1 00:00:04,882 --> 00:00:05,141 OKAY. 2 00:00:05,141 --> 00:00:08,678 WELCOME TO THE NATIONAL 3 00:00:08,678 --> 00:00:09,212 ADVISORY BOARD ON MEDICAL 4 00:00:09,212 --> 00:00:09,846 REHABILITATION RESEARCH COMING 5 00:00:09,846 --> 00:00:10,981 FROM THE NATIONAL INSTITUTES OF 6 00:00:10,981 --> 00:00:15,822 HEALTH. 7 00:00:15,822 --> 00:00:19,225 THIS IS A PUBLIC MEETING. 8 00:00:19,225 --> 00:00:22,228 IT'S DAY AND A HALF MEETING AND 9 00:00:22,228 --> 00:00:24,531 GOING TO TURN THE MEETING OVER 10 00:00:24,531 --> 00:00:28,635 TO BARBARA BREGMAN TO INTRODUCE 11 00:00:28,635 --> 00:00:30,036 AND CHECK THE MINUTES AND GIVE 12 00:00:30,036 --> 00:00:31,571 YOU FUTURE DATES. 13 00:00:31,571 --> 00:00:32,405 >> GOOD MORNING. 14 00:00:32,405 --> 00:00:39,946 THANK YOU. 15 00:00:39,946 --> 00:00:50,356 GOOD MORNING, EVERYBODY. 16 00:00:54,294 --> 00:00:58,665 >> GREAT TO SEE YOU ALL. 17 00:00:58,665 --> 00:00:59,599 THANKS FOR YOUR POST 18 00:00:59,599 --> 00:01:00,066 THANKSGIVING TRAVEL. 19 00:01:00,066 --> 00:01:01,868 WE'LL GO AROUND THE TABLE AND IF 20 00:01:01,868 --> 00:01:07,373 ALL THE CURRENT MEMBERS WOULD 21 00:01:07,373 --> 00:01:13,780 INTRODUCE THEMSELVES BY NAME AND 22 00:01:13,780 --> 00:01:22,956 ASSOCIATION AND THE NEW PEOPLE 23 00:01:22,956 --> 00:01:28,595 AND SCIENTIFIC BACKGROUND. 24 00:01:28,595 --> 00:01:36,135 >> SARAH BLANTON AND FROM EMORY 25 00:01:36,135 --> 00:01:36,436 UNIVERSITY. 26 00:01:36,436 --> 00:01:38,805 >> I'M STEVE CRAMER FROM UCLA. 27 00:01:38,805 --> 00:01:43,643 AM I NEW? 28 00:01:43,643 --> 00:01:50,550 ME CAREER IS PASSIONATELY 29 00:01:50,550 --> 00:01:51,618 RELATED TO THE RETURN OF 30 00:01:51,618 --> 00:01:53,987 MOVEMENT AFTER STROKE IN HUMANS. 31 00:01:53,987 --> 00:02:00,360 >> MY NAME IS KATHY ZACHOWSKI 32 00:02:00,360 --> 00:02:05,298 REPRESENTING THE MS SOCIETY. 33 00:02:05,298 --> 00:02:08,801 >> I'M FROM PENN STATE. 34 00:02:08,801 --> 00:02:09,402 >> I'M FROM THE UNIVERSITY OF 35 00:02:09,402 --> 00:02:17,577 HOUSTON. 36 00:02:17,577 --> 00:02:21,214 >> I'M NEW AND AT THE FOUNDATION 37 00:02:21,214 --> 00:02:24,551 WE REPRESENT PEOPLE WHO LIVE 38 00:02:24,551 --> 00:02:27,954 WITH SPINAL CORD INJURY AND 39 00:02:27,954 --> 00:02:33,026 PARALYSIS AND LIVE WITH MULTIPLE 40 00:02:33,026 --> 00:02:33,293 SCLEROSIS. 41 00:02:33,293 --> 00:02:35,428 >> I'M FROM THE SPINE LAB IN 42 00:02:35,428 --> 00:02:35,695 CHICAGO. 