROSS THE SUBCOMECIALTS IT IS 3639 02:34:22,940 --> 02:34:26,377 OF SUCH VALUE AND SO IT WAS AT 3640 02:34:26,377 --> 02:34:28,045 THE ASNR MEETING WE HAD ALL OF 3641 02:34:28,045 --> 02:34:31,281 OUR SCHOLARS, ALL OF OUR 3642 02:34:31,281 --> 02:34:32,349 EXTERNAL ADVISORS BEING PART OF 3643 02:34:32,349 --> 02:34:33,517 THE MEETING BECAUSE IT IS SUCH A 3644 02:34:33,517 --> 02:34:36,253 STRONG MEETING AND MEETS THE 3645 02:34:36,253 --> 02:34:37,988 NEEDS OF SO MANY PEOPLE SO THANK 3646 02:34:37,988 --> 02:34:38,188 YOU. 3647 02:34:38,188 --> 02:34:40,090 >> AND I SEE CHRIS AND THEN 3648 02:34:40,090 --> 02:34:41,091 CATHY AND I THINK WE WILL HAVE 3649 02:34:41,091 --> 02:34:44,094 TO GET ON TO THE NEXT TALK AFTER 3650 02:34:44,094 --> 02:34:44,294 THAT. 3651 02:34:44,294 --> 02:34:46,630 SO LET'S HAVE THOSE 2 COMMENTS. 3652 02:34:46,630 --> 02:34:47,131 CHRIS? 3653 02:34:47,131 --> 02:34:48,432 >> THANKS RALPH, AND BARBARA 3654 02:34:48,432 --> 02:34:51,301 THAWNK YOU SO MUCH FOR SUCH AN 3655 02:34:51,301 --> 02:34:53,570 INTERESTING AND INSPIRING TALK. 3656 02:34:53,570 --> 02:34:55,639 IT JUST MAKES US REALIZE HOW 3657 02:34:55,639 --> 02:34:58,609 IMPORTANT THE MENTORSHIP 3658 02:34:58,609 --> 02:35:00,077 ACTIVITIES WE'RE DOING, HOW MUCH 3659 02:35:00,077 --> 02:35:00,577 THOSE MATTER. 3660 02:35:00,577 --> 02:35:03,480 I'M WONDER IF YOU COULD TALK FOR 3661 02:35:03,480 --> 02:35:05,949 JUST A LITTLE BIT ABOUT THE 3662 02:35:05,949 --> 02:35:07,317 DECISION TO INCLUDE PROFESSIONAL 3663 02:35:07,317 --> 02:35:08,619 COACHING IN THE MENTORSHIP 3664 02:35:08,619 --> 02:35:08,852 PROGRAM. 3665 02:35:08,852 --> 02:35:11,655 THAT'S A BIT UNUSUAL AND A 3666 02:35:11,655 --> 02:35:16,060 REALLY EXSEATING SEATING ADDITII 3667 02:35:16,060 --> 02:35:17,127 WOULD LIKE TO HEAR MORE ABOUT 3668 02:35:17,127 --> 02:35:19,997 THE PROCESS AND HOW IT CAME 3669 02:35:19,997 --> 02:35:20,364 ABOUT. 3670 02:35:20,364 --> 02:35:21,965 >> WELL, IT CAME ABOUT BECAUSE 3671 02:35:21,965 --> 02:35:23,233 LAURIE WAS DOING COACHING WITH 3672 02:35:23,233 --> 02:35:24,435 OUR MEDICAL STUDENTS AT THE 3673 02:35:24,435 --> 02:35:29,473 TIME, HAD AN INTERNAL GRANT, AS 3674 02:35:29,473 --> 02:35:32,009 PART OF THAT AND IT REALLY 3675 02:35:32,009 --> 02:35:42,486 CREATES A SAFE SPACE FOR THE 3676 02:35:46,290 --> 02:35:47,324 SCHOLARS TO BRING UP QUESTIONS 3677 02:35:47,324 --> 02:35:49,159 THAT THEY WOULD NOT WANT TO 3678 02:35:49,159 --> 02:35:50,394 BRING UP WITH THEIR MENTORS. 3679 02:35:50,394 --> 02:35:52,229 SO WE ARE IN THE PROCESS OF 3680 02:35:52,229 --> 02:35:54,965 GATHERING THE DATA AND THE 3681 02:35:54,965 --> 02:35:58,669 FEEDBACK TO GET THE IMPACT ON 3682 02:35:58,669 --> 02:36:01,438 THE SCHOLARS THEMSELVES WE SEE 3683 02:36:01,438 --> 02:36:03,841 IT FROM OUR SAID AND HOW IT'S 3684 02:36:03,841 --> 02:36:05,008 MADE SUCH A DIFFERENCE AND WE 3685 02:36:05,008 --> 02:36:08,045 LOOKING TO GET THAT BUT 3686 02:36:08,045 --> 02:36:10,681 ANECDOTALLY THEY FIND IT TO BE 3687 02:36:10,681 --> 02:36:15,285 ABSOLUTELY ESSENTIAL TO THEIR 3688 02:36:15,285 --> 02:36:16,320 GROWTH AND THRIVING. 3689 02:36:16,320 --> 02:36:17,621 AND KATHLEEN, WHAT DO YOU HAVE 3690 02:36:17,621 --> 02:36:18,455 TO SAY? 3691 02:36:18,455 --> 02:36:19,890 >> HI, BARB, THANK YOU. 3692 02:36:19,890 --> 02:36:22,392 IT WAS REALLY, GREAT TO HEAR 3693 02:36:22,392 --> 02:36:22,793 THIS PERSPECTIVE. 3694 02:36:22,793 --> 02:36:24,128 I APPRECIATED MANY THINGS IN 3695 02:36:24,128 --> 02:36:29,233 THIS BUT I WANTED TO ASK YOU A 3696 02:36:29,233 --> 02:36:31,869 LITTLE BIT ABOUT INCORPORATING 3697 02:36:31,869 --> 02:36:32,503 IMPLEMENTATION AND DISSEMINATION 3698 02:36:32,503 --> 02:36:34,738 BECAUSE I THINK THIS IS SUCH AN 3699 02:36:34,738 --> 02:36:36,540 IMPORTANT PEEZ OF THIS THAT IS 3700 02:36:36,540 --> 02:36:38,175 GROWING NOW AND I'M CURIOUS HOW 3701 02:36:38,175 --> 02:36:42,079 YOU FOUND PEOPLE TO INCORPORATE 3702 02:36:42,079 --> 02:36:42,746 IN THIS AREA. 3703 02:36:42,746 --> 02:36:47,818 >> WELL, YOU MAY REMEMBER, FROM 3704 02:36:47,818 --> 02:36:52,422 DECEMBER, DOROOGHTY EDWARDS WAS 3705 02:36:52,422 --> 02:36:54,558 PART OF MEETING, AND SO I WORKED 3706 02:36:54,558 --> 02:36:59,363 WITH DOROTHY A NUMBER OF YEARS 3707 02:36:59,363 --> 02:37:00,764 AND SHE HAS BEEN HELPING GUIDE 3708 02:37:00,764 --> 02:37:06,503 US THERE AND ALSO BRINGING IN 3709 02:37:06,503 --> 02:37:08,972 COLLEAGUES FROM STROKE NET AND 3710 02:37:08,972 --> 02:37:16,747 I'M ALSO ON A P50 GRANT FOR 3711 02:37:16,747 --> 02:37:20,751 YOUNG INVESTIGATORS FOCUSING ON 3712 02:37:20,751 --> 02:37:25,756 STROKE, CANCER AND MATERNAL 3713 02:37:25,756 --> 02:37:27,257 HEALTH AND WE'RE FOCUSING ON 3714 02:37:27,257 --> 02:37:28,458 COMMUNITY ENGAGE WANT AS PART OF 3715 02:37:28,458 --> 02:37:28,692 THAT. 3716 02:37:28,692 --> 02:37:30,561 I DON'T KNOW WHERE THAT IS AT 3717 02:37:30,561 --> 02:37:31,628 THE MOMENT. 3718 02:37:31,628 --> 02:37:33,297 >> THANK YOU. 3719 02:37:33,297 --> 02:37:35,132 >> ALL RIGHT, SO THANK YOU VERY 3720 02:37:35,132 --> 02:37:35,365 MUCH. 3721 02:37:35,365 --> 02:37:36,400 THERE'S OTHER COMMENTS AND WE 3722 02:37:36,400 --> 02:37:40,604 HAVE TO GET ON, BUT IT WAS NICE 3723 02:37:40,604 --> 02:37:42,306 TO HEAR ABOUT YOUR EFFORTS. 3724 02:37:42,306 --> 02:37:47,344 YOU'RE A GREAT ROLL MODEL FROM 3725 02:37:47,344 --> 02:37:47,945 THE FIELD. 3726 02:37:47,945 --> 02:37:49,146 SO WE WILL SHIFT GEARS A LITTLE 3727 02:37:49,146 --> 02:37:52,015 BIT AND WE WILL GO TO DAWN EHDE, 3728 02:37:52,015 --> 02:37:53,450 WHO WILL TALK ABOUT SOME OF HER 3729 02:37:53,450 --> 02:37:55,485 OWN INTEREST AS A RETIRING BOARD 3730 02:37:55,485 --> 02:37:57,120 MEMBER AND DAWN IS SOMEBODY THAT 3731 02:37:57,120 --> 02:38:00,424 DOES A LOT OF RESEARCH ON 3732 02:38:00,424 --> 02:38:04,127 MULTIPLE SCLEROSIS AND CHRONIC 3733 02:38:04,127 --> 02:38:06,997 PAIN AND FATIGUE STUDIES. 3734 02:38:06,997 --> 02:38:09,633 SHE'S A NEUREE PSYCHOLOGIST AT 3735 02:38:09,633 --> 02:38:10,701 THE WASHINGTON DEPARTMENT OF THE 3736 02:38:10,701 --> 02:38:11,602 MEDICINE. 3737 02:38:11,602 --> 02:38:16,607 SHE HOLDS THE UW NANOG NANCY AND 3738 02:38:16,607 --> 02:38:18,575 BUSTER ENDOWED RESEARCH IN 3739 02:38:18,575 --> 02:38:21,612 MULTIPLE SCLEROSIS CHAIR AND SHE 3740 02:38:21,612 --> 02:38:23,213 CONDUCTS RANDOMIZED CLINICAL 3741 02:38:23,213 --> 02:38:25,315 CONTROL TRIALS FOR THE BENEFITS 3742 02:38:25,315 --> 02:38:27,517 OF BEHAVIORIAL AND MINDFULNESS 3743 02:38:27,517 --> 02:38:30,454 BASED INTERVENTIONS FOR CHRONIC 3744 02:38:30,454 --> 02:38:31,622 PAIN, FATIGUE, AND/OR MOOD 3745 02:38:31,622 --> 02:38:33,657 MANAGEMENT IN ADULTS WITH 3746 02:38:33,657 --> 02:38:34,758 ACQUIRED NEUROLOGICAL CONDITIONS 3747 02:38:34,758 --> 02:38:38,228 OR PRIMARY FOCUS BEING IN 3748 02:38:38,228 --> 02:38:39,263 MULTIPLE SCLEROSIS, AND DAWN, 3749 02:38:39,263 --> 02:38:44,434 WHY DON'T YOU GO AHEAD AND 3750 02:38:44,434 --> 02:38:45,736 EDUCATE US. 3751 02:38:45,736 --> 02:38:46,203 >> GREAT. 3752 02:38:46,203 --> 02:38:46,904 THANK YOU EVERYBODY. 3753 02:38:46,904 --> 02:38:48,305 WOW, THATIA A TOUGH ACT TO 3754 02:38:48,305 --> 02:38:50,807 FOLLOW BUT I DO MY BEST. 3755 02:38:50,807 --> 02:38:52,476 AS RALPH SAID I'M A PSYCHOLOGIST 3756 02:38:52,476 --> 02:38:53,377 AT THE UNIVERSITY OF WASHINGTON 3757 02:38:53,377 --> 02:38:56,914 AND I WILL POINT OUT I'M ALSO 3758 02:38:56,914 --> 02:39:01,151 MANY YEARS AGO WAS A T32 FUND BY 3759 02:39:01,151 --> 02:39:03,820 NCRR FELLOW SO I THINK FOR MANY 3760 02:39:03,820 --> 02:39:06,356 REASONS I OWE A LOT OF MY 3761 02:39:06,356 --> 02:39:07,190 RESEARCH CAREER TRAJECTORY TO 3762 02:39:07,190 --> 02:39:11,662 THE FACT I GOT A VERY STRONG 3763 02:39:11,662 --> 02:39:13,063 GROUNDING IN PAIN RESEARCH 3764 02:39:13,063 --> 02:39:17,134 THROUGH MARK JENSEN WHO MANY OF 3765 02:39:17,134 --> 02:39:17,668 YOU MAY KNOW. 3766 02:39:17,668 --> 02:39:20,103 TODAY I WILL TALK ABOUT 3767 02:39:20,103 --> 02:39:21,805 BEHAVIORIAL INTERVENTIONS FOR 3768 02:39:21,805 --> 02:39:23,874 CHRONIC PAIN AND FATIGUE IN MS. 3769 02:39:23,874 --> 02:39:25,642 FOR THOSE WHO DON'T KNOW MUCH 3770 02:39:25,642 --> 02:39:28,812 ABOUT MS, I WILL BRIEFLY MENTION 3771 02:39:28,812 --> 02:39:31,381 IT'S REALLY A CHRONIC 3772 02:39:31,381 --> 02:39:31,982 NEUROINFLAMMATORY AUTOIMMUNE 3773 02:39:31,982 --> 02:39:34,451 DISEASE AFFECTING THE CENTRAL 3774 02:39:34,451 --> 02:39:36,486 NERVOUS SYSTEM. 3775 02:39:36,486 --> 02:39:38,889 AND REALLY RESULTS IN 3776 02:39:38,889 --> 02:39:40,157 DEMILEINATION RESULTING IN A 3777 02:39:40,157 --> 02:39:42,926 VARIETY OF SYMPTOMS, MANY OF 3778 02:39:42,926 --> 02:39:44,094 THEM UNPREDICTABLE BUT REALLY 3779 02:39:44,094 --> 02:39:45,862 INCLUDES A LOT OFICISM TOPS I 3780 02:39:45,862 --> 02:39:47,230 WILL DESCRIBE TODAY. 3781 02:39:47,230 --> 02:39:49,733 TYPICALLY BEGINS IN YOUNG TO 3782 02:39:49,733 --> 02:39:50,367 MITTED ADULTHOOD, MANY PEOPLE 3783 02:39:50,367 --> 02:39:51,868 LIVE WITH IT DURING THE PRIME OF 3784 02:39:51,868 --> 02:39:55,238 THEIR LIVES AND IT'S MORE COMMON 3785 02:39:55,238 --> 02:39:55,505 IN WOMEN. 3786 02:39:55,505 --> 02:39:57,474 AND EVEN OVER THE LAST 20 YEARS 3787 02:39:57,474 --> 02:39:59,676 WE HAD THE ADVENT OF DISEASE 3788 02:39:59,676 --> 02:40:01,111 MODIFYING THERAPIES. 3789 02:40:01,111 --> 02:40:01,945 IT UNFORTUNATELY, PEOPLE EVEN 3790 02:40:01,945 --> 02:40:04,481 THOUGH THEY CAN DO VERY WELL, IN 3791 02:40:04,481 --> 02:40:07,017 TERMS OF THE SLOWING OR STOPPING 3792 02:40:07,017 --> 02:40:08,719 PROGRESSION, IN MANY CASES, 3793 02:40:08,719 --> 02:40:10,287 PEOPLE STILL HAVE A LOT OF 3794 02:40:10,287 --> 02:40:10,754 SYMPTOMS. 3795 02:40:10,754 --> 02:40:12,155 AND SO THAT'S KIND OF BEEN THE 3796 02:40:12,155 --> 02:40:22,132 FOCUS OF OUR WORK. 3797 02:40:22,132 --> 02:40:23,000 LET'S SEE. 3798 02:40:23,000 --> 02:40:24,434 AND AS RALPH SAID EARLIER THIS 3799 02:40:24,434 --> 02:40:26,269 MORNING ISSUES EVEN THOUGH I'M 3800 02:40:26,269 --> 02:40:29,406 FOCUSING ON MS, THERE'S REALLY 3801 02:40:29,406 --> 02:40:31,274 MORE COMMONALITIES AMONGST THE 3802 02:40:31,274 --> 02:40:33,010 REHAB POPULATION, SPECIALLY THE 3803 02:40:33,010 --> 02:40:33,610 NEURO-POPULATION SO MUCH WHAT 3804 02:40:33,610 --> 02:40:36,480 HAVE I CAN SAY CAN ALSO APPLY TO 3805 02:40:36,480 --> 02:40:37,647 TRAUMATIC BRAIN INJURY, SPINAL 3806 02:40:37,647 --> 02:40:39,049 CORD INJURY WHICH ALSO HAVE 3807 02:40:39,049 --> 02:40:45,989 CHRONIC PAIN AS VERY COMMON SO 3808 02:40:45,989 --> 02:40:48,325 TODAY I WILL FIRST -- LET'S SEE. 3809 02:40:48,325 --> 02:40:53,263 OKAY, THERE WE GO. 3810 02:40:53,263 --> 02:40:54,765 IESM GOING TO FIRST TALK ABOUT 3811 02:40:54,765 --> 02:40:56,400 WHY PAIN AND FATIGUE, WHY THAT'S 3812 02:40:56,400 --> 02:40:57,801 A CONCERN AND THEN I WILL TALK 3813 02:40:57,801 --> 02:40:59,636 ABOUT KIND OF WHAT IS THE 3814 02:40:59,636 --> 02:41:01,138 EVIDENCE FOR BEHAVIORIAL 3815 02:41:01,138 --> 02:41:01,471 INTERVENTIONS. 3816 02:41:01,471 --> 02:41:03,507 AND THEN FINALLY WHERE DO WE GO 3817 02:41:03,507 --> 02:41:03,907 FROM HERE? 3818 02:41:03,907 --> 02:41:06,610 TO DO THEY WANT TO GIVE A LITTLE 3819 02:41:06,610 --> 02:41:07,811 CONTEXT, FIRST, HOWEVER, BECAUSE 3820 02:41:07,811 --> 02:41:09,312 I THINK THAT OUR RESEARCH GROUP 3821 02:41:09,312 --> 02:41:11,515 AT THE UNIVERSITY OF WASHINGTON 3822 02:41:11,515 --> 02:41:13,517 IS KIND OF UNIQUELY SITUATED. 3823 02:41:13,517 --> 02:41:16,586 WE GO BACK ALL THE WAY TO THE 3824 02:41:16,586 --> 02:41:18,121 1980S, BEFORE I THINK MOST OF US 3825 02:41:18,121 --> 02:41:19,289 WERE EVEN WORKING THERE, AND 3826 02:41:19,289 --> 02:41:21,558 SOME OF MY STAFF WEREN'T EVEN 3827 02:41:21,558 --> 02:41:23,060 BORN YET. 3828 02:41:23,060 --> 02:41:26,096 WHEN DR. GEORGE CRAFT, A 3829 02:41:26,096 --> 02:41:26,830 PSYCHIATRIST AND I BELIEVE HE 3830 02:41:26,830 --> 02:41:28,899 WAS A MEMBER OF THIS BOARD 3831 02:41:28,899 --> 02:41:30,534 PUBLISHED AN ARTICLEOT 3832 02:41:30,534 --> 02:41:32,235 PREVALENCE AND IMPACT OF FATIGUE 3833 02:41:32,235 --> 02:41:34,004 IN PEOPLE LIVING WITH MS. 3834 02:41:34,004 --> 02:41:37,074 AND THIS WAS 1 OF THE VERY FIRST 3835 02:41:37,074 --> 02:41:38,442 AND THAT REALLY LAUNCHED A 3836 02:41:38,442 --> 02:41:39,176 VARIETY OF RESEARCH STUDIES IN 3837 02:41:39,176 --> 02:41:41,978 THE FIELD AS WELL AS THE 3838 02:41:41,978 --> 02:41:42,979 UNIVERSITY OF WASHINGTON. 3839 02:41:42,979 --> 02:41:47,584 1998 HE WAS AWARDED AN MSRTC 3840 02:41:47,584 --> 02:41:49,453 FROM NIDILRR, WE HAD THAT FOR 15 3841 02:41:49,453 --> 02:41:51,721 YEARS AND I STILL REMEMBER WHEN 3842 02:41:51,721 --> 02:41:54,257 EARLY I THINK IT WAS EARLY IN 3843 02:41:54,257 --> 02:41:56,693 THAT GRANT HE ASKED ME, I WAS A 3844 02:41:56,693 --> 02:41:58,028 PAIN RESEARCHER BUT HE ASKED ME 3845 02:41:58,028 --> 02:42:00,997 TO JOIN THEM AND BRING MY PAIN 3846 02:42:00,997 --> 02:42:04,334 EXPERTISE TO EVENTS AND SO WE 3847 02:42:04,334 --> 02:42:05,469 STARTED PUBLISHING PAPERS ON MS 3848 02:42:05,469 --> 02:42:07,871 AND PAIN AND DEPRESSION AND IT 3849 02:42:07,871 --> 02:42:10,373 WAS AN IMPORTANT MENTOR FOR KIND 3850 02:42:10,373 --> 02:42:14,978 OF LAUNCHING MY CAREER, THEN IN 3851 02:42:14,978 --> 02:42:16,413 2012, WE OUR CLINIC REALLY 3852 02:42:16,413 --> 02:42:17,681 MERGED WITH OUR RESEARCH AND 3853 02:42:17,681 --> 02:42:21,685 TRAIN NOTHING A NEW SPACE IN 1 3854 02:42:21,685 --> 02:42:22,385 MULTIDISCIPLINARY CENTER AND 3855 02:42:22,385 --> 02:42:27,157 WHAT'S UNIQUE ABOUT THIS IS THAT 3856 02:42:27,157 --> 02:42:31,161 IT'S REHAB MEDICINE, IT'S OTPT 3857 02:42:31,161 --> 02:42:33,763 SPEECH, SOCIAL, VOCATION, AND 3858 02:42:33,763 --> 02:42:34,798 OCCUPATION, AND NEUROLOGY SUITE 3859 02:42:34,798 --> 02:42:37,000 ALL IN 1 BUILDING AND 3860 02:42:37,000 --> 02:42:38,702 OPHTHALMOLOGY AND WE REALLY HAVE 3861 02:42:38,702 --> 02:42:43,073 OUR RESEARCH INTERNATIONAL 3862 02:42:43,073 --> 02:42:44,241 -- INTEGRATED INTO 3863 02:42:44,241 --> 02:42:46,209 THE CLINIC SUCH THAT EACH 3864 02:42:46,209 --> 02:42:47,277 PATIENT IS OFFERED THE 3865 02:42:47,277 --> 02:42:47,978 OPPORTUNITY TO JOIN OUR REGISTRY 3866 02:42:47,978 --> 02:42:50,080 AND SIGN UP FOR RESEARCH. 3867 02:42:50,080 --> 02:42:55,986 IN 2018, DR. KEVIN AND I STARTED 3868 02:42:55,986 --> 02:42:58,054 THE UW RESEARCH AND WELLNESS 3869 02:42:58,054 --> 02:42:58,288 CENTER. 3870 02:42:58,288 --> 02:42:59,222 SO MUCH OF THE RESEARCH THAT 3871 02:42:59,222 --> 02:43:00,790 COMES OUT OF OUR CENTER IS IN 3872 02:43:00,790 --> 02:43:05,862 THE AREA OF REHABILITATION. 3873 02:43:05,862 --> 02:43:07,297 OOPS, I WANT TO GO BACK FOR A 3874 02:43:07,297 --> 02:43:09,566 MINUTE. 3875 02:43:09,566 --> 02:43:10,300 THERE WE GO. 3876 02:43:10,300 --> 02:43:12,736 JUST ON THIS SIDE YOU SEE OUR 3877 02:43:12,736 --> 02:43:14,604 CURRENT STAFF, WE ALSO PARTNER 3878 02:43:14,604 --> 02:43:16,907 WITH FACULTY OUTSIDE THE 3879 02:43:16,907 --> 02:43:27,450 UNIVERSITY, I WANT TO SHOUT OUT 3880 02:43:28,618 --> 02:43:31,288 DR. ANNA WUNDES, AND SHE WENT ON 3881 02:43:31,288 --> 02:43:32,422 TO START HER LAB AT THE 3882 02:43:32,422 --> 02:43:33,857 UNIVERSITY OF MISH PISH AND IS A 3883 02:43:33,857 --> 02:43:34,558 FREE RADICALS QUEBT COLLAB 3884 02:43:34,558 --> 02:43:36,493 RETIREDDOR WITH MYSELF AND SHE 3885 02:43:36,493 --> 02:43:38,161 HAS A K24 AWARD SO SHE IS 3886 02:43:38,161 --> 02:43:39,763 TRAINING THE NEXT GENERATION TO 3887 02:43:39,763 --> 02:43:43,066 CONTINUE WITH THAT THEME. 3888 02:43:43,066 --> 02:43:47,571 ALSO DR. NORA FRITS AT WAYNE 3889 02:43:47,571 --> 02:43:49,873 STATE UNIVERSITY, MANY UW 3890 02:43:49,873 --> 02:43:50,907 FACULTY INCLUDING NEUROLOGISTS 3891 02:43:50,907 --> 02:43:52,342 AND OUR FUNDING AND MUCH OF WHAT 3892 02:43:52,342 --> 02:43:53,810 I'M TALKING WITH YOU TODAY IS 3893 02:43:53,810 --> 02:43:57,080 REALLY IS BASED ON A DIVERSE 3894 02:43:57,080 --> 02:43:58,715 FUNDING PORTFOLIO AS CAN YOU SEE 3895 02:43:58,715 --> 02:44:06,189 THE VARIOUS IMAGES REPRESENTING 3896 02:44:06,189 --> 02:44:06,690 THAT. 3897 02:44:06,690 --> 02:44:08,391 I WOULD BE REMISS IF I DIDN'T 3898 02:44:08,391 --> 02:44:10,227 MENTION REALLY OUR WORK AND THE 3899 02:44:10,227 --> 02:44:12,329 WORK I'LL BE DESCRIBING TO YOU 3900 02:44:12,329 --> 02:44:13,730 IS BASED ON A 15 YEAR PLUS 3901 02:44:13,730 --> 02:44:17,133 HISTORY OF ENGAGING WITH THE MS 3902 02:44:17,133 --> 02:44:17,601 COMMUNITY. 3903 02:44:17,601 --> 02:44:18,768 WE HAVE HAD A VARIETY OF PEOPLE 3904 02:44:18,768 --> 02:44:21,838 THAT WE HAVE ENGAGED THROUGH 3905 02:44:21,838 --> 02:44:23,807 BOTH A NETWORK AS WELL AS A 3906 02:44:23,807 --> 02:44:25,208 COMMUNITY ADVISORY BOARD WHERE 3907 02:44:25,208 --> 02:44:28,178 WE CURRENTLY HAVE 10-12 PEOPLE 3908 02:44:28,178 --> 02:44:32,015 WITH MS WITH LIVED EXPERIENCE OR 3909 02:44:32,015 --> 02:44:33,783 AFFECTED BY MS, AND THEY ARE 3910 02:44:33,783 --> 02:44:35,051 PAID ACTIVE RESEARCH PARTNERS 3911 02:44:35,051 --> 02:44:37,087 WHO INSURE OUR WORK REFLECTS THE 3912 02:44:37,087 --> 02:44:38,355 EXPERIENCES AND PERSPECTIVES OF 3913 02:44:38,355 --> 02:44:41,424 THOSE AFFECTED BY MS, AND SO, 3914 02:44:41,424 --> 02:44:43,393 UNFORTUNATELY BECAUSE OF MY 3915 02:44:43,393 --> 02:44:46,796 ALBERT ENDOWMENT, I'M ABLE TO 3916 02:44:46,796 --> 02:44:49,499 PAY THEM FOR THEIR TIME AND 3917 02:44:49,499 --> 02:44:51,268 EXPERTISE AND REALLY IN THE LAST 3918 02:44:51,268 --> 02:44:56,139 15 YEARS WE HAVE DRAWN ON THEIR 3919 02:44:56,139 --> 02:44:58,041 EXPERTISE FOR PRIORITIES, STUDY 3920 02:44:58,041 --> 02:45:00,243 DESIGN, STUDY MATERIALS AND 3921 02:45:00,243 --> 02:45:01,978 PROCEDURES, STUDY RESULTS AND 3922 02:45:01,978 --> 02:45:05,482 HELP US DISSEMINATE FINDINGS. 3923 02:45:05,482 --> 02:45:08,952 SO WHY PAIN AND FATIGUE? 3924 02:45:08,952 --> 02:45:10,020 WELL THIS IS SOMETHING I 3925 02:45:10,020 --> 02:45:11,421 COMMONLY HEAR WHEN I TALK TO 3926 02:45:11,421 --> 02:45:15,959 GROUPS OF PEOPLE WITH MS. 3927 02:45:15,959 --> 02:45:18,361 I HEAR THIS A LOT, THIS WAS FROM 3928 02:45:18,361 --> 02:45:20,930 A WEBINAR LAST FALL. 3929 02:45:20,930 --> 02:45:24,167 PAIN IS MY BIGGEST PROBLEM AND 3930 02:45:24,167 --> 02:45:27,070 THE MOST OVERLOOKED BY MY 3931 02:45:27,070 --> 02:45:27,771 PROVIDERS. 3932 02:45:27,771 --> 02:45:29,306 SO MS AFFECTS OVER 1 MILLION 3933 02:45:29,306 --> 02:45:32,275 AMERICANS AND AS YOU SEE HERE, 3934 02:45:32,275 --> 02:45:33,376 THE STATISTICS, BUT THE POINT 3935 02:45:33,376 --> 02:45:35,545 REALLY BEING THAT YOU KNOW MANY 3936 02:45:35,545 --> 02:45:36,946 SYMPTOMS, NOT JUST PAIN AND 3937 02:45:36,946 --> 02:45:40,083 FATIGUE ARE VERY, VERY COMMON 3938 02:45:40,083 --> 02:45:42,085 THIS PEOPLE WITH MULTIPLE 3939 02:45:42,085 --> 02:45:43,787 SCLEROSIS, EVEN WITH THE DMTs 3940 02:45:43,787 --> 02:45:46,890 WHICH AS I MENTIONED HAVE REALLY 3941 02:45:46,890 --> 02:45:48,825 CHANGED, MS CARE FOR THE GOOD, 3942 02:45:48,825 --> 02:45:50,694 WE STILL FIND THAT 90% OF THE 3943 02:45:50,694 --> 02:45:54,264 PEOPLE WITH MS EXPERIENCE 3944 02:45:54,264 --> 02:45:56,499 FATIGUE, 50-80% CHRONIC PAIN, 3945 02:45:56,499 --> 02:45:58,468 SLEEP, COGNITIVE DYSFUNCTION AND 3946 02:45:58,468 --> 02:45:59,502 PSYCHOLOGICAL DISORDERS ARE 3947 02:45:59,502 --> 02:46:00,570 VERY, VERY COMMON AND MUCH MORE 3948 02:46:00,570 --> 02:46:04,407 COMMON THAN IN MANY OTHER 3949 02:46:04,407 --> 02:46:07,644 CHRONIC CONDITIONS IN THE 3950 02:46:07,644 --> 02:46:08,345 GENERAL POPULATION. 3951 02:46:08,345 --> 02:46:10,113 AND OF COURSE WITH THESICISM 3952 02:46:10,113 --> 02:46:11,981 TOPS THEY OFTEN AFFECT DAILY 3953 02:46:11,981 --> 02:46:14,784 ACTIVITIES, THEY INTERACT WITH 1 3954 02:46:14,784 --> 02:46:15,752 ANOTHER, AND AFFECT 3955 02:46:15,752 --> 02:46:21,324 PARTICIPATION AND QUALITY OF 3956 02:46:21,324 --> 02:46:21,558 LIFE. 3957 02:46:21,558 --> 02:46:23,293 SO WAY WANT TO DO NOW IS JUST SO 3958 02:46:23,293 --> 02:46:24,894 YOU A FEW SLIDES FROM 1 OF OUR 3959 02:46:24,894 --> 02:46:26,062 STUDY SAYS, THIS IS WHAT WE 3960 02:46:26,062 --> 02:46:28,264 CALLED OUR LAND OR LIFE AFTER 3961 02:46:28,264 --> 02:46:29,899 NEW DIAGNOSIS STUDY, IT WAS 3962 02:46:29,899 --> 02:46:31,534 FUNDED BY THE NATIONAL MS 3963 02:46:31,534 --> 02:46:34,371 SOCIETY AND IT WAS AWARDED TO 3964 02:46:34,371 --> 02:46:37,107 DR. KEVIN 1 OF MY COLLEAGUES BUT 3965 02:46:37,107 --> 02:46:39,976 FROM 2014 TO 2018, WE APPROACHED 3966 02:46:39,976 --> 02:46:41,711 ALL NEWLY DIAGNOSED PATIENTS AT 3967 02:46:41,711 --> 02:46:44,914 2 MS CENTERS IN SEATTLE. 3968 02:46:44,914 --> 02:46:46,850 AND INVITED THEM TO BE PART OF A 3969 02:46:46,850 --> 02:46:50,186 STUDY WHERE WE COLLECTED 3970 02:46:50,186 --> 02:46:52,222 OUTCOMES MONTHLY OR AT MONTHS 1, 3971 02:46:52,222 --> 02:46:54,023 2, 3, 6, 9 AND 12, SO WE REALLY 3972 02:46:54,023 --> 02:46:57,460 FOLLOWED THEM FOR THE FIRST YEAR 3973 02:46:57,460 --> 02:46:58,161 AFTER DIAGNOSIS. 3974 02:46:58,161 --> 02:46:59,963 AND WE FOUND AND LOOKED AT A LOT 3975 02:46:59,963 --> 02:47:00,997 OF SYMPTOMS AND FUNCTIONAL 3976 02:47:00,997 --> 02:47:03,199 MEASURES AND WE FOUND THAT THE 3977 02:47:03,199 --> 02:47:04,834 MOST COMMON SYMPTOM NOT 3978 02:47:04,834 --> 02:47:07,704 SURPRISINGLY WAS FATIGUE WITH 3979 02:47:07,704 --> 02:47:08,738 63% ENDORSING FATIGUE AT ANY 3980 02:47:08,738 --> 02:47:12,909 TIME POINT IN THIS FIRST YEAR. 3981 02:47:12,909 --> 02:47:14,477 INTERESTINGLY ONLY 3% HAD 3982 02:47:14,477 --> 02:47:16,946 PROGRESSIVE MS AND DISABILITY 3983 02:47:16,946 --> 02:47:18,181 AND REALLY, AND DISABILITY WAS 3984 02:47:18,181 --> 02:47:20,049 MILD FOR THE MAIORITY OF THE 3985 02:47:20,049 --> 02:47:22,452 SAMPLE AND YET FATIGUE WAS QUITE 3986 02:47:22,452 --> 02:47:26,456 COMMON, AND WHAT YOU SEE AND 3987 02:47:26,456 --> 02:47:27,991 HEAR I SHOULD DESCRIBE THIS. 3988 02:47:27,991 --> 02:47:34,697 THIS IS THE DISINKI DIAGRAM, SO 3989 02:47:34,697 --> 02:47:36,866 THIS IS THE VARIOUS CATEGORY 3990 02:47:36,866 --> 02:47:37,934 DISTRIBUTIONS AT EACH TIME 3991 02:47:37,934 --> 02:47:38,234 POINT. 3992 02:47:38,234 --> 02:47:40,036 SO AT THE BOTTOM YOU HAVE MEANS 3993 02:47:40,036 --> 02:47:40,770 AND STANDARD DEVIATIONS AND THEN 3994 02:47:40,770 --> 02:47:42,372 YOU SEE HERE THE PROPORTION WITH 3995 02:47:42,372 --> 02:47:45,141 THE GREEN BEING THOSE WHO HAD 3996 02:47:45,141 --> 02:47:46,976 SIGNIFICANT FATIGUE AND THE 3997 02:47:46,976 --> 02:47:49,479 YELLOW BEING THOSE -- SORRY THE 3998 02:47:49,479 --> 02:47:51,014 YELLOW WITH SIGNIFICANT AND THE 3999 02:47:51,014 --> 02:47:52,248 GREEN WAS NOT SIGNIFICANT 4000 02:47:52,248 --> 02:48:00,123 FATIGUE, SO YOU CAN SEE AFTER 4001 02:48:00,123 --> 02:48:10,133 THIS FIRST YEAR OF DIAGNOSIS, 4002 02:48:10,133 --> 02:48:11,801 YOU SEE THE FLOW BETWEEN THE 4003 02:48:11,801 --> 02:48:13,570 CATEGORIES, AND YOU MIGHT SEE 4004 02:48:13,570 --> 02:48:14,204 SOMEBODY GOING FROM 1 CATEGORY 4005 02:48:14,204 --> 02:48:17,907 TO THE OTHER AND THE WIDTH OF 4006 02:48:17,907 --> 02:48:20,109 THE BAR SHOWS HOW MANY PEOPLE 4007 02:48:20,109 --> 02:48:28,852 MOVED FROM CATEGORY TO CATEGORY. 4008 02:48:28,852 --> 02:48:31,354 SO THEN WE LOOKED AT DEPRESSIVE 4009 02:48:31,354 --> 02:48:33,890 SYMPTOMS ALSO AND WE FOUND THAT 4010 02:48:33,890 --> 02:48:36,693 57% HAD DEPRESSION AT ANY TIME 4011 02:48:36,693 --> 02:48:39,062 POINT IN THE FIRST YEAR WE SAW 4012 02:48:39,062 --> 02:48:43,800 THAT 39% HAD AN ANXIETY AT ANY 4013 02:48:43,800 --> 02:48:45,435 TIME POINT AND KNAP YOU SEE THE 4014 02:48:45,435 --> 02:48:53,943 MOVEMENT HERE WITH THE VARIOUS 4015 02:48:53,943 --> 02:48:54,878 CATEGORIZATION, AND AND THEY'RE 4016 02:48:54,878 --> 02:49:05,421 PRETTY STABLE FOR THE MOST PART 4017 02:49:06,723 --> 02:49:08,291 AND SIGNIFICANT AT ANY TIME 4018 02:49:08,291 --> 02:49:10,260 POINT AND AGAIN HERE YOU SEE ON 4019 02:49:10,260 --> 02:49:15,965 THE BRIEF PAIN INVENTORY 4020 02:49:15,965 --> 02:49:18,201 CHARACTERISTIC PAIN WITH VERY 4021 02:49:18,201 --> 02:49:20,904 FEW HAVING PAIN BUT DEFINITELY 4022 02:49:20,904 --> 02:49:24,173 MANY HAVING MILD TO MODERATE 4023 02:49:24,173 --> 02:49:34,651 PAIN IN THE 50 YEAR, SO HERE 4024 02:49:36,419 --> 02:49:37,420 FROM THE SAME STUDY AND THIS IS 4025 02:49:37,420 --> 02:49:39,656 THE REFRERNTION IF YOU WANT IT, 4026 02:49:39,656 --> 02:49:41,691 PUBLISH INDEED 2022, THIS IS A 4027 02:49:41,691 --> 02:49:43,226 THEN DIAGRAM OF SYMPTOM CO 4028 02:49:43,226 --> 02:49:44,394 OCCURRENCE IN THE FIRST YEAR SO 4029 02:49:44,394 --> 02:49:47,230 LET ME EXPLAIN KIND OF HOW THIS 4030 02:49:47,230 --> 02:49:51,367 DIAGRAM WORKS EACH VALUE THAT 4031 02:49:51,367 --> 02:49:53,303 YOU SEE REFLEBLGS THE% OF ALL 4032 02:49:53,303 --> 02:49:55,672 THE TIME POINTS WITH CLINICALLY 4033 02:49:55,672 --> 02:49:56,706 SIGNIFICANT SYMPTOMS, GROUPED BY 4034 02:49:56,706 --> 02:50:00,009 CRUCIATE LIGAMENTNIQUE SYMPTOMS 4035 02:50:00,009 --> 02:50:01,978 AND COMBINATIONS AND CATEGORIES 4036 02:50:01,978 --> 02:50:05,582 MUTUALLY EXCLUSIVE AND SOME UP 4037 02:50:05,582 --> 02:50:12,522 TO A HUNDRED% SO WHAT YOU SEE 4038 02:50:12,522 --> 02:50:18,795 HERE IS THAT ONLY 23% HAD NO 4039 02:50:18,795 --> 02:50:28,338 SYMPTOMS IN THE FIRST YEAR. 4040 02:50:28,338 --> 02:50:36,546 AND A LOT OF CO OCCURRING 4041 02:50:36,546 --> 02:50:37,747 SYMPTOMS, SO REALLY THIS TELLS 4042 02:50:37,747 --> 02:50:40,249 US IS THAT IT'S MORE COMMON IN A 4043 02:50:40,249 --> 02:50:42,919 MESS TO HAVE MULTIPLE SYMPTOMS 4044 02:50:42,919 --> 02:50:44,754 THAN JUST 1 ISOLATED SYMPTOM AND 4045 02:50:44,754 --> 02:50:46,923 YET WHERE THIS MATTERS FOR 4046 02:50:46,923 --> 02:50:48,658 TREATMENT IS SO OFTEN TREATMENTS 4047 02:50:48,658 --> 02:50:51,427 ARE FOCUSED ON 1 THING, A 4048 02:50:51,427 --> 02:50:53,463 DEPRESSION TREATMENT, A FATIGUE 4049 02:50:53,463 --> 02:50:54,497 TREATMENT, A PAIN TREATMENT AND 4050 02:50:54,497 --> 02:50:56,199 YET WHEN PEOPLE HAVE DEPRESSION 4051 02:50:56,199 --> 02:50:58,968 THEY'RE VERY LIKELY TO HAVE PAIN 4052 02:50:58,968 --> 02:51:01,037 AND FATIGUE OR ANXIOUS AND 4053 02:51:01,037 --> 02:51:02,438 SIMILARLY IF SOMEONE HAS PANE 4054 02:51:02,438 --> 02:51:04,874 THEY'RE VERY LIKELY TO HAVE 4055 02:51:04,874 --> 02:51:12,548 DEPRESSION, SLEEP DISTURBANCE, 4056 02:51:12,548 --> 02:51:13,349 ET CETERA. 4057 02:51:13,349 --> 02:51:14,984 SO NOW I HAVE 1 MORE SLIDE I 4058 02:51:14,984 --> 02:51:19,055 WANT TO SHARE WITH YOU FROM AN 4059 02:51:19,055 --> 02:51:20,923 NIH STUDY, WE'RE IN YEAR 4. 4060 02:51:20,923 --> 02:51:25,094 THIS IS AN OBSERVAL STUDY 4061 02:51:25,094 --> 02:51:26,496 LOOKING AT OPTIMIZING DETECTION 4062 02:51:26,496 --> 02:51:28,564 AND PREDICTION OF PEOPLE WITH 4063 02:51:28,564 --> 02:51:31,934 MS, THIS IS FUNDED BY NIH, AS I 4064 02:51:31,934 --> 02:51:33,569 MENTIONED AND IT'S -- IT WAS 4065 02:51:33,569 --> 02:51:40,977 AWARDED TO THE 2 MULTIPLE PIs, 4066 02:51:40,977 --> 02:51:41,911 DR. ANAKRATZ AND NORA FRITS, AND 4067 02:51:41,911 --> 02:51:43,579 THIS IS A SITE TO STUDY, AND 4068 02:51:43,579 --> 02:51:45,882 IT'S REALLY KIND OF BASED ON THE 4069 02:51:45,882 --> 02:51:48,885 IDEA THAT -- OR THE CONCERN THAT 4070 02:51:48,885 --> 02:51:49,619 MEASUREMENT OF COGNITIVE 4071 02:51:49,619 --> 02:51:52,021 FUNCTIONING IS REALLY LIMITED BY 4072 02:51:52,021 --> 02:51:54,924 RELIANCE ON CROSS SECTIONAL DATA 4073 02:51:54,924 --> 02:51:55,658 OR NEUROPSYCHOLOGICAL TESTS 4074 02:51:55,658 --> 02:51:58,294 WHICH REALLY ARE JUST 1 SHOT OR 4075 02:51:58,294 --> 02:52:00,830 1 MEASUREMENT IN TIME AND THEY 4076 02:52:00,830 --> 02:52:02,665 REALLY FAIL, -- THEY'RE USEFUL 4077 02:52:02,665 --> 02:52:04,200 IN CLINICAL PRACTICE AND 4078 02:52:04,200 --> 02:52:05,868 RESEARCH,A THEY REALLY FAIL TO 4079 02:52:05,868 --> 02:52:07,103 CAPTURE THAT DAY-TO-DAY AND 4080 02:52:07,103 --> 02:52:08,738 WITHIN DAY THAT VARIABILITY THAT 4081 02:52:08,738 --> 02:52:15,578 SO MANY PEOPLE REPORT IN THEIR 4082 02:52:15,578 --> 02:52:16,512 COGNITIVE FUNCTIONING. 4083 02:52:16,512 --> 02:52:19,682 AND SO REALLY TO GUIDE OUR 4084 02:52:19,682 --> 02:52:21,984 UNDERSTANDING AND TO BE ABLE TO 4085 02:52:21,984 --> 02:52:23,252 INTERVENE SOONER WITH MORE 4086 02:52:23,252 --> 02:52:27,557 TARGETED TREATMENTS, WE STARTED 4087 02:52:27,557 --> 02:52:29,092 -- APPLIED FOR AND GOT IT GRANT 4088 02:52:29,092 --> 02:52:29,992 TO STUDY THIS AND SO WHAT YOU 4089 02:52:29,992 --> 02:52:34,030 SLEEP APNEA -- 4090 02:52:34,030 --> 02:52:36,099 SEE HERE IS A DESCRIPTION OF 4091 02:52:36,099 --> 02:52:39,969 DATA COLLECTION AND THE AIMS ARE 4092 02:52:39,969 --> 02:52:42,038 DETERMINE IF AMBULATORY ASSESS 4093 02:52:42,038 --> 02:52:43,873 WANTS ARE SETTLING IN COGNITIVE 4094 02:52:43,873 --> 02:52:46,309 FUNCTION AND ALSO LOOK AT 4095 02:52:46,309 --> 02:52:47,610 MODIFIABLE FACTORS SO WE'VE 4096 02:52:47,610 --> 02:52:53,616 ENROLLED, I BELIEVE IT'S 300 AND 4097 02:52:53,616 --> 02:52:54,717 -- OR SORRY, 302 PEOPLE AND 4098 02:52:54,717 --> 02:52:56,986 ADDED FIRST THEY COME IN FOR A 4099 02:52:56,986 --> 02:52:59,522 LAB VISIT EVERY YEAR AND WE 4100 02:52:59,522 --> 02:53:02,558 CURRENTLY FINISHED OUT YEAR 3 4101 02:53:02,558 --> 02:53:06,129 AND COME IN FOR A SINGLE SESSION 4102 02:53:06,129 --> 02:53:10,199 AND SURVEYS AND PROMISE MEASURES 4103 02:53:10,199 --> 02:53:11,367 AND NEUROPSYCHOLOGICAL TESTS, 4104 02:53:11,367 --> 02:53:13,102 THEY DO SYMPTOM REPORTING, 4105 02:53:13,102 --> 02:53:18,975 FUNCTION AND THEN THEY DO 4106 02:53:18,975 --> 02:53:19,542 PHYSICAL TEST PERFORMANCE. 4107 02:53:19,542 --> 02:53:22,044 THEN THEY GO FOR A 14 HOME DAY 4108 02:53:22,044 --> 02:53:25,047 MONITORING WHERE WE HAVE THEM 4109 02:53:25,047 --> 02:53:27,350 COMPLETE ECOLOGICAL MOMENTARY 4110 02:53:27,350 --> 02:53:28,618 ASSESSMENTS OR EMAs THROUGH 4111 02:53:28,618 --> 02:53:30,386 THEIR SMART PHONES WHERE THEY 4112 02:53:30,386 --> 02:53:33,689 REPORT ON PAIN, FATIGUE, MOOD 4113 02:53:33,689 --> 02:53:34,524 STRESS, PERCEIVED COGNITIVE 4114 02:53:34,524 --> 02:53:39,462 FUNCTION, ET CETERA AND ALL IN 4115 02:53:39,462 --> 02:53:41,531 KIND OF THAT MOMENT WE HAVE THEM 4116 02:53:41,531 --> 02:53:43,833 ALSO TAKE COGNITIVE TESTS THAT 4117 02:53:43,833 --> 02:53:46,235 ARE BASED ON THE SMART PHONE AT 4118 02:53:46,235 --> 02:53:47,637 4 INTERVALS PER DAY FOR THAT 14 4119 02:53:47,637 --> 02:53:49,839 DAY PERIOD AND THESE ARE THE 3 4120 02:53:49,839 --> 02:53:51,040 TESTS HERE, PROCESSING SPEED, 4121 02:53:51,040 --> 02:53:53,309 WORKING MEMORY AND EXECUTIVE 4122 02:53:53,309 --> 02:53:53,609 FUNCTIONING. 4123 02:53:53,609 --> 02:53:55,845 AND WE'RE ALSO COLLECTING ACCEL 4124 02:53:55,845 --> 02:53:58,514 ROMETRY WHICH IS CONTINUOUS 4125 02:53:58,514 --> 02:54:00,616 DURING THAT 14 DAY PERIOD, BOTH 4126 02:54:00,616 --> 02:54:08,191 SLEEP AND DAY TIME ACTIVITY. 4127 02:54:08,191 --> 02:54:10,459 AND WE'VE JUST BEGUN TOOONALIZE 4128 02:54:10,459 --> 02:54:11,761 THIS DATA BUT WE'RE FINDING 4129 02:54:11,761 --> 02:54:12,829 INTERESTING THINGS SO FAR AND 1 4130 02:54:12,829 --> 02:54:13,796 OF THE THINGS WE'RE FIND SUGGEST 4131 02:54:13,796 --> 02:54:18,434 THAT THE DATA FROM THIS KIND OF 4132 02:54:18,434 --> 02:54:21,070 MORE SENSITIVE MEASUREMENT, THIS 4133 02:54:21,070 --> 02:54:23,272 WHOLE MONITORING WE'RE FINDING 4134 02:54:23,272 --> 02:54:24,173 IT'S REVEALING UNEXPECTED 4135 02:54:24,173 --> 02:54:31,881 FINDINGS SO FOR EXAMPLE, RESULTS 4136 02:54:31,881 --> 02:54:33,282 OF MULTILEVEL MODELS INDICATE 4137 02:54:33,282 --> 02:54:35,751 SYMPTOMS AND SYMPTOM BURDEN ARE 4138 02:54:35,751 --> 02:54:36,819 INFLUENCE FOR COGNITIVE 4139 02:54:36,819 --> 02:54:38,387 PERFORMANCE, SO FOR EXAMPLE, 4140 02:54:38,387 --> 02:54:40,323 PROCESSING SPEED WAS WORSE WHEN 4141 02:54:40,323 --> 02:54:42,091 PEOPLE TBELT MORE FATIGUED OR 4142 02:54:42,091 --> 02:54:43,826 TRESESSED IN THE MOMENT AND WHEN 4143 02:54:43,826 --> 02:54:44,694 THEY HAD HIGHER OVERALL PAIN 4144 02:54:44,694 --> 02:54:48,064 LEVEL ANDS THIS IS PROCESSING 4145 02:54:48,064 --> 02:54:48,931 SPEED OBJECTIVELY MEASURED. 4146 02:54:48,931 --> 02:54:50,733 WE ALSO FOUND THAT WORKING 4147 02:54:50,733 --> 02:54:52,668 MEMORY DECLINED WITH MOMENTARY 4148 02:54:52,668 --> 02:54:56,305 FATIGUE, AND HIGHER PAIN LEVELS 4149 02:54:56,305 --> 02:54:58,074 OVERALL AND THAT PERCEIVED 4150 02:54:58,074 --> 02:54:59,208 COGNITIVE FUNCTION WAS LOWER 4151 02:54:59,208 --> 02:55:01,410 DURING TIMES OF HIGHER PAIN, 4152 02:55:01,410 --> 02:55:03,813 FATIGUE, DEPRESSION AND STRESS 4153 02:55:03,813 --> 02:55:05,147 AND WITH MORE PERSISTENT 4154 02:55:05,147 --> 02:55:07,316 FATIGUE, SO ALL IN ALL I SHARE 4155 02:55:07,316 --> 02:55:09,118 THIS TO YOU JUST TO SHOW HOW 4156 02:55:09,118 --> 02:55:10,453 COMPLEX PEOPLE, THIS EXPERIENCE 4157 02:55:10,453 --> 02:55:11,921 IS FOR PEOPLE WITH MS FIRST OF 4158 02:55:11,921 --> 02:55:14,323 ALL BECAUSE THEY'RE LIVING WITH 4159 02:55:14,323 --> 02:55:17,293 NOT JUST PHYSICAL SYMPTOMS BUT 4160 02:55:17,293 --> 02:55:19,262 COGNITIVE SYMPTOMS AS WELL AND 4161 02:55:19,262 --> 02:55:20,429 THAT THESE ALL INTERACT WITH 4162 02:55:20,429 --> 02:55:30,640 PAIN AND FATIGUE PLAYING VERY 4163 02:55:30,640 --> 02:55:31,440 IMPORTANT ROLES. 4164 02:55:31,440 --> 02:55:32,475 OKAY, SO NOW I WANT TO TALK 4165 02:55:32,475 --> 02:55:35,344 ABOUT THE HEART OF MY TALK, THE 4166 02:55:35,344 --> 02:55:36,078 EVIDENCE FOR BEHAVIORIAL 4167 02:55:36,078 --> 02:55:38,681 INTERVENTIONS FOR PAIN AND 4168 02:55:38,681 --> 02:55:38,915 FATIGUE. 4169 02:55:38,915 --> 02:55:40,816 AND HERE'S A QUOTE FROM SOME 4170 02:55:40,816 --> 02:55:42,351 KNOW WHO COMPLETED 1 OF OUR 4171 02:55:42,351 --> 02:55:43,786 INTERVENTION TRIALS WHERE THEY 4172 02:55:43,786 --> 02:55:46,422 GOT THIS PERSON GOT MINDFULNESS 4173 02:55:46,422 --> 02:55:47,690 BASED STRESS REDUCTION AND THEY 4174 02:55:47,690 --> 02:55:49,759 SAID, YOU KNOW IT DOESN'T TAKE 4175 02:55:49,759 --> 02:55:51,794 AWAY MY MS BUT IT MAKES IT SO 4176 02:55:51,794 --> 02:55:52,962 MUCH MORE BEARABLE, I FEEL LIKE 4177 02:55:52,962 --> 02:55:54,730 I CAN GET MY LIFE BACK. 4178 02:55:54,730 --> 02:56:05,174 AND THAT'S REALLY THE GOAL OF 4179 02:56:05,174 --> 02:56:06,075 OUR INTERVENTIONS. 4180 02:56:06,075 --> 02:56:07,777 SO IF WE ZOOM OUT TO WHAT WE 4181 02:56:07,777 --> 02:56:09,378 KNOW ABOUT CHRONIC PAIN IN 4182 02:56:09,378 --> 02:56:10,913 GENERAL, WE KNOW THAT 4183 02:56:10,913 --> 02:56:13,082 BEHAVIORIAL AND BY BEHAVIORIAL 4184 02:56:13,082 --> 02:56:15,651 I'M REFERRING TO COGNITIVE 4185 02:56:15,651 --> 02:56:19,855 BEHAVIORIAL THERAPY OR CBT, 4186 02:56:19,855 --> 02:56:21,757 MINDFULNESS AND BASED THERAPIES 4187 02:56:21,757 --> 02:56:22,992 AND ACCEPTANCE AND COMMITMENT 4188 02:56:22,992 --> 02:56:23,326 THERAPY. 4189 02:56:23,326 --> 02:56:24,961 THOSE ARE THE 3 THAT HAVE THE 4190 02:56:24,961 --> 02:56:27,697 MOST EVIDENCE BEHIND THEM WITH 4191 02:56:27,697 --> 02:56:29,298 MULTIPLE ANALYTIC REVIEWS AND 4192 02:56:29,298 --> 02:56:30,366 MANY, MANY CLINICAL TRIALS 4193 02:56:30,366 --> 02:56:32,335 SHOWING THAT IN ACROSS A BROAD 4194 02:56:32,335 --> 02:56:34,870 RAINCHL OF CHRONIC PAIN 4195 02:56:34,870 --> 02:56:36,372 POPULATIONS OUTSIDE REHAB 4196 02:56:36,372 --> 02:56:40,643 POPULATIONS, THAT THESE 4197 02:56:40,643 --> 02:56:42,745 THERAPIES HAVE DEMON TRAITED 4198 02:56:42,745 --> 02:56:44,981 EFFICACY FOR IMPROVING PAIN 4199 02:56:44,981 --> 02:56:46,682 OUTCOMES, INCLUDING PAIN 4200 02:56:46,682 --> 02:56:47,550 INTENSITY, ALTHOUGH THAT'S 1 4201 02:56:47,550 --> 02:56:53,489 OUTCOME THAT SOMETIMES IS NOT -- 4202 02:56:53,489 --> 02:56:54,890 DOESN'T ALWAYS RESPOND BUT MANY 4203 02:56:54,890 --> 02:56:57,526 TIMES DOES BUT PAIN, 4204 02:56:57,526 --> 02:56:58,728 INTERFERENCE, MOOD AND OTHER 4205 02:56:58,728 --> 02:57:00,229 SYMPTOMS LIKE SLEEP AND FATIGUE. 4206 02:57:00,229 --> 02:57:04,767 SO WE KNOW ALL THESE THINGS 4207 02:57:04,767 --> 02:57:05,935 DON'T WORK FOR EVERYBODY BUT 4208 02:57:05,935 --> 02:57:10,573 THEY WORK IN REDUCING THESE IN 4209 02:57:10,573 --> 02:57:11,841 OTHER POPULATIONS BUT WHAT ABOUT 4210 02:57:11,841 --> 02:57:12,108 MS. 4211 02:57:12,108 --> 02:57:14,276 BEFORE I TALK ABOUT IT, IN CASE 4212 02:57:14,276 --> 02:57:16,545 ANYONE HERE DOESN'T KNOW WHAT 4213 02:57:16,545 --> 02:57:17,346 COGNITIVE BEHAVIORIAL THERAPY 4214 02:57:17,346 --> 02:57:20,583 IS, IT'S THE MAIN OR MOST 4215 02:57:20,583 --> 02:57:22,151 STUDIED TYPE OF PAIN MANAGEMENT 4216 02:57:22,151 --> 02:57:23,152 AND IT'S BASED ON THE WHYED THAT 4217 02:57:23,152 --> 02:57:25,354 WHAT WE CAN DO INFLUENCES HOW WE 4218 02:57:25,354 --> 02:57:28,324 FEEL AND FUNCTION EMPLOY COMMON 4219 02:57:28,324 --> 02:57:29,258 INGREDIENTS INCLUDE INSTRUCTION 4220 02:57:29,258 --> 02:57:31,093 AND PRACTICE AND RELAXATION 4221 02:57:31,093 --> 02:57:33,929 TRAINING, HELPING PEOPLE TO 4222 02:57:33,929 --> 02:57:37,099 IDENTIFY AND CHANGE UNHELPFUL 4223 02:57:37,099 --> 02:57:39,268 THINKING, SPOTS THAT INCREASE 4224 02:57:39,268 --> 02:57:41,103 THEIR STRESS AND THEIR 4225 02:57:41,103 --> 02:57:42,605 SYMPATHETIC AROUSAL AND 4226 02:57:42,605 --> 02:57:44,240 BEHAVIORIAL STRATEGIES SUCH AS 4227 02:57:44,240 --> 02:57:47,443 LEARNING HOW TO PACE, HOW TO 4228 02:57:47,443 --> 02:57:50,179 COPE AND HOW TO STILL STAY 4229 02:57:50,179 --> 02:57:51,347 ACTIVE SOCIALLY, PHYSICALLY 4230 02:57:51,347 --> 02:57:55,051 DESPITE PAIN OR FATIGUE. 4231 02:57:55,051 --> 02:57:57,820 SO THIS IS JUST AN EXAMPLE FROM 4232 02:57:57,820 --> 02:57:59,688 1 OF OUR WORKBOOKS THAT WE USED 4233 02:57:59,688 --> 02:58:01,223 IN PEOPLE WITH MS, IT TALKS 4234 02:58:01,223 --> 02:58:02,525 ABOUT SOME OF THE SKILLS HERE AT 4235 02:58:02,525 --> 02:58:03,926 THE TOP THAT THEY LEARN, AND 4236 02:58:03,926 --> 02:58:05,561 THEN KIND OF HOW WE TRY TO 4237 02:58:05,561 --> 02:58:07,530 REALLY HELP THEM UNDERSTAND HOW 4238 02:58:07,530 --> 02:58:09,498 BEHAVIORS, BODY THOUGHTS AND 4239 02:58:09,498 --> 02:58:12,835 EMOTIONS REALLY ARE ALL 4240 02:58:12,835 --> 02:58:14,370 INTERACTING AND HOW THEY PLAY A 4241 02:58:14,370 --> 02:58:18,340 ROLE AND THAT OUR TREATMENTS -- 4242 02:58:18,340 --> 02:58:19,308 TREATMENT STRATEGIES AT LEAST 4243 02:58:19,308 --> 02:58:24,947 TARGET EACH OF THESE THINGS. 4244 02:58:24,947 --> 02:58:27,116 SO THE FIRST STUDY I DID IN MS, 4245 02:58:27,116 --> 02:58:33,122 O 1 OF THE FIRST STUDY WAS WAS 4246 02:58:33,122 --> 02:58:37,693 WHAT WE CALL THE TAKE CHARGE 4247 02:58:37,693 --> 02:58:38,594 TRIAL. 4248 02:58:38,594 --> 02:58:40,296 IT WAS MULTISYMPTOM PAIN 4249 02:58:40,296 --> 02:58:42,631 MANAGEMENT WITH PEOPLE WITH MS 4250 02:58:42,631 --> 02:58:43,699 WHERE WE ENROLLED 163 PEOPLE 4251 02:58:43,699 --> 02:58:46,769 WITH MS, AND THIS WAS I THINK 4252 02:58:46,769 --> 02:58:49,738 AROUND 2010 WHEN WE STARTED WE 4253 02:58:49,738 --> 02:58:58,681 ENROLLED THEM INTO A TRIAL WHERE 4254 02:58:58,681 --> 02:59:00,382 THEY RECEIVED 1-1, 45 60 MARKED 4255 02:59:00,382 --> 02:59:01,217 FOR IDENTIFICATION MINUTE 4256 02:59:01,217 --> 02:59:03,252 SESSIONS AND THEY HAD TO HAVE 4257 02:59:03,252 --> 02:59:04,753 CHRONIC PAIN OR MILD PATHWAY 4258 02:59:04,753 --> 02:59:06,055 GIVES FEEING OR DEPRESSION, THEY 4259 02:59:06,055 --> 02:59:07,256 JUST HAD TO HAVE 1 OF THE 3. 4260 02:59:07,256 --> 02:59:09,458 AND THE TREATMENT WAS DELIVERED 4261 02:59:09,458 --> 02:59:10,759 SIMPLY BY TELEPHONE OR Ph.D. 4262 02:59:10,759 --> 02:59:14,029 OR A SOCIAL WORKER. 4263 02:59:14,029 --> 02:59:15,998 AND THEY COMPLETED 8 SESSIONS 4264 02:59:15,998 --> 02:59:18,634 WITH 2 BOOSTER SESSIONS OF ABOUT 4265 02:59:18,634 --> 02:59:22,872 20 MINUTES EACH IN THE SESSIONS 4266 02:59:22,872 --> 02:59:24,907 AVERAGED AROUND 50-60 MINUTES 4267 02:59:24,907 --> 02:59:27,109 EACH AND HERE'S KIND OF THE MAIN 4268 02:59:27,109 --> 02:59:30,479 FINDING, WE FOUND THAT 47% HAD A 4269 02:59:30,479 --> 02:59:31,981 CLINICALLY MEANINGFUL CHANGE IN 4270 02:59:31,981 --> 02:59:36,452 PAIN INTERFERENCE, WHICH MEANS 4271 02:59:36,452 --> 02:59:38,554 THAT THEY HAD A REDUCTION OF AT 4272 02:59:38,554 --> 02:59:39,855 LEAST 30% IN PAIN INTERFERENCE 4273 02:59:39,855 --> 02:59:41,257 FROM BASE LINE TO THE PRIMARY 4274 02:59:41,257 --> 02:59:44,760 EPPED POINT WHICH WAS POST 4275 02:59:44,760 --> 02:59:45,594 TREATMENT. 4276 02:59:45,594 --> 02:59:49,331 AND THEN, LET'S SEE 50% IN 4277 02:59:49,331 --> 02:59:50,966 FATIGUE IMPACT WAS ALSO -- WHICH 4278 02:59:50,966 --> 02:59:53,736 WAS A 10-POINT REDUCTION OF 4279 02:59:53,736 --> 02:59:55,171 FATIGUE SEVERITY SCALE, SO 50% 4280 02:59:55,171 --> 02:59:57,339 HAD A CLINICALLY MEANINGFUL 4281 02:59:57,339 --> 03:00:00,843 CHANGE IN FATIGUE IMPACT AND 4282 03:00:00,843 --> 03:00:02,311 THESE IMPROVEMENTS NOTABLY WERE 4283 03:00:02,311 --> 03:00:05,314 DURABLE AT 6 AND 12 MONTHS, SO 4284 03:00:05,314 --> 03:00:09,919 PEOPLE IMPROVED AND THEY STAYED 4285 03:00:09,919 --> 03:00:10,186 IMPROVED. 4286 03:00:10,186 --> 03:00:11,687 WE ALSO FOUND THAT OTHER 4287 03:00:11,687 --> 03:00:12,888 OUTCOMES ALSO IMPROVED SO WE 4288 03:00:12,888 --> 03:00:16,392 LOOKED AT OTHER THINGS LIKE 4289 03:00:16,392 --> 03:00:19,929 NEGATIVE AFFECT WHICH DECREASED. 4290 03:00:19,929 --> 03:00:21,864 POSITIVE AFFECT INCREASE. 4291 03:00:21,864 --> 03:00:23,766 SELF-EFFICACY OR CONFIDENCE FOR 4292 03:00:23,766 --> 03:00:25,000 MANAGING MS IMPROVED. 4293 03:00:25,000 --> 03:00:26,468 THEIR SATISFACTION WITH SOCIAL 4294 03:00:26,468 --> 03:00:27,836 ROLES IMPROVED AND RESILIENCE 4295 03:00:27,836 --> 03:00:30,139 INCREASED AND THIS IS AGAIN IN 4296 03:00:30,139 --> 03:00:31,874 THE CONTEXT OF THESE PEOPLE 4297 03:00:31,874 --> 03:00:33,409 HAVING MS FOR MANY, MANY YEARS 4298 03:00:33,409 --> 03:00:34,810 WHICH MEANS THEY PROBABLY HAVE 4299 03:00:34,810 --> 03:00:40,149 FATIGUE AND PAIN FOR MANY YEARS 4300 03:00:40,149 --> 03:00:40,382 AS WELL. 4301 03:00:40,382 --> 03:00:42,384 THE OTHER THING WE FOUND IS THAT 4302 03:00:42,384 --> 03:00:46,655 TREATMENT ADHERENCE TO THIS 4303 03:00:46,655 --> 03:00:50,893 TELEHEALTH WAS VERY HIGH, 86% 4304 03:00:50,893 --> 03:00:52,661 COMPLETED 7 OF THE 8 SESSIONS. 4305 03:00:52,661 --> 03:00:54,964 SO VERY -- IF I WORKED IN 4306 03:00:54,964 --> 03:00:56,365 CLINICS BEFORE, I RARELY HAVE 4307 03:00:56,365 --> 03:00:58,934 SOMEONE SHOW UP FOR 8 FULL 4308 03:00:58,934 --> 03:01:03,806 SESSIONS OF 8 SESSION TREATMENT 4309 03:01:03,806 --> 03:01:06,942 JUST DUE TO PAIRIERS OF GETTING 4310 03:01:06,942 --> 03:01:08,410 THERE, THAT CHANGED OF COURSE 4311 03:01:08,410 --> 03:01:09,812 WITH COVID NOW THAT TELEHEALTH 4312 03:01:09,812 --> 03:01:11,380 IS MUCH MORE COMMON AND 4313 03:01:11,380 --> 03:01:11,680 ACCESSIBLE. 4314 03:01:11,680 --> 03:01:13,682 WE FOUND THAT TREATMENT WAS VERY 4315 03:01:13,682 --> 03:01:14,583 HIGH, WORKING ALLIANCE, THE 4316 03:01:14,583 --> 03:01:15,985 RELATIONSHIP BETWEEN THE 4317 03:01:15,985 --> 03:01:19,488 THERAPISTS AND THE PARTICIPANT 4318 03:01:19,488 --> 03:01:22,024 WAS VERY HIGH, AND 75% OF THE 4319 03:01:22,024 --> 03:01:22,891 SAMPLE DESCRIBED TELEPHONE 4320 03:01:22,891 --> 03:01:24,627 DELIVERY AS AN IMPORTANT BENEFIT 4321 03:01:24,627 --> 03:01:25,060 TO TREATMENT. 4322 03:01:25,060 --> 03:01:26,762 SO IT WAS REALLY AN ACCEPTABLE 4323 03:01:26,762 --> 03:01:27,730 FORM EVEN THOUGH IT WAS VERY 4324 03:01:27,730 --> 03:01:30,266 SIMPLE AND AGAIN, THIS WAS DONE 4325 03:01:30,266 --> 03:01:31,867 BEFORE ZOOM, BEFORE TEAMS AND 4326 03:01:31,867 --> 03:01:37,606 BEFORE TELEHEALTH WAS COMMONLY 4327 03:01:37,606 --> 03:01:37,906 USED. 4328 03:01:37,906 --> 03:01:42,845 I WANT TO TURN HOW NOW TO 4329 03:01:42,845 --> 03:01:46,548 FATIGUE TRIAL WE DID, WITH 4330 03:01:46,548 --> 03:01:48,050 DOCTORS AND COLLEAGUES AT 4331 03:01:48,050 --> 03:01:48,517 MICHIGAN. 4332 03:01:48,517 --> 03:01:52,087 WE DID A PC ORI FUNDED TRIAL 4333 03:01:52,087 --> 03:01:56,492 COMPARING THE EFFECTIVENESS OF 4334 03:01:56,492 --> 03:02:00,029 CBT FOR FATIGUE, MEDAFIDEL, 4335 03:02:00,029 --> 03:02:02,798 WHICH IS A WEIGHT REGULATING 4336 03:02:02,798 --> 03:02:04,333 MEDICATION IN PEOPLE WITH MS AND 4337 03:02:04,333 --> 03:02:05,601 THE COMBINATION OF THE 2 FOR 4338 03:02:05,601 --> 03:02:08,270 TREATING MS AND THIS WAS A 4339 03:02:08,270 --> 03:02:08,737 PRAGMATIC COMPARATIVE 4340 03:02:08,737 --> 03:02:11,040 EFFECTIVENESS TRIAL WHERE PEOPLE 4341 03:02:11,040 --> 03:02:14,977 WERE RANDOMIZED TO EITHER THE 4342 03:02:14,977 --> 03:02:15,744 CBT, MODAFINIL OR COMBINATION OF 4343 03:02:15,744 --> 03:02:16,578 THE 2. 4344 03:02:16,578 --> 03:02:18,714 AND THEN THEY DID A VARIETY OF 4345 03:02:18,714 --> 03:02:19,748 OUTCOME ASSESSMENTS, I DON'T 4346 03:02:19,748 --> 03:02:23,419 HAVE TIME TO GET INTO BUT IT 4347 03:02:23,419 --> 03:02:25,154 INCLUDED BOTH THE 7 DAY HOME 4348 03:02:25,154 --> 03:02:28,257 MONITORING PERIOD AS WELL AS WEB 4349 03:02:28,257 --> 03:02:29,992 BASED SURVEYS AND WE FOLLOWED 4350 03:02:29,992 --> 03:02:35,230 THEM FOR UP TO 24 WEEKS. 4351 03:02:35,230 --> 03:02:36,765 AND WE REDICTED THAT THE 4352 03:02:36,765 --> 03:02:38,934 COMBINATION TREATMENT WOULD BE 4353 03:02:38,934 --> 03:02:41,437 SUPERIOR TO THE OTHER 2 BUT WE 4354 03:02:41,437 --> 03:02:42,838 WERE IN FACT, WRONG, HERE WHAT 4355 03:02:42,838 --> 03:02:45,474 YOU SEE ARE THE 3 DIFFERENT 4356 03:02:45,474 --> 03:02:47,443 ARMS, WITH AGAIN THE COMBO 4357 03:02:47,443 --> 03:02:49,311 GETTING BOTH OF THEM, WHAT YOU 4358 03:02:49,311 --> 03:02:56,118 SEE IS THAT AT 12 WEEKS, ALL 3 4359 03:02:56,118 --> 03:02:57,419 IMPROVED AND INTERESTINGLY, CBT 4360 03:02:57,419 --> 03:02:59,021 IN THAT CONDITION, CONTINUED TO 4361 03:02:59,021 --> 03:02:59,855 IMPROVE EVEN THOUGH TREATMENT 4362 03:02:59,855 --> 03:03:01,824 ENDED AND YOU KNOW WE SURMISED 4363 03:03:01,824 --> 03:03:03,692 THEY WERE USING THOSE SKILLS, 4364 03:03:03,692 --> 03:03:05,661 STILL SOME OF THEM OVERTIME AND 4365 03:03:05,661 --> 03:03:07,162 THAT LED TO THAT. 4366 03:03:07,162 --> 03:03:11,467 WE STOPPED THE MODAFINIL, 4367 03:03:11,467 --> 03:03:13,502 PATIENTS COULD GET IT FROM THEIR 4368 03:03:13,502 --> 03:03:14,570 PRIMARY CARE PROVIDER OR 4369 03:03:14,570 --> 03:03:15,871 NEUROLOGIST AND WE STOPPED IT AT 4370 03:03:15,871 --> 03:03:18,207 12 WEEKS AND YOU SEE A BIT OF A 4371 03:03:18,207 --> 03:03:24,380 REBOUND FOR SOME OF THEM. 4372 03:03:24,380 --> 03:03:26,715 SO 65% REPORTED MEANINGFUL 4373 03:03:26,715 --> 03:03:29,051 IMPROVEMENTS AND THE BENEFITS 4374 03:03:29,051 --> 03:03:31,553 FROM CBT PERSISTED TO 24 WEEKS 4375 03:03:31,553 --> 03:03:34,423 AND ALSO, OTHER OUTCOMES 4376 03:03:34,423 --> 03:03:34,690 IMPROVED. 4377 03:03:34,690 --> 03:03:36,425 THOSE DATA NOT PUBLISHED YET BUT 4378 03:03:36,425 --> 03:03:38,527 THINGS LIKE SLEEP, PAIN, MOOD, 4379 03:03:38,527 --> 03:03:44,800 THOSE THINGS IMPROVED AS WELL. 4380 03:03:44,800 --> 03:03:46,902 AND SOMEONE MENTIONED EARLIER, 4381 03:03:46,902 --> 03:03:47,936 PHENOTYPING, WE'VE BEEN 4382 03:03:47,936 --> 03:03:48,971 INTERESTED IN TRYING TO FIGURE 4383 03:03:48,971 --> 03:03:51,073 OUT WHO RESPONDS TO WHAT 4384 03:03:51,073 --> 03:03:52,775 TREATMENTS AND THAL STUDY WE 4385 03:03:52,775 --> 03:03:55,043 LOOKED AT TREATMENT AFFECT 4386 03:03:55,043 --> 03:03:56,545 MODIFIERS OR MODERATORS AND WE 4387 03:03:56,545 --> 03:03:59,047 FOUND 1 KIND OF PRIMARY 1 AND 4388 03:03:59,047 --> 03:04:00,949 THAT WAS SLEEP HYGIENE ORE 4389 03:04:00,949 --> 03:04:02,017 HABITS MODERATED WHICH WORKED 4390 03:04:02,017 --> 03:04:03,986 BETTER SO FOR PEOPLE WHO HAD 4391 03:04:03,986 --> 03:04:07,055 POOR SLEEP HABITS, PEOPLE WITH 4392 03:04:07,055 --> 03:04:09,391 DISRUPTIVE, STAYING UP TO LATE, 4393 03:04:09,391 --> 03:04:11,160 NOT GREAT SLEEP HYGIENE, THEY 4394 03:04:11,160 --> 03:04:14,062 DID BETTER WITH CBT,A LONE OR IN 4395 03:04:14,062 --> 03:04:17,232 COMBINATION, WHEREAS THOSE WHO 4396 03:04:17,232 --> 03:04:18,867 HAD GOOD SLEEP HYGIENE DID 4397 03:04:18,867 --> 03:04:22,671 BETTER WITH THE MODAFINIL. 4398 03:04:22,671 --> 03:04:24,540 FINALLY, THIS IS JUST 1 OTHER 4399 03:04:24,540 --> 03:04:26,108 SLIDE JUST AGAIN, I WANT TO 4400 03:04:26,108 --> 03:04:30,379 EMPHASIZE KIND OF A BIGGER WHIH 4401 03:04:30,379 --> 03:04:31,780 I WILL MAKE IN A MOMENT. 4402 03:04:31,780 --> 03:04:33,849 THIS IS A STUDY WE JUST 4403 03:04:33,849 --> 03:04:38,887 COMPLETED, IT IS UNDER REVIEW, 4404 03:04:38,887 --> 03:04:39,688 IS ETIPS. 4405 03:04:39,688 --> 03:04:41,056 THIS ENROLLED PEOPLE WITH NOT 4406 03:04:41,056 --> 03:04:43,725 JUST MS BUT ALSO ENROLLED PEOPLE 4407 03:04:43,725 --> 03:04:47,663 WITH TDI, SPINAL CORD INJURY AND 4408 03:04:47,663 --> 03:04:52,134 LIMB LOSS, AND WHAT YOU SEE HERE 4409 03:04:52,134 --> 03:04:53,235 IS THE OUTCOMES FOR TREATMENT AS 4410 03:04:53,235 --> 03:04:55,003 USUAL AND THEN THE E-TIPS BUT 4411 03:04:55,003 --> 03:04:57,739 THESE PEOPLE GOT A VERY SIMILAR 4412 03:04:57,739 --> 03:05:02,044 TYPE OF CBT TREATMENT WHERE THEY 4413 03:05:02,044 --> 03:05:03,045 GOT 8 SESSIONS, TELEPHONE 4414 03:05:03,045 --> 03:05:05,747 DELIVERED AT TIMES THAT WORK FOR 4415 03:05:05,747 --> 03:05:07,683 THEM, AND IT WAS REALLILY 4416 03:05:07,683 --> 03:05:09,451 FOCUSED ON PAIN MANAGEMENT AND 4417 03:05:09,451 --> 03:05:11,520 REALLY FOCUSED ON HOW TO ADAPT 4418 03:05:11,520 --> 03:05:13,121 TO PAIN MANAGEMENT STRATEGIES TO 4419 03:05:13,121 --> 03:05:15,557 WHERE PEOPLE ARE EMPLOYED WHERE 4420 03:05:15,557 --> 03:05:16,959 PAIN CAN INTERFERE WHETHER IT'S 4421 03:05:16,959 --> 03:05:23,932 AT-WORK OR QUALITY OF LIFE 4422 03:05:23,932 --> 03:05:24,466 OUTSIDE OF WORK. 4423 03:05:24,466 --> 03:05:26,001 AND WE FOUND THAT THOSE WHO WERE 4424 03:05:26,001 --> 03:05:28,804 ASSIGNED TO THE CBT E-TIPS 4425 03:05:28,804 --> 03:05:30,572 INTERVENTION HAD A STATISTICALLY 4426 03:05:30,572 --> 03:05:32,941 AND CLINICALLY SIGNIFICANT 4427 03:05:32,941 --> 03:05:34,409 REDUCTION IN PAIN, INTERFERENCE 4428 03:05:34,409 --> 03:05:38,213 AT POST TREATMENT WHICH IS OUR 4429 03:05:38,213 --> 03:05:43,752 PRIMARY END POINT RELATIVE TO 4430 03:05:43,752 --> 03:05:45,487 USUAL CARE AND THAT THEY 4431 03:05:45,487 --> 03:05:47,389 CONTINUED TO SHOW BENEFITS UP TO 4432 03:05:47,389 --> 03:05:49,124 6 MONTHS LATER AND WE FOUND THAT 4433 03:05:49,124 --> 03:05:51,693 ALL THESE SECONDARY OUTCOMES, 4434 03:05:51,693 --> 03:05:53,495 EXCEPT PAIN INTENSITY, THAT 1 4435 03:05:53,495 --> 03:05:55,597 DIDN'T IMPROVE, BUT ALL THE 4436 03:05:55,597 --> 03:05:57,766 OTHER THINGS, FATIGUE, SLEEP, 4437 03:05:57,766 --> 03:05:59,735 PHYSICAL FUNCTION IMPROVED AND 4438 03:05:59,735 --> 03:06:04,473 REALLY THOSE AFFECTS WERE 4439 03:06:04,473 --> 03:06:05,140 DURABLE OVER TIME. 4440 03:06:05,140 --> 03:06:07,643 SO THEN WHERE DOE WE GO FROM 4441 03:06:07,643 --> 03:06:07,843 HERE? 4442 03:06:07,843 --> 03:06:09,745 I WANT TO RESPOND A FEW MINUTES 4443 03:06:09,745 --> 03:06:12,514 ON THIS, I SHOULD MENTION THAT I 4444 03:06:12,514 --> 03:06:14,650 PRIMARILY PRESENTED RESULTS FROM 4445 03:06:14,650 --> 03:06:15,684 CBT, BECAUSE THAT'S WHERE I'VE 4446 03:06:15,684 --> 03:06:17,553 DONE THE MOST WORK, THAT'S WHERE 4447 03:06:17,553 --> 03:06:19,588 THE MOST EVIDENCE IS, BUT THERE 4448 03:06:19,588 --> 03:06:21,456 ARE A FEW OTHER STUDIES OUT 4449 03:06:21,456 --> 03:06:24,326 THERE, THAT HAVE SHOWN CBT TO 4450 03:06:24,326 --> 03:06:26,428 ALSO BE EFFICACIOUS FOR MS 4451 03:06:26,428 --> 03:06:28,130 FATIGUE, IT CERTAINLY HAS BEEN 4452 03:06:28,130 --> 03:06:30,332 SHOWN TO BE EFFICACIOUS FOR IN 4453 03:06:30,332 --> 03:06:32,734 DEPRESSION FOR PEOPLE WITH MS 4454 03:06:32,734 --> 03:06:34,136 APPROXIMATE MINDFULNESS BASED 4455 03:06:34,136 --> 03:06:36,538 STRESS REDUCTION AND COGNITIVE 4456 03:06:36,538 --> 03:06:39,675 THERAPY HAVE ALSO SHOWN BE TO BE 4457 03:06:39,675 --> 03:06:41,543 EFFICACIOUS FOR A VARIETY OF 4458 03:06:41,543 --> 03:06:42,511 SYMPTOMS INCLUDING MOOD IN 4459 03:06:42,511 --> 03:06:44,146 PEOPLE WITH MS SO I DIDN'T 4460 03:06:44,146 --> 03:06:45,314 PRESENT THOSE DATA, NOT ALL 4461 03:06:45,314 --> 03:06:46,548 THOSE STUDIES I JUST MENTIONED 4462 03:06:46,548 --> 03:06:48,016 WERE DONE BY ME, BUT I WANTED TO 4463 03:06:48,016 --> 03:06:49,551 KIND OF GET IN THE HEART OF A 4464 03:06:49,551 --> 03:06:50,752 FEW STUDIES TO KIND OF SHOW YOU 4465 03:06:50,752 --> 03:06:54,923 KIND OF WHAT WE LOOK AT AND HOW 4466 03:06:54,923 --> 03:06:55,190 THEY WORK. 4467 03:06:55,190 --> 03:06:58,493 SO WHERE DO WE ANY FROM HERE? 4468 03:06:58,493 --> 03:06:59,528 WELL, THIS IS ALSO SOMETHING I 4469 03:06:59,528 --> 03:07:01,964 HEAR A LOT WHEN I TALK TO OUR 4470 03:07:01,964 --> 03:07:02,798 COMMUNITY ADVISOR SAYS, WHEN I 4471 03:07:02,798 --> 03:07:05,033 TALK TO PEOPLE WITH MS, THEY SAY 4472 03:07:05,033 --> 03:07:06,101 THINGS LIKE I KNOW FROM MY 4473 03:07:06,101 --> 03:07:07,135 DOCTOR THERE ARE TREATMENTS BUT 4474 03:07:07,135 --> 03:07:08,370 IT'S HARD TO GET CONNECKED TO 4475 03:07:08,370 --> 03:07:11,807 THEM IN A WAY THAT WORKS FOR ME. 4476 03:07:11,807 --> 03:07:14,109 AND YOU KNOW THERE'S A LOT OF 4477 03:07:14,109 --> 03:07:15,377 CHALLENGES TO EVIDENCE BASED 4478 03:07:15,377 --> 03:07:16,678 PAIN CARE AND FATIGUE CARE FOR 4479 03:07:16,678 --> 03:07:18,780 THAT MATTER THAT ARE NOT JUST 4480 03:07:18,780 --> 03:07:19,815 FOR REHAB POPULATIONS, THIS IS 4481 03:07:19,815 --> 03:07:22,351 FROM A STUDY BONE BY BETH DARNEL 4482 03:07:22,351 --> 03:07:25,520 AT STAND PORD FORD WHERE HE LED 4483 03:07:25,520 --> 03:07:27,623 A TEAM DOING A GLOBAL NEEDS 4484 03:07:27,623 --> 03:07:29,024 ASSESSMENT FOR PAIN IN GENERAL. 4485 03:07:29,024 --> 03:07:30,759 SO IT WASN'T SPECIFIC TO REHAB, 4486 03:07:30,759 --> 03:07:32,194 IT THEY FOUND A LOT OF THINGS 4487 03:07:32,194 --> 03:07:33,061 THAT WERE PRETTY CONCERNING 4488 03:07:33,061 --> 03:07:35,664 BECAUSE THIS WAS DONE, I THINK 4489 03:07:35,664 --> 03:07:36,832 IN PUBLISHED IN 2016 SO MAYBE 4490 03:07:36,832 --> 03:07:38,266 IT'S 10 YEARS OLD BUT I DON'T 4491 03:07:38,266 --> 03:07:40,002 THINK WE MOVED THESE STATISTICS 4492 03:07:40,002 --> 03:07:41,436 THAT MUCH BASED ON WHAT 4493 03:07:41,436 --> 03:07:44,806 LITERATURE I'VE SEEN IN MY OWN 4494 03:07:44,806 --> 03:07:45,107 EXPERIENCE. 4495 03:07:45,107 --> 03:07:47,242 SO IN PEOPLE IN GENERAL, 37% OF 4496 03:07:47,242 --> 03:07:50,345 PEOPLE WITH PAIN WERE NOT AWARE 4497 03:07:50,345 --> 03:07:52,481 OF NONPHARMAICOLOGGIC PAIN 4498 03:07:52,481 --> 03:07:52,814 TREATMENTS. 4499 03:07:52,814 --> 03:07:54,916 SEVENTY-TWO% OF PAIN PHYSICIANS 4500 03:07:54,916 --> 03:07:56,652 REPORTED INSUFFICIENT PAIN 4501 03:07:56,652 --> 03:07:58,086 THERAPISTS SO NOT SUFFICIENT 4502 03:07:58,086 --> 03:07:59,321 WORKFORCE OF PEOPLE THEY COULD 4503 03:07:59,321 --> 03:08:03,425 REFER TO LEARN THESE PAIN AND 4504 03:08:03,425 --> 03:08:04,993 SELF-MANAGEMENT INTERVENTIONS 4505 03:08:04,993 --> 03:08:07,095 AND THEN EVEN WITHIN, IF YOU 4506 03:08:07,095 --> 03:08:09,164 LOOK AT WITHIN PSYCHOLOGISTS OR 4507 03:08:09,164 --> 03:08:11,433 MENTAL HEALTH, SOCIAL WORKERS 4508 03:08:11,433 --> 03:08:16,071 THEY SURVEY THEM, ONLY 12% FELT 4509 03:08:16,071 --> 03:08:16,805 ADEQUATELY TRAINED TO TREAT 4510 03:08:16,805 --> 03:08:17,039 PAIN. 4511 03:08:17,039 --> 03:08:19,374 THIS IS SOMETHING I NOTICE IN MY 4512 03:08:19,374 --> 03:08:19,641 PRACTICE. 4513 03:08:19,641 --> 03:08:21,710 PEOPLE COME IN AND THEY'VE BEEN 4514 03:08:21,710 --> 03:08:24,579 SEEING A GREAT THERAPIST IN THE 4515 03:08:24,579 --> 03:08:25,647 COMMUNITY, COGNITIVE BEHAVIORIAL 4516 03:08:25,647 --> 03:08:26,715 THERAPY MIEBDFULNESS AND I HAVE 4517 03:08:26,715 --> 03:08:28,917 CHRONIC PAIN AND I SAID HOW ARE 4518 03:08:28,917 --> 03:08:30,419 YOU USING THEM MANY OF THEM THE 4519 03:08:30,419 --> 03:08:33,655 FIRST TIME THEY THOUGHT OF THAT. 4520 03:08:33,655 --> 03:08:36,391 THEY'RE NOT BEING TAUGHT HOW TO 4521 03:08:36,391 --> 03:08:37,893 USE THESE TECHNIQUES THAT 4522 03:08:37,893 --> 03:08:39,728 THEY'RE LEARNING WITH THEIR PAIN 4523 03:08:39,728 --> 03:08:41,730 FATIGUE AND OTHER SYMPTOMS SO I 4524 03:08:41,730 --> 03:08:43,432 THINK THAT'S A REAL OPPORTUNITY 4525 03:08:43,432 --> 03:08:47,502 GAP BUT ALSO AN OPPORTUNITY FOR 4526 03:08:47,502 --> 03:08:50,806 IMPROVEMENT AND THEN 35% OF 4527 03:08:50,806 --> 03:08:57,979 ARMPs THEY SURVEYS WERE UN 4528 03:08:57,979 --> 03:08:59,381 AWARE OF PAIN. 4529 03:08:59,381 --> 03:09:01,216 WE DID A 2024 NATIONAL SURVEY 4530 03:09:01,216 --> 03:09:03,552 AND FEWER OF 10% OF THOSE IN OUR 4531 03:09:03,552 --> 03:09:05,387 VUR VEY HAD WHO HAD BEEN 4532 03:09:05,387 --> 03:09:08,724 REPORTED USE OF ANYTHING LIKE 4533 03:09:08,724 --> 03:09:09,524 MINDFULNESS, RELAXATION, ANY 4534 03:09:09,524 --> 03:09:11,293 OTHER TECHNIQUES WHRKS ASKED 4535 03:09:11,293 --> 03:09:12,794 ABOUT BARRIERS, IT WAS AGAIN A 4536 03:09:12,794 --> 03:09:14,429 LACK OF FAMILIARITY THAT THESE 4537 03:09:14,429 --> 03:09:21,470 THINGS LIKE WORK AND THEN ALSO 4538 03:09:21,470 --> 03:09:22,738 REALLY LACKING WHERE TO GO TO 4539 03:09:22,738 --> 03:09:24,940 GET IT AND THEN CONCERNS ABOUT 4540 03:09:24,940 --> 03:09:25,240 COST. 4541 03:09:25,240 --> 03:09:27,943 WE ALSO WE JUST COMPLETED A 4542 03:09:27,943 --> 03:09:29,544 QUALITATIVE INTERVIEW, SO SAY WE 4543 03:09:29,544 --> 03:09:31,179 JUST COMPLETE CODING THEM OF 4544 03:09:31,179 --> 03:09:33,148 PROVIDERS AND WE KIND OF HEARD 4545 03:09:33,148 --> 03:09:34,316 SIMILAR THEMES THAT THEY REALLY 4546 03:09:34,316 --> 03:09:37,018 SEE A LACK OF TRAINED PROVIDERS, 4547 03:09:37,018 --> 03:09:38,520 COSTS INSURANCE AND ACCESS, LIKE 4548 03:09:38,520 --> 03:09:40,455 I DON'T KNOW WHERE TO REFER 4549 03:09:40,455 --> 03:09:47,629 PEOPLE FOR THESE KINDS OF CARE. 4550 03:09:47,629 --> 03:09:49,598 SO OF COURSE AS YOU ARE WELL 4551 03:09:49,598 --> 03:09:51,700 AWARE, IF YOU EVER OPENED UP 4552 03:09:51,700 --> 03:09:53,001 ANY, YOUR PHONE OR ANYTHING YOU 4553 03:09:53,001 --> 03:09:55,270 SEE, REALLY OUT THERE IN THE 4554 03:09:55,270 --> 03:09:56,505 MEDIA, THE DIGITAL INTERVENTIONS 4555 03:09:56,505 --> 03:09:58,840 ARE KIND OF THIS NEXT WAVE, AND 4556 03:09:58,840 --> 03:10:01,376 ARE THEY THE SOLUTION, SHOULD WE 4557 03:10:01,376 --> 03:10:03,678 REALLY BE LEANING ON DIGIT AT 4558 03:10:03,678 --> 03:10:05,680 INTERVENTION SUCH AS THIJS YOU 4559 03:10:05,680 --> 03:10:07,649 SEE ON THE SCREEN HERE TO 4560 03:10:07,649 --> 03:10:09,985 IMPROVE SYMPTOM MANAGEMENT WITH 4561 03:10:09,985 --> 03:10:11,520 PEOPLE IN MS AND OTHER 4562 03:10:11,520 --> 03:10:11,953 POPULATIONS. 4563 03:10:11,953 --> 03:10:14,956 WELL WE KIND OF THOUGHT ABOUT 4564 03:10:14,956 --> 03:10:18,326 THAT, TOO, SO WITH FUNDING FROM 4565 03:10:18,326 --> 03:10:21,830 THE D.O.D. WE PUT TOGETHER A 4566 03:10:21,830 --> 03:10:24,499 WEBSITE PUT TOGETHER MY MS TOOL 4567 03:10:24,499 --> 03:10:28,136 KIT, IT'S THE ONLY CHA I'M AWARE 4568 03:10:28,136 --> 03:10:29,638 OF FREELYY AVAILABLE MS TOOL KIT 4569 03:10:29,638 --> 03:10:32,307 OUT THERE AND WE DEVELOPED IT IN 4570 03:10:32,307 --> 03:10:33,575 COLLABORATIONS IN PEOPLE WITH MS 4571 03:10:33,575 --> 03:10:36,344 AND HAS A NUMBER OF WORK SHEETS, 4572 03:10:36,344 --> 03:10:37,612 VIDEOS, ALL SORTS OF TOOLS ON 4573 03:10:37,612 --> 03:10:39,047 THAT TO HELP PEOPLE MANAGE THE 4574 03:10:39,047 --> 03:10:40,182 VARIETY OF SYMPTOMS THEY 4575 03:10:40,182 --> 03:10:41,249 EXPERIENCE WITH GUIDANCE ALSO 4576 03:10:41,249 --> 03:10:43,018 FROM THEIR FAMILY AND FREBDS IF 4577 03:10:43,018 --> 03:10:44,319 THEY WANT TO SHARE THAT WITH 4578 03:10:44,319 --> 03:10:45,954 THEM AND WE DID A PILOT STUDY 4579 03:10:45,954 --> 03:10:47,455 WHICH IS REALLY MORE OF A 4580 03:10:47,455 --> 03:10:50,058 FEASIBILITY STUDY BUT WE DID 4581 03:10:50,058 --> 03:10:52,527 FIND THAT PEOPLE BENEFITED FROM 4582 03:10:52,527 --> 03:10:52,727 THIS. 4583 03:10:52,727 --> 03:10:53,862 WE WERE KIND OF SURPRISED IN 4584 03:10:53,862 --> 03:10:58,233 FACT BECAUSE I THINK IT WAS 4585 03:10:58,233 --> 03:10:59,634 SOMETHING LIKE OH WHAT WAS IT, 4586 03:10:59,634 --> 03:11:03,939 IT WAS SOMETHING LIKE, 46% OF 4587 03:11:03,939 --> 03:11:05,974 PEOPLE HAD A CLINICALLY 4588 03:11:05,974 --> 03:11:07,542 SIGNIFICANT IMPROVEMENT IN PAIN 4589 03:11:07,542 --> 03:11:08,410 APPEARANCE, 38% IN TAKEN--THEY 4590 03:11:08,410 --> 03:11:10,545 TEAGUE BUT WHAT I WANT YOU TO 4591 03:11:10,545 --> 03:11:12,280 PAY ATTENTION TO HERE IS LOOK 4592 03:11:12,280 --> 03:11:13,815 HOW MANY PERCENTAGE OF PAGE 4593 03:11:13,815 --> 03:11:15,116 VISITS AND AVERAGE TIME IN 4594 03:11:15,116 --> 03:11:16,384 MINUTES THEY SPENT ON THESE AND 4595 03:11:16,384 --> 03:11:17,953 THESE WERE THE DIFFERENT STEPS 4596 03:11:17,953 --> 03:11:18,720 OR COMPONENTS OF IT. 4597 03:11:18,720 --> 03:11:20,188 AND AS CAN YOU SEE, THEY'RE NOT 4598 03:11:20,188 --> 03:11:24,593 SPENDING A LOT OF TIME ON THESE 4599 03:11:24,593 --> 03:11:25,560 DIFFERENT STEPS AND THEY'RE 4600 03:11:25,560 --> 03:11:26,728 VISITING THEM BUT SOME OF THEM 4601 03:11:26,728 --> 03:11:28,463 DON'T GET A LOT OF TRACTION AND 4602 03:11:28,463 --> 03:11:30,632 THIS IS IN A SAMPLE OF 20 PEOPLE 4603 03:11:30,632 --> 03:11:34,703 SO EVEN THOUGH PEOPLE REPORTED 4604 03:11:34,703 --> 03:11:36,271 BENEFITING -- IT'S A PILOT STUDY 4605 03:11:36,271 --> 03:11:38,473 SO WE HAVE TO BE CAREFUL TAKING 4606 03:11:38,473 --> 03:11:39,875 TOO MUCH OUT OF THAT BUT PEOPLE 4607 03:11:39,875 --> 03:11:41,643 ARE STILL NOT USING THIS MUCH SO 4608 03:11:41,643 --> 03:11:47,916 WE DEVELOPED A COACHED VERSION 4609 03:11:47,916 --> 03:11:49,017 WHERE A BRIEF 15 MINUTE 4610 03:11:49,017 --> 03:11:49,818 COACHING, THEY WOULD GET 4611 03:11:49,818 --> 03:11:54,522 COACHING TO HELP THEM STICK TO 4612 03:11:54,522 --> 03:11:55,590 THE PROGRAM AND CERTAINLY IN 4613 03:11:55,590 --> 03:11:57,359 TERMS OF OUR DIGITAL 4614 03:11:57,359 --> 03:11:58,860 INTERVENTION TO SOLUTION, WELL, 4615 03:11:58,860 --> 03:12:03,498 WE KNOW THAT ADHERENCE VARIES 4616 03:12:03,498 --> 03:12:05,233 WIDELY ACROSS THESE, THIS ISN'T 4617 03:12:05,233 --> 03:12:07,736 JUST COMOON ACROSS MS, THIS IS 4618 03:12:07,736 --> 03:12:09,404 DIGITAL OR HEALTH OUT THERE AND 4619 03:12:09,404 --> 03:12:12,040 THAT COACHING REALLY SUPPORTS 4620 03:12:12,040 --> 03:12:14,376 IMPROVED ADHERENCE AND OUTCOMES 4621 03:12:14,376 --> 03:12:16,344 AND SOLE REALLY EAR WE'RE AT A 4622 03:12:16,344 --> 03:12:18,413 STAGE, WE'RE KIND OF UNCLEAR HOW 4623 03:12:18,413 --> 03:12:19,714 TO BEST INTEGRATE THESE 4624 03:12:19,714 --> 03:12:22,083 INTERVENTIONS AND CLINICAL CARE. 4625 03:12:22,083 --> 03:12:23,818 AND I WOULD ARGUE ABOUT THIS IS 4626 03:12:23,818 --> 03:12:25,387 WHAT I SEE AS THE FUTURE AND I 4627 03:12:25,387 --> 03:12:27,022 WILL WRAP UP HIRE IN JUST A 4628 03:12:27,022 --> 03:12:27,255 MINUTE. 4629 03:12:27,255 --> 03:12:29,691 I THINK REALLY WE NEED TO THINK 4630 03:12:29,691 --> 03:12:31,192 NOT AS ONE-SIZE-FITS-ALL BUT 4631 03:12:31,192 --> 03:12:33,061 THAT WE NEED A CONTINUUM OF 4632 03:12:33,061 --> 03:12:33,261 OPGS. 4633 03:12:33,261 --> 03:12:34,329 THERE WILL BE SOME PEOPLE THAT 4634 03:12:34,329 --> 03:12:35,597 REEL KEEPSAKESLY DO QUITE WELL 4635 03:12:35,597 --> 03:12:38,033 WITH JUST ON THEIR OWN WITH 4636 03:12:38,033 --> 03:12:39,200 SELF-DIRECTED PAIN AND FATIGUE 4637 03:12:39,200 --> 03:12:39,401 CARE. 4638 03:12:39,401 --> 03:12:43,571 THERE'S OTHERS WHO WILL DO WELL 4639 03:12:43,571 --> 03:12:45,106 WITH CLASSES, GROUPS, SOME KIND 4640 03:12:45,106 --> 03:12:46,274 OF ONLINE CONNECTION, LEARNING 4641 03:12:46,274 --> 03:12:48,243 OF SKILLS AND THEN I STILL THINK 4642 03:12:48,243 --> 03:12:50,211 PEOPLE WHO WILL BENEFIT MORE BY 4643 03:12:50,211 --> 03:12:53,815 HAVING THIS 1 TO 1 MORE 4644 03:12:53,815 --> 03:12:54,716 INTENSIVE THERAPY OR 4645 03:12:54,716 --> 03:12:55,050 INTERVENTION. 4646 03:12:55,050 --> 03:12:57,018 STILL MIGHT ONLY BE 8, 10 4647 03:12:57,018 --> 03:12:58,687 SESSIONS BUT I THINK THAT'S 4648 03:12:58,687 --> 03:12:59,888 NEEDED BUT SO I THINK WE REALLY 4649 03:12:59,888 --> 03:13:02,691 NEED TO BE LOOKING AT TRYING TO 4650 03:13:02,691 --> 03:13:04,092 PREDICT WHO BEST BENEFITS FROM 4651 03:13:04,092 --> 03:13:07,929 THESE DIFFERENT LEVELS WITHIN 4652 03:13:07,929 --> 03:13:08,596 THE CONTINUUM. 4653 03:13:08,596 --> 03:13:09,664 BUT THE OTHER OPPORTUNITY I 4654 03:13:09,664 --> 03:13:11,199 REALLY SEE IS NOT JUST THE TYPE 4655 03:13:11,199 --> 03:13:12,534 OF THERAPY BUT ALSO WE NEED TO 4656 03:13:12,534 --> 03:13:16,304 DO A BETTER JOB OF EQUIPPING 4657 03:13:16,304 --> 03:13:17,839 PROVIDERS TO DISCUSS, RECOMMEND 4658 03:13:17,839 --> 03:13:18,406 AND PROVIDE SELF-MANAGEMENT 4659 03:13:18,406 --> 03:13:20,175 TOOLS AND I WOULD ARGUE WE NEED 4660 03:13:20,175 --> 03:13:21,776 TO HELP THE MS COMMUNITY ASK FOR 4661 03:13:21,776 --> 03:13:23,545 THESE TYPES OF THINGS AND SEEK 4662 03:13:23,545 --> 03:13:25,146 THESE TYPES OF THINGS OUT 4663 03:13:25,146 --> 03:13:26,514 BECAUSE WHEN THEY DO FIND THEM 4664 03:13:26,514 --> 03:13:31,753 NOT ALL BUT MANY BENEFIT. 4665 03:13:31,753 --> 03:13:32,921 I DON'T KNOW THAT I HAVE A LOT 4666 03:13:32,921 --> 03:13:34,489 OF TIME BUT I WANT TO SAY THAT 4667 03:13:34,489 --> 03:13:37,459 THE FUTURE ALSO INCLUDES THESE 3 4668 03:13:37,459 --> 03:13:38,360 BRIGHT EARLY CAREER FACULTY AT 4669 03:13:38,360 --> 03:13:41,796 THE UNIVERSITY OF WASHINGTON. 4670 03:13:41,796 --> 03:13:46,267 DR. LINDE KNOLLS HAS THE K23 4671 03:13:46,267 --> 03:13:48,003 FUNDED BY NCMRR, UTILIZING A 4672 03:13:48,003 --> 03:13:49,204 NOVEL METHODOLOGY TO EXAMINE 4673 03:13:49,204 --> 03:13:51,940 UNIQUE AND SINNER GESTIC EFFECTS 4674 03:13:51,940 --> 03:13:52,507 OF CBT COMPONENTS. 4675 03:13:52,507 --> 03:13:53,908 SO SHE'S TRYING TO OPTIMIZE HOW 4676 03:13:53,908 --> 03:13:55,210 DO WE GETTER MORE EFFICIENT 4677 03:13:55,210 --> 03:13:56,144 TREATMENTS SO THAT WE CAN REAL 4678 03:13:56,144 --> 03:14:01,182 LE GET MORE BANG AND REACH MORE 4679 03:14:01,182 --> 03:14:03,952 PEOPLE WITH THEM. 4680 03:14:03,952 --> 03:14:07,455 DR. SARAH SIMOONS IS A 4681 03:14:07,455 --> 03:14:10,692 PODIATRIST TO STUDYING PHYSICAL 4682 03:14:10,692 --> 03:14:12,894 ACTIVITY TO PROMYELIN REPAIR AND 4683 03:14:12,894 --> 03:14:14,496 USING SPINAL CORD STIMULATION TO 4684 03:14:14,496 --> 03:14:16,331 IMPROVE HAND ARM FUNCTION, 4685 03:14:16,331 --> 03:14:17,532 FORRICISM TOPS LIKE FATIGUE AND 4686 03:14:17,532 --> 03:14:22,137 PAIN ALSO AND MY SOON TO BE POST 4687 03:14:22,137 --> 03:14:24,906 DOC, ERIN MISTRETTA, SHE HAS A 4688 03:14:24,906 --> 03:14:26,841 K23 UNDER REVIEW AND THAT'S HENS 4689 03:14:26,841 --> 03:14:27,709 MY QUESTION EARLIER AND SHE'S 4690 03:14:27,709 --> 03:14:31,346 LOOKING AT HOW DO YOU USE 4691 03:14:31,346 --> 03:14:32,614 REALTIME TECHNOLOGY NUDGES VIA 4692 03:14:32,614 --> 03:14:34,049 WEARABLES OR SMART PHONE TO GET 4693 03:14:34,049 --> 03:14:35,417 PEOPLE TO PRACTICE THE THINGS 4694 03:14:35,417 --> 03:14:39,554 THAT BENEFIT THEM LIKE 4695 03:14:39,554 --> 03:14:40,422 MINDFULNESS, MEDITATION. 4696 03:14:40,422 --> 03:14:43,625 SO IN CONCLUSION, YOU KNOW LIKE 4697 03:14:43,625 --> 03:14:44,659 MANY REHAB POPULATIONS, 4698 03:14:44,659 --> 03:14:47,295 INDIVIDUALS WITH MS OFTEN MANAGE 4699 03:14:47,295 --> 03:14:50,865 MULTIPLE CO OCCURRING SYMPTOMS 4700 03:14:50,865 --> 03:14:52,233 THAT INFLUENCE 1 ANOTHER AND 4701 03:14:52,233 --> 03:14:54,636 THAT BEHAVIORIAL TREATMENT WHEN 4702 03:14:54,636 --> 03:14:56,638 IS DELIVERED IN SUCCESSFUL 4703 03:14:56,638 --> 03:14:57,639 PATIENT-CENTERED WAY TEND TO 4704 03:14:57,639 --> 03:14:59,741 IMPROVE NOT ONLY TARGET SYMPTOM 4705 03:14:59,741 --> 03:15:01,476 BUT OTHER SYMPTOMS AS WELL AS 4706 03:15:01,476 --> 03:15:01,810 FUNCTIONING. 4707 03:15:01,810 --> 03:15:03,945 SO IT MAKES ME THINK, INSTEAD OF 4708 03:15:03,945 --> 03:15:05,880 JUST TREATING -- WELL MAYBE YOU 4709 03:15:05,880 --> 03:15:07,148 JUST NEED TO TREAT FATIGUE OR 4710 03:15:07,148 --> 03:15:08,583 PAIN BUT WE NEED TO BETTER 4711 03:15:08,583 --> 03:15:09,551 UNDERSTAND WHAT TO TARGET AND 4712 03:15:09,551 --> 03:15:18,960 HOW TO TARGET IT AND WITH WHAT. 4713 03:15:18,960 --> 03:15:20,995 I BEING IT'S TIME MOVE AWAY FROM 4714 03:15:20,995 --> 03:15:22,864 EFFICACY STUDIES AND BEHAVIORIAL 4715 03:15:22,864 --> 03:15:24,232 INTERVENTION FOR WHO IS HOW, 4716 03:15:24,232 --> 03:15:26,101 ALONG THE LINES OF OPTIMIZING 4717 03:15:26,101 --> 03:15:27,268 TREATMENTS AND ADVANCING 4718 03:15:27,268 --> 03:15:29,003 MECHANISMS AND PRECISION 4719 03:15:29,003 --> 03:15:29,471 MEDICINE. 4720 03:15:29,471 --> 03:15:36,511 AND I THINK THAT WE NEED TO BE 4721 03:15:36,511 --> 03:15:37,445 STUDYING DIGITAL HEALTH AND 4722 03:15:37,445 --> 03:15:38,847 HEGHT INTERVENTIONS, THEY ARE 4723 03:15:38,847 --> 03:15:40,482 PROMISING BUT I DON'T THINK WE 4724 03:15:40,482 --> 03:15:41,316 CAN ASSUME THEY'RE THE ANSWER 4725 03:15:41,316 --> 03:15:43,384 AND THAT WE CAN RELY ON THEM TO 4726 03:15:43,384 --> 03:15:44,452 MEET THESE GAPS THAT ARE OUT 4727 03:15:44,452 --> 03:15:45,887 THERE IN TERMS OF ACCESS. 4728 03:15:45,887 --> 03:15:49,190 I BEING WE NEED TO LOOK AT STEP 4729 03:15:49,190 --> 03:15:50,391 CARE MODELS OR SMART DESIGNS 4730 03:15:50,391 --> 03:15:51,659 WHERE YOU LOOK TO SEE IF YOU 4731 03:15:51,659 --> 03:16:00,535 START WITH A LOW INTENSITY AND 4732 03:16:00,535 --> 03:16:01,836 IF PEOPLE DON'T GET BETTER THEY 4733 03:16:01,836 --> 03:16:02,403 MOVE UP. 4734 03:16:02,403 --> 03:16:04,405 AND FINALLY I THINK WE NEED TO 4735 03:16:04,405 --> 03:16:05,240 PARTNER WITH THE MS COMMUNITY. 4736 03:16:05,240 --> 03:16:07,375 THAT WILL BE WHAT MOVES US 4737 03:16:07,375 --> 03:16:08,243 FORWARD FROM EFFICACIOUS 4738 03:16:08,243 --> 03:16:09,344 INTERVENTIONS TO ACTUALLY 4739 03:16:09,344 --> 03:16:14,382 EEIVETTIVE INTERVENTIONS IN THE 4740 03:16:14,382 --> 03:16:14,649 COMMUNITY. 4741 03:16:14,649 --> 03:16:18,019 SO THANK YOU FOR YOUR TIME AND 4742 03:16:18,019 --> 03:16:18,286 ATTENTION. 4743 03:16:18,286 --> 03:16:21,623 WHAT QUESTIONS DO YOU HAVE? 4744 03:16:21,623 --> 03:16:22,624 >> THANK YOU DAWN. 4745 03:16:22,624 --> 03:16:22,924 ABSOLUTELY. 4746 03:16:22,924 --> 03:16:28,796 WE ARE OPEN FOR QUESTIONS. 4747 03:16:28,796 --> 03:16:30,999 I APOLOGIZE MY SON WHO IS IN 4748 03:16:30,999 --> 03:16:32,634 COLLEAGUE AND RARELY, RARELY 4749 03:16:32,634 --> 03:16:34,836 TEXTS ME, HE'S THE 1 PERSON WHO 4750 03:16:34,836 --> 03:16:36,971 CAN GET BY MY -- WHEN I HAVE A 4751 03:16:36,971 --> 03:16:38,139 DO NOT DISTURB, SO HE WAS 4752 03:16:38,139 --> 03:16:44,312 TEXTING ME A LOT AT 1 POINT. 4753 03:16:44,312 --> 03:16:47,382 TUITION'S DUE. 4754 03:16:47,382 --> 03:16:48,149 SO RALPH? 4755 03:16:48,149 --> 03:16:49,651 >> WHEN YOU TALK ABOUT TRYING TO 4756 03:16:49,651 --> 03:16:53,855 TARGET WHICH PATIENTS IT WORKS 4757 03:16:53,855 --> 03:16:55,256 BEST FOR, SOMETIMES PEOPLE FOCUS 4758 03:16:55,256 --> 03:16:56,591 ON THE TRAJECTORY OF THEIR MS, 4759 03:16:56,591 --> 03:16:59,527 THAT DOES HELP YOU AT ALL IN THE 4760 03:16:59,527 --> 03:17:00,962 TERMS OF TRAJECTORY. 4761 03:17:00,962 --> 03:17:03,198 IS THAT PREDICTIVE FOR YOUR 4762 03:17:03,198 --> 03:17:03,665 STUDIES? 4763 03:17:03,665 --> 03:17:05,400 >> YOU KNOW SURPRISINGLY SO FAR 4764 03:17:05,400 --> 03:17:07,135 IT HASN'T, SO IN THE TAKE CHARGE 4765 03:17:07,135 --> 03:17:08,670 TRIAL I MENTIONED I PUBLISHED A 4766 03:17:08,670 --> 03:17:09,971 SECOND PAPER FOLLOWING UP 4767 03:17:09,971 --> 03:17:11,973 LOOKING AT KIND OF BASE LINE 4768 03:17:11,973 --> 03:17:13,575 FACTORS PREDICTING RESPONSE TO 4769 03:17:13,575 --> 03:17:15,410 TREATMENT, AND WE REALLY 4770 03:17:15,410 --> 03:17:17,178 ELECTRICKED AT THINGS LIKE 4771 03:17:17,178 --> 03:17:18,646 DISEASE, SEVERITY, DISEASE TYPE, 4772 03:17:18,646 --> 03:17:20,949 YOU KNOW PROGRESSIVE VERSUS 4773 03:17:20,949 --> 03:17:22,717 RELAPSING FORMS, WE LOOKAD 4774 03:17:22,717 --> 03:17:23,751 DEMOGRAPHICS AND NOTHING CAME 4775 03:17:23,751 --> 03:17:25,253 THROUGH AND I THINK THE MESSAGE 4776 03:17:25,253 --> 03:17:27,722 THAT HAS COME FROM A FEW OF OUR 4777 03:17:27,722 --> 03:17:30,091 STUDIES NOW INCLUDING SOME MARK 4778 03:17:30,091 --> 03:17:32,627 JENSEN'S DONE WITH MINDFUL EXPNS 4779 03:17:32,627 --> 03:17:33,828 HYPNOSIS IS THAT WE'RE FINDING A 4780 03:17:33,828 --> 03:17:35,663 FEW THINGS BUT I THINK WE HAVE 4781 03:17:35,663 --> 03:17:37,632 TO BE CAREFUL NOT TO ASSUME 4782 03:17:37,632 --> 03:17:39,100 PEOPLE WON'T BENEFIT JUST 4783 03:17:39,100 --> 03:17:39,634 BECAUSE THEY'RE IMPAIRED. 4784 03:17:39,634 --> 03:17:42,637 BECAUSE WE'RE SEEING PEOPLE WITH 4785 03:17:42,637 --> 03:17:44,906 PRETTY SIGNIFICANT COGNITIVE AND 4786 03:17:44,906 --> 03:17:46,608 PHYSICAL IMPAIRMENTS WHO WERE 4787 03:17:46,608 --> 03:17:54,916 STILL BENEFITING FROM THESE 4788 03:17:54,916 --> 03:17:55,216 TREATMENTS. 4789 03:17:55,216 --> 03:17:55,550 >> MICHELLE? 4790 03:17:55,550 --> 03:17:56,884 >> THANK YOU DAWN FOR THAT 4791 03:17:56,884 --> 03:17:57,252 PRESENTATION. 4792 03:17:57,252 --> 03:17:58,553 IT WAS VERY EDUCATIONAL. 4793 03:17:58,553 --> 03:17:59,821 I ACTUALLY HAVE 2 QUESTIONS. 4794 03:17:59,821 --> 03:18:03,491 ONE IS YOU MENTIONED AND I I'M 4795 03:18:03,491 --> 03:18:04,859 NOT FULLY FAMILIAR WITH SOME OF 4796 03:18:04,859 --> 03:18:07,528 THESE MEASURES, YOU HAD 4797 03:18:07,528 --> 03:18:11,132 MENTIONED THAT YOU USE A TOTAL 4798 03:18:11,132 --> 03:18:13,434 MFS SCORE AND THAT AT SOME POINT 4799 03:18:13,434 --> 03:18:15,403 YOU MENTION A PAIN INTERFERENCE 4800 03:18:15,403 --> 03:18:18,139 SCORE, I WONDERED IF YOU COULD 4801 03:18:18,139 --> 03:18:21,309 CLARIFY WHAT THOSE ARE MEASURED. 4802 03:18:21,309 --> 03:18:23,244 MOST OF TIME I'M FAMILIAR WITH 4803 03:18:23,244 --> 03:18:25,647 PEOPLE DOING A VAS PAIN SCALE, 4804 03:18:25,647 --> 03:18:27,081 SO WHAT'S THE DIFFERENCE BETWEEN 4805 03:18:27,081 --> 03:18:28,783 WHAT YOU'RE DOING AND THAT TYPE 4806 03:18:28,783 --> 03:18:30,585 OF SCALE. 4807 03:18:30,585 --> 03:18:31,953 >> YEAH, GREAT QUESTION. 4808 03:18:31,953 --> 03:18:33,021 SO PAIN INTERFERENCE, WE'VE USED 4809 03:18:33,021 --> 03:18:35,223 A COUPLE OF THEM BUT THE MOST 4810 03:18:35,223 --> 03:18:37,392 RECENT WE'VE MOVED TO LIKE THE 4811 03:18:37,392 --> 03:18:38,593 PROMISE PAIN INTERFERENCE 4812 03:18:38,593 --> 03:18:39,727 MEASURE, THAT'S GETTING AT NOT 4813 03:18:39,727 --> 03:18:41,362 SO MUCH DOES PAIN HURT BUT MOW 4814 03:18:41,362 --> 03:18:43,464 MUCH DOES IT IRPT FEAR WITH 4815 03:18:43,464 --> 03:18:45,300 COMMON DAILY ACTIVITIES, MOOD, 4816 03:18:45,300 --> 03:18:46,668 SOCIAL ROLES AND FUNCTION. 4817 03:18:46,668 --> 03:18:49,771 SAME WITH THE FATIGUE SCALE I 4818 03:18:49,771 --> 03:18:50,838 MENTIONED, IT'S THE FATIGUE 4819 03:18:50,838 --> 03:18:51,973 IMPACT SCALE AND IT'S REALLY 4820 03:18:51,973 --> 03:18:55,410 GETTING AT HOW MUCH DOES FATIGUE 4821 03:18:55,410 --> 03:18:58,279 INTERFERE WITH FUNCTION VERSUS 4822 03:18:58,279 --> 03:19:01,382 JUST HOW BAD -- HOW FATIGUED ARE 4823 03:19:01,382 --> 03:19:01,949 THEY. 4824 03:19:01,949 --> 03:19:02,550 >> OKAY. 4825 03:19:02,550 --> 03:19:03,584 THAT ACTUALLY HELPS AND THEN THE 4826 03:19:03,584 --> 03:19:08,056 OTHER QUESTION I HAD WAS DID YOU 4827 03:19:08,056 --> 03:19:09,157 THEN BECAUSE IN ASKING THOSE 4828 03:19:09,157 --> 03:19:11,025 QUESTIONS ARE YOU LOOKING AT 4829 03:19:11,025 --> 03:19:12,960 ADLs AS A BASIC AS WELL AS 4830 03:19:12,960 --> 03:19:14,796 INSTRUMENTAL OR ARE YOU 4831 03:19:14,796 --> 03:19:16,531 EXPLICITLY ASKING THEM ABOUT 4832 03:19:16,531 --> 03:19:18,366 THOSE TYPES OF ACTIVITIES OR 4833 03:19:18,366 --> 03:19:26,140 IT'S JUST KIND OF EVERYDAY 4834 03:19:26,140 --> 03:19:27,008 WHAT'S GOING ON? 4835 03:19:27,008 --> 03:19:28,409 >> SO SOME OF THOSE MEASURE. 4836 03:19:28,409 --> 03:19:30,545 S DO GET AT A DAILY LEVEL OF 4837 03:19:30,545 --> 03:19:31,913 ACTIVITIES BUT NOT TO THE DEGREE 4838 03:19:31,913 --> 03:19:37,452 IF YOU WERE TO DO ADL A--OH 4839 03:19:37,452 --> 03:19:37,752 IDLMEASURES. 4840 03:19:37,752 --> 03:19:38,986 >> IS THAT WORTH DOING? 4841 03:19:38,986 --> 03:19:42,523 GETTING INTO THE ACTUAL TYPES OF 4842 03:19:42,523 --> 03:19:44,258 ACTIVITIES THAT PEOPLE DO ON A 4843 03:19:44,258 --> 03:19:46,961 -- LIKE DOES IT AFFECT THEIR 4844 03:19:46,961 --> 03:19:48,830 BASIC FUNCTIONING VERSUS THEIR 4845 03:19:48,830 --> 03:19:52,533 INSTRUMENTAL LIVING? 4846 03:19:52,533 --> 03:19:53,067 YOU KNOW? 4847 03:19:53,067 --> 03:19:55,169 >> I THINK THAT'S A GREAT 4848 03:19:55,169 --> 03:19:55,770 SUGGESTION ACTUALLY. 4849 03:19:55,770 --> 03:20:00,341 YOU KNOW I THINK BECAUSE LIKE 4850 03:20:00,341 --> 03:20:02,176 FOR EXAMPLE, ON THE PAIN 4851 03:20:02,176 --> 03:20:03,244 INTERFERENCE SCALE THAT WE 4852 03:20:03,244 --> 03:20:05,747 COMMONLY USED IT ASKED ABOUT 4853 03:20:05,747 --> 03:20:07,682 DOES IT INTERFERE WITH YOUR 4854 03:20:07,682 --> 03:20:09,350 ABILITY TO DO HOUSEHOLD 4855 03:20:09,350 --> 03:20:11,586 ACTIVITIES, DOES IT INTERFERE 4856 03:20:11,586 --> 03:20:13,921 WITH YOUR ABILITY TO GET AROUND, 4857 03:20:13,921 --> 03:20:16,224 SO IT GETS AT IT SOME BUT NOT TO 4858 03:20:16,224 --> 03:20:17,525 THE FINER DEGREE YOU MIGHT GET 4859 03:20:17,525 --> 03:20:19,127 WITH OTHER MEASURES AND THAT 4860 03:20:19,127 --> 03:20:21,229 MIGHT BE WORTH LOOKING AT AS 4861 03:20:21,229 --> 03:20:21,863 WELL. 4862 03:20:21,863 --> 03:20:23,097 >> GREAT. 4863 03:20:23,097 --> 03:20:28,803 THANK YOU. 4864 03:20:28,803 --> 03:20:29,103 >> ANGEL? 4865 03:20:29,103 --> 03:20:30,538 >> THANK YOU LET ME LOWER YOUR 4866 03:20:30,538 --> 03:20:30,772 HAND. 4867 03:20:30,772 --> 03:20:32,540 THANK YOU SO MUCH FOR THE 4868 03:20:32,540 --> 03:20:33,708 WONDERFUL PRESENTATION. 4869 03:20:33,708 --> 03:20:38,012 I WAS CURIOUS FROM AN ADVOCACY 4870 03:20:38,012 --> 03:20:39,080 PERSPECTIVE, HOW -- WHAT TOOLS 4871 03:20:39,080 --> 03:20:43,384 WE CAN USE OR HOW TO SPREAD THE 4872 03:20:43,384 --> 03:20:46,521 WORD ABOUT PARTICULARLY THE 4873 03:20:46,521 --> 03:20:47,054 DIMINISHITTAL INTERVENTION 4874 03:20:47,054 --> 03:20:47,321 SOLUTIONS. 4875 03:20:47,321 --> 03:20:49,624 I KNOW FOR MYSELF AND SOMEONE 4876 03:20:49,624 --> 03:20:53,628 WHO HAS -- WHO LIVES WITH MS, I 4877 03:20:53,628 --> 03:20:55,596 HAVE BEEN PRESCRIBED MEDICATION 4878 03:20:55,596 --> 03:20:57,165 FOR FATIGUE OR PAIN BUT I HAVE 4879 03:20:57,165 --> 03:20:59,834 NEVER HEARD OF THESE DIGITAL 4880 03:20:59,834 --> 03:21:01,035 TOOLS, SO, I WOULD LOVE TO BE 4881 03:21:01,035 --> 03:21:04,972 ABLE TO SHARE THAT WITH OUR 4882 03:21:04,972 --> 03:21:06,607 ADVOCACY COMMUNITY OR I'M JUST 4883 03:21:06,607 --> 03:21:07,909 CURIOUS WHAT'S HAPPENING THERE. 4884 03:21:07,909 --> 03:21:10,011 I LOVE THE MY O MASS TOOL KIT 4885 03:21:10,011 --> 03:21:13,381 YOU SAID WAS FUNDED THROUGH 4886 03:21:13,381 --> 03:21:15,583 CDMRP, SO I JUST WANT TO MAKE 4887 03:21:15,583 --> 03:21:16,751 SURE THAT LITTLER PEOPLE THAT 4888 03:21:16,751 --> 03:21:21,022 LIVE WITH MS CAN, AND OTHERS CAN 4889 03:21:21,022 --> 03:21:21,956 DEFINITELY THESE DIGITAL 4890 03:21:21,956 --> 03:21:23,424 SOLUTIONS COULD WORK FOR THE 4891 03:21:23,424 --> 03:21:27,261 SPINAL CORD INJURY COMMUNITY AND 4892 03:21:27,261 --> 03:21:28,095 OTHER PEOPLE. 4893 03:21:28,095 --> 03:21:28,896 >> YEAH, YOU'RE REALLY HITTING 4894 03:21:28,896 --> 03:21:29,664 ON THE GAP. 4895 03:21:29,664 --> 03:21:31,399 I THINK THERE'S THIS LACK OF 4896 03:21:31,399 --> 03:21:33,267 AWARENESS AND A LOT OF TIMES 4897 03:21:33,267 --> 03:21:35,670 PEOPLE DON'T GET REFERRED FOR 4898 03:21:35,670 --> 03:21:37,305 PAIN OR FATIGUE SELF-MANAGEMENT, 4899 03:21:37,305 --> 03:21:38,439 THEY TEND TO GET MEDICATIONS 4900 03:21:38,439 --> 03:21:40,141 FIRST AND THEY DON'T GET 4901 03:21:40,141 --> 03:21:44,378 REFERRED FOR BEHAVIORIAL 4902 03:21:44,378 --> 03:21:46,747 INTERVENTIONS OR SELF-HELP 4903 03:21:46,747 --> 03:21:48,249 INTERVENTIONS UNTIL IT'S LIKE 4904 03:21:48,249 --> 03:21:50,117 THE LAST RESORT, I HEAR THAT A 4905 03:21:50,117 --> 03:21:51,419 LOT FROM PEOPLE, IT'S THE TOOL 4906 03:21:51,419 --> 03:21:53,054 OF LAST RESORT, AND I THINK WE 4907 03:21:53,054 --> 03:21:54,455 NEED TO GET THESE THINGS TO 4908 03:21:54,455 --> 03:21:56,657 PEOPLE SOONER SO THEY CAN LEARN 4909 03:21:56,657 --> 03:21:59,560 HOW TO APPLY THEM. 4910 03:21:59,560 --> 03:22:02,230 I AM HAPPY TO -- I WOULD LOVE 4911 03:22:02,230 --> 03:22:05,533 YOUR IDEAS OFFLINE, I THINK YOU 4912 03:22:05,533 --> 03:22:09,237 WOULD BE SOMEONE TO TALK TO, AND 4913 03:22:09,237 --> 03:22:11,138 NOW OUR ADVISORY BOARD HAS IT ON 4914 03:22:11,138 --> 03:22:12,673 THE MAY MEETING TO BRIDGE THE 4915 03:22:12,673 --> 03:22:14,075 GAP IN THE COMMUNITY AND CAN WE 4916 03:22:14,075 --> 03:22:16,611 DO IT WITH A KNOWLEDGE CAMPAIGN 4917 03:22:16,611 --> 03:22:18,946 AND I WORK WITH MS SOCIETY AND 4918 03:22:18,946 --> 03:22:20,147 CAN DO MS ASSOCIATE 4919 03:22:20,147 --> 03:22:21,415 ORGANIZATIONS AS WELL TO GET 4920 03:22:21,415 --> 03:22:22,817 INFORMATION OUT THERE BUT EVEN 4921 03:22:22,817 --> 03:22:24,051 WITHIN OUR OWN MS CENTER, 4922 03:22:24,051 --> 03:22:27,855 SOMETIMES I FIND SOME OF OUR 4923 03:22:27,855 --> 03:22:30,591 PROVIDERS NTHEY'RE SO BUSY, I 4924 03:22:30,591 --> 03:22:31,659 DON'T BLAME THEM, THEY DON'T 4925 03:22:31,659 --> 03:22:33,294 REALIZE THEY COULD HIT A SMART 4926 03:22:33,294 --> 03:22:34,662 PHRASE ON THE NOTE THAT WOULD 4927 03:22:34,662 --> 03:22:38,900 REFER PEOPLE TO THE COOL TOOL 4928 03:22:38,900 --> 03:22:41,035 KIT SO WE NEED TO DO A BETTER 4929 03:22:41,035 --> 03:22:41,936 JOB AS WELL? 4930 03:22:41,936 --> 03:22:43,004 ONE FINAL QUESTION AND THEN WE 4931 03:22:43,004 --> 03:22:47,041 GOTTA GO ON TO OUR BREAK. 4932 03:22:47,041 --> 03:22:47,608 >> YEAH, SORRY DAWN, 4933 03:22:47,608 --> 03:22:52,046 DISCIPLINARY HAVE ANOTHER 4934 03:22:52,046 --> 03:22:53,848 QUESTION, YOU MENTIONED THE 4935 03:22:53,848 --> 03:22:55,983 STUDY WHERE YOU HAD THE E-TIPS 1 4936 03:22:55,983 --> 03:22:58,886 WHERE YOU LOOKED AT OTHER REHAB 4937 03:22:58,886 --> 03:23:01,756 GROUPS, TBI, AS WELL AS AMPUTEE. 4938 03:23:01,756 --> 03:23:05,826 DID YOU FIND ANY DIFFERENCES IN 4939 03:23:05,826 --> 03:23:07,228 HOW THEY EXPERIENCED A 4940 03:23:07,228 --> 03:23:10,031 REDUCTION, BECAUSE YOU JUST 4941 03:23:10,031 --> 03:23:12,233 SHOWED A GENERAL OUTCOME, WERE 4942 03:23:12,233 --> 03:23:13,734 THERE DIFFERENCES BETWEEN AND 4943 03:23:13,734 --> 03:23:15,803 ACROSS THESE REHAB GROUPS? 4944 03:23:15,803 --> 03:23:17,071 >> NO. 4945 03:23:17,071 --> 03:23:18,172 REALLY THEY WEREN'T. 4946 03:23:18,172 --> 03:23:18,606 THERE WEREN'T. 4947 03:23:18,606 --> 03:23:20,775 WE DID LOOK AT THAT, THERE WAS' 4948 03:23:20,775 --> 03:23:22,643 ALSO A STUDY FUNDED, I THINK IT 4949 03:23:22,643 --> 03:23:25,046 WAS MY FIRST RO-1 FUNDED BY NIH, 4950 03:23:25,046 --> 03:23:27,582 YEARS AGO THAT LOOKED AT 3 4951 03:23:27,582 --> 03:23:28,749 DIFFERENT DISABILITY GROUPS AND 4952 03:23:28,749 --> 03:23:31,419 SIMILAR TYPE OF CBT FOR PAIN AND 4953 03:23:31,419 --> 03:23:33,621 KIND OF COST STUDIES, WE DON'T 4954 03:23:33,621 --> 03:23:36,691 SEE THAT THEY REALLY DIFFER BY 4955 03:23:36,691 --> 03:23:37,892 DIAGNOSIS, THEY ALSO DON'T 4956 03:23:37,892 --> 03:23:38,626 DIFFER BY PAIN. 4957 03:23:38,626 --> 03:23:40,628 I DIDN'T GET INTO PAIN TYPES BUT 4958 03:23:40,628 --> 03:23:44,899 PEOPLE WITH MS CAN HAVE 4959 03:23:44,899 --> 03:23:45,466 NEUROPLASTIC NEUROPATHIC AND 4960 03:23:45,466 --> 03:23:46,500 CENTRAL NERVE PAIN. 4961 03:23:46,500 --> 03:23:48,502 SO WE FIND THAT OFTEN HAVE 4962 03:23:48,502 --> 03:23:50,905 MULTIPLE TYPES OF PAIN AND THAT 4963 03:23:50,905 --> 03:23:51,739 THESE INTERVENTIONS, REALLY 4964 03:23:51,739 --> 03:23:55,643 THEY'RE TARGETING THINGS THAT WE 4965 03:23:55,643 --> 03:23:57,645 THINK PACE OFFICE OF DIVERSITY 4966 03:23:57,645 --> 03:23:59,280 OUR FINDINGS SEEM TO KIND OF HIT 4967 03:23:59,280 --> 03:24:03,584 ACROSS TYPES OF PAIN AND 4968 03:24:03,584 --> 03:24:04,719 POPULATIONS. 4969 03:24:04,719 --> 03:24:06,253 NOKAY, SO LET'S BARBARA CAN WE 4970 03:24:06,253 --> 03:24:09,123 HEAD OFF IT TO THE BREAK NOW? 4971 03:24:09,123 --> 03:24:10,658 >> THANK YOU, THANK YOU DAWN AND 4972 03:24:10,658 --> 03:24:12,693 EVERYONE FOR YOUR INTERACTION. 4973 03:24:12,693 --> 03:24:16,330 AND SO, YES, WE'RE BACK AT 2:45 4974 03:24:16,330 --> 03:24:17,064 >> OKAY, YEAH. 4975 03:24:17,064 --> 03:24:22,377 THANKS A LOT EVERYBODY, STAY TUNED! 4976 03:24:22,377 --> 03:24:28,917 I AM DELIGHTED TO 4977 03:24:28,917 --> 03:24:31,185 INTRODUCE FRANCISCO 4978 03:24:31,185 --> 03:24:33,021 VALERO-CUEVAS, PROFESSOR 4979 03:24:33,021 --> 03:24:34,656 BIOMECHANICAL ENGINEERING, 4980 03:24:34,656 --> 03:24:35,456 AEROSPACE ENGINEERING, 4981 03:24:35,456 --> 03:24:36,658 ELECTRICAL AND COMPUTER 4982 03:24:36,658 --> 03:24:39,627 ENGINEERING AND COMPUTER SCIENCE 4983 03:24:39,627 --> 03:24:41,229 AND BIOPHYSICAL THERAPY AT THE 4984 03:24:41,229 --> 03:24:42,363 UNIVERSITY OF SOUTHERN 4985 03:24:42,363 --> 03:24:42,964 CALIFORNIA. 4986 03:24:42,964 --> 03:24:45,967 HIS RESEARCH AND DEDICATED TO 4987 03:24:45,967 --> 03:24:47,001 BEDDING THE BIOMECHANICS 4988 03:24:47,001 --> 03:24:48,736 NEUROMUSCULAR CONTROL AND 4989 03:24:48,736 --> 03:24:50,271 CLINICAL REHABILITATION OF 4990 03:24:50,271 --> 03:24:52,206 COMPLEX NEUROMUSCULAR SYSTEMS 4991 03:24:52,206 --> 03:24:54,042 SUCH AS THE HUMAN HAND. 4992 03:24:54,042 --> 03:24:57,812 SO, SENSORS AND MUSCLES, THE OWN 4993 03:24:57,812 --> 03:25:01,282 SUNG HEROES OF NEUROMUSCULAR 4994 03:25:01,282 --> 03:25:01,783 CONTROLS. 4995 03:25:01,783 --> 03:25:02,050 FRANCISCO? 4996 03:25:02,050 --> 03:25:03,818 >> THANK YOU SO MUCH BARBARA FOR 4997 03:25:03,818 --> 03:25:14,362 THAT KIND INTRODUCTION, CAN YOU 4998 03:25:38,252 --> 03:25:39,020 HEAR ME OKAY? 4999 03:25:39,020 --> 03:25:40,922 -- WHAT IS THERE IMPORTANCE, I 5000 03:25:40,922 --> 03:25:44,726 DON'T HAVE DISCLOSURES FOR THAT 5001 03:25:44,726 --> 03:25:46,427 PRESENTATION BUT WHY DO SENSORS 5002 03:25:46,427 --> 03:25:47,495 IN MUSCLES MATTER. 5003 03:25:47,495 --> 03:25:49,831 WELL AS WE KNOW MOVEMENT 5004 03:25:49,831 --> 03:25:51,733 DISORDERS THAT ARISE FROM 5005 03:25:51,733 --> 03:25:55,770 NEUROMUSCULAR AND MIEWROLOGICAL 5006 03:25:55,770 --> 03:25:57,705 CONDITIONS ARE QUITE DIVERSE AND 5007 03:25:57,705 --> 03:25:58,906 THEIR MOTOR ASSPEBT SYSTEM OFTEN 5008 03:25:58,906 --> 03:26:03,878 WHAT DEFINES THEM AND OF COURSE 5009 03:26:03,878 --> 03:26:05,813 WE SAW THE EXCELLENCE TALK ABOUT 5010 03:26:05,813 --> 03:26:07,615 PAIN AND THAT'S ANOTHER FORM OF 5011 03:26:07,615 --> 03:26:09,584 SENSING BUT MOVEMENT DISORDERS 5012 03:26:09,584 --> 03:26:11,285 IN GENERAL ARE CONSIDERED 5013 03:26:11,285 --> 03:26:13,087 CATEGORIZED AS PER THEIR AFFECT 5014 03:26:13,087 --> 03:26:18,159 ON OUR NATURAL MOVEMENTS. 5015 03:26:18,159 --> 03:26:18,993 HOWEVER THERE'S AN OPEN 5016 03:26:18,993 --> 03:26:20,528 QUESTION, WHAT ARE THE KRIEWKS 5017 03:26:20,528 --> 03:26:22,530 OF SENSORY DEFICITS TO THOSE 5018 03:26:22,530 --> 03:26:26,134 MOVEMENT DISORDERS, SO FOR 5019 03:26:26,134 --> 03:26:29,670 EXAMPLE, IN STROKE OR CEREBRAL 5020 03:26:29,670 --> 03:26:32,173 PALSY OR PARKINSON'S DISEASE, 5021 03:26:32,173 --> 03:26:35,043 PERHAPS IT IS A DISRUPTION OF 5022 03:26:35,043 --> 03:26:36,811 SENSATION THAT LEADS TO THE 5023 03:26:36,811 --> 03:26:38,913 MOVEMENT DISORDER AS OPPOSE TO 5024 03:26:38,913 --> 03:26:40,381 JUST A DISRUPTION IN THE MOTOR 5025 03:26:40,381 --> 03:26:41,916 SYSTEM, AND THIS IS NECESSARY 5026 03:26:41,916 --> 03:26:42,650 FOR ACCURATE DIAGNOSIS AND 5027 03:26:42,650 --> 03:26:43,084 TREATMENT. 5028 03:26:43,084 --> 03:26:49,023 THIS IS VERY, VERY CRITICAL AND 5029 03:26:49,023 --> 03:26:50,892 THEREFORE LET'S TALK ABOUT OUR 5030 03:26:50,892 --> 03:26:51,125 SENSES. 5031 03:26:51,125 --> 03:26:52,293 OF COURSE WE'RE FAMILIAR WITH 5032 03:26:52,293 --> 03:26:53,928 THE 5 TRADITIONAL SENSES OF 5033 03:26:53,928 --> 03:26:56,197 TASTE, SMELL, HEARING AND OF 5034 03:26:56,197 --> 03:26:58,166 COURSE VISION ALSO HELPS US 5035 03:26:58,166 --> 03:26:59,834 NAVIGATE THE WORLD, TOUCH ALLOWS 5036 03:26:59,834 --> 03:27:01,903 US TO INTERACT WITH THE WORLD 5037 03:27:01,903 --> 03:27:03,471 BUT THERE'S ANOTHER IMPORTANT 5038 03:27:03,471 --> 03:27:05,506 BODY SENSE THAT OFTEN GOES 5039 03:27:05,506 --> 03:27:07,241 UNSUNG WHICH IS PROPRIMATES O 5040 03:27:07,241 --> 03:27:09,911 ACCEPTION AND PROPRIMATES O 5041 03:27:09,911 --> 03:27:11,946 ACCEPTION IS WHAT ALLOWS US TO 5042 03:27:11,946 --> 03:27:14,248 UNDERSTAND AND KNOW SORT OF THE 5043 03:27:14,248 --> 03:27:15,316 STATE OF OUR BODIES. 5044 03:27:15,316 --> 03:27:16,851 SO IF WE WORK TO CLOSE OUR EYES 5045 03:27:16,851 --> 03:27:18,719 HOW DO WE KNOW IF WE'RE UPRIGHT, 5046 03:27:18,719 --> 03:27:20,822 HOW DO WE KNOW IF WE'RE SITTING 5047 03:27:20,822 --> 03:27:22,457 DOWN, WHERE OUR FINGERTIP IS, ET 5048 03:27:22,457 --> 03:27:22,690 CETERA. 5049 03:27:22,690 --> 03:27:29,630 AND HOW DO WE SENSE PROPRIMATES 5050 03:27:29,630 --> 03:27:30,231 O ACCEPTION. 5051 03:27:30,231 --> 03:27:32,533 IN ADDITION TO THE INNER EAR FOR 5052 03:27:32,533 --> 03:27:35,436 BALANCE WE HAVE OTHER SENSORS 5053 03:27:35,436 --> 03:27:37,772 CALLED MECHANO RECEPTORS THAT IN 5054 03:27:37,772 --> 03:27:40,641 OUR JOINTS AND MUSCLES AND IN 5055 03:27:40,641 --> 03:27:42,276 PARTICULAR THE MUSCLES ARE IN 5056 03:27:42,276 --> 03:27:44,178 THE ORGAN AND MUSCLE SPENDLES 5057 03:27:44,178 --> 03:27:45,613 AND TO GET AN IDEA WHAT THEY DO 5058 03:27:45,613 --> 03:27:53,321 SO HERE WE HAVE A SIMPLISTIC 5059 03:27:53,321 --> 03:28:00,027 MECHANICAL FIGURE BEING EXTENDED 5060 03:28:00,027 --> 03:28:07,869 BY A MUSCLE. 5061 03:28:07,869 --> 03:28:10,671 IMPORTANTLY THIS SENSE, THIS 5062 03:28:10,671 --> 03:28:12,907 MUSCLE SENSE IS NOT CONSCIOUS. 5063 03:28:12,907 --> 03:28:16,244 SO WE DO NOT HAVE CONSCIOUS 5064 03:28:16,244 --> 03:28:17,478 ACCESS TO THIS, OF COURSE TOUCH 5065 03:28:17,478 --> 03:28:24,552 WE DO BUT NOT THIS TYPE OF 5066 03:28:24,552 --> 03:28:26,087 SENSATION MAKING PROPRIOCEPTION 5067 03:28:26,087 --> 03:28:29,257 TO TENDONS AND MUSCLES, SO 5068 03:28:29,257 --> 03:28:30,324 HERE'S A DETAILED VIEW, ET 5069 03:28:30,324 --> 03:28:30,558 CETERA. 5070 03:28:30,558 --> 03:28:32,426 BUT JUST TO GIVE YOU A SENSE OF 5071 03:28:32,426 --> 03:28:34,529 WHAT THESE SENSORS DO IF WE HAVE 5072 03:28:34,529 --> 03:28:36,297 THE SAME EXTENSOR MUSCLE AND WE 5073 03:28:36,297 --> 03:28:38,799 WERE TO SAY, FLEX OUR FINGER, 5074 03:28:38,799 --> 03:28:43,971 YOU SEE THAT IT REACTS AND BY 5075 03:28:43,971 --> 03:28:47,875 DOING THAT THE TRADITIONAL 5076 03:28:47,875 --> 03:28:50,378 CLASSICAL EXAMPLE IS A KNEE JERK 5077 03:28:50,378 --> 03:28:52,547 REACTION IF YOUR KNEE CAP IS 5078 03:28:52,547 --> 03:28:59,587 TAPPED OR MORE PROPERLY YOUR 5079 03:28:59,587 --> 03:29:01,856 FEMORAL TENDON THAT THERE'S THIS 5080 03:29:01,856 --> 03:29:02,924 STRETCH SENSATION THAT GOES INTO 5081 03:29:02,924 --> 03:29:04,458 THE SPINAL CORD THAT MAKES THE 5082 03:29:04,458 --> 03:29:06,093 MUSCLE RETRACT AS YOU SEE IN THE 5083 03:29:06,093 --> 03:29:07,929 KNEE JERK REACTION, WHILE IT 5084 03:29:07,929 --> 03:29:12,200 ALSO ACTUALLY CONNECT TO SILENCE 5085 03:29:12,200 --> 03:29:15,036 THE QUOTE-UNQUOTE OPPOSITE 5086 03:29:15,036 --> 03:29:15,870 MUSCLE, THE ANTAGONIST MUSCLE SO 5087 03:29:15,870 --> 03:29:21,542 THERE IS A VERY WELL KNOWN 5088 03:29:21,542 --> 03:29:24,745 CIRCUITRY IN ALL VERTEBRATES AND 5089 03:29:24,745 --> 03:29:29,116 AMPHIBIANS THAT WORKS TO ENABLE 5090 03:29:29,116 --> 03:29:29,584 BEHAVIOR. 5091 03:29:29,584 --> 03:29:32,720 AND SO, JUST ANOTHER CARTOON 5092 03:29:32,720 --> 03:29:35,089 VERSION OF THIS CIRCUIT HERE, WE 5093 03:29:35,089 --> 03:29:36,290 HAVE THE MECHAN O RECEPTOR 5094 03:29:36,290 --> 03:29:41,596 THAT'S IN THE MUSCLE, THE REFLEX 5095 03:29:41,596 --> 03:29:43,664 MECHAN O RECEPTOR WHICH IS THE 5096 03:29:43,664 --> 03:29:45,066 MUSCLE SPINDLE, WHICH WHEN THE 5097 03:29:45,066 --> 03:29:47,335 MUSCLE IS STRETCHED GOES BACK TO 5098 03:29:47,335 --> 03:29:49,737 THE ITS OWN ALPHA MOTOR NEURON 5099 03:29:49,737 --> 03:29:51,172 AND CAUSES THE STRETCH AND THEN 5100 03:29:51,172 --> 03:29:53,708 THE TUNING OF THAT MECHAN O 5101 03:29:53,708 --> 03:29:57,011 RECEPTOR OF THE MUSCLE SPINDLE 5102 03:29:57,011 --> 03:30:01,782 IS ALSO DONE BY A SMALLER MOTOR 5103 03:30:01,782 --> 03:30:02,683 CALLED A GAMMA LOOP, 5104 03:30:02,683 --> 03:30:03,451 SOPHISTICATEDY WE WILL BE 5105 03:30:03,451 --> 03:30:05,253 BACKING BACK TO THE ALPHA GAMMA 5106 03:30:05,253 --> 03:30:06,120 PAIR BUT YOU'RE FAMILIAR WITH 5107 03:30:06,120 --> 03:30:08,256 THIS BECAUSE THIS IS WHAT'S 5108 03:30:08,256 --> 03:30:10,124 HOLDING YOU UP AGAINST GRAVITY 5109 03:30:10,124 --> 03:30:12,093 EACH TOW WE TALK ABOUT IT AS A 5110 03:30:12,093 --> 03:30:13,027 STRETCH REFLEX, WHAT WE'RE 5111 03:30:13,027 --> 03:30:15,763 REALLY TALKING ABOUT IS A LOW 5112 03:30:15,763 --> 03:30:17,965 LEVEL SPINAL CIRCUITRY THAT IS 5113 03:30:17,965 --> 03:30:21,269 THERE OPERATING ALL THE TIME, 5114 03:30:21,269 --> 03:30:23,204 KEEPING YOU UPRIGHT AGAINST 5115 03:30:23,204 --> 03:30:25,139 GRAVITY AND GIVING YOU PROPER 5116 03:30:25,139 --> 03:30:25,506 BEHAVIOR. 5117 03:30:25,506 --> 03:30:28,676 AND TO THE POINT THAT UPPER 5118 03:30:28,676 --> 03:30:31,812 MUSCLE SPINDLE BEHAVIOR IS 5119 03:30:31,812 --> 03:30:33,848 THOUGHT TO BE NECESSARY FOR 5120 03:30:33,848 --> 03:30:35,483 SMOOTH VOLUNTEERS UNSUPPORTED 5121 03:30:35,483 --> 03:30:37,551 TEARY MOVEMENT AND INVOLUNTARY 5122 03:30:37,551 --> 03:30:40,187 POSTURES BUT IT'S DISRUPTION IS 5123 03:30:40,187 --> 03:30:44,425 THOUGHT TO BE IMPLICATED IN 5124 03:30:44,425 --> 03:30:46,961 NEUROLOGICAL CONDITIONS LIKE 5125 03:30:46,961 --> 03:30:47,795 CEREBRAL PALSY, PARKINSON'S 5126 03:30:47,795 --> 03:30:48,262 DISEASE AND STROKE. 5127 03:30:48,262 --> 03:30:50,331 SO THESE ARE VERY, VERY 5128 03:30:50,331 --> 03:30:51,699 IMPORTANT CIRCUITS THAT ARE 5129 03:30:51,699 --> 03:30:55,636 IMPLICATED IN A VARIETY, IF NOT 5130 03:30:55,636 --> 03:30:57,938 MAJORITY OF MOVEMENT DISORDERS. 5131 03:30:57,938 --> 03:30:59,273 SO HERE WE NOW HAVE A BIGGER 5132 03:30:59,273 --> 03:31:00,775 PICTURE WHERE WE HAVE THE 5133 03:31:00,775 --> 03:31:02,710 TRADITIONAL MOTE OR CORTEX AND 5134 03:31:02,710 --> 03:31:04,178 SENSORY CORTEX THAT COMMUNICATE 5135 03:31:04,178 --> 03:31:06,047 TO THE SPINAL CORD AND OF 5136 03:31:06,047 --> 03:31:07,782 COURSE, THE SPINAL CORD SENDS 5137 03:31:07,782 --> 03:31:10,184 SIGNALS TO MUSCLES FOR 5138 03:31:10,184 --> 03:31:11,319 ACTIVATION, BUT MUSCLES 5139 03:31:11,319 --> 03:31:13,454 THEMSELVES SEND THESE SIGNATS 5140 03:31:13,454 --> 03:31:15,790 BACK TO THE SPINAL CORD AND THEN 5141 03:31:15,790 --> 03:31:18,392 ON TO THE SENSORY CORTEX. 5142 03:31:18,392 --> 03:31:22,129 THE QUESTION IS, HOW IS THIS 5143 03:31:22,129 --> 03:31:24,198 ORCHESTERATION HAPPENING AND 5144 03:31:24,198 --> 03:31:26,467 FUNDAMENTALLY, HOW DO THESE 5145 03:31:26,467 --> 03:31:28,836 CONTRIBUTE TO BEHAVIOR AND ALSO 5146 03:31:28,836 --> 03:31:29,437 TO DISABILITIES. 5147 03:31:29,437 --> 03:31:32,707 SO LET ME JUST GIVE YOU 4 SHORT 5148 03:31:32,707 --> 03:31:34,108 EXAMPLES OF KNOWLEDGE THAT WE'VE 5149 03:31:34,108 --> 03:31:37,278 BEEN ABLE TO DEVELOP OVER THE 5150 03:31:37,278 --> 03:31:37,611 YEARS. 5151 03:31:37,611 --> 03:31:41,649 SO 1 OF THEM IS JUST THAT THE 5152 03:31:41,649 --> 03:31:43,017 STRETCH REFLEX CIRCUITRY TO 5153 03:31:43,017 --> 03:31:44,318 MAINTAIN POSTURE, THIS HAS BEEN 5154 03:31:44,318 --> 03:31:47,288 PROPOSED FOR A VERY LONG TIME, 5155 03:31:47,288 --> 03:31:50,024 IN FACT, SINCE THE TIME OF SIR 5156 03:31:50,024 --> 03:32:00,534 CHARLES SHERRING TON IN 1896, 5157 03:32:01,001 --> 03:32:07,808 THROUGH KNOWLEDGE ACCUMULATED BY 5158 03:32:07,808 --> 03:32:08,809 PIERROT-DESEILLIGNY, AND BURKE, 5159 03:32:08,809 --> 03:32:10,978 AND HE SAID I CANNOT CREATE WHAT 5160 03:32:10,978 --> 03:32:12,380 I DO IN THE UNDERSTAND. 5161 03:32:12,380 --> 03:32:14,315 SO AS ENGINEERS WE TOOK IT UPON 5162 03:32:14,315 --> 03:32:15,383 OURSELVES TO BUILD THESE SYSTEMS 5163 03:32:15,383 --> 03:32:17,385 SO WHAT WE USED OR COMPUTER 5164 03:32:17,385 --> 03:32:19,286 CHIPS TO SIMULATE NEURONS IN 5165 03:32:19,286 --> 03:32:21,088 MOTORS TO SIMULATE MUSCLES AND 5166 03:32:21,088 --> 03:32:24,392 THEN SOME MECHANICAL SYSTEMS 5167 03:32:24,392 --> 03:32:27,461 CHOOSE TO SIMULATE OUR ANATOMY 5168 03:32:27,461 --> 03:32:29,630 AND OF COURSE THERE WAS MY 5169 03:32:29,630 --> 03:32:36,804 PLEASURE TO COLLABORATE WITH 5170 03:32:36,804 --> 03:32:37,738 PEOPLE LIKE COLLEAGUES AND 5171 03:32:37,738 --> 03:32:39,173 STUDENTS AND POST DOCS TO BRING 5172 03:32:39,173 --> 03:32:40,307 THIS TO LIFE. 5173 03:32:40,307 --> 03:32:42,743 SO WE PUBLISHED THE ABILITY TO 5174 03:32:42,743 --> 03:32:45,579 SIMULATE THE STRETCH REFLEXES IN 5175 03:32:45,579 --> 03:32:48,816 TUMOR MUSCLES AND HERE AGAIN IS 5176 03:32:48,816 --> 03:32:50,084 THAT NEURNEUROMECHANICAL SYSTEM, 5177 03:32:50,084 --> 03:32:51,619 IT'S A SYNTHETIC SYSTEM WITH 2 5178 03:32:51,619 --> 03:32:53,454 MUSCLES, EACH OF THEM WITH THE 5179 03:32:53,454 --> 03:32:55,256 DRIVE TO THE MUSCLE BUT THEN THE 5180 03:32:55,256 --> 03:32:57,725 SENSORS COMING BACK TO THEIR 5181 03:32:57,725 --> 03:32:57,958 OWN. 5182 03:32:57,958 --> 03:33:01,829 AND SO, WE DO THIS IN THE 5183 03:33:01,829 --> 03:33:04,265 CONTEXT OF FPGH CHIPS THAT ARE 5184 03:33:04,265 --> 03:33:06,467 ALSO SIMULATING SPIKING NEURONS, 5185 03:33:06,467 --> 03:33:06,734 ET CETERA. 5186 03:33:06,734 --> 03:33:10,604 SO YOU COULD CALL THIS SYNTHETIC 5187 03:33:10,604 --> 03:33:12,106 NEUROSCIENCE AND WHEN YOU PUT 5188 03:33:12,106 --> 03:33:14,074 THESE SYSTEMS TGHTS, WE'RE NO 5189 03:33:14,074 --> 03:33:15,042 LONGER TALKING NECESSARILY ABOUT 5190 03:33:15,042 --> 03:33:17,978 THE THEORIES OF MOTOR CONTROL, 5191 03:33:17,978 --> 03:33:20,314 BUT WE ACTUALLY CREATE ROUGH 5192 03:33:20,314 --> 03:33:22,450 ATOM BUTS THAT IMPLEMENT THESE 5193 03:33:22,450 --> 03:33:24,285 CIRCUITS THAT WERE DEVELOPED AND 5194 03:33:24,285 --> 03:33:26,053 FINE TUNED BY NATURE OVER 5195 03:33:26,053 --> 03:33:27,087 MILLIONS OF YEARS OF EVOLUTION 5196 03:33:27,087 --> 03:33:30,391 AND WE SEE THAT THEY ACTUALLY 5197 03:33:30,391 --> 03:33:32,026 WORK RATHER WELL AND IN FACT, 5198 03:33:32,026 --> 03:33:34,261 YOU COULD EVEN RECORD FROM ANY 1 5199 03:33:34,261 --> 03:33:38,599 OF THOSE SIMULATED NEURONS. 5200 03:33:38,599 --> 03:33:39,433 THESE NEUROMORPHIC CIRCUITS AND 5201 03:33:39,433 --> 03:33:41,702 YOU COULD ACTUALLY HEAR THE 5202 03:33:41,702 --> 03:33:42,703 STRETCH REFLEX BECAUSE IT IS 5203 03:33:42,703 --> 03:33:46,006 SYSTEM AS IT IS ACTUALLY RIGHT 5204 03:33:46,006 --> 03:33:47,408 OFF THE SHELF WORKS. 5205 03:33:47,408 --> 03:33:50,444 SO THIS A VERY INTERESTING 5206 03:33:50,444 --> 03:33:51,479 CONCEPT BECAUSE NOT ONLY DOES 5207 03:33:51,479 --> 03:33:54,181 THIS ALLOW US TO VALIDATE THE 5208 03:33:54,181 --> 03:33:57,518 PHYSIOLOGICAL CONCEPTS, AND EVEN 5209 03:33:57,518 --> 03:33:58,919 POTENTIALLY SIMULATE 5210 03:33:58,919 --> 03:34:00,588 NEUROLOGICAL CONDITIONS, BUT WE 5211 03:34:00,588 --> 03:34:04,325 CAN EXTEND THIS AND THEN WE 5212 03:34:04,325 --> 03:34:05,359 BECOME THE OPPORTUNITIES OF 5213 03:34:05,359 --> 03:34:06,827 NATURE WHERE THESE LESSONS FROM 5214 03:34:06,827 --> 03:34:10,998 NATURE ALLOW US TO BUILD 5215 03:34:10,998 --> 03:34:12,166 NEURO-ROBOTIC SYSTEMS THAT COULD 5216 03:34:12,166 --> 03:34:14,768 USE THESE SPINAL CIRCUITS TO 5217 03:34:14,768 --> 03:34:16,370 CREATE ROBOTS THAT INTERACT 5218 03:34:16,370 --> 03:34:18,873 GRACEFULLY WITH THE WORLD AND 5219 03:34:18,873 --> 03:34:21,609 WITH HUMANS IN EXOSKELETONS, ET 5220 03:34:21,609 --> 03:34:21,976 CETERA. 5221 03:34:21,976 --> 03:34:23,844 SO, WE'VE WRITTEN ABOUT THIS IN 5222 03:34:23,844 --> 03:34:25,779 NATURE MACHINE INTELLIGENCE, 5223 03:34:25,779 --> 03:34:28,115 WHERE WE TALK ABOUT BIOROBOTS 5224 03:34:28,115 --> 03:34:30,351 AND BRAIN BODY ADAPTATIONS WITH 5225 03:34:30,351 --> 03:34:32,987 THE LESSONS FROM NATURE, AND 5226 03:34:32,987 --> 03:34:35,923 THIS IS IN COLLABORATION WITH 1 5227 03:34:35,923 --> 03:34:37,658 OF MY OPPORTUNITY WHO IS IS AT 5228 03:34:37,658 --> 03:34:43,230 THE UNIVERSITY OF CINCINNATI. 5229 03:34:43,230 --> 03:34:45,599 SO THE NEW KNOWLEDGE HERE FOR 5230 03:34:45,599 --> 03:34:49,703 THE SECOND EXAMPLE IS HOW TO 5231 03:34:49,703 --> 03:34:50,504 STRETCH REFLEX CIRCUITS OPERATE 5232 03:34:50,504 --> 03:34:54,041 WHEN YOU HAVE MULTIPLE 5233 03:34:54,041 --> 03:34:55,609 SCLEROSIS? 5234 03:34:55,609 --> 03:34:56,911 SO THIS IS ACTUALLY 1 OF THE 5235 03:34:56,911 --> 03:35:00,314 TOPICS I TREAT IN MY TEXTBOOK 5236 03:35:00,314 --> 03:35:01,015 FUNDAMENTALS OF NEUROMECHANNICS 5237 03:35:01,015 --> 03:35:04,518 WHERE WE HAVE THE SIMPLE SINGLE 5238 03:35:04,518 --> 03:35:05,920 JOINT 2 MUSCLE SYSTEM AND WE ARE 5239 03:35:05,920 --> 03:35:07,688 ABLE TO UNDERSTAND THOSE FINAL 5240 03:35:07,688 --> 03:35:07,955 CIRCUITS. 5241 03:35:07,955 --> 03:35:11,258 BUT WHAT HAPPENS WHEN WE HAVE 5242 03:35:11,258 --> 03:35:12,860 MULTIPLE MUSCLES CROSSING A 5243 03:35:12,860 --> 03:35:14,695 SINGLE JOINT, SAY, AND THIS 5244 03:35:14,695 --> 03:35:15,963 JOIPT WANTS TO MOVE? 5245 03:35:15,963 --> 03:35:19,934 SO AS YOU KNOW WHENEVER THE 5246 03:35:19,934 --> 03:35:21,669 JOINT PROITATES THE TENDON COULD 5247 03:35:21,669 --> 03:35:24,104 LENGTHEN IF IT'S 1 OF THOSE 5248 03:35:24,104 --> 03:35:25,139 ESSENT RICKLY CONTRACTED 5249 03:35:25,139 --> 03:35:26,473 MUSCLES, HOWEVER, WHAT IF YOU 5250 03:35:26,473 --> 03:35:28,475 HAVE 2 OR 3 MUSCLES THAT ARE 5251 03:35:28,475 --> 03:35:36,250 LENGTHENING AT THE SAME TIME? 5252 03:35:36,250 --> 03:35:39,453 WELL, IT TURNS OUT IF 1 OF THOSE 5253 03:35:39,453 --> 03:35:40,220 DOESN'T IMMEDIATELY LEPGHTEN, 5254 03:35:40,220 --> 03:35:41,388 THE MOVEMENT IS STOPPED. 5255 03:35:41,388 --> 03:35:43,891 SO WHAT THIS DOES IS IT EXTENDS 5256 03:35:43,891 --> 03:35:45,292 THIS NOTION OF RECIPROCAL 5257 03:35:45,292 --> 03:35:49,830 INHIBITION WHERE YOU TALK ABOUT 5258 03:35:49,830 --> 03:35:52,132 THE ANTAGONIST AND TO ACTUALLY 5259 03:35:52,132 --> 03:35:54,635 TALK ABOUT HOW COORDINATION OF 5260 03:35:54,635 --> 03:35:55,903 REFLECT PATHWAYS AMONG SINNER 5261 03:35:55,903 --> 03:35:57,171 GESTIC MUSCLES IS ALSO VERY 5262 03:35:57,171 --> 03:35:59,239 IMPORTANT MEANING THAT WE ARE 5263 03:35:59,239 --> 03:36:02,176 TALKING ABOUT HOW THE NERVOUS 5264 03:36:02,176 --> 03:36:03,010 SYSTEM AND POTENTIALLY AT THE 5265 03:36:03,010 --> 03:36:06,080 LEVEL OF THE SPINAL CORD HAS TO 5266 03:36:06,080 --> 03:36:07,481 BE REGULATING THE REFLEX 5267 03:36:07,481 --> 03:36:09,416 PATHWAYS ACROSS ALL MUSCLES EVEN 5268 03:36:09,416 --> 03:36:11,418 IF THEY ARE QUOTE-UNQUOTE ON THE 5269 03:36:11,418 --> 03:36:17,124 SAME SIDE OF THE JOINT. 5270 03:36:17,124 --> 03:36:18,192 AND SO MATHEMATICALLY, YOU CAN 5271 03:36:18,192 --> 03:36:20,628 EXPRESS THIS AS THE FACT THAT 1 5272 03:36:20,628 --> 03:36:23,197 SINGLE VARIABLE, A JOINT ANGLE 5273 03:36:23,197 --> 03:36:25,499 DEFINES THE EXCURSIONS OF ALL 5274 03:36:25,499 --> 03:36:26,533 MUSCLES CROSSING THAT JOINT 5275 03:36:26,533 --> 03:36:29,637 WHICH IS VERY INTERESTINGLY THE 5276 03:36:29,637 --> 03:36:33,607 OPPOSITE OF WHAT WE THINK ABOUT 5277 03:36:33,607 --> 03:36:34,875 MUSCLE REDUNDANCY MUSCLE 5278 03:36:34,875 --> 03:36:36,944 REDUNDANCY WE THINK THAT TO 5279 03:36:36,944 --> 03:36:38,345 PRODUCE A NETJOINT ACROSS THE 5280 03:36:38,345 --> 03:36:40,714 JOINT WITH MANY MUSCLES CAN BE 5281 03:36:40,714 --> 03:36:43,384 DONE IN AN INFINITE NUMBER OF 5282 03:36:43,384 --> 03:36:44,351 WAYS TECHNICALLY WHICH IS TRUE 5283 03:36:44,351 --> 03:36:47,087 BUT ONCE YOU START TALKING ABOUT 5284 03:36:47,087 --> 03:36:49,289 MOVEMENT, THEN IN MOVEMENT WE 5285 03:36:49,289 --> 03:36:54,294 ARE THE FURTHEST FROM REDUN ANT. 5286 03:36:54,294 --> 03:36:55,663 ESSENTIALLY WE REQUIRE STRICT 5287 03:36:55,663 --> 03:36:56,730 COORDINATION IN THE REFLEX 5288 03:36:56,730 --> 03:36:59,199 PATHWAYS SO THEN WE NEED TO MOVE 5289 03:36:59,199 --> 03:37:04,238 AWAY FROM TRADITIONAL 5290 03:37:04,238 --> 03:37:05,339 PERSPECTIVES OF MUSCLE 5291 03:37:05,339 --> 03:37:06,073 REDUNDANCY TO UNDERSTAND THAT 5292 03:37:06,073 --> 03:37:08,342 OUR BODIES AND THE WAY THEY'RE 5293 03:37:08,342 --> 03:37:09,877 BEING CONTROLLED AND INTIMATELY 5294 03:37:09,877 --> 03:37:15,582 AFFECTED BY THE WAY MUSCLES HAVE 5295 03:37:15,582 --> 03:37:16,650 THEIR INNERVATION. 5296 03:37:16,650 --> 03:37:18,485 SO ANOTHER EXAMPLE, I WANT TO 5297 03:37:18,485 --> 03:37:22,723 PRESENT TO YOU IS THIS IDEA OF 5298 03:37:22,723 --> 03:37:25,693 CAN WE REALLY UNDERSTAND THE 5299 03:37:25,693 --> 03:37:28,495 MUSCLE VELOCITIES THAT MUSCLES 5300 03:37:28,495 --> 03:37:30,330 SEE BECAUSE IF WE UNDERSTAND 5301 03:37:30,330 --> 03:37:33,067 THAT THEN WE UNDERSTAND 5302 03:37:33,067 --> 03:37:34,435 ESSENTIALLY THE CONSTRAINTS 5303 03:37:34,435 --> 03:37:35,602 UNDER WHICH THESE REFLECT 5304 03:37:35,602 --> 03:37:37,471 PATHWAYS OR SPINAL CIRCUITRYS 5305 03:37:37,471 --> 03:37:44,845 NEED TO BE MODULATED, AND A VERY 5306 03:37:44,845 --> 03:37:47,881 SIMPLE EXAMPLE IS THAT OF THE 5307 03:37:47,881 --> 03:37:49,116 BASKETBALL FREE THROW, SO VAN 5308 03:37:49,116 --> 03:37:52,019 HAGUEN WHO IS NOW AN ENGINEER AT 5309 03:37:52,019 --> 03:37:55,222 SARCOS, HE'S VERY INTERESTED IN 5310 03:37:55,222 --> 03:37:55,522 BASKETBALL. 5311 03:37:55,522 --> 03:37:58,559 SO WHAT WE ASKED WAS, OKAY, WHAT 5312 03:37:58,559 --> 03:38:00,728 HAPPENS WHEN YOU MOVE YOUR ARM 5313 03:38:00,728 --> 03:38:04,131 TO BE ABLE TO THROW A 5314 03:38:04,131 --> 03:38:05,165 BASKETBALL, WELL IT TURNS OUT 5315 03:38:05,165 --> 03:38:06,834 YOU CAN CREATE A COMPUTATIONAL 5316 03:38:06,834 --> 03:38:09,603 MODEL WHICH IS IN THIS CASE, A 5317 03:38:09,603 --> 03:38:12,039 PLANAR MODEL OF AN ARM WITH ALL 5318 03:38:12,039 --> 03:38:14,174 THESE DIFFERENT 18 MUSCLES, THAT 5319 03:38:14,174 --> 03:38:16,043 CROSS THE SHOULDER, THE ELBOW 5320 03:38:16,043 --> 03:38:17,211 AND THE WRIST, ASK WHAT YOU WANT 5321 03:38:17,211 --> 03:38:20,280 TO DO HERE ON YOUR RIGHT IS 5322 03:38:20,280 --> 03:38:22,649 START THIS INITIAL POSITION, 5323 03:38:22,649 --> 03:38:24,184 MOVE YOUR ARM AND END AT THIS 5324 03:38:24,184 --> 03:38:27,020 FINAL POSITION WITH A PARTICULAR 5325 03:38:27,020 --> 03:38:28,188 VELOCITY, SO THAT THE BALL THEN 5326 03:38:28,188 --> 03:38:30,724 GOES IN AND SCORES, RIGHT? 5327 03:38:30,724 --> 03:38:32,426 AND ANOTHER WAY TO SEE THIS IS 5328 03:38:32,426 --> 03:38:37,097 THAT EACH OF THESE MOVEMENTS, IN 5329 03:38:37,097 --> 03:38:40,334 EXTERNAL SPACE, IS ACTUALLY 5330 03:38:40,334 --> 03:38:42,436 ACCOMPANIED AND PRODUCED BY 5331 03:38:42,436 --> 03:38:43,403 ROTATIONS OF SHOULDER, ELBOW AND 5332 03:38:43,403 --> 03:38:46,440 WRIST AND HERE YOU CAN SEE THE 5333 03:38:46,440 --> 03:38:50,277 PATH IN THIS ANGLE ROTATIONS OF 5334 03:38:50,277 --> 03:38:53,280 THESE 3 JOINTS THAT MUST BE 5335 03:38:53,280 --> 03:38:55,149 FOLLOWED TO PRODUCE EACH OF 5336 03:38:55,149 --> 03:38:55,649 THESE TRAJECTORIES. 5337 03:38:55,649 --> 03:38:57,851 SO WHAT THIS ALLOWS US TO DO IS 5338 03:38:57,851 --> 03:39:00,988 TO EXPLORE ESSENTIALLY THIS IDEA 5339 03:39:00,988 --> 03:39:01,922 OF KINEMATTIC REDUNDANCY WHERE 5340 03:39:01,922 --> 03:39:03,857 WE SEE THAT THERE ARE MANY WAYS 5341 03:39:03,857 --> 03:39:08,095 TO GET FROM A TO B, AND ALL OF 5342 03:39:08,095 --> 03:39:09,129 THOSE ACCOMPLISH THE TASK AND 5343 03:39:09,129 --> 03:39:15,335 PEOPLE TEND TO THINK OF THIS AS 5344 03:39:15,335 --> 03:39:18,205 REDUNDANCY BUT ALL OF THESE 5345 03:39:18,205 --> 03:39:19,673 TRAJECTORIES EQUIVALENT FROM THE 5346 03:39:19,673 --> 03:39:20,874 PERSPECTIVE OF THE MUSCLES IS 5347 03:39:20,874 --> 03:39:21,642 THE QUESTION. 5348 03:39:21,642 --> 03:39:24,878 SO AS AN EXAMPLE IN THIS PAPER 5349 03:39:24,878 --> 03:39:27,681 IN THE JOURNAL OF BIOMECHANICS 5350 03:39:27,681 --> 03:39:29,149 WE SHOW 3 TRAJECTORIES OF END 5351 03:39:29,149 --> 03:39:31,185 POINT OF THE ARM, THAT LOOK LIKE 5352 03:39:31,185 --> 03:39:33,153 SIMILAR AND OF COURSE THEY ALL 5353 03:39:33,153 --> 03:39:36,590 ACHIEVE THE GOAL OF SCORING BUT 5354 03:39:36,590 --> 03:39:38,425 WHEN YOU ACTUALLY LOOK AT THEM 5355 03:39:38,425 --> 03:39:42,262 IN DETAIL, AND THE ACTUAL 5356 03:39:42,262 --> 03:39:45,199 PATHWAYS IN JOINT SPACE, HOW 5357 03:39:45,199 --> 03:39:47,901 DOES THAT MOVEMENT GET PRODUCED 5358 03:39:47,901 --> 03:39:51,171 AT THE LEVEL OF THE MUSCLES. 5359 03:39:51,171 --> 03:39:53,473 WE SEE THAT AND HERE IS A 5360 03:39:53,473 --> 03:39:56,476 CONCEPTUAL GRAPH OF MUSCLE 5361 03:39:56,476 --> 03:39:58,178 VELOCITIES FOR ALL 100,000 5362 03:39:58,178 --> 03:40:00,614 MOVEMENTS SIMULATED BUT HERE ARE 5363 03:40:00,614 --> 03:40:01,448 MOVEMENTS 1, 2, AND 3. 5364 03:40:01,448 --> 03:40:04,318 AND WE SEE THAT THE CUMULATIVE 5365 03:40:04,318 --> 03:40:07,588 VELOCITIES THAT THEIR MUSCLES 5366 03:40:07,588 --> 03:40:10,290 SEEK CAN BE QUITE DIFFERENT. 5367 03:40:10,290 --> 03:40:13,327 WHICH THIS SUGGESTS THEN THAT 5368 03:40:13,327 --> 03:40:14,628 NOT EVERY MOVEMENT IS EQUIVALENT 5369 03:40:14,628 --> 03:40:16,296 TO EVERY OTHER MOVEMENT. 5370 03:40:16,296 --> 03:40:18,098 SO THEN IF YOU THINK OF HAVING 5371 03:40:18,098 --> 03:40:22,269 TO MOVE YOUR ARM IN A WAY THAT 5372 03:40:22,269 --> 03:40:24,271 IT INDUCES HIGH VELOCITIES AT 5373 03:40:24,271 --> 03:40:30,510 YOUR MUSCLES, PERHAPS THIS IS 5374 03:40:30,510 --> 03:40:39,419 WHERE SPAOF SP A CITIES AND 5375 03:40:39,419 --> 03:40:40,120 COORDINATED CROSS ALL MUSCLINGS 5376 03:40:40,120 --> 03:40:42,256 SO THEN THAT BEGINS TO TELL US 5377 03:40:42,256 --> 03:40:43,891 THAT PERHAPS MOVEMENT DISORDER 5378 03:40:43,891 --> 03:40:44,725 VS ANOTHER DIMENSION THAT WE 5379 03:40:44,725 --> 03:40:47,027 HAVE BEEN LOOKINGA THE VERY 5380 03:40:47,027 --> 03:40:49,796 CAREFULLY. 5381 03:40:49,796 --> 03:40:52,299 SO HERE IS THAT IN MORE DETAIL, 5382 03:40:52,299 --> 03:40:54,601 WHERE HERE YOU HAVE MOVEMENT 1 5383 03:40:54,601 --> 03:41:01,575 IN GREEN, AND THESE ARE THE 5384 03:41:01,575 --> 03:41:03,176 VELOCITIES THAT THOSE 18 MUSCLES 5385 03:41:03,176 --> 03:41:04,912 SEE AND THOSE INCREASE 5386 03:41:04,912 --> 03:41:05,846 DRAMATICALLY IN A PARTICULAR WAY 5387 03:41:05,846 --> 03:41:09,383 OVER TIME AND HERE WE CAN SEE 5388 03:41:09,383 --> 03:41:14,421 THAT EACH OF THESE MOVEMENTS HAS 5389 03:41:14,421 --> 03:41:17,190 A DIFFERENT TYPE OF SOLID 5390 03:41:17,190 --> 03:41:17,891 KINEMATTIC SIGNATURE AT THE 5391 03:41:17,891 --> 03:41:19,993 LEVEL OF THE MUSCLES, SO WHAT 5392 03:41:19,993 --> 03:41:22,629 THIS CAN DO IS EXPLAIN WHY FOR 5393 03:41:22,629 --> 03:41:24,264 EXAMPLE, SOME ATHLETES ARE QUITE 5394 03:41:24,264 --> 03:41:25,766 ADEPT AT SCORING BECAUSE MAYBE 5395 03:41:25,766 --> 03:41:27,634 THEY ARE USING THESE MOVEMENTS 5396 03:41:27,634 --> 03:41:32,439 THAT ARE USED LOWER VELOCITIES 5397 03:41:32,439 --> 03:41:33,840 WHEREAS MAYBE OTHER ATHLETES 5398 03:41:33,840 --> 03:41:35,142 PRODUCE GREATER ERRORS IN THEIR 5399 03:41:35,142 --> 03:41:36,209 SCORES FOR EXAMPLE, BECAUSE 5400 03:41:36,209 --> 03:41:37,611 MAYBE THEY'RE INDUCING HIGHER 5401 03:41:37,611 --> 03:41:39,046 VELOCITIES AND THEN THEY NEED TO 5402 03:41:39,046 --> 03:41:39,846 COORDINATE THEIR MUSCLES IN A 5403 03:41:39,846 --> 03:41:43,951 WAY THAT IS MORE SENSITIVE TO 5404 03:41:43,951 --> 03:41:44,518 ERRORS. 5405 03:41:44,518 --> 03:41:47,554 SO THIS CAN ALSO POTENTIALLY BE 5406 03:41:47,554 --> 03:41:48,288 APPLIED TO DISABILITIES. 5407 03:41:48,288 --> 03:41:55,729 SO HOW IS IT THAT IN SOME CASES, 5408 03:41:55,729 --> 03:41:56,596 SOME MOVEMENT DISRUPTIONS EMERGE 5409 03:41:56,596 --> 03:41:58,598 IN 1 CASE BUT NOT IN ANOTHER 5410 03:41:58,598 --> 03:42:00,200 WHEN REACHING TO THE RIGHT OR 5411 03:42:00,200 --> 03:42:04,371 REACHING TO THE LEFT, ET CETERA. 5412 03:42:04,371 --> 03:42:10,310 SO THE NEW KNOWLEDGE NUMBER 3 5413 03:42:10,310 --> 03:42:12,612 HERE IS REALLY ABOUT ASKING BUT 5414 03:42:12,612 --> 03:42:14,247 HOW SIMILAR EVERY DAY MOVEMENTS 5415 03:42:14,247 --> 03:42:17,050 CAN REQUIRE DIFFERENT TUNING OF 5416 03:42:17,050 --> 03:42:18,018 REFLEX MUSCLES ACROSS DIFFERENT 5417 03:42:18,018 --> 03:42:18,952 MULTIPLE MUSCLES AND JOINTS. 5418 03:42:18,952 --> 03:42:21,922 SO THERE ARE THE DETAILS OF THE 5419 03:42:21,922 --> 03:42:23,824 MOVEMENT CAN MATTER TO THE 5420 03:42:23,824 --> 03:42:25,092 EMERGENCE OF MOVEMENT DISORDERS, 5421 03:42:25,092 --> 03:42:26,526 EVEN IN EVERY DAY ACTIVITIES 5422 03:42:26,526 --> 03:42:30,030 WHERE THE MOVEMENTS LOOK 5423 03:42:30,030 --> 03:42:30,964 APPARENTLY SIMILAR. 5424 03:42:30,964 --> 03:42:33,934 SO AND THEN, THE -- THE LAST 5425 03:42:33,934 --> 03:42:35,102 EXAMPLE THAT I WILL SPEND A 5426 03:42:35,102 --> 03:42:38,171 LITTLE BIT MORE TIME ON HERE, IS 5427 03:42:38,171 --> 03:42:41,341 A MORE RECENT WORK WHERE WE TALK 5428 03:42:41,341 --> 03:42:43,610 ABOUT HOW CAN STRETCH REFLEXES 5429 03:42:43,610 --> 03:42:46,580 BE FINE TUNED IN MORE REALISTIC 5430 03:42:46,580 --> 03:42:48,882 LIMBS, THAT IS 3D MOVEMENTS, 5431 03:42:48,882 --> 03:42:50,751 LIMBS THAT HAVE MULTIPLE MUSCLES 5432 03:42:50,751 --> 03:42:54,921 AND THAT HAVE MANY MUSCLES AND 5433 03:42:54,921 --> 03:42:58,625 THEY'RE ALL BEING ACTIVATED BY 5434 03:42:58,625 --> 03:42:59,393 REFLEX PATHWAYS, ET CETERA 5435 03:42:59,393 --> 03:43:01,995 BECAUSE IN THE WORK UP UNTIL 5436 03:43:01,995 --> 03:43:03,196 NOW, I HADN'T SHOWN YOU WHAT 5437 03:43:03,196 --> 03:43:05,365 HAPPENS WHEN YOU CLOSE THE LOOP 5438 03:43:05,365 --> 03:43:09,036 IN THESE SIMULATED MOVEMENTS. 5439 03:43:09,036 --> 03:43:12,839 SO, THIS WAS RECENTLY PUBLISHED 5440 03:43:12,839 --> 03:43:15,509 LATE LAST YEAR AT THE 5441 03:43:15,509 --> 03:43:16,810 PROCEEDINGS FROM THE ACADEMY OF 5442 03:43:16,810 --> 03:43:18,512 NATIONAL SCIENCES WHERE WE TALK 5443 03:43:18,512 --> 03:43:20,213 ABOUT THESE ALPHA GAMMA MOTOR 5444 03:43:20,213 --> 03:43:22,816 NEURONS AND HOW THEY INTERACT 5445 03:43:22,816 --> 03:43:23,650 DURING REALISTIC MOVEMENTS AND 5446 03:43:23,650 --> 03:43:26,620 SO THIS IS WORK DONE WITH ANDREW 5447 03:43:26,620 --> 03:43:28,789 IRWIN, WITH WHOM WE PUBLISHED 5448 03:43:28,789 --> 03:43:31,191 THOSE OPINION PIECE IN NATURE 5449 03:43:31,191 --> 03:43:36,263 MACHINE INTELLIGENCE BUT ALSO 5450 03:43:36,263 --> 03:43:42,836 GRACE NIYO AND LAMA ALRNOFEEZ, 5451 03:43:42,836 --> 03:43:44,805 SO LET'S SET THE STAGE. 5452 03:43:44,805 --> 03:43:54,081 IF WE COULD SIMULATE A RECEASE 5453 03:43:54,081 --> 03:43:56,349 MACAQUE ARM, WHEN MOVING WITH 5454 03:43:56,349 --> 03:43:57,717 MANY MULTIARTICCULE MARKED FOR 5455 03:43:57,717 --> 03:44:00,854 IDENTIFICATIONS WHAT HAPPENS 5456 03:44:00,854 --> 03:44:02,222 WHEN YOU MOVE THE ARM? 5457 03:44:02,222 --> 03:44:03,957 SO THIS SHOWS CONCEPTUAL 5458 03:44:03,957 --> 03:44:05,125 DIFFERENCES, IMAGINE HAVE YOU AN 5459 03:44:05,125 --> 03:44:07,661 OPEN LOOP SIMMULES WHERE YOU 5460 03:44:07,661 --> 03:44:10,697 HAVE 25 SIGNALS FOR ALPHA MOTOR 5461 03:44:10,697 --> 03:44:13,733 NEURON DRIVE TO 25 MUSCLES, THAT 5462 03:44:13,733 --> 03:44:15,368 GO THE EXTRA MUSCLE WHICH ARE 5463 03:44:15,368 --> 03:44:16,870 ACTUALLY THE BULK OF THE MUSCLE, 5464 03:44:16,870 --> 03:44:19,773 SO AND THEN WE RECORD THE OPEN 5465 03:44:19,773 --> 03:44:24,845 LOOP TRAJECTORIES WHEN WE 5466 03:44:24,845 --> 03:44:26,146 PRODUCE THESE THESE BEHAVIORS 5467 03:44:26,146 --> 03:44:31,318 AND SO, AT THE LOW LEVEL, EACH 5468 03:44:31,318 --> 03:44:33,920 MUSCLE IS RECEIVING A RELATIVELY 5469 03:44:33,920 --> 03:44:36,123 RANDOM AMOUNT OF ACTIVATION. 5470 03:44:36,123 --> 03:44:38,658 SOME MUSCLES ARE ACTIVATED AT A 5471 03:44:38,658 --> 03:44:41,628 HIGHER LEVEL, SOME ARE ACTIVATED 5472 03:44:41,628 --> 03:44:46,266 AT A LOWER LEVEL AND WE DO THIS 5473 03:44:46,266 --> 03:44:47,601 100,000 TIMES SO FOR EACH 5474 03:44:47,601 --> 03:44:49,069 EXAMPLE WE PRODUCE HERE WE HERE 5475 03:44:49,069 --> 03:44:52,072 NOW HAVE THE SIMULATED RECESS 5476 03:44:52,072 --> 03:44:56,810 MONKEYED ARM, WE HAVE AN INITIAL 5477 03:44:56,810 --> 03:44:58,044 AND THEN THE FINAL SITUATION, 5478 03:44:58,044 --> 03:44:59,479 WHERE WE'RE ASKING THE SIMULATED 5479 03:44:59,479 --> 03:45:01,581 ARM TO START AT REST BY THE SIDE 5480 03:45:01,581 --> 03:45:03,116 OF THE MONKEY AND THEN WE 5481 03:45:03,116 --> 03:45:05,685 SIMULATE IT AND IT MOVES 5482 03:45:05,685 --> 03:45:07,220 SOMEWHERE IN 3 DIMENSIONAL 5483 03:45:07,220 --> 03:45:07,420 SPACE. 5484 03:45:07,420 --> 03:45:10,690 SO THIS IS SIMULATING A WIDE 5485 03:45:10,690 --> 03:45:11,691 VARIETY OF MOVEMENTS THROUGHOUT 5486 03:45:11,691 --> 03:45:13,226 THE WORK SPACE OF THE ARM. 5487 03:45:13,226 --> 03:45:18,165 AND WHAT WE DID HERE IS WE USED 5488 03:45:18,165 --> 03:45:21,535 THE WORK OF CHAN AND MORAM AND 5489 03:45:21,535 --> 03:45:24,704 THEY HAD SIMULATED MODEL WHICH 5490 03:45:24,704 --> 03:45:28,141 WE SIMULATED IN MUJOCO, WHICH 5491 03:45:28,141 --> 03:45:29,442 ALLOWS FOR THESE MUSCLE 5492 03:45:29,442 --> 03:45:35,916 ACTIVATIONS SO IT'S A GOOD 5493 03:45:35,916 --> 03:45:36,483 PHYSICS ENGINEER DEVELOPED. 5494 03:45:36,483 --> 03:45:38,585 SO EACH OF THESE 100,000 5495 03:45:38,585 --> 03:45:40,487 MOVEMENTS THAT WERE PRODUCING IN 5496 03:45:40,487 --> 03:45:43,456 AN OPEN LOOP FASHION, WHAT WE 5497 03:45:43,456 --> 03:45:45,225 THEN DID IS WE CLOSE THE LOOP 5498 03:45:45,225 --> 03:45:55,669 HERE WHERE THE SENSOR THEN 5499 03:46:05,111 --> 03:46:08,515 BECAME ACTIVE -- ESPECIALLY 5500 03:46:08,515 --> 03:46:09,816 BECAUSE MUSCLES DURING THESE 5501 03:46:09,816 --> 03:46:13,553 MOVEMENTS DON'T JUST SHORTEN 5502 03:46:13,553 --> 03:46:14,621 DURING THE MOVEMENT BUT RATHER 5503 03:46:14,621 --> 03:46:16,723 THEY COULD BE SHORTENING DURING 5504 03:46:16,723 --> 03:46:18,358 A PART-TIME OF THE MOVEMENT AND 5505 03:46:18,358 --> 03:46:19,759 LENGTHENING IN ANOTHER PART OF 5506 03:46:19,759 --> 03:46:22,329 MOVEMENT AND SHORT KNOWING AGAIN 5507 03:46:22,329 --> 03:46:25,699 SO IT IS QUITE A COMPLEMENTED 5508 03:46:25,699 --> 03:46:26,533 KINEMATTIC SITUATION WHEREBY YOU 5509 03:46:26,533 --> 03:46:27,701 MOVING YOUR ARM IN SPACE, IT'S 5510 03:46:27,701 --> 03:46:30,270 NOT THAT YOU HAVE THE CLEAN 5511 03:46:30,270 --> 03:46:32,105 SITUATION WHERE A MUSCLE WILL 5512 03:46:32,105 --> 03:46:41,214 ALWAYS BE SHORTENING OR ALWAYS 5513 03:46:41,214 --> 03:46:41,748 BE LENGTHENING. 5514 03:46:41,748 --> 03:46:43,216 SO WHAT WE DID WITH THE 5515 03:46:43,216 --> 03:46:45,051 SIMULATIONS THAT WE HAD WE 5516 03:46:45,051 --> 03:46:46,453 SIMPLY CLOSED THE MUSCLE 5517 03:46:46,453 --> 03:46:48,054 SPINDLE, WHERE AT ANY MOMENT 5518 03:46:48,054 --> 03:46:49,122 WHERE THE MUSCLE WAS BEING 5519 03:46:49,122 --> 03:46:51,691 LENGTHENED YOU HAD A POSITIVE 5520 03:46:51,691 --> 03:46:54,628 FEEDBACK ON TO ITS ALPHA MOTOR 5521 03:46:54,628 --> 03:46:58,331 NEURON, WHICH IS ESSENTIALLY THE 5522 03:46:58,331 --> 03:47:00,367 STRETCH REFLEX MECHANISM, SO IF 5523 03:47:00,367 --> 03:47:03,603 YOU WANT A PATHWAY, AND WE ASKED 5524 03:47:03,603 --> 03:47:08,441 THICISMEM ICISM -- THE SIMPLE QN 5525 03:47:08,441 --> 03:47:10,043 OF DID THE MOVEMENT STAY THE 5526 03:47:10,043 --> 03:47:11,845 SAME OR WAS IT DISRUPTED? 5527 03:47:11,845 --> 03:47:16,316 AND WHAT YOU CAN SEE HERE, THE 5528 03:47:16,316 --> 03:47:19,386 BLACK -- THE BLACK LINE IS 5529 03:47:19,386 --> 03:47:22,322 ACTUALLY THE LINE THAT SHOWS 5530 03:47:22,322 --> 03:47:28,595 WHAT HAPPENS WHEN THEIR IS NO 5531 03:47:28,595 --> 03:47:31,965 WHEN WELL IS NO REFLECT WHEREVER 5532 03:47:31,965 --> 03:47:34,401 A MUSCLE IS LENGTHENED YOU SEE 5533 03:47:34,401 --> 03:47:37,370 THAT THE TRAJECTORY CAN ACTUALLY 5534 03:47:37,370 --> 03:47:39,139 BE DISRUPTED IN SYSTEMATIC WAY 5535 03:47:39,139 --> 03:47:41,941 EXPTION QUITE CRAZY WAYS. 5536 03:47:41,941 --> 03:47:44,944 HERE I'M JUST SHOWING YOU A FEW 5537 03:47:44,944 --> 03:47:46,579 OPTIONS FROM THE 1100S THAT WE 5538 03:47:46,579 --> 03:47:48,748 WERE SIMULATED SO HERE YOU SEE 5539 03:47:48,748 --> 03:47:52,852 ANOTHER 1, WHERE IN BLACK, THE 5540 03:47:52,852 --> 03:47:54,587 MOVEMENT WITHOUT REFLEXES IS 5541 03:47:54,587 --> 03:48:00,293 SHOWN, AND THEN IN COLORS, GOING 5542 03:48:00,293 --> 03:48:01,895 TO RED YOU SEE HOW THE MOVEMENT 5543 03:48:01,895 --> 03:48:03,830 IS DISRUPTED AND SO IN SOME 5544 03:48:03,830 --> 03:48:05,332 CASES, YOU SEE THE END POINT 5545 03:48:05,332 --> 03:48:07,701 REMAINS THE SAME BUT THE 5546 03:48:07,701 --> 03:48:09,269 TRAJECTORY IS AFFECTED. 5547 03:48:09,269 --> 03:48:11,805 IN OTHER CASES THE END POINT IS 5548 03:48:11,805 --> 03:48:14,207 GOING IN THIS DIRECTION BUT THEN 5549 03:48:14,207 --> 03:48:16,076 AS YOU INCREASE THE DISRUPTS THE 5550 03:48:16,076 --> 03:48:17,644 MOVEMENT IT ENDS UP GOING AND 5551 03:48:17,644 --> 03:48:20,480 MOVING IN A DIFFERENT DIRECTION 5552 03:48:20,480 --> 03:48:22,615 ENTIRELY SO HERE'S ANOTHER 5553 03:48:22,615 --> 03:48:25,552 EXAMPLE WHERE YOU CAN SEE THIS 5554 03:48:25,552 --> 03:48:31,224 CHANGE NOT ONLY IN THE 5555 03:48:31,224 --> 03:48:33,093 TRAJECTORY AS THE MOVEMENT 5556 03:48:33,093 --> 03:48:34,327 EVOLVES BUT ALSO CHANGES IN THE 5557 03:48:34,327 --> 03:48:36,863 END POINT LOCATION AND HERE YOU 5558 03:48:36,863 --> 03:48:38,298 SEE ANOTHER VERY CRAZY SITUATION 5559 03:48:38,298 --> 03:48:41,201 WHERE THERE IS WHEN THE -- WHEN 5560 03:48:41,201 --> 03:48:42,736 THERE ARE NO STRETCH REFLEXES IN 5561 03:48:42,736 --> 03:48:44,237 BLACK BUT THEN AS SOON AS YOU 5562 03:48:44,237 --> 03:48:46,639 TURN ON THE STRETCH REFLEXES, 5563 03:48:46,639 --> 03:48:57,217 THE MOVEMENT ENDS UP GOING 5564 03:48:57,217 --> 03:48:57,417 ELSEWHERE. 5565 03:48:57,417 --> 03:48:59,886 SO SO THIS IS THE FIRST TIME 5566 03:48:59,886 --> 03:49:02,255 THAT WE SAW CONSEQUENCES OF 5567 03:49:02,255 --> 03:49:03,289 MUSCLES AND SENSORS. 5568 03:49:03,289 --> 03:49:06,459 SO THIS CAN TELL US ABOUT HOW 5569 03:49:06,459 --> 03:49:08,395 CHANGES IN MOOD, ANXIETY, ET 5570 03:49:08,395 --> 03:49:10,397 CETERA IN A PATIENT WITH A GIVEN 5571 03:49:10,397 --> 03:49:12,232 CONDITION WITH A PROPENSITY TO 5572 03:49:12,232 --> 03:49:15,001 STAY PLASTICITY CAN AFFECT THE 5573 03:49:15,001 --> 03:49:16,703 MOVEMENTS POTENTIALLY THROUGH 5574 03:49:16,703 --> 03:49:21,007 MECHANISMS IN THE BRAIN STEM OR 5575 03:49:21,007 --> 03:49:21,941 CEREBELLUM OR MIDBRAIN THAT 5576 03:49:21,941 --> 03:49:23,243 CHANGE THE GAINS OF THESE 5577 03:49:23,243 --> 03:49:26,746 REFLECTS WHICH ARE KNOWN TO 5578 03:49:26,746 --> 03:49:28,815 CHANGE WITH MOOD AND STRESS AND 5579 03:49:28,815 --> 03:49:36,256 ANXIETY AND THINGS LOAMACYIC 5580 03:49:36,256 --> 03:49:36,489 THAT. 5581 03:49:36,489 --> 03:49:38,358 SO THE NEXT QUESTION WE ASKED 5582 03:49:38,358 --> 03:49:40,627 WAS WELL, HOW DOES NATURE SOLVE 5583 03:49:40,627 --> 03:49:42,128 THIS DIFFICULT PROBLEM BECAUSE 5584 03:49:42,128 --> 03:49:44,531 NATURE OF COURSE, ALWAYS HAS 5585 03:49:44,531 --> 03:49:46,366 THESE REFLEX PATHWAYS ACTIVE AND 5586 03:49:46,366 --> 03:49:50,236 THEY'RE NOT ALWAYS ELIMINATED OR 5587 03:49:50,236 --> 03:49:51,871 TURNED OFF FOR EVERY MOVEMENT 5588 03:49:51,871 --> 03:49:55,008 THAT WE DO. 5589 03:49:55,008 --> 03:49:57,310 SO, HERE ARE 2 THEORIES THAT ARE 5590 03:49:57,310 --> 03:50:04,918 AVAILABLE TO US, AND THIS IS 5591 03:50:04,918 --> 03:50:13,293 THANKS TO THE REVIEW THAT 5592 03:50:13,293 --> 03:50:14,461 PIERROT-DESEILLIGNY AND BURKE 5593 03:50:14,461 --> 03:50:14,727 HAVE DONE. 5594 03:50:14,727 --> 03:50:17,497 ONE OF THEM IS WHAT HAPPENED 5595 03:50:17,497 --> 03:50:20,600 WITH WHAT ARE CALL BETA 5596 03:50:20,600 --> 03:50:22,469 MOTONEURONS, MOSTLY IN 5597 03:50:22,469 --> 03:50:24,637 AMPHIBIANS, REPTILES AND 5598 03:50:24,637 --> 03:50:26,606 MAMMALS, HAVE THEM, DO NOT 5599 03:50:26,606 --> 03:50:28,908 DOGMAS NOT HAVE GAMMA 5600 03:50:28,908 --> 03:50:31,377 MOTONEURONS, YOU SEE THAT THE 5601 03:50:31,377 --> 03:50:33,913 DRIVE FROM THE MOTONEURON ITSELF 5602 03:50:33,913 --> 03:50:36,182 GOES TO THE MUSCLE BUT IT ALSO 5603 03:50:36,182 --> 03:50:39,719 GOES TO THE MUSCLE SPINDLES AND 5604 03:50:39,719 --> 03:50:42,121 SO, THAT COMES BACK AND THE 5605 03:50:42,121 --> 03:50:43,690 REFLEX PATHWAYS CLOSE THIS WAY. 5606 03:50:43,690 --> 03:50:47,460 SO IN THIS PARTICULAR CASE, BOTH 5607 03:50:47,460 --> 03:50:49,095 THE MUSCLES SPINDLE TUNING AND 5608 03:50:49,095 --> 03:50:56,436 THE MUSCLE AS A WHOLE RECEIVE S. 5609 03:50:56,436 --> 03:50:58,538 AS EVOLUTION PROGRESSED THERE 5610 03:50:58,538 --> 03:51:00,840 WAS THIS WHERE YOU NOW HAVE AN 5611 03:51:00,840 --> 03:51:03,610 ALPHA AND A GAMMA MOTOR NEURON, 5612 03:51:03,610 --> 03:51:14,153 AND SO WHAT IS OCCURRING IS WHAT 5613 03:51:18,825 --> 03:51:22,695 WE'RE THINKING TODAY IS THAT 5614 03:51:22,695 --> 03:51:25,131 THERE IS SO CALLED ALPHA GAMMA 5615 03:51:25,131 --> 03:51:35,542 WHERE THE DEMAND ISSUES 5616 03:51:36,509 --> 03:51:39,212 ACTIVATION TO THE WHICH THEN 5617 03:51:39,212 --> 03:51:40,280 TUNES THE SENSITIVITY OF THE 5618 03:51:40,280 --> 03:51:41,681 STRETCH REFLEX, SO WHAT WE 5619 03:51:41,681 --> 03:51:52,158 TESTED WAS, WHETHER OR NOT, 5620 03:53:51,978 --> 03:53:56,783 RECAPITULATION OF -- AND THE 5621 03:53:56,783 --> 03:53:59,519 WOULD NOT BE HAPPENING. 5622 03:53:59,519 --> 03:54:01,788 NOW, THIS OF COURSE, IS MUSIC TO 5623 03:54:01,788 --> 03:54:04,223 OUR EARS FOR THOSE OF US WHO 5624 03:54:04,223 --> 03:54:05,458 STUDY COMPUTATIONAL MOTOR 5625 03:54:05,458 --> 03:54:07,794 CONTROL WHERE WE KNOW OKAY THERE 5626 03:54:07,794 --> 03:54:09,362 ARE MULTIPLE THEORIES ABOUT 5627 03:54:09,362 --> 03:54:11,564 INTERNAL MODELS OR THEORIES 5628 03:54:11,564 --> 03:54:13,132 ABOUT OPTIMIZATION OF CONTROL, 5629 03:54:13,132 --> 03:54:15,001 THERE ARE MANY THEORIES OF BASE 5630 03:54:15,001 --> 03:54:17,203 AND CONTROL, OR EVEN SYNERGISTIC 5631 03:54:17,203 --> 03:54:19,172 CONTROL OF MOVEMENT BUT AT LEAST 5632 03:54:19,172 --> 03:54:21,240 THIS ALLOWS US TO BRING THOSE 5633 03:54:21,240 --> 03:54:29,348 THEORIES TO THE DOMAIN OF A 5634 03:54:29,348 --> 03:54:30,383 LENGTH, WIDTH MUSCLE SENSORS BUT 5635 03:54:30,383 --> 03:54:33,653 THERE ARE OF COURSE CERTAIN 5636 03:54:33,653 --> 03:54:35,421 PROBLEMS, BECAUSE IN THE CURRENT 5637 03:54:35,421 --> 03:54:45,498 THINKING OF ALPHA GAMMA CO 5638 03:54:45,498 --> 03:54:46,032 ACTIVATION. 5639 03:54:46,032 --> 03:54:49,502 THAT ENDS UP BEING DUPLICATED 5640 03:54:49,502 --> 03:54:50,503 COPIES, EMULATED WELL BALANCED 5641 03:54:50,503 --> 03:54:51,904 BETWEEN THE ALPHA AND THE GAMMA 5642 03:54:51,904 --> 03:54:54,373 BUT EXACTLY HOW THAT HAPPENS IS 5643 03:54:54,373 --> 03:54:55,575 NOT WELL KNOWN. 5644 03:54:55,575 --> 03:54:57,343 SO, THERE ARE SEVERAL PROBLEMS 5645 03:54:57,343 --> 03:55:00,279 WITH THIS, IN THAT, THE GAMMA 5646 03:55:00,279 --> 03:55:02,782 MOTOR NEURONS RECEIVE INPUT, 5647 03:55:02,782 --> 03:55:03,816 THAT ACTUALLY ARE COMING FROM 5648 03:55:03,816 --> 03:55:05,918 DIFFERENT PARTS OF THE BRAIN 5649 03:55:05,918 --> 03:55:07,653 POETIC PENTINE REGIMENNIALLY 5650 03:55:07,653 --> 03:55:14,994 FROM N1, FROM CEREBELL UMPIRES, 5651 03:55:14,994 --> 03:55:16,329 FROM RETICULAR FORMATION, BRAIN 5652 03:55:16,329 --> 03:55:18,164 STEM, 1 IS SENDING COMMANDS 5653 03:55:18,164 --> 03:55:20,466 THROUGH THE ALPHA MOTOR NEURONS 5654 03:55:20,466 --> 03:55:22,668 THROUGH THE INTERNEARONS IN THE 5655 03:55:22,668 --> 03:55:23,970 SPINAL CORD, SO THERE ARE THE 5656 03:55:23,970 --> 03:55:25,671 ISSUES OF DELAYS AND UNCERTAINTY 5657 03:55:25,671 --> 03:55:28,508 OF HOW TO SEND AN EXACT COPY OF 5658 03:55:28,508 --> 03:55:31,744 THE SAME COMMAND THROUGH 5659 03:55:31,744 --> 03:55:32,378 POTENTIALLY DIFFERENT PATHWAYS 5660 03:55:32,378 --> 03:55:35,081 TO ARRIVE AT THE SAME TIME TO 5661 03:55:35,081 --> 03:55:38,484 THE SYSTEM NEURONS, TO 5662 03:55:38,484 --> 03:55:48,928 ACCOMPLISH THIS PARTICULAR 5663 03:55:49,562 --> 03:55:49,796 MODULATION. 5664 03:55:49,796 --> 03:55:51,898 SO EVEN THOUGH WE HAVE GOOD 5665 03:55:51,898 --> 03:55:55,635 CONTROL AND FIBERS AND ALL THAT 5666 03:55:55,635 --> 03:56:00,072 VERY INTERESTING DEVELOPMENT IN 5667 03:56:00,072 --> 03:56:00,706 COMPUTATIONAL NEUROSCIENCE, IN 5668 03:56:00,706 --> 03:56:01,941 SCIENCE IT IS DIFFICULT TO KNOW 5669 03:56:01,941 --> 03:56:06,879 HOW THEY COULD BE HAPPENING. 5670 03:56:06,879 --> 03:56:08,080 SO ACTIVATION IN PRINCIPLE WE 5671 03:56:08,080 --> 03:56:14,620 KNOW IT WORKS AND IDEALLY IT 5672 03:56:14,620 --> 03:56:16,455 COULD WORK, BUY-IN IT IS NOT 5673 03:56:16,455 --> 03:56:23,529 CLEAR HOW IT WOULD WORK. 5674 03:56:23,529 --> 03:56:34,040 SO THINKING ABOUT THIS AND YOU 5675 03:56:35,675 --> 03:56:42,615 MAY KNOW THERE IS THIS CELL, AND 5676 03:56:42,615 --> 03:56:45,051 THIS IS AN ILLUSTRATION FROM 5677 03:56:45,051 --> 03:56:46,853 1962 WHY WILSON AND BURGESS 5678 03:56:46,853 --> 03:56:50,423 WHERE THEY FOUND THAT AN ALPHA 5679 03:56:50,423 --> 03:56:51,691 MOTOR NEURON SENDS STIMULUS TO A 5680 03:56:51,691 --> 03:56:53,726 MUSCLE BUT HAS WHAT ARE CALLED 5681 03:56:53,726 --> 03:56:55,094 COLLATERALS, MEANING THAT THE 5682 03:56:55,094 --> 03:56:58,931 AXON FROM THE MOTOR NEURON ON 5683 03:56:58,931 --> 03:57:01,234 ITS WAY HAS THESE 5684 03:57:01,234 --> 03:57:03,502 OPTIONS AND IT'S MOST FAMOUS FOR 5685 03:57:03,502 --> 03:57:05,571 THE CELL THAT WAS ALSO KNOWN TO 5686 03:57:05,571 --> 03:57:10,109 COME BACK TO INHIBIT THE ALPHA 5687 03:57:10,109 --> 03:57:14,146 MOTOR NEURONS, SO PRESUMABLY TO 5688 03:57:14,146 --> 03:57:16,949 STABILIZE FIRING RATES TO 5689 03:57:16,949 --> 03:57:17,917 MODULATE PERSISTENCE IN 5690 03:57:17,917 --> 03:57:20,653 OCCURRENCE AND THAT AND THERE'S 5691 03:57:20,653 --> 03:57:22,521 A WHOLE COMMUNITY THAT 5692 03:57:22,521 --> 03:57:23,356 INVESTIGATES THAT. 5693 03:57:23,356 --> 03:57:30,796 BUT, IN THEIR PAPERS WILSON AND 5694 03:57:30,796 --> 03:57:33,199 BURGESS AND MANY ARES, THEY ALSO 5695 03:57:33,199 --> 03:57:35,134 SAY THAT THE COLLATERALS NOT 5696 03:57:35,134 --> 03:57:37,803 ONLY WENT BACK TO THE ORIGINAL 5697 03:57:37,803 --> 03:57:40,506 NEURON BUT THEY SEEM TO HAVE 5698 03:57:40,506 --> 03:57:43,709 PROJECTED INTO OTHER NEURONS, 5699 03:57:43,709 --> 03:57:47,546 OTHER MOTE OR NEURONS THAT WERE 5700 03:57:47,546 --> 03:57:49,382 IN THE VICINITY OF THE SPINAL 5701 03:57:49,382 --> 03:57:49,715 CORD. 5702 03:57:49,715 --> 03:57:52,618 SO LOOKING AT THIS IDEA,NY O AND 5703 03:57:52,618 --> 03:57:59,091 I THOUGHT, WELL, IF WE KNOW THAT 5704 03:57:59,091 --> 03:58:04,897 THERE ARE COLLATERALS, WHAT IF 5705 03:58:04,897 --> 03:58:07,366 THESE COLLATERALS IMPINGED OR 5706 03:58:07,366 --> 03:58:09,201 PROJECTED OR MODULATED THE 5707 03:58:09,201 --> 03:58:12,471 ACTIVATION OF THEIR SISTER, 5708 03:58:12,471 --> 03:58:15,441 GAMMA MOTOR NEURON, SO THIS CAN 5709 03:58:15,441 --> 03:58:19,912 BE DONE THROUGH A SYNAPTIC STEP 5710 03:58:19,912 --> 03:58:20,713 AND INHIBITORY NEURON AND GOING 5711 03:58:20,713 --> 03:58:24,383 ON TO THE GAMMA DYNAMIC OR IT 5712 03:58:24,383 --> 03:58:30,356 COULD BE POTENTIALLY A MOTOR 5713 03:58:30,356 --> 03:58:32,191 SYNAPTIC STEP THAT COULD BE A 5714 03:58:32,191 --> 03:58:37,663 POSSIBILITY AND THIS IS BECAUSE 5715 03:58:37,663 --> 03:58:40,032 VERY RECENT ADVANCES IN GENO 5716 03:58:40,032 --> 03:58:42,335 TYPING OF MOTOR NEURANS AND 5717 03:58:42,335 --> 03:58:46,272 BEING ABLE TO ACTUALLY 5718 03:58:46,272 --> 03:58:47,306 UNDERSTAND THE POPULATIONS OF 5719 03:58:47,306 --> 03:58:49,442 NEURONS IN THE SPINAL CORD BUT 5720 03:58:49,442 --> 03:58:52,345 ALSO CATEGORIZE THEM AS TO THEIR 5721 03:58:52,345 --> 03:58:54,080 FUNCTION AND SIZE, ET CETERA. 5722 03:58:54,080 --> 03:58:56,482 MAY ALLOW US TO HAVE THIS 5723 03:58:56,482 --> 03:58:58,651 PROJECTION, SO THIS IS 5724 03:58:58,651 --> 03:59:00,086 UNBELIEVABLE PROJECTION THAT WAS 5725 03:59:00,086 --> 03:59:03,356 REPORTED ALREADY IN THE 60S, 5726 03:59:03,356 --> 03:59:05,291 BEING BEING CONFIRMED, 5727 03:59:05,291 --> 03:59:06,025 ESSENTIALLYOT DAILY BASIS 5728 03:59:06,025 --> 03:59:16,035 NOWADAYS, IF YOU GO TO MEETINGS 5729 03:59:16,035 --> 03:59:16,602 ON MOTOR NEURONS. 5730 03:59:16,602 --> 03:59:18,304 SO WHAT WE DID INLET SIMULATIONS 5731 03:59:18,304 --> 03:59:22,608 HERE IS WE SIMPLY LOOKEDDA THE 5732 03:59:22,608 --> 03:59:24,176 CONCEPT OF THERE BEING SUCH 5733 03:59:24,176 --> 03:59:25,578 COLLATERAL GOING FROM THE ALPHA 5734 03:59:25,578 --> 03:59:29,315 MOTE OAR MIEWRON TO THE 5735 03:59:29,315 --> 03:59:30,850 SIMULATED GAMMA MOTONEURON THAT 5736 03:59:30,850 --> 03:59:33,619 MODULATES THE ACTIVITY HERE OF 5737 03:59:33,619 --> 03:59:36,389 THAT GAMMA MOTONEURON AND IT 5738 03:59:36,389 --> 03:59:37,256 MODULATES THE STRETCH REFLEX 5739 03:59:37,256 --> 03:59:38,824 HERE AND WHAT WE FIND HERE IS 5740 03:59:38,824 --> 03:59:42,695 THAT IT HAS A VERY SIMILAR, NOT 5741 03:59:42,695 --> 03:59:46,165 IDENTICAL, BUT VERY SIMILAR 5742 03:59:46,165 --> 03:59:48,834 EFFECT TO THAT DATA OR ALPHA 5743 03:59:48,834 --> 03:59:51,070 GAMMA ACTIVATION STRUCTURE THAT 5744 03:59:51,070 --> 03:59:51,904 I DISCUSSED BEFORE. 5745 03:59:51,904 --> 03:59:58,277 SO, WHAT THIS SUGGESTS IS THAT 5746 03:59:58,277 --> 04:00:02,481 PERHAPS, THE MODULATION OF 5747 04:00:02,481 --> 04:00:03,315 STRETCH REFLEXES, IS HAPPENING 5748 04:00:03,315 --> 04:00:08,120 NOT AT THE LEVEL OF CORTEX, NOT 5749 04:00:08,120 --> 04:00:10,523 AT THE LEVEL OF BRAIN, NOT AT 5750 04:00:10,523 --> 04:00:13,692 THE LEVEL OF CEREBELLUM, BUT 5751 04:00:13,692 --> 04:00:14,827 PERHAPS ALREADY AT THE LEVEL OF 5752 04:00:14,827 --> 04:00:17,830 SPINAL CORD AND HERE WE SEE 5753 04:00:17,830 --> 04:00:23,269 EXAMPLES OF HOW THESE ERRORS IN 5754 04:00:23,269 --> 04:00:23,903 THE TRAJECTORIES ESSENTIALLY 5755 04:00:23,903 --> 04:00:25,438 VANISH IN MOST CASES, NOT ALL, 5756 04:00:25,438 --> 04:00:33,145 BUT IN MOST CASES, WHEN YOU 5757 04:00:33,145 --> 04:00:37,116 IMPLEMENT SUCH COLLATERAL TO THE 5758 04:00:37,116 --> 04:00:37,716 GAMMA MOTONEURON. 5759 04:00:37,716 --> 04:00:40,152 AND SO WHAT YOU SEE HERE IS THAT 5760 04:00:40,152 --> 04:00:41,687 WHAT THIS PRODUCES IS OF COURSE 5761 04:00:41,687 --> 04:00:43,689 A DISRUPTION BECAUSE WE WOULDN'T 5762 04:00:43,689 --> 04:00:48,194 EXPECT THERE WOULD BE PERFECT 5763 04:00:48,194 --> 04:00:50,329 OBLITERATION OF ARE THAT REFLEX 5764 04:00:50,329 --> 04:00:52,131 PATHWAY BUT IT DOES MODULATE IT 5765 04:00:52,131 --> 04:00:53,833 AND IF IT DOES MODULATE IT AND 5766 04:00:53,833 --> 04:00:55,968 TUNE IT DOWN, WHAT HAVE YOU IS A 5767 04:00:55,968 --> 04:01:04,810 BEHAVIOR THAT IS CLOSE TO THE 5768 04:01:04,810 --> 04:01:15,354 OPEN LOOP BEHAVIOR BUT THEY ARE 5769 04:01:16,689 --> 04:01:19,024 SMALL AND USEFUL BUT THIS IS 5770 04:01:19,024 --> 04:01:22,461 VERY CRITICAL BECAUSE ALL MODELS 5771 04:01:22,461 --> 04:01:23,896 OF CEREBELLAR ERROR DETECTION 5772 04:01:23,896 --> 04:01:27,333 AND MODULATION AND THE ROLE OF 5773 04:01:27,333 --> 04:01:29,235 CLIMBING FIBERS GOING FROM 5774 04:01:29,235 --> 04:01:31,070 DORSAL GANGLION TO THE 5775 04:01:31,070 --> 04:01:32,071 CEREBELLUM, ET CETERA, THEY 5776 04:01:32,071 --> 04:01:37,476 REQUIRE THE TUNING OF THE 5777 04:01:37,476 --> 04:01:38,544 CEREBELLUM WITH TRAINING, WITH 5778 04:01:38,544 --> 04:01:45,818 EXPERIENCE, BUT BY HAVING THIS 5779 04:01:45,818 --> 04:01:46,719 QUOTE-UNQUOTE ERROR BEING 5780 04:01:46,719 --> 04:01:47,453 MANAGEABLE AND INFORMAIVE IT, 5781 04:01:47,453 --> 04:01:49,288 THIS MAY BE A CRITICAL 5782 04:01:49,288 --> 04:01:50,923 CONTRIBUTOR TO THE THEN 5783 04:01:50,923 --> 04:01:54,527 EMERGENCE AND TRAINING OF THE 5784 04:01:54,527 --> 04:01:54,827 CEREBELLUM. 5785 04:01:54,827 --> 04:01:59,431 SO HERE WE SEE THAT THIS 5786 04:01:59,431 --> 04:02:02,168 POTENTIALLY ANGIENT MECHANISM, 5787 04:02:02,168 --> 04:02:04,670 WHICH IS -- ANCIENT MECHANISM 5788 04:02:04,670 --> 04:02:05,871 WHICH IS POTENTIALLY EMBEDDED IN 5789 04:02:05,871 --> 04:02:07,773 THE SPINAL CORD THAT ALLOWS AN 5790 04:02:07,773 --> 04:02:09,808 ALPHA MOTE OR MIEWRON TO 5791 04:02:09,808 --> 04:02:11,610 INTERACT WITH ITS SISTER GAMMA 5792 04:02:11,610 --> 04:02:14,580 MOTOR NEURON FOR THE SAME 5793 04:02:14,580 --> 04:02:16,749 MUSCLE, TO PRODUCE USEFUL 5794 04:02:16,749 --> 04:02:21,220 BEHAVIOR AND THEN, BY ANALOGY, 5795 04:02:21,220 --> 04:02:23,722 IMAGINE THAT YOU HAVE A 5796 04:02:23,722 --> 04:02:27,193 TRICYCLE. 5797 04:02:27,193 --> 04:02:30,563 A TRICYCLE IS VERY TABLE, 5798 04:02:30,563 --> 04:02:33,165 EPITILES, MAMMALS, HAD THIS TYPE 5799 04:02:33,165 --> 04:02:34,667 OF CIRCUITRY, TO HAVE SENSORS IN 5800 04:02:34,667 --> 04:02:37,269 MUSCLES WHICH ARE NECESSARY, BUT 5801 04:02:37,269 --> 04:02:38,737 ALSO MANAGE THE EFFECTS OF 5802 04:02:38,737 --> 04:02:42,908 HAVING THE SENSORS AND THE 5803 04:02:42,908 --> 04:02:44,276 CLOSED LOOP REFLEX. 5804 04:02:44,276 --> 04:02:45,611 >> YOU HAVE 5 MORE MINUTES TO 5805 04:02:45,611 --> 04:02:47,179 BRING IT ON HOME, OKAY? 5806 04:02:47,179 --> 04:02:48,981 >> THANK YOU THIS IS PRETTY MUCH 5807 04:02:48,981 --> 04:02:51,917 MY LAST SLIDE. 5808 04:02:51,917 --> 04:02:52,484 THANK YOU. 5809 04:02:52,484 --> 04:02:54,853 HERE, YOU HAVE THE ALPHA MOTOR 5810 04:02:54,853 --> 04:02:55,487 NEURON COLLATERAL WHICH IMAGINE 5811 04:02:55,487 --> 04:02:58,357 THAT YOU WANT TO GET TO THE 5812 04:02:58,357 --> 04:03:00,025 POINT OF A FULL ON BICYCLE, 5813 04:03:00,025 --> 04:03:02,494 WELL, WHAT IF YOU HAD TRAINING 5814 04:03:02,494 --> 04:03:02,728 WHEELS? 5815 04:03:02,728 --> 04:03:06,198 NOW OF COURSE WHEN A CHILD IS 5816 04:03:06,198 --> 04:03:07,866 LEARNING TO RIDE A BICYCLE 5817 04:03:07,866 --> 04:03:11,637 HAVING LEARNED HOW TO WORK ON A 5818 04:03:11,637 --> 04:03:12,805 TRICYCLE, THE TRAINING WHEELS 5819 04:03:12,805 --> 04:03:15,474 ALLOW YOU TO MAKE ERRORS, BUT 5820 04:03:15,474 --> 04:03:18,277 THESE ERRORS ARE MANAGEABLE. 5821 04:03:18,277 --> 04:03:20,980 AND SO, PERHAPS IN YOUNG MAMMALS 5822 04:03:20,980 --> 04:03:24,650 OR AS EVOLUTION STARTED TO 5823 04:03:24,650 --> 04:03:26,118 COMPLICATE THE NEUROMUSCULAR 5824 04:03:26,118 --> 04:03:29,588 SYSTEMS OF MAMMALS, THEN IT 5825 04:03:29,588 --> 04:03:32,758 ALLOWS US TO HAVE THESE 5826 04:03:32,758 --> 04:03:34,059 MANAGEABLE ERRORS THAT ALLOW US 5827 04:03:34,059 --> 04:03:35,227 TO WRITE HISTORY IN THE SENSE OF 5828 04:03:35,227 --> 04:03:40,666 WE NOW HAVE THE FABULOUS 5829 04:03:40,666 --> 04:03:41,166 CEREBELLAR MECHANISMS 5830 04:03:41,166 --> 04:03:43,168 PREDICTIONS AT THE LEVEL OF 5831 04:03:43,168 --> 04:03:45,804 CORTEX, ET CETERA, BUT ALL 5832 04:03:45,804 --> 04:03:49,708 ENABLED BY THIS MECHANISM. 5833 04:03:49,708 --> 04:03:50,609 AND WHAT IS INTERESTING ABOUT 5834 04:03:50,609 --> 04:03:53,812 THIS IS THAT THIS AND NOW THIS 5835 04:03:53,812 --> 04:03:54,847 TYPE OF ANCIENT MECHANISM IS 5836 04:03:54,847 --> 04:03:56,815 WHAT WE ARE COLLABORATING WITH 5837 04:03:56,815 --> 04:03:57,549 MULTIPLE PEOPLE AROUND THE WORLD 5838 04:03:57,549 --> 04:04:01,186 WHO ARE ABLE TO RECORD FROM 5839 04:04:01,186 --> 04:04:04,189 THESE COLLATERALS AND THESE MORE 5840 04:04:04,189 --> 04:04:05,758 GAMMA MOTONEURONS THAT ARE FAME 5841 04:04:05,758 --> 04:04:07,826 LOWSLY DIFFICULT TO DETECT AND 5842 04:04:07,826 --> 04:04:08,160 MEASURE FROM. 5843 04:04:08,160 --> 04:04:09,628 NOW PERHAPS WE CAN NOW GIVE 5844 04:04:09,628 --> 04:04:11,897 DIRECTION TO A LOT OF THE GENE 5845 04:04:11,897 --> 04:04:14,300 THERAPIES THAT COULD BE 5846 04:04:14,300 --> 04:04:15,467 HAPPENING TO ENABLE CHANGES AT 5847 04:04:15,467 --> 04:04:19,438 THE LEVEL OF THE SPINAL CORD TO 5848 04:04:19,438 --> 04:04:21,907 POTENTIALLY NOW COME BACK TO THE 5849 04:04:21,907 --> 04:04:23,409 CLINIC AND SAY, PERHAPS, THIS 5850 04:04:23,409 --> 04:04:32,184 COULD BE A WAY TO MITIGATE OR 5851 04:04:32,184 --> 04:04:33,552 MODERATE SPAOF THEISITY IN 5852 04:04:33,552 --> 04:04:35,554 SEVERAL THINGS LIKE PARKINSONS 5853 04:04:35,554 --> 04:04:37,790 DISEASE, MS, AND OTHERS, AND SO 5854 04:04:37,790 --> 04:04:38,957 THAT IS JUST COMPUTATION MODELS 5855 04:04:38,957 --> 04:04:40,759 TO UNDERSTAND HOW SENSORS IN 5856 04:04:40,759 --> 04:04:43,128 MUSCLES, HOW SENSORS IN MUSCLES 5857 04:04:43,128 --> 04:04:46,165 ARE TREMENDOUSLY IMPORTANT BUT 5858 04:04:46,165 --> 04:04:47,533 OFTEN OVERLOOKED AND THIS WE 5859 04:04:47,533 --> 04:04:50,169 HOPE WILL ENABLE US TO HAVE A 5860 04:04:50,169 --> 04:04:51,937 BETTER UNDERSTANDING OF THE 5861 04:04:51,937 --> 04:04:53,439 EMERGENCE OF MOVEMENT DISORDER 5862 04:04:53,439 --> 04:04:53,906 AND THEIR TREATMENT. 5863 04:04:53,906 --> 04:04:55,874 AND OF COURSE OW LAB HAS DONE 5864 04:04:55,874 --> 04:05:04,316 TREMENDOUS WORK IN THIS REGARD 5865 04:05:04,316 --> 04:05:05,651 AND THIS WOULD NOT HAVE BEEN 5866 04:05:05,651 --> 04:05:07,486 POSSIBLE AT OWL WITHOUT THE 5867 04:05:07,486 --> 04:05:10,089 NATIONAL INSTITUTES OF HEALTH, 5868 04:05:10,089 --> 04:05:12,291 THE DARPA, WHO HAVE SUPPORTED 5869 04:05:12,291 --> 04:05:15,627 THIS FUNDAMENTAL RESEARCH IN 5870 04:05:15,627 --> 04:05:16,362 COMPUTATIONAL NEUROMUSCULAR 5871 04:05:16,362 --> 04:05:16,595 CONTROL. 5872 04:05:16,595 --> 04:05:18,030 SO WITH THAT I THANK YOU AND 5873 04:05:18,030 --> 04:05:20,466 PLEASE LET ME KNOW IF THERE ARE 5874 04:05:20,466 --> 04:05:21,467 ANY QUESTIONS. 5875 04:05:21,467 --> 04:05:25,404 >> THANK YOU FRANCISCO. 5876 04:05:25,404 --> 04:05:28,807 WE WILL OPEN IT UP TO QUESTIONS. 5877 04:05:28,807 --> 04:05:30,976 NI SEE DR. SIBURG BERG HAS 5878 04:05:30,976 --> 04:05:32,177 QUESTIONS, DO I NEED TO STOP 5879 04:05:32,177 --> 04:05:37,883 SHARING OR GO TO ANOTHER SLIDE? 5880 04:05:37,883 --> 04:05:39,518 HELLO BOB. 5881 04:05:39,518 --> 04:05:40,786 >> GO AHEAD, BOB. 5882 04:05:40,786 --> 04:05:42,821 >> SORRY ABOUT THAT, YEAH, 5883 04:05:42,821 --> 04:05:48,026 FRANCISCO, FIRST, THANK YOU SO 5884 04:05:48,026 --> 04:05:51,497 MUCH. 5885 04:05:51,497 --> 04:05:54,833 EXCELLENT PRESENTATION, UNABLE. 5886 04:05:54,833 --> 04:05:58,303 ELEGANT SEQUENCE, LOGIC FOR YOUR 5887 04:05:58,303 --> 04:05:59,004 SIMULATIONS AND YOUR STUDIES. 5888 04:05:59,004 --> 04:06:02,841 I HAVE 2 QUESTIONS THAT ARE 5889 04:06:02,841 --> 04:06:04,977 PROBABLY EXTREMELY NAIVE. 5890 04:06:04,977 --> 04:06:13,619 AND 1 IS WITH RESPECT TO SIM 5891 04:06:13,619 --> 04:06:15,087 IEWMGZS YOU SHOWED IN THE LATTER 5892 04:06:15,087 --> 04:06:16,622 HALF WITH THE TRANSLATIONAL 5893 04:06:16,622 --> 04:06:17,289 RESEARCH YECTRYS OVERLAID, SO 5894 04:06:17,289 --> 04:06:19,191 YOU HAD OPEN LOOPED SIMULATION, 5895 04:06:19,191 --> 04:06:21,260 AND THEN YOU ASKED THE QUESTION, 5896 04:06:21,260 --> 04:06:28,901 IF WE ADD REFLEXES, WITH VARIOUS 5897 04:06:28,901 --> 04:06:32,704 YOU KNOW -- VARIOUS, 5898 04:06:32,704 --> 04:06:33,105 CHARACTERISTICS,. 5899 04:06:33,105 --> 04:06:34,306 >> REFLEX GAINS, YES. 5900 04:06:34,306 --> 04:06:34,673 >> YEAH, YEAH. 5901 04:06:34,673 --> 04:06:36,008 YOU KNOW WHAT WILL HAPPEN? 5902 04:06:36,008 --> 04:06:39,711 AND MY QUESTION THERE IS I SHORT 5903 04:06:39,711 --> 04:06:42,281 OF GET IT, AND I SORT OF DON'T 5904 04:06:42,281 --> 04:06:44,116 GET IT. 5905 04:06:44,116 --> 04:06:47,186 SO YOUR OPEN LOOP SIMULATION IS 5906 04:06:47,186 --> 04:06:50,055 ASSUMING THAT YOU KNOW IF WE 5907 04:06:50,055 --> 04:06:52,124 WERE TO PRETEND THIS WAS A 5908 04:06:52,124 --> 04:06:53,292 NERVOUS SYSTEM THAT YOU HAD 5909 04:06:53,292 --> 04:06:54,960 PORTIONAL CONTROL OF MEDICALS 5910 04:06:54,960 --> 04:06:55,627 FROM DESCENDING COMMANDS AND 5911 04:06:55,627 --> 04:06:57,296 THEN YOU SAY LET'S THROW THE 5912 04:06:57,296 --> 04:06:59,298 REFLEXES ON THERE ANDEE WHAT 5913 04:06:59,298 --> 04:07:00,799 HAPPENS, I'M ASSUMING THAT WHEN 5914 04:07:00,799 --> 04:07:03,502 YOU ARE DOING THAT, YOU ARE 5915 04:07:03,502 --> 04:07:05,003 USING THE SAME PROPORTIONAL 5916 04:07:05,003 --> 04:07:07,072 CONTROL OF MUSCLES TO DRIVE THE 5917 04:07:07,072 --> 04:07:09,608 MOVEMENT AND THE REFLEXES ARE ON 5918 04:07:09,608 --> 04:07:11,877 TOP OF THAT. 5919 04:07:11,877 --> 04:07:17,483 VERSUS, WHAT I THINK OF MORE 5920 04:07:17,483 --> 04:07:20,519 PROBABILITY OF THE NATURAL 5921 04:07:20,519 --> 04:07:22,821 PHYSIOLOGICAL SYSTEM OF TAKING 5922 04:07:22,821 --> 04:07:24,256 ADVANTAGE OF REFLEXES WHEN 5923 04:07:24,256 --> 04:07:28,427 GENERATING, YOU KNOW PRIOR TO 5924 04:07:28,427 --> 04:07:30,696 GENERATING LIKE A COMMON FILTER 5925 04:07:30,696 --> 04:07:31,263 TYPE APPROACH. 5926 04:07:31,263 --> 04:07:33,098 SO I'M KIND OF WONDERING HOW YOU 5927 04:07:33,098 --> 04:07:35,534 PUT THOSE 2 THINGS TOGETHER OR 5928 04:07:35,534 --> 04:07:36,902 IF I'M TOTALLY MISINTERPRETING 5929 04:07:36,902 --> 04:07:37,102 IT. 5930 04:07:37,102 --> 04:07:38,370 >> NO, NO, NO THIS, IS A VERY 5931 04:07:38,370 --> 04:07:40,339 GOOD QUESTION BECAUSE YOU ARE 5932 04:07:40,339 --> 04:07:42,774 FOLLOWING THE LOGIC OF A SYSTEM 5933 04:07:42,774 --> 04:07:44,276 THAT IS BUILT UP ALREADY IN THAT 5934 04:07:44,276 --> 04:07:47,346 WAY AND IT NEEDS TO ACCOUNT FOR 5935 04:07:47,346 --> 04:07:48,881 THE REFLEXES. 5936 04:07:48,881 --> 04:07:50,849 NOW, OUR APPROACH IS THAT EVEN A 5937 04:07:50,849 --> 04:07:57,055 LITTLE MORE NAIVE THAT THAN THAT 5938 04:07:57,055 --> 04:07:59,758 WHERE WE SAY, EVEN TO MY 5939 04:07:59,758 --> 04:08:02,961 KNOWLEDGE, EVERY 3 DIMENSIONAL 5940 04:08:02,961 --> 04:08:07,833 SIMULATION THAT I'VE SEEN OF 5941 04:08:07,833 --> 04:08:09,568 BEHAVIOR, IS OPEN LOOP OR 5942 04:08:09,568 --> 04:08:11,537 ASSUMES THAT THERE THE REFLEX 5943 04:08:11,537 --> 04:08:14,473 PATHWAYS THAT BEEN TAKEN CARE 5944 04:08:14,473 --> 04:08:14,673 OF. 5945 04:08:14,673 --> 04:08:19,244 MY OWN WORK, THE WORK OF 5946 04:08:19,244 --> 04:08:21,280 PRACTICALLY ALL MODELERS, IS 5947 04:08:21,280 --> 04:08:22,981 SOMEHOW THE MOTOR COMMAND IS 5948 04:08:22,981 --> 04:08:25,551 APPROPRIATE TO PERFORM THE 5949 04:08:25,551 --> 04:08:26,018 BEHAVIOR. 5950 04:08:26,018 --> 04:08:28,120 NOW, WHEN WE ASK DID YOU 5951 04:08:28,120 --> 04:08:30,355 CONSIDER REFLEXES, WE SAY, NO, 5952 04:08:30,355 --> 04:08:31,924 WE DIDN'T BECAUSE WE'RE ASSUMING 5953 04:08:31,924 --> 04:08:33,525 THAT THERE WERE ALREADY TAKEN 5954 04:08:33,525 --> 04:08:37,529 CARE OF AT SOME POINT. 5955 04:08:37,529 --> 04:08:39,031 SO OUR QUESTION WAS ACTUALLY 5956 04:08:39,031 --> 04:08:42,000 VERY, VERY NAIVE, IT WAS IF YOU 5957 04:08:42,000 --> 04:08:45,203 HAVE A DESCENDING COMMAND, WILL 5958 04:08:45,203 --> 04:08:48,740 THE MOVEMENT BE DISRUPTED IF THE 5959 04:08:48,740 --> 04:08:51,109 REFLEX PATHWAY EXISTS, SO THE 5960 04:08:51,109 --> 04:08:53,045 INITIAL STEP OF -- HOW MUCH -- 5961 04:08:53,045 --> 04:08:54,313 NYEAH, I WILL INTERRUPT YOU A 5962 04:08:54,313 --> 04:08:54,546 SECOND. 5963 04:08:54,546 --> 04:08:56,114 I GUESS I'M -- I THINK WE'RE 5964 04:08:56,114 --> 04:08:57,182 MISSING EACH OTHER HERE. 5965 04:08:57,182 --> 04:08:59,284 YEAH, I GET THAT. 5966 04:08:59,284 --> 04:09:02,087 BUT TO GENERATE THAT INITIAL, 5967 04:09:02,087 --> 04:09:03,121 THE OPEN LOOP TRAJECTORY, YOU 5968 04:09:03,121 --> 04:09:06,224 HAD TO HAVE IN KIND OF -- 5969 04:09:06,224 --> 04:09:08,126 >> IT WAS OPEN. 5970 04:09:08,126 --> 04:09:08,994 >> THAT'S FINE COMPLETELY OPEN 5971 04:09:08,994 --> 04:09:11,396 LOOP WHAT I'M REALLY ASKING, FOR 5972 04:09:11,396 --> 04:09:15,934 GET ABOUT THE COMMENT UP THERE, 5973 04:09:15,934 --> 04:09:20,405 IS IF OUR CONTROL SYSTEM 5974 04:09:20,405 --> 04:09:24,209 ACCOUNTED FOR THE REFLEXES IN 5975 04:09:24,209 --> 04:09:25,844 SETTING UP AND SENDING THE 5976 04:09:25,844 --> 04:09:27,546 COMMANDS, RIGHT IN AND THEN 5977 04:09:27,546 --> 04:09:28,814 THOSE COMMANDS WOULD BE 5978 04:09:28,814 --> 04:09:29,114 DIFFERENT. 5979 04:09:29,114 --> 04:09:32,618 SO I GUESS NOW I'M ANSWERING MY 5980 04:09:32,618 --> 04:09:33,352 OWN QUESTION, SO THE DIFFERENCE 5981 04:09:33,352 --> 04:09:34,653 IN THE TRANSLATIONAL RESEARCH 5982 04:09:34,653 --> 04:09:35,621 YECTRYS IS THE DIFFERENCE 5983 04:09:35,621 --> 04:09:36,622 BETWEEN WHAT TYPE OF COMMANDS 5984 04:09:36,622 --> 04:09:40,158 WOULD HAVE TO BE GENERATED 5985 04:09:40,158 --> 04:09:44,229 ACCOUNTING FOR REFLEXES OR NOT. 5986 04:09:44,229 --> 04:09:44,663 >> YES. 5987 04:09:44,663 --> 04:09:45,631 >> THE SECOND QUESTION I HAVE IS 5988 04:09:45,631 --> 04:09:51,336 I SAW THAT YOU KEPT LABELING THE 5989 04:09:51,336 --> 04:09:53,238 GAMMA ACTIVATION AS DYNAMIC AND 5990 04:09:53,238 --> 04:09:57,643 YOU KNOW THAT REMINDS ME OF 5991 04:09:57,643 --> 04:10:01,346 COURSE OF ELEGANT WORK AND 5992 04:10:01,346 --> 04:10:03,548 BECAUSE YOU COULD SET UP WITH 5993 04:10:03,548 --> 04:10:05,283 THE REFLEX A DASH POT OR A 5994 04:10:05,283 --> 04:10:06,618 SPRING WHETHER YOU PLAYED WITH 5995 04:10:06,618 --> 04:10:08,120 THE RATIO OF STATIC AND DYNAMIC 5996 04:10:08,120 --> 04:10:10,756 WHEN YOU WERE DOING THE 5997 04:10:10,756 --> 04:10:11,723 SIMULATIONS AND 1 MORE LIKE 5998 04:10:11,723 --> 04:10:13,358 EXTENSION OF THAT IF YOU DON'T 5999 04:10:13,358 --> 04:10:16,695 MIND IS, THERE ARE TIMES IN THE 6000 04:10:16,695 --> 04:10:18,930 MOVEMENT WHEN THE ACCELERATIONS 6001 04:10:18,930 --> 04:10:20,732 OF THE SEGMENTS ARE COMPLETELY 6002 04:10:20,732 --> 04:10:23,969 DRIVEN BY EXTERNAL FORCES AND OR 6003 04:10:23,969 --> 04:10:24,836 INTERNAL INERTIAL FORCES WHERE 6004 04:10:24,836 --> 04:10:29,274 YOU DON'T EVEN HAVE DESCENDING 6005 04:10:29,274 --> 04:10:31,576 COMMANDS TO MODULATE REFLEX. 6006 04:10:31,576 --> 04:10:33,145 WONDERING ABOUT THESE 2 THINGS, 6007 04:10:33,145 --> 04:10:35,180 HAVE YOU THOUGHT ABOUT BOTH OF 6008 04:10:35,180 --> 04:10:35,480 THEM? 6009 04:10:35,480 --> 04:10:38,150 >> SO YEAH, THAT'S WHY WE USE A 6010 04:10:38,150 --> 04:10:40,485 BONA FIDE PHYSICS ENGINEER THAT 6011 04:10:40,485 --> 04:10:43,021 INCLUDES ALL OF THE INTERACTION, 6012 04:10:43,021 --> 04:10:44,356 ALL THE INITIAL FORCES THAT 6013 04:10:44,356 --> 04:10:45,891 WOULD RESULT FROM THE COMMANDS 6014 04:10:45,891 --> 04:10:49,561 AND BUT TO YOUR POINT ABOUT THE 6015 04:10:49,561 --> 04:10:55,033 SECONDARY INTERFERENCE, WE DID 6016 04:10:55,033 --> 04:10:56,968 NOT INCLUDE THE LENGTH IN THIS 6017 04:10:56,968 --> 04:10:59,104 POINT BECAUSE WHILE THEY'RE 6018 04:10:59,104 --> 04:11:06,344 THERE, WHEN PEOPLE INVOKE 6019 04:11:06,344 --> 04:11:07,746 REFLEXES, THEY ARE MOSTLY 6020 04:11:07,746 --> 04:11:10,315 PROBLEMATIC AT THE VELOCITIES, 6021 04:11:10,315 --> 04:11:12,718 BECAUSE AS A FIRST STEP WE ONLY 6022 04:11:12,718 --> 04:11:16,388 LOOK AT THE 1-A AAFER ENSEL. 6023 04:11:16,388 --> 04:11:16,755 YEAH. 6024 04:11:16,755 --> 04:11:18,857 SO YEAH, THIS GENERATES -- MORE 6025 04:11:18,857 --> 04:11:20,292 QUESTIONS THAN ANSWERS BUT AT 6026 04:11:20,292 --> 04:11:24,496 LEAST SETS US UP IN THE WAY THAT 6027 04:11:24,496 --> 04:11:26,431 WE CAN BEGIN TO UNDERSTAND MOTOR 6028 04:11:26,431 --> 04:11:26,665 CONTROL. 6029 04:11:26,665 --> 04:11:30,569 THANK YOU. 6030 04:11:30,569 --> 04:11:31,236 >> EXCELLENT. 6031 04:11:31,236 --> 04:11:32,337 >> YEAH, WE HAD 3 GREAT TALKS 6032 04:11:32,337 --> 04:11:34,473 TODAY, WE HAVE TO SHIFT GEARS A 6033 04:11:34,473 --> 04:11:36,108 BIT AND HEAD INTO THE FINAL 6034 04:11:36,108 --> 04:11:36,341 COUPLE. 6035 04:11:36,341 --> 04:11:37,709 I'M GOING TO E-MAIL YOU A COUPLE 6036 04:11:37,709 --> 04:11:39,177 OF QUESTIONS THAT I HAVE, BUT I 6037 04:11:39,177 --> 04:11:41,613 JUST WANT TO KEEP US ON TIME SO 6038 04:11:41,613 --> 04:11:41,880 YOU CAN -- 6039 04:11:41,880 --> 04:11:43,014 >> OH, OKAY, THANK YOU. 6040 04:11:43,014 --> 04:11:45,350 >> SO YOU CAN CHECK YOUR E-MAIL 6041 04:11:45,350 --> 04:11:48,220 NSO AT THIS STAGE, WE WILL SHIFT 6042 04:11:48,220 --> 04:11:50,689 TO WITH THE MAY MEETING 1 OF THE 6043 04:11:50,689 --> 04:11:52,023 UNFORTUNATE PART SYSTEM WE HAVE 6044 04:11:52,023 --> 04:11:53,125 SOME PEOPLE ENDING THEIR TERMS 6045 04:11:53,125 --> 04:11:59,064 IN THIS CASE WOE ACTUALLY HAVE 6 6046 04:11:59,064 --> 04:12:00,632 MEMBERS WHO ARE ENDING THEIR 6047 04:12:00,632 --> 04:12:01,466 TERMS JUST BECAUSE OF THE WAY 6048 04:12:01,466 --> 04:12:03,034 THE TERMS ARE STAGGERED SO WE 6049 04:12:03,034 --> 04:12:04,536 WANTED TO GIVE EACH OF THEM A 6050 04:12:04,536 --> 04:12:06,872 CHANCE FOR A SAYING SOME FINAL 6051 04:12:06,872 --> 04:12:08,240 REMARKS ABOUT THEIR 4 YEARS ON 6052 04:12:08,240 --> 04:12:11,042 THE BOARD, WE VERY MUCH -- WE'VE 6053 04:12:11,042 --> 04:12:14,780 HAD GREAT DISCUSSIONS WITH THESE 6054 04:12:14,780 --> 04:12:16,448 FOLKS I WANTED TO GIVE THEM EACH 6055 04:12:16,448 --> 04:12:18,250 A CHANCE TO GIVE PARTING REMARKS 6056 04:12:18,250 --> 04:12:21,319 SO I WILL GO THROUGH AND ORDER 6057 04:12:21,319 --> 04:12:22,220 ALPHABETICAL BY FIRST NAME, WE 6058 04:12:22,220 --> 04:12:25,157 WILL GO FROM BARBARA TO DON TO 6059 04:12:25,157 --> 04:12:31,029 FRANCISCO TO JOSE, TO MICHELLE, 6060 04:12:31,029 --> 04:12:32,264 AND ROBERT. 6061 04:12:32,264 --> 04:12:33,532 SO BARBARA GO AHEAD. 6062 04:12:33,532 --> 04:12:35,033 >> WELL, OKAY, WELL THERESA AND 6063 04:12:35,033 --> 04:12:36,168 RALPH, I WANT TO THANK YOU FOR 6064 04:12:36,168 --> 04:12:43,742 ALL THAT YOU DO. 6065 04:12:43,742 --> 04:12:47,679 I HAVE ABSOLUTELY LOVED THE 6066 04:12:47,679 --> 04:12:48,580 INTERDISCIPLINARY DIALOGUES THAT 6067 04:12:48,580 --> 04:12:49,447 THESE MEETING HAVE HAD AND AS 6068 04:12:49,447 --> 04:12:52,651 YOU KNOW THE CONVERSATIONS 6069 04:12:52,651 --> 04:12:52,918 CONTINUE. 6070 04:12:52,918 --> 04:12:54,352 AND I ALSO WANT TO THANK YOU FOR 6071 04:12:54,352 --> 04:12:56,688 MAKING THE CHAIR ROLE SO EASY 6072 04:12:56,688 --> 04:13:01,092 FOR ME AND I WILL ASK YOU AND 6073 04:13:01,092 --> 04:13:06,164 THERESA, WHAT CAN WE DO FOR YOU 6074 04:13:06,164 --> 04:13:06,531 MOVING FORWARD? 6075 04:13:06,531 --> 04:13:10,836 BECAUSE WE'RE HERE FOR YOU EVERY 6076 04:13:10,836 --> 04:13:11,203 DAY. 6077 04:13:11,203 --> 04:13:13,171 >> I APPRECIATE THAT. 6078 04:13:13,171 --> 04:13:14,773 I APPRECIATE THAT. 6079 04:13:14,773 --> 04:13:17,676 WE WILL COME BACK TO WHEN WE 6080 04:13:17,676 --> 04:13:20,979 COME TO THE TOPIC OF THE NEXT 6081 04:13:20,979 --> 04:13:21,646 MEETING. 6082 04:13:21,646 --> 04:13:23,481 SO DAWN, YOU'RE UP NEXT. 6083 04:13:23,481 --> 04:13:29,721 YOUR COMMENTS TO YOUR FRIENDS 6084 04:13:29,721 --> 04:13:30,589 AND COLLEAGUES. 6085 04:13:30,589 --> 04:13:33,124 >> LIKE BARBARA I ENJOYED BEING 6086 04:13:33,124 --> 04:13:34,559 ON THIS MEETING, IT STARTED 6087 04:13:34,559 --> 04:13:36,995 DEARING COVID BUT IT'S ENDING 6088 04:13:36,995 --> 04:13:39,164 DURAN A STRANGE TIME AS LI 6089 04:13:39,164 --> 04:13:39,998 APPRECIATED YOUR LEADERSHIP 6090 04:13:39,998 --> 04:13:42,601 THERESA AND RALPH AND GETTING TO 6091 04:13:42,601 --> 04:13:44,002 KNOW PEOPLE I DON'T NECESSARILY 6092 04:13:44,002 --> 04:13:45,070 INTERACT WITH IN THE REHAB 6093 04:13:45,070 --> 04:13:46,771 COMMUNITY AND I WANT TO POINT 6094 04:13:46,771 --> 04:13:48,874 OUT A COUPLE VALUES THAT I'VE 6095 04:13:48,874 --> 04:13:49,908 SEEN YOU ALL EXHIBIT AND THE 6096 04:13:49,908 --> 04:13:53,211 GROUP AS WELL AS THE LEADERSHIP 6097 04:13:53,211 --> 04:13:54,713 AND NCMRR, AND THAT'S REALLY THE 6098 04:13:54,713 --> 04:13:56,848 VALUE OF OUR EARLY CAREER AND 6099 04:13:56,848 --> 04:13:58,250 TRAINEES, IT'S WONDERFUL TO SEE 6100 04:13:58,250 --> 04:14:00,252 SUCH FOCUS ON THAT, THAT IS SO 6101 04:14:00,252 --> 04:14:03,221 CRITICAL, AND ALSO THE VALUE OF 6102 04:14:03,221 --> 04:14:05,156 HAVING MORE PEOPLE ON THE BOARD 6103 04:14:05,156 --> 04:14:06,825 WITH LIVED EXPERIENCE, I FEEL -- 6104 04:14:06,825 --> 04:14:08,660 IT SEEMS LIKE THAT'S INCREASED 6105 04:14:08,660 --> 04:14:11,863 AT LEAST IN MY TIME AND VALUING 6106 04:14:11,863 --> 04:14:13,331 THAT DIVERSE VOICE AS A 6107 04:14:13,331 --> 04:14:14,299 DIFFERENT PEOPLE WITH 6108 04:14:14,299 --> 04:14:16,735 DISABILITIES AND REHAB 6109 04:14:16,735 --> 04:14:19,537 POPULATIONS, SO, I'M GOING TO 6110 04:14:19,537 --> 04:14:21,673 MISS THESE MEETINGS AND PLEASE 6111 04:14:21,673 --> 04:14:22,874 ALSO, I'M WILLING TO HELP IN 6112 04:14:22,874 --> 04:14:28,546 WHATEVER WAYS I CAN. 6113 04:14:28,546 --> 04:14:29,281 >> MUCH APPRECIATED, DAWN. 6114 04:14:29,281 --> 04:14:34,819 AND NOW LET'S SHIFT TO 6115 04:14:34,819 --> 04:14:35,086 FRANCISCO. 6116 04:14:35,086 --> 04:14:36,888 >> A LITTLE BIT LIKE A STUDY 6117 04:14:36,888 --> 04:14:39,724 SECTION, I WILL NOT REPEAT THE 6118 04:14:39,724 --> 04:14:43,194 AMAZING COMMENTS ALREADY MADE. 6119 04:14:43,194 --> 04:14:45,730 I THINK WHAT I WOULD LIKE TO ADD 6120 04:14:45,730 --> 04:14:46,831 MERE TO THE DISCUSSION IS WE 6121 04:14:46,831 --> 04:14:49,968 NEED TO REMEMBER THAT WHEN WE 6122 04:14:49,968 --> 04:14:52,037 STARTED, WE WERE COMING OUT OF 6123 04:14:52,037 --> 04:14:52,404 COVID. 6124 04:14:52,404 --> 04:14:55,040 IT WAS ALL -- IT WAS ALL REMOTE, 6125 04:14:55,040 --> 04:14:59,811 THE SKY WAS FALLING AND THE 6126 04:14:59,811 --> 04:15:01,346 SERVICE THAT YOU DID BY BRINGING 6127 04:15:01,346 --> 04:15:05,083 US TOGETHER, BY KEEPING US 6128 04:15:05,083 --> 04:15:07,652 TOGETHER, BY HELPING US WORK 6129 04:15:07,652 --> 04:15:10,989 THROUGH THAT CRISIS, I WILL BE 6130 04:15:10,989 --> 04:15:11,423 ETERNALLY THANKFUL. 6131 04:15:11,423 --> 04:15:14,392 THANK YOU FOR YOUR DETERMINATION 6132 04:15:14,392 --> 04:15:16,594 BECAUSE IT'S EASY TO FORGET THAT 6133 04:15:16,594 --> 04:15:17,963 NIGHTMARE, RIGHT? 6134 04:15:17,963 --> 04:15:20,598 AND SO I HAVE SO MUCH RESPECT 6135 04:15:20,598 --> 04:15:22,334 AND ADMIRATION FOR THE WORK THAT 6136 04:15:22,334 --> 04:15:24,869 YOU DO AND SO THANK YOU FOR 6137 04:15:24,869 --> 04:15:25,070 THAT. 6138 04:15:25,070 --> 04:15:31,977 IT IS NOT EVER FORGOTTEN OR 6139 04:15:31,977 --> 04:15:34,646 TAKEN FOR GRANTED. 6140 04:15:34,646 --> 04:15:35,814 >> APPRECIATE IT. 6141 04:15:35,814 --> 04:15:38,083 THANK YOU. 6142 04:15:38,083 --> 04:15:39,184 JOSE, ARE YOU -- 6143 04:15:39,184 --> 04:15:40,285 >> THANK YOU. 6144 04:15:40,285 --> 04:15:41,286 THANK YOU. 6145 04:15:41,286 --> 04:15:44,055 RALPH AND THERESA, HAS BEEN 6146 04:15:44,055 --> 04:15:46,224 REALLY AN HONOR AND PRIVILEGE TO 6147 04:15:46,224 --> 04:15:48,293 WORK WITH YOU, AND REALLY 6148 04:15:48,293 --> 04:15:50,028 APPRECIATE THE LEADERSHIP, THE 6149 04:15:50,028 --> 04:15:54,399 EFFORT, THE TIME YOU PUT INTO 6150 04:15:54,399 --> 04:16:02,841 THIS MEETINGS AND YOU KNOW 6151 04:16:02,841 --> 04:16:04,843 RUNNING THE CENTER, I HAVE BEEN 6152 04:16:04,843 --> 04:16:05,944 PRIVILEGED TO REPRESENT THIS 6153 04:16:05,944 --> 04:16:07,445 GROUP AT THE NATIONAL ADVISORY 6154 04:16:07,445 --> 04:16:11,549 COUNCIL AND I HAVE LEARNED SO 6155 04:16:11,549 --> 04:16:16,187 MUCH BEING AN ENGINEER I REALLY 6156 04:16:16,187 --> 04:16:16,955 CAN -- 360-DEGREES AROUND AND 6157 04:16:16,955 --> 04:16:21,626 WHAT YOU DO IN TERMS OF TRAINING 6158 04:16:21,626 --> 04:16:24,929 AND SUPPORTING AND SCIENTIFIC 6159 04:16:24,929 --> 04:16:25,630 ENTERPRISE AND THERE'S REALLY 6160 04:16:25,630 --> 04:16:27,232 I'M HERE, YOU KNOW I WOULD 6161 04:16:27,232 --> 04:16:29,134 REALLY LIKE TO STAY CONNECTED 6162 04:16:29,134 --> 04:16:30,568 AND KEEP WORKING, YOU KNOW. 6163 04:16:30,568 --> 04:16:35,040 WE HAD A LOT OF WORK TO DO, NOT 6164 04:16:35,040 --> 04:16:36,841 ONLY IN ADVANCING EDUCATION, 6165 04:16:36,841 --> 04:16:40,011 TRAINING BUT YOU KNOW STANDARD, 6166 04:16:40,011 --> 04:16:41,546 STEM, SCIENCE, AND YOU KNOW 6167 04:16:41,546 --> 04:16:43,481 BRINGING THIS TO THE PUBLIC SO 6168 04:16:43,481 --> 04:16:46,217 THAT THEY WILL KNOW WHAT WAS THE 6169 04:16:46,217 --> 04:16:47,719 IMPACT OF THIS AND REALLY 6170 04:16:47,719 --> 04:16:48,520 APPRECIATE THE EFFORT AND 6171 04:16:48,520 --> 04:16:49,921 WORKING WITH ALL MY COLLEAGUES 6172 04:16:49,921 --> 04:16:50,155 HERE. 6173 04:16:50,155 --> 04:16:59,230 THANK YOU SO MUCH. 6174 04:16:59,230 --> 04:16:59,697 >> MICHELLE? 6175 04:16:59,697 --> 04:17:00,098 >> HI, EVERYONE. 6176 04:17:00,098 --> 04:17:02,534 I FEEL LIKE I'M GOING AWAY ON A 6177 04:17:02,534 --> 04:17:05,870 LONG JOURNEY. 6178 04:17:05,870 --> 04:17:06,137 [LAUGHTER] 6179 04:17:06,137 --> 04:17:08,973 IT'S BEEN A PLEASURE TO SERVE. 6180 04:17:08,973 --> 04:17:10,408 I THANK YOU RALPH FOR PUTTING 6181 04:17:10,408 --> 04:17:13,678 THE BUG IN MY EAR WHEN I WAS 6182 04:17:13,678 --> 04:17:16,014 COMING OFF OF THAT STUDY SECTION 6183 04:17:16,014 --> 04:17:19,017 AND THANK YOU THERESA FOR YOU 6184 04:17:19,017 --> 04:17:21,519 KNOW WELCOMING ME AND THANK YOU 6185 04:17:21,519 --> 04:17:22,854 EVERYONE THAT I'VE SERVED WITH 6186 04:17:22,854 --> 04:17:24,756 FOR WELCOMING ME TO THE MEETING 6187 04:17:24,756 --> 04:17:29,227 AND FOR ALLOWING ME TO PUT MY 6188 04:17:29,227 --> 04:17:31,029 TWO-CENTS IN HERE AND THERE AND 6189 04:17:31,029 --> 04:17:33,765 I REALLY ENJOYED JUST THE 6190 04:17:33,765 --> 04:17:36,267 DIALOGUE, THE DISCUSSION, THE 6191 04:17:36,267 --> 04:17:39,270 INFORMATION ABOUT HOW NICHD 6192 04:17:39,270 --> 04:17:41,005 WORKS, HOW NCMRR WORKS HOW NIH 6193 04:17:41,005 --> 04:17:45,310 WORKS, IT WAS JUST REALLY 6194 04:17:45,310 --> 04:17:46,277 EDUCATIONAL TO SEE HOW KIND OF 6195 04:17:46,277 --> 04:17:47,245 THE PASSION THAT GOES INTO 6196 04:17:47,245 --> 04:17:50,615 MAKING SURE THAT WE HAVE 6197 04:17:50,615 --> 04:17:52,717 REHABILITATION SCIENCE IS KIND 6198 04:17:52,717 --> 04:17:54,018 OF HEARD, REHABILITATION SCIENCE 6199 04:17:54,018 --> 04:17:55,587 IS CERTAINTIED, AND THAT HOW WE 6200 04:17:55,587 --> 04:17:59,157 THEN BUILD THE NEXT GENERATION 6201 04:17:59,157 --> 04:18:01,292 OF REHABILITATION SCIENTISTS, 6202 04:18:01,292 --> 04:18:03,428 AND HOW, ACTUALLY ALSO 6203 04:18:03,428 --> 04:18:05,797 APPRECIATE HOW YOU GUYS CARE 6204 04:18:05,797 --> 04:18:07,065 ABOUT ENGINEERS, AND MAKING SURE 6205 04:18:07,065 --> 04:18:10,969 THAT ENGINEERS THAT ARE REALLY 6206 04:18:10,969 --> 04:18:12,904 PASSIONATE ABOUT REHAB, ARE A 6207 04:18:12,904 --> 04:18:15,440 PART OF THIS EQUATION. 6208 04:18:15,440 --> 04:18:18,209 SO I REALLY AM JUST THANK YOU. 6209 04:18:18,209 --> 04:18:20,645 I REALLY CAN'T FULLY SUM UP ALL 6210 04:18:20,645 --> 04:18:21,646 THE VALUE I'VE OBTAINED FROM 6211 04:18:21,646 --> 04:18:25,250 BEING A PART OF THIS MEETING AND 6212 04:18:25,250 --> 04:18:26,985 WILL MISS THESE MEETINGS AND SO 6213 04:18:26,985 --> 04:18:30,155 HAVE A LITTLE BIT OF TEAR COMING 6214 04:18:30,155 --> 04:18:33,158 DOWN BUT IT'S BEEN GREAT. 6215 04:18:33,158 --> 04:18:38,863 >> OH, OKAY, AND BOB? 6216 04:18:38,863 --> 04:18:44,903 BOB SAINBURG? 6217 04:18:44,903 --> 04:18:45,670 >> YEAH, WELL, ESPECIALLY IN 6218 04:18:45,670 --> 04:18:48,039 EMERGING ITS OF THANKS TO 6219 04:18:48,039 --> 04:18:49,707 THERESA AND RALPH, I WOULD SAY 6220 04:18:49,707 --> 04:18:53,278 THAT COMING FROM SOMEBODY WHO 6221 04:18:53,278 --> 04:18:54,646 HAS TROUBLE BEING QUIET AND 6222 04:18:54,646 --> 04:18:55,980 SITTING STILL, THE FACT THAT I 6223 04:18:55,980 --> 04:19:01,519 LOOKED FORWARD TO THESE 6224 04:19:01,519 --> 04:19:02,820 MEETINGS, ESPECIALLY THE 6225 04:19:02,820 --> 04:19:04,255 IN-PERSON 1 SYSTEM AMAZING AND 6226 04:19:04,255 --> 04:19:06,391 IT'S BECAUSE THE VALUE THAT THIS 6227 04:19:06,391 --> 04:19:11,296 GROUP PROVIDED TO ME, WAS 6228 04:19:11,296 --> 04:19:11,529 AMAZING. 6229 04:19:11,529 --> 04:19:12,897 OFTEN THOUGH I GUESS WE'RE ALL 6230 04:19:12,897 --> 04:19:15,700 SITTING IN OUR LITTLE CORNERS OF 6231 04:19:15,700 --> 04:19:17,735 SCIENCE AND REHAB SCIENCE THIS, 6232 04:19:17,735 --> 04:19:22,907 GROUP PULLED TOGETHER YOU KNOW 6233 04:19:22,907 --> 04:19:24,209 AN AMAZINGLY BROAD APPROACH, SET 6234 04:19:24,209 --> 04:19:26,611 OF APPROACHES TO DOING REHAB 6235 04:19:26,611 --> 04:19:32,116 SCIENCE AND I LEARNED SO MUCH 6236 04:19:32,116 --> 04:19:34,619 FROM INTERACTING BOTH IN THE 6237 04:19:34,619 --> 04:19:36,454 SUBCOMMITTEES AND THE GENERAL 6238 04:19:36,454 --> 04:19:40,525 COMMITTEE WITH EVERYBODY AND IT 6239 04:19:40,525 --> 04:19:43,494 REALLY EXPANDED BY SCOPE OF HOW 6240 04:19:43,494 --> 04:19:46,331 I VIEW THIS ENTERPRISE THAT YOU 6241 04:19:46,331 --> 04:19:49,434 GUYS MANAGE AT THE NIH LEVEL AND 6242 04:19:49,434 --> 04:19:49,801 APPRECIATE IT. 6243 04:19:49,801 --> 04:19:53,004 THANK YOU VERY MUCH. 6244 04:19:53,004 --> 04:19:53,238 NTHANKS. 6245 04:19:53,238 --> 04:19:54,772 WE WILL BE SENDING CERTIFICATES 6246 04:19:54,772 --> 04:19:56,107 OUT TO ALL OF YOU, SERIOUSLY 6247 04:19:56,107 --> 04:19:59,877 THAT YOU CAN PUT ON YOUR WALL. 6248 04:19:59,877 --> 04:20:02,180 AND I THINK IF YOUR ENGAGEMENT 6249 04:20:02,180 --> 04:20:04,616 IS THE REASON I TAKE BACK, THE 6250 04:20:04,616 --> 04:20:06,150 FACT THAT YOU FOLK REALLY DO 6251 04:20:06,150 --> 04:20:07,919 ENGAGE MAKES US FEEL GOOD THAT 6252 04:20:07,919 --> 04:20:09,587 WE USE THE ADVISORY BOARD AS 6253 04:20:09,587 --> 04:20:12,490 BEST WE CAN, WE ALWAYS TRY TO 6254 04:20:12,490 --> 04:20:13,758 SAY IT'S LIKE A 2 WAY STREET, 6255 04:20:13,758 --> 04:20:14,926 IT'S NOT ONLY WHAT YOU BRING TO 6256 04:20:14,926 --> 04:20:16,327 THE BOARD BUT IT'S YOU FOLKS 6257 04:20:16,327 --> 04:20:17,629 THAT ARE WELL CONNECKED AND YOU 6258 04:20:17,629 --> 04:20:20,298 CARRY THE STORY, THE MENTORSHIP, 6259 04:20:20,298 --> 04:20:21,266 YOU CARRY THE APPRECIATION OF 6260 04:20:21,266 --> 04:20:23,668 WHAT THE NIH IS DOING BACK TO 6261 04:20:23,668 --> 04:20:25,103 YOUR OWN RESPECTIVE COMMUNITIES. 6262 04:20:25,103 --> 04:20:27,705 AND NOW MORE THAN EVER WE NEED 6263 04:20:27,705 --> 04:20:28,773 THAT APPRECIATION OF THE ROLE OF 6264 04:20:28,773 --> 04:20:32,744 RESEARCH AND THE ROLE OF 6265 04:20:32,744 --> 04:20:36,914 ACADEMIC COMMUNITY IN OUR BROAD 6266 04:20:36,914 --> 04:20:37,749 CONSTITUENCIES, YOU HAVE TO 6267 04:20:37,749 --> 04:20:39,384 CARRY THAT NOW MORE THAN EVER. 6268 04:20:39,384 --> 04:20:43,688 SO FINALLY, I WANT TO IT'S ALSO 6269 04:20:43,688 --> 04:20:45,056 THE TIME SINCE BARBARA HAS BEEN 6270 04:20:45,056 --> 04:20:47,325 OUR CHAIR FOR A WHILE, I WILL 6271 04:20:47,325 --> 04:20:48,960 LET BARBARA TURN THE GAVEL OVER 6272 04:20:48,960 --> 04:20:49,894 TO KATHLEEN. 6273 04:20:49,894 --> 04:20:52,530 SO BARBARA I WILL LET YOU COME 6274 04:20:52,530 --> 04:20:55,466 BACK ON AND TURNOVER TO KATHLEEN 6275 04:20:55,466 --> 04:20:58,469 SO SHE CAN ASK FOR COMMENTS FOR 6276 04:20:58,469 --> 04:20:59,904 THE NEXT MEETING. 6277 04:20:59,904 --> 04:21:03,041 >> THANKS SO MUCH. 6278 04:21:03,041 --> 04:21:04,075 APPRECIATE EVERYTHING. 6279 04:21:04,075 --> 04:21:05,543 AND I WILL TURN THE VIRTUAL 6280 04:21:05,543 --> 04:21:12,817 GAVEL OVER TO KATHLEEN. 6281 04:21:12,817 --> 04:21:13,751 >> THANKS BARBARA, APPRECIATE 6282 04:21:13,751 --> 04:21:13,951 THAT. 6283 04:21:13,951 --> 04:21:15,987 I'M EXCITED TO BE ABLE TO HAVE 6284 04:21:15,987 --> 04:21:17,455 THIS ROLE AND I FEEL LIKE I 6285 04:21:17,455 --> 04:21:20,024 LEARNED A LOT FROM TODAY'S 6286 04:21:20,024 --> 04:21:20,625 MEETING. 6287 04:21:20,625 --> 04:21:21,793 I LOVE THE BREDTH OF INFORMATION 6288 04:21:21,793 --> 04:21:23,428 THAT WAS SHARED, I THOUGHT IT 6289 04:21:23,428 --> 04:21:27,932 WAS FANTASTIC WE WENT FROM 6290 04:21:27,932 --> 04:21:28,599 UNDERSTANDING CAREER TRANSITIONS 6291 04:21:28,599 --> 04:21:32,403 AND HOW A PERSON HAS MOVED THEIR 6292 04:21:32,403 --> 04:21:33,938 CAREER IN SO MANY WAYS TO 6293 04:21:33,938 --> 04:21:36,240 UNDERSTANDING MOTOR NEURONS AND 6294 04:21:36,240 --> 04:21:37,475 GOING BACK TO ALPHA MOTONEURONS 6295 04:21:37,475 --> 04:21:39,544 SO I AM REALLY EXCITED TO HAVE 6296 04:21:39,544 --> 04:21:39,944 THIS OPPORTUNITY. 6297 04:21:39,944 --> 04:21:41,412 SO THANKS AGAIN, AND THANK YOU 6298 04:21:41,412 --> 04:21:42,547 BARBARA, I AM SURE WE WILL HAVE 6299 04:21:42,547 --> 04:21:45,283 QUESTIONS FOR YOU AS WE MOVE 6300 04:21:45,283 --> 04:21:45,683 FORWARD. 6301 04:21:45,683 --> 04:21:48,986 AND I THINK ME ROLE NOW IS TO 6302 04:21:48,986 --> 04:21:51,022 ASK YOU ALL FOR A TOPIC 6303 04:21:51,022 --> 04:21:52,924 SUGGESTIONS FOR THE NEXT 6304 04:21:52,924 --> 04:21:53,624 MEETING. 6305 04:21:53,624 --> 04:21:58,463 SO I WONDER IF BEFORE WE LEAVE, 6306 04:21:58,463 --> 04:22:07,839 IF YOU COULD OFFER ANY 6307 04:22:07,839 --> 04:22:11,576 SUGGESTIONS TO US. 6308 04:22:11,576 --> 04:22:12,110 CHRIS, YEAH? 6309 04:22:12,110 --> 04:22:13,911 >> SO THANKS A LOT, I FEEL LIKE 6310 04:22:13,911 --> 04:22:15,980 1 OF THE FIRST MEETING I WENT TO 6311 04:22:15,980 --> 04:22:17,281 THAT THE CENTER FOR SCIENTIFIC 6312 04:22:17,281 --> 04:22:20,818 REVIEW CAME AND I'M WONDERING 6313 04:22:20,818 --> 04:22:22,754 NOW WITH THE IMPLEMENTATION OF 6314 04:22:22,754 --> 04:22:23,721 THE SIMPLIFIED REVIEW FRAMEWORK 6315 04:22:23,721 --> 04:22:25,256 AND THE OTHER INTERNAL CHANGES 6316 04:22:25,256 --> 04:22:26,891 THAT WE'RE SEEING AT CSR THAT WE 6317 04:22:26,891 --> 04:22:30,795 HEARD A BIT ABOUT TODAY FROM 6318 04:22:30,795 --> 04:22:32,363 THERESA IF HAVING A 6319 04:22:32,363 --> 04:22:33,197 REPRESENTATIVE COME BACK AND 6320 04:22:33,197 --> 04:22:34,932 TALK TO US ABOUT CHOSE CHANGES 6321 04:22:34,932 --> 04:22:38,102 WOULD BE HELPFUL TO THIS GROUP? 6322 04:22:38,102 --> 04:22:41,072 >> YEAH, THANK YOU THAT SOUNDS 6323 04:22:41,072 --> 04:22:41,439 INTERESTING. 6324 04:22:41,439 --> 04:22:41,672 AGREED. 6325 04:22:41,672 --> 04:22:44,342 I THINK MY JOB IS JUST TO TAKE 6326 04:22:44,342 --> 04:22:45,176 THE SUGGESTIONS, UNLESS, RALPH, 6327 04:22:45,176 --> 04:22:46,377 CAN YOU LET ME KNOW IF WE'RE 6328 04:22:46,377 --> 04:22:48,112 GOING TO RESOLVE ANY OF THIS OR 6329 04:22:48,112 --> 04:22:51,549 IS IT JUST TO -- 6330 04:22:51,549 --> 04:22:53,684 >> YEAH, WE YEAH. 6331 04:22:53,684 --> 04:22:54,485 >> GREAT. 6332 04:22:54,485 --> 04:22:54,986 THANKS, CHRIS. 6333 04:22:54,986 --> 04:22:58,589 >> TIFFANY, IEE YOUR HAND. 6334 04:22:58,589 --> 04:22:59,757 >> THIS IS TIFFANY, I KNOW IN 6335 04:22:59,757 --> 04:23:01,159 THE UPDATE THEY MENTIONED SOME 6336 04:23:01,159 --> 04:23:03,694 OF THE FINALISTS FOR I THINK IT 6337 04:23:03,694 --> 04:23:06,631 WAS CALLED LIKE THE DISABILITY 6338 04:23:06,631 --> 04:23:07,732 PRIDE AWARD SORE SOMETHING, AND 6339 04:23:07,732 --> 04:23:09,634 I THINK THERE WERE 9 6340 04:23:09,634 --> 04:23:10,268 ORGANIZATIONS OR SOMETHING, I 6341 04:23:10,268 --> 04:23:11,502 THINK IT WOULD BE INTERESTING TO 6342 04:23:11,502 --> 04:23:13,771 MAYBE HEAR FROM THEM, AND ALSO 6343 04:23:13,771 --> 04:23:15,907 MAYBE SOME OF THE ORGANIZATIONS 6344 04:23:15,907 --> 04:23:19,744 THAT HAVE BEEN IMPACTED BY OUR 6345 04:23:19,744 --> 04:23:21,512 WORK AS WELL, ALSO REFLECTING ON 6346 04:23:21,512 --> 04:23:22,713 THE UPDATE THAT WAS SHARED 6347 04:23:22,713 --> 04:23:26,584 EARLIER ABOUT THE IMPACT THAT 6348 04:23:26,584 --> 04:23:29,153 WE'VE HAD. 6349 04:23:29,153 --> 04:23:31,456 NTHANK YOU TIFFANY. 6350 04:23:31,456 --> 04:23:32,190 LOVELY IDEA. 6351 04:23:32,190 --> 04:23:33,858 I'M INTERESTED IN THAT, TOO. 6352 04:23:33,858 --> 04:23:35,693 NYEAH, THIS IS ONLY THE BEGIN OF 6353 04:23:35,693 --> 04:23:37,161 THE DISCUSSION SO EVEN AFTER 6354 04:23:37,161 --> 04:23:39,363 THIS MEETING ENDS, IF YOU HAVE 6355 04:23:39,363 --> 04:23:40,665 OTHER IDEAS, FEEL FREE TO STAY 6356 04:23:40,665 --> 04:23:45,236 IN TOUCH WITH US. 6357 04:23:45,236 --> 04:23:46,437 OTHER TOPICS OR OTHER EVEN 6358 04:23:46,437 --> 04:23:48,105 DISCUSSIONS ABOUT HOW THE 6359 04:23:48,105 --> 04:23:49,273 MEETING WENT? 6360 04:23:49,273 --> 04:23:51,843 HOPEFULLY WE WILL GO BACK TO 6361 04:23:51,843 --> 04:23:53,044 HAVING IN-PERSON MEETINGS 6362 04:23:53,044 --> 04:23:56,848 PENDING OUR LOGISTICS AND 6363 04:23:56,848 --> 04:23:57,081 SUPPORT. 6364 04:23:57,081 --> 04:23:57,849 BUT ANY OTHER COMMENT THAT 6365 04:23:57,849 --> 04:24:03,020 PEOPLE HAVE ABOUT OUR DISCUSSION 6366 04:24:03,020 --> 04:24:05,756 ISSUES IT'S BEENAIN TENSE FEW 6367 04:24:05,756 --> 04:24:06,057 HOURS. 6368 04:24:06,057 --> 04:24:07,058 >> I'M CURIOUS, RALPH, DO YOU 6369 04:24:07,058 --> 04:24:10,194 KNOW NOW IF THERE WILL BE 6370 04:24:10,194 --> 04:24:13,564 IN-PERSON MEETINGS IN DECEMBER? 6371 04:24:13,564 --> 04:24:13,865 >> MMMMMM. 6372 04:24:13,865 --> 04:24:22,106 OKAY IN? 6373 04:24:22,106 --> 04:24:23,474 >> ALL RIGHT. 6374 04:24:23,474 --> 04:24:23,941 ANY,A HEAD MICHELLE,. 6375 04:24:23,941 --> 04:24:29,614 >> I WAS JUST GOING TO SAY THAT 6376 04:24:29,614 --> 04:24:30,948 THE HAVING THERESA PRESENT ON 6377 04:24:30,948 --> 04:24:33,117 THE THEMES, IF THERE COULD BE 6378 04:24:33,117 --> 04:24:34,185 FOLLOW UP EVEN THOUGH I'M NOT 6379 04:24:34,185 --> 04:24:38,890 GOING TO BE HERE, ABOUT THE 6380 04:24:38,890 --> 04:24:42,226 THEMES AND THEN ALSO ABOUT YOU 6381 04:24:42,226 --> 04:24:43,895 KNOW SUPPORTING KIND OF LIKE 6382 04:24:43,895 --> 04:24:45,863 REPORTING ON IF THE K12S ARE 6383 04:24:45,863 --> 04:24:48,232 GOING OUT, YOU KNOW MAYBE 6384 04:24:48,232 --> 04:24:53,604 REPORTING A BIT ON PROGRESS AND 6385 04:24:53,604 --> 04:24:55,439 HOW, IT MIGHT BE TOO SOON TO DO 6386 04:24:55,439 --> 04:24:56,874 THAT AT THE NEXT MEETING BUT IT 6387 04:24:56,874 --> 04:24:58,676 WOULD BE INTERESTING TO SEE HOW 6388 04:24:58,676 --> 04:25:00,444 THE REJUVENATION OF THE K12 6389 04:25:00,444 --> 04:25:04,348 SUPPORT, HOW DOES THAT KIND OF 6390 04:25:04,348 --> 04:25:06,217 STIMULATE THE PEOPLE PUTTING IN 6391 04:25:06,217 --> 04:25:07,251 AWARDS AND PUTTING IN REQUESTS 6392 04:25:07,251 --> 04:25:12,023 AND THINGS LIKE THAT. 6393 04:25:12,023 --> 04:25:12,990 NTHAT SOUNDS INTERESTING, 6394 04:25:12,990 --> 04:25:14,425 MICHELLE, I DO THINKIME CURIOUS 6395 04:25:14,425 --> 04:25:17,161 HOW THIS, HOW THE ENVIRONMENT 6396 04:25:17,161 --> 04:25:19,430 WILL CHANGE, WHAT KIND OF 6397 04:25:19,430 --> 04:25:25,202 APPLICATIONS ARE EVEN RECEIVED? 6398 04:25:25,202 --> 04:25:27,104 NOT SEEING ANY OTHER HANDS SO 6399 04:25:27,104 --> 04:25:28,773 PLEASE SPEAK UP IF I'M NOT 6400 04:25:28,773 --> 04:25:29,707 CALLING ON YOU. 6401 04:25:29,707 --> 04:25:30,841 >> EXCELLENT QUESTION, THAT GOES 6402 04:25:30,841 --> 04:25:32,376 TO OUR WHOLE ROLE AS PROGRAM 6403 04:25:32,376 --> 04:25:35,846 OFFICIALS AND HOW MUCH WE 6404 04:25:35,846 --> 04:25:37,415 SUPPORT THE INVESTIGATOR 6405 04:25:37,415 --> 04:25:38,115 INITIATED APPLICATION TO COME IN 6406 04:25:38,115 --> 04:25:40,751 AND HOW MUCH WE HAVE TO KIND OF 6407 04:25:40,751 --> 04:25:43,854 STIMULATE THE SYSTEM AND HOW 6408 04:25:43,854 --> 04:25:46,824 MUCH FLEXIBILITY WILL HAVE IN 6409 04:25:46,824 --> 04:25:52,096 THE FUTURE, SO, ALL OPEN 6410 04:25:52,096 --> 04:25:52,396 DISCUSSIONS. 6411 04:25:52,396 --> 04:25:53,230 THERESA DO HAVE YOU COMMENTS YOU 6412 04:25:53,230 --> 04:25:56,434 WANT TO SAY TO OUR -- 6413 04:25:56,434 --> 04:25:59,303 >> YEAH, THANKS, RALPH. 6414 04:25:59,303 --> 04:26:02,740 I JUST WANTED TO COME ON TO SAY 6415 04:26:02,740 --> 04:26:05,209 THANK YOU TO ALL THE MEMBERS, 6416 04:26:05,209 --> 04:26:10,281 PARTICULARLY THE 1S WHO WERE 6417 04:26:10,281 --> 04:26:11,382 ENDING THEIR TENURE. 6418 04:26:11,382 --> 04:26:13,818 I HAVE HIT YOU ALL UP TO BE ON 6419 04:26:13,818 --> 04:26:16,554 VARIOUS SUBCOMMITTEES OVER THE 6420 04:26:16,554 --> 04:26:18,556 LAST 4 YEARS, AND I AM 6421 04:26:18,556 --> 04:26:22,960 INCREDIBLY GRATEFUL FOR THE TIME 6422 04:26:22,960 --> 04:26:24,061 AND THE THOUGHTFUL CONSIDERATION 6423 04:26:24,061 --> 04:26:26,564 OF ALL MY QUESTIONS THAT I'VE 6424 04:26:26,564 --> 04:26:29,500 HAD FOR YOU AND YOU HAVE ALWAYS 6425 04:26:29,500 --> 04:26:34,639 SHOWN UP PREPARED AND READY TO 6426 04:26:34,639 --> 04:26:36,474 CONTRIBUTE SO JUST A HUGE 6427 04:26:36,474 --> 04:26:37,675 THANKS, IT HELPS -- IT HELPS ME 6428 04:26:37,675 --> 04:26:39,577 AND RALPH AND THE REST OF THE 6429 04:26:39,577 --> 04:26:43,881 CENTER DO OUR JOBS WHICH IS ALSO 6430 04:26:43,881 --> 04:26:49,787 TO SUPPORT YOU ALL AND THE FIELD 6431 04:26:49,787 --> 04:26:50,888 MORE BROADLY. 6432 04:26:50,888 --> 04:26:52,923 YOU KNOW, WE HOPE TO BE SEEING 6433 04:26:52,923 --> 04:26:55,259 YOU OUT IN THE WILD A BIT MORE 6434 04:26:55,259 --> 04:26:57,628 THIS SUMMER, SO PLEASE DO SAY 6435 04:26:57,628 --> 04:26:59,263 HIGH TO US IF WE'RE AT A MEETING 6436 04:26:59,263 --> 04:27:03,267 AND WE GET THE CHANCE TO MEET 6437 04:27:03,267 --> 04:27:03,434 UP. 6438 04:27:03,434 --> 04:27:05,536 THERE'S STILL A LOT THAT'S UP IN 6439 04:27:05,536 --> 04:27:08,739 THE AIR THAT ABOUT HOW WE WILL 6440 04:27:08,739 --> 04:27:11,475 PROCEED AND WE JUST VERY MUCH 6441 04:27:11,475 --> 04:27:14,011 APPRECIATE YOUR PATIENCE, AND 6442 04:27:14,011 --> 04:27:15,980 YOUR FLEXIBILITY, AS WE GET 6443 04:27:15,980 --> 04:27:20,418 THROUGH THIS TRANSITION TIME. 6444 04:27:20,418 --> 04:27:21,786 RALPH? 6445 04:27:21,786 --> 04:27:22,386 IS THAT EVERYTHING? 6446 04:27:22,386 --> 04:27:25,523 >> I ALSO WANT TO JUST ADD AS 6447 04:27:25,523 --> 04:27:27,158 SHE WAS SAYING, YOUR ENERG 6448 04:27:27,158 --> 04:27:30,895 SEKIND OF WAKEEPS US GOING, YOUR 6449 04:27:30,895 --> 04:27:33,597 ENERGY, I WANT TO ACKNOWLEDGE 6450 04:27:33,597 --> 04:27:35,433 OUR VARIOUS NIH AND FEDERAL 6451 04:27:35,433 --> 04:27:36,500 AGENCY COLLEAGUES, THEY ARE PART 6452 04:27:36,500 --> 04:27:38,369 OF THIS BOARD AS WELL, AND TO 6453 04:27:38,369 --> 04:27:40,871 HAVE THEM TAKE AN ACTIVE 6454 04:27:40,871 --> 04:27:45,876 INTEREST IN WHAT THEY DO, THEY 6455 04:27:45,876 --> 04:27:47,945 HAVE BUSY SCHEDULES, TOO, AND IT 6456 04:27:47,945 --> 04:27:49,580 SHOWS THE VALUE OF THE MEET XG 6457 04:27:49,580 --> 04:27:52,316 WHAT FOLKS BROUGHT TO IT IT'S A 6458 04:27:52,316 --> 04:27:54,018 2 WAY STREET. 6459 04:27:54,018 --> 04:27:56,153 IT'S MOSTLY WHAT YOU BRING TO 6460 04:27:56,153 --> 04:27:57,521 THIS AND HOW WE SPREAD OUT THE 6461 04:27:57,521 --> 04:27:58,155 WORD TO THE COMMUNITY AS WELL. 6462 04:27:58,155 --> 04:28:05,996 SO I GUESS WHAT THAT WE CAN SAY 6463 04:28:05,996 --> 04:28:07,398 GOODBYE AND 1 BENEFIT OF THIS 6464 04:28:07,398 --> 04:28:08,699 VIRTUAL MEETING IS WE DON'T HAVE 6465 04:28:08,699 --> 04:28:10,401 TO CALL YOU ALL TAXIS, YOU DON'T 6466 04:28:10,401 --> 04:28:13,471 HAVE TO GO BACK TO THE AIRPORTS, 6467 04:28:13,471 --> 04:28:16,240 WE HAVE THAT SMALL ADVANTAGE, 6468 04:28:16,240 --> 04:28:19,543 BUT WE DO LOOK FORWARD TO SEEING 6469 04:28:19,543 --> 04:28:21,512 YOU FOLKS IN THE FLESH AND WE DO 6470 04:28:21,512 --> 04:28:22,813 APPRECIATE YOUR COMMENTS ABOUT 6471 04:28:22,813 --> 04:28:26,016 HOW MUCH YOU PREFER TO BE IN 6472 04:28:26,016 --> 04:28:26,250 PERSON. 6473 04:28:26,250 --> 04:28:30,788 SO I GUESS WE -- KATHLEEN, 6474 04:28:30,788 --> 04:28:33,858 YOU'RE THE NEW CHAIR, YOU SHOULD 6475 04:28:33,858 --> 04:28:34,892 ADJOURN THE MEETING. 6476 04:28:34,892 --> 04:28:37,561 MAKE THAT YOUR OFFICIAL DUTY. 6477 04:28:37,561 --> 04:28:38,295 >> ALL RIGHT, WELL EVERYONE 6478 04:28:38,295 --> 04:28:39,730 THANK YOU FOR MAKING THE TIME TO 6479 04:28:39,730 --> 04:28:41,599 BE HERE AND INTERACT AND ENGAGE 6480 04:28:41,599 --> 04:28:44,835 WITH EVERYBODY AND SHARE 6481 04:28:44,835 --> 04:28:47,071 INFORMATION AND I GUESS I'M 6482 04:28:47,071 --> 04:28:48,205 ADJOURNING THE MEETING. 6483 04:28:48,205 --> 04:28:50,908 I'M NOT SURE HOW I OFFICIALLY DO 6484 04:28:50,908 --> 04:28:52,276 IT BUT THANK YOU FOR COMING AND 6485 04:28:52,276 --> 04:28:55,713 FOR THOSE THAT ARE ON THE 6486 04:28:55,713 --> 04:28:57,047 COMMITTEE, PLEASE COME BACK IN 6487 04:28:57,047 --> 04:28:57,982 DECEMBER. 6488 04:28:57,982 --> 04:28:59,216 THANK YOU. 6489 04:28:59,216 --> 04:29:00,484 >> THANKS EVERYONE. 6490 04:29:00,484 --> 04:29:00,818 >> BYE-BYE. 6491 04:29:00,818 --> 04:29:01,585 >> THANK YOU. 6492 04:29:01,585 --> 04:29:02,987 >> THANK YOU. 6493 04:29:02,987 --> 04:29:13,230 >> BYE-BYE.