43 00:02:35,695 --> 00:02:37,864 >> GOOD MORNING MY NAME IS CARL 44 00:02:37,864 --> 00:02:39,966 COOPER THE EXECUTIVE DIRECTOR OF 45 00:02:39,966 --> 00:02:41,334 THE AMERICAN ASSOCIATION OF 46 00:02:41,334 --> 00:02:42,001 HEALTH AND DISABILITY. 47 00:02:42,001 --> 00:02:46,205 I'M A NEW MEMBER AND MY 48 00:02:46,205 --> 00:02:47,607 ORGANIZATION WORKS TO IMPROVE 49 00:02:47,607 --> 00:02:50,476 HEALTH AND WEALTH FOR PEOPLE 50 00:02:50,476 --> 00:02:51,644 WITH DISABILITY OR ACROSS THE 51 00:02:51,644 --> 00:02:52,812 LIFE SPAN. 52 00:02:52,812 --> 00:02:56,382 I HAVE LIVED EXPERIENCE AS A 53 00:02:56,382 --> 00:02:57,584 PERSON WITH DISABILITY HAVING 54 00:02:57,584 --> 00:02:58,985 BORN WITH A CONDITION WHICH 55 00:02:58,985 --> 00:03:04,657 AFFECTS MY LOWER AND UPPER LIMBS 56 00:03:04,657 --> 00:03:11,831 AND ALSO AN ATTORNEY BY 57 00:03:11,831 --> 00:03:12,198 TRAINING. 58 00:03:12,198 --> 00:03:20,773 >> TERESA CRUZ. 59 00:03:20,773 --> 00:03:25,979 >> BARBARA BREGMAN NATIONAL 60 00:03:25,979 --> 00:03:27,280 REHABILITATION HOSPITAL. 61 00:03:27,280 --> 00:03:29,382 >> I'M ROOVL BRECKMAN EXECUTIVE 62 00:03:29,382 --> 00:03:30,216 SECOND QUARTER AND DEN MOTHER 63 00:03:30,216 --> 00:03:32,318 FOR THIS GROUP. 64 00:03:32,318 --> 00:03:33,886 >> GOOD MORNING. 65 00:03:33,886 --> 00:03:36,456 I'M THE DIRECTOR OF STUDENT 66 00:03:36,456 --> 00:03:39,092 ACCESSIBILITY AND ACCOMMODATION 67 00:03:39,092 --> 00:03:41,694 SERVICES AT UNIVERSITY OF 68 00:03:41,694 --> 00:03:44,230 MICHIGAN AND IDENTIFY AS 69 00:03:44,230 --> 00:03:50,803 DISABLED AS A WHEELCHAIR USER. 70 00:03:50,803 --> 00:03:59,112 >> THIS IS TIFFANYYU MY PRONOUNS 71 00:03:59,112 --> 00:04:03,783 ARE SHE/HER AND WE'RE AN 72 00:04:03,783 --> 00:04:05,752 ENTIRELY DISABLED RUN AND LED 73 00:04:05,752 --> 00:04:07,420 ORGANIZATION BUILT ON ADVANCING 74 00:04:07,420 --> 00:04:11,824 POWER AND LEADERSHIP AND 75 00:04:11,824 --> 00:04:13,259 ACQUIRED MY DISABILITY INJURY AT 76 00:04:13,259 --> 00:04:18,431 THE AGE OF 9. 77 00:04:18,431 --> 00:04:21,934 >> I REPRESENT THE NATIONAL 78 00:04:21,934 --> 00:04:22,969 INSTITUTE OF NEUROLOGIC DISORDER 79 00:04:22,969 --> 00:04:29,709 AND STROKE. 80 00:04:29,709 --> 00:04:35,948 >> I'M MICHELLE JOHNSON SOCIETY 81 00:04:35,948 --> 00:04:38,117 PROFESSOR OF UNIVERSITY OF 82 00:04:38,117 --> 00:04:44,857 PENNSYLVANIA AND DO RESEARCH IN 83 00:04:44,857 --> 00:04:46,092 NON-TRAUMATIC BRAIN INJURY WITH 84 00:04:46,092 --> 00:04:48,594 REHABILITATION WITH ROBOTICS. 85 00:04:48,594 --> 00:04:52,965 >> ONLINE I'M GOING TO CALL 86 00:04:52,965 --> 00:04:55,234 PEOPLE OUT. 87 00:04:55,234 --> 00:05:05,611 FIRST WE HAVE STEVEN. 88 00:05:09,482 --> 00:05:12,185 >> STEVEN CATANE FROM THE 89 00:05:12,185 --> 00:05:13,419 HOSPITAL IN DETROIT. 90 00:05:13,419 --> 00:05:15,354 >> AND CHRIS JADEN. 91 00:05:15,354 --> 00:05:16,522 I'M IN THE DEPARTMENT OF 92 00:05:16,522 --> 00:05:17,557 COMMUNICATIVE DISORDERS AND 93 00:05:17,557 --> 00:05:18,191 SCIENCES AT THE UNIVERSITY OF 94 00:05:18,191 --> 00:05:28,334 BUFFALO. 95 00:05:29,569 --> 00:05:32,405 >> I'M FRANCISCO FROM THE 96 00:05:32,405 --> 00:05:33,706 UNIVERSITY OF SOUTHERN 97 00:05:33,706 --> 00:05:38,211 CALIFORNIA AND WORK IN 98 00:05:38,211 --> 00:05:39,278 COMPUTATIONAL NEUROSCIENCE AND 99 00:05:39,278 --> 00:05:39,579 ENGINEERING. 100 00:05:39,579 --> 00:05:41,180 >> THANK YOU. 101 00:05:41,180 --> 00:05:45,251 WE HAVE A FEW EX-OFFICIOS. 102 00:05:45,251 --> 00:05:53,626 >> ED VITILI FOR AT THE 103 00:05:53,626 --> 00:05:54,794 DEPARTMENT OF EDUCATION 104 00:05:54,794 --> 00:05:58,231 REHABILITATION SERVICES. 105 00:05:58,231 --> 00:06:01,534 >> JOHN SHERRA. 106 00:06:21,220 --> 00:06:30,062 >> I'M TAYLOR GILLAND WORKING 107 00:06:30,062 --> 00:06:31,264 WITHIN THE OFFICE OF THE 108 00:06:31,264 --> 00:06:32,899 DIRECTOR AND SHE SHOULD BE 109 00:06:32,899 --> 00:06:34,801 JOINING IN THE NEXT 30, 60 110 00:06:34,801 --> 00:06:36,235 MINUTES AND I'M SITTING IN HER 111 00:06:36,235 --> 00:06:36,869 PLACE. 112 00:06:36,869 --> 00:06:37,436 HAPPY TO BE HERE. 113 00:06:37,436 --> 00:06:47,747 >> THANKS, TAYLOR. 114 00:06:53,786 --> 00:06:59,525 >> I'M WITH THE CRAIG NEILSON 115 00:06:59,525 --> 00:07:02,228 FOUNDATION SENIOR VICE PRESIDENT 116 00:07:02,228 --> 00:07:05,898 AND IN RESEARCH. 117 00:07:05,898 --> 00:07:16,375 >> JOHN, DO WE HAVE YOU NOW? 118 00:07:17,210 --> 00:07:17,343 . 119 00:07:17,343 --> 00:07:18,711 JOHN IS OUR REPRESENTATIVE FROM 120 00:07:18,711 --> 00:07:20,146 THE DOD. 121 00:07:20,146 --> 00:07:21,514 >> I'M HAVING COMPUTER ISSUES. 122 00:07:21,514 --> 00:07:28,921 I CAN'T SEE MY VIDEO ON. 123 00:07:28,921 --> 00:07:34,994 EXECUTIVE DIRECTOR -- 124 00:07:34,994 --> 00:07:35,394 [AUDIO DIGITIZING] 125 00:07:35,394 --> 00:07:45,438 . 126 00:07:49,542 --> 00:07:52,345 >> THANKS, JOHN, I THINK WE GOT 127 00:07:52,345 --> 00:07:53,212 PART OF THAT. 128 00:07:53,212 --> 00:07:55,381 I HEARD ACTIVE DUTY. 129 00:07:55,381 --> 00:07:57,416 THANK YOU FOR JOINING AND 130 00:07:57,416 --> 00:07:58,217 HOPEFULLY WE'LL GET YOU CLEARED 131 00:07:58,217 --> 00:07:59,118 IN A MINUTE. 132 00:07:59,118 --> 00:08:00,820 >> AND LAST BUT NOT LEAST, 133 00:08:00,820 --> 00:08:03,289 DR. BIANCHI. 134 00:08:03,289 --> 00:08:05,124 >> GOOD MORNING, EVERYONE. 135 00:08:05,124 --> 00:08:07,660 I HOPE EVERYONE HAD A GOOD 136 00:08:07,660 --> 00:08:09,295 HOLIDAY. 137 00:08:09,295 --> 00:08:10,963 HAPPY TO JOIN YOU AND I GUESS 138 00:08:10,963 --> 00:08:12,431 I'LL BE PRESENTING SOON SO 139 00:08:12,431 --> 00:08:14,634 YOU'LL HEAR WHAT I HAVE TO SAY 140 00:08:14,634 --> 00:08:16,969 SO AGAIN WELCOME EVERYONE. 141 00:08:16,969 --> 00:08:19,739 >> GOOD TO SEE YOU. 142 00:08:19,739 --> 00:08:20,406 WELCOME. 143 00:08:20,406 --> 00:08:22,975 SO GLAD WE'RE ALL HERE. 144 00:08:22,975 --> 00:08:28,347 REMINDERS THAT THE NEXT MEETING 145 00:08:28,347 --> 00:08:32,184 IS MAY 5 AND 6, 2025. 146 00:08:32,184 --> 00:08:37,356 DECEMBER 1 AND 2, 2025 AND MAY 4 147 00:08:37,356 --> 00:08:38,491 AND 5, 2026. 148 00:08:38,491 --> 00:08:41,360 I WANT TO BE SURE EVERYONE 149 00:08:41,360 --> 00:08:43,996 UNDERSTANDS THE MEETING'S BEING 150 00:08:43,996 --> 00:08:49,669 RECORDED AND I THINK THE NEXT 151 00:08:49,669 --> 00:08:51,537 THING WE'LL DO IS I'LL CALL FOR 152 00:08:51,537 --> 00:08:56,842 A MOTION TO APPROVE THE MINUTES 153 00:08:56,842 --> 00:09:07,153 FROM LAST MEETING. 154 00:09:14,927 --> 00:09:16,162 >> AS YOU FOLKS KNOW THE MINUTES 155 00:09:16,162 --> 00:09:18,264 ARE ALWAYS POSTED ON THE WEBSITE 156 00:09:18,264 --> 00:09:20,766 AND THE VIDEOCAST IS ALWAYS 157 00:09:20,766 --> 00:09:23,936 ARCHIVED AND YOU CAN ALWAYS GO 158 00:09:23,936 --> 00:09:28,574 BACK TO THAT AS WELL. 159 00:09:28,574 --> 00:09:31,143 >> SEEING NO OBJECTS, WE'LL 160 00:09:31,143 --> 00:09:33,946 CONSIDER THE MINUTES APPROVED. 161 00:09:33,946 --> 00:09:38,217 AND WE'LL MOVE ON TO 162 00:09:38,217 --> 00:09:40,686 DR. BIANCHI, DIRECTOR OF NICHD 163 00:09:40,686 --> 00:09:42,288 AND IF YOU'RE READY, 164 00:09:42,288 --> 00:09:46,659 DR. BIANCHI, THE FLOOR IS YOURS. 165 00:09:46,659 --> 00:09:50,196 >> I AM AND I SEE THE SLIDES UP. 166 00:09:50,196 --> 00:09:52,164 I'M GOING TO GIVE MY 167 00:09:52,164 --> 00:09:57,336 PRESENTATION AND WELCOME YOUR 168 00:09:57,336 --> 00:10:00,840 QUESTIONS AT THE END. 169 00:10:00,840 --> 00:10:02,274 SO, I'M GOING TO TRY TO COVER 170 00:10:02,274 --> 00:10:06,612 THESE TOPICS. 171 00:10:06,612 --> 00:10:08,547 THE PRESIDENTIAL TRANSITION, 172 00:10:08,547 --> 00:10:12,084 EXTERNAL ENGAGEMENT AND NIH 173 00:10:12,084 --> 00:10:14,820 RESEARCH UPDATES AND IMPORTANT 174 00:10:14,820 --> 00:10:16,288 UPDATES ON TRAINING WHICH I KNOW 175 00:10:16,288 --> 00:10:17,456 IN MY CONVERSATIONS WITH MANY OF 176 00:10:17,456 --> 00:10:19,392 YOU PREVIOUSLY IS TOP OF MIND 177 00:10:19,392 --> 00:10:25,664 AND THEN WE'LL GIVE YOU AN 178 00:10:25,664 --> 00:10:30,736 UPDATE ON THE NICHD STRATEGIC 179 00:10:30,736 --> 00:10:35,441 PLAN FOR 2025. 180 00:10:35,441 --> 00:10:44,050 SO PRESIDENTIAL TRANSITION. 181 00:10:44,050 --> 00:10:46,952 THE NIH DIRECTOR AND THE 182 00:10:46,952 --> 00:10:48,154 DIRECTOR OF THE NATIONAL CANCER 183 00:10:48,154 --> 00:10:50,856 INSTITUTE ARE POLITICAL 184 00:10:50,856 --> 00:10:51,190 APPOINTMENTS. 185 00:10:51,190 --> 00:10:55,761 THE NIH REQUIRES SENATE 186 00:10:55,761 --> 00:10:56,162 CONFIRMATION. 187 00:10:56,162 --> 00:11:06,605 DURING A PRESIDENTIAL 188 00:11:14,213 --> 00:11:16,782 CONTRIBUTION IT REQUIRES A 189 00:11:16,782 --> 00:11:21,320 LETTER OF RESIGNATION OR AND 190 00:11:21,320 --> 00:11:24,757 PRESIDENT TRUMP REJECTED THE 191 00:11:24,757 --> 00:11:26,225 LETTER OF RESIGNATION FROM 192 00:11:26,225 --> 00:11:27,326 DR. COLLINS. 193 00:11:27,326 --> 00:11:29,762 I DON'T KNOW IF DR. BERTAGNOLLI 194 00:11:29,762 --> 00:11:32,465 HAS SUBMITTED A LETTER OF 195 00:11:32,465 --> 00:11:34,033 RESIGNATION BUT INCOMING 196 00:11:34,033 --> 00:11:37,369 PRESIDENT TRUMP HAS ANNOUNCED A 197 00:11:37,369 --> 00:11:41,040 SELECTION FOR THE NEXT DIRECTOR 198 00:11:41,040 --> 00:11:42,575 OF NIH. 199 00:11:42,575 --> 00:11:45,544 SO, IN A SENSE IT'S KIND OF 200 00:11:45,544 --> 00:11:47,780 ACCELERATING THE WHOLE 201 00:11:47,780 --> 00:11:55,054 PROFESSION AND DR. JAY 202 00:11:55,054 --> 00:11:57,089 BATACHOURIA IS THE CHOICE AND 203 00:11:57,089 --> 00:11:59,592 WILL NEED TO UNDER GO SENATE 204 00:11:59,592 --> 00:11:59,925 CONFIRMATION. 205 00:11:59,925 --> 00:12:01,560 REGARDLESS OF WHO WON THE 206 00:12:01,560 --> 00:12:03,562 ELECTION BACK IN THE EARLY FALL, 207 00:12:03,562 --> 00:12:10,136 EACH OF THE INSTITUTES AND 208 00:12:10,136 --> 00:12:13,005 CENTERS WERE ASKED TO PROVIDE 209 00:12:13,005 --> 00:12:14,340 INFORMATIONAL BRIEFING TOPICS. 210 00:12:14,340 --> 00:12:16,842 THESE WERE THOUGHT TO BE 211 00:12:16,842 --> 00:12:19,111 HOT-BUTTON TOPICS THAT MIGHT BE 212 00:12:19,111 --> 00:12:20,980 OF INTEREST TO THE TRANSITION 213 00:12:20,980 --> 00:12:29,555 TEAMS NO MATTER WHO WON. 214 00:12:29,555 --> 00:12:31,524 FOR NICHD SOME WERE INCLUDED BUT 215 00:12:31,524 --> 00:12:37,596 NOT LIMITED TO INTELLECTUAL AND 216 00:12:37,596 --> 00:12:38,364 DEVELOPMENTAL DISABILITIES, 217 00:12:38,364 --> 00:12:41,033 REPRODUCTIVE HEALTH AND 218 00:12:41,033 --> 00:12:42,268 REHABILITATION HEALTH AND 219 00:12:42,268 --> 00:12:43,502 MATERNAL RESEARCH. 220 00:12:43,502 --> 00:12:46,305 THE REST OF INSTITUTE AND CENTER 221 00:12:46,305 --> 00:12:48,908 DIRECTORS ARE MERIT BASED AND WE 222 00:12:48,908 --> 00:12:53,479 UNDER GO A FORMAL REVIEW EVERY 223 00:12:53,479 --> 00:12:55,548 FIVE YEARS. 224 00:12:55,548 --> 00:12:58,918 I'VE ALWAYS BEEN REVIEWED ONCE. 225 00:12:58,918 --> 00:13:00,319 THERE'S SOME QUESTION OF WHAT 226 00:13:00,319 --> 00:13:02,188 WILL HAPPEN IN THE FUTURE BUT 227 00:13:02,188 --> 00:13:03,389 FOR NOW IT'S NOT CONSIDERED TO 228 00:13:03,389 --> 00:13:08,227 BE A POLITICAL APPOINTMENT TO BE 229 00:13:08,227 --> 00:13:14,200 THE DIRECTOR OF NICHD. 230 00:13:14,200 --> 00:13:15,467 THERE'S A CONTINUING RESOLUTION 231 00:13:15,467 --> 00:13:20,472 WHICH MEANS THAT WE ARE 232 00:13:20,472 --> 00:13:22,841 OPERATING ON A FLAT BUDGET BASED 233 00:13:22,841 --> 00:13:24,443 ON WHAT WE RECEIVED AS 234 00:13:24,443 --> 00:13:25,844 APPROPRIATIONS LAST YEAR. 235 00:13:25,844 --> 00:13:30,449 WE'RE HOPING THAT WILL BE 236 00:13:30,449 --> 00:13:33,719 RESOLVED BEFORE THE TRANSITION 237 00:13:33,719 --> 00:13:35,521 WE KNOW MEMBER OF CONGRESS ARE 238 00:13:35,521 --> 00:13:36,255 ACTIVELY WORKING ON THIS BUT 239 00:13:36,255 --> 00:13:39,592 DON'T HAVE UPDATES FOR YOU. 240 00:13:39,592 --> 00:13:45,197 PART OF OUR JOB IS TO MEET WITH 241 00:13:45,197 --> 00:13:47,366 VARIOUS EXTERNAL ADVOCATES AND 242 00:13:47,366 --> 00:13:48,801 PEOPLE WHO ARE INTERESTED IN THE 243 00:13:48,801 --> 00:13:53,606 KIND OF WORK THAT WE DO. 244 00:13:53,606 --> 00:13:56,575 IN THE LATE SUMMER WE HAD A VERY 245 00:13:56,575 --> 00:14:00,112 PRODUCTIVE VISIT FROM THE 246 00:14:00,112 --> 00:14:00,813 DELEGATION FROM THE UNIVERSITY 247 00:14:00,813 --> 00:14:02,481 OF SINGAPORE. 248 00:14:02,481 --> 00:14:04,250 THEY WERE VERY INTERESTED IN 249 00:14:04,250 --> 00:14:08,354 WHAT WE ARE FUNDING IN TERMS OF 250 00:14:08,354 --> 00:14:10,055 BOTH PEDIATRIC RESEARCH AS WELL 251 00:14:10,055 --> 00:14:10,789 AS REHABILITATION RESEARCH. 252 00:14:10,789 --> 00:14:12,224 THEY WERE PARTICULARLY 253 00:14:12,224 --> 00:14:14,593 INTERESTED IN WHAT WE'RE DOING 254 00:14:14,593 --> 00:14:16,028 IN TERMS OF ARTIFICIAL 255 00:14:16,028 --> 00:14:18,330 INTELLIGENCE AND I WANTED TO LET 256 00:14:18,330 --> 00:14:20,933 YOU KNOW THAT DR. JOE BONNER WAS 257 00:14:20,933 --> 00:14:23,068 REPRESENTING THE INTERESTS OF 258 00:14:23,068 --> 00:14:30,309 THE N NABMRR AT THAT 259 00:14:30,309 --> 00:14:30,876 INTERNATIONAL MEETING. 260 00:14:30,876 --> 00:14:33,245 LATER IN THE FALL THE FRIENDS OF 261 00:14:33,245 --> 00:14:38,250 THE NICHD WHICH IS A LARGE 262 00:14:38,250 --> 00:14:40,586 ORGANIZATION COMPOSED OF MANY OF 263 00:14:40,586 --> 00:14:44,490 OUR ADVOCACY GROUPS ORGANIZED A 264 00:14:44,490 --> 00:14:45,491 CONGRESSIONAL VISIT TO THE NIH 265 00:14:45,491 --> 00:14:45,724 CAMPUS. 266 00:14:45,724 --> 00:14:47,259 TO MY KNOWLEDGE IT'S THE FIRST 267 00:14:47,259 --> 00:14:48,761 TIME THERE WAS EVER A 268 00:14:48,761 --> 00:14:50,462 CONGRESSIONAL VISIT THAT 269 00:14:50,462 --> 00:14:52,131 FOCUSSED ON NICHD RESEARCH WHICH 270 00:14:52,131 --> 00:14:54,033 WAS A GOOD THING. 271 00:14:54,033 --> 00:14:57,169 WE HAD ATTENDEES FROM SEVEN 272 00:14:57,169 --> 00:14:58,504 DIFFERENT CONGRESSIONAL OFFICES. 273 00:14:58,504 --> 00:15:04,476 BOTH MEMBERS OF THE SENATE AND 274 00:15:04,476 --> 00:15:07,880 HOUSE OF REPRESENTATIVES. 275 00:15:07,880 --> 00:15:16,055 TERESA CRUZ REPRESENTED NCMRR 276 00:15:16,055 --> 00:15:20,292 AND THE HIT WAS THE LABORATORY 277 00:15:20,292 --> 00:15:21,093 TOURS AND MEETING INTRAMURAL AND 278 00:15:21,093 --> 00:15:30,736 EXTRAMURAL RESEARCH STAFF. 279 00:15:30,736 --> 00:15:33,839 AS ALWAYS THE PEOPLE WHO STOLE 280 00:15:33,839 --> 00:15:35,674 THE SHOW WERE CHILDREN ON 281 00:15:35,674 --> 00:15:37,776 PROTOCOL FOR METABOLIC DISORDERS 282 00:15:37,776 --> 00:15:40,179 AND HOSPITALIZED AND THEY AND 283 00:15:40,179 --> 00:15:42,314 THEIR FAMILIES TALKED ABOUT HOW 284 00:15:42,314 --> 00:15:45,084 GRATEFUL THEY WERE THAT THE 285 00:15:45,084 --> 00:15:47,686 NICHD COULD DO RESEARCH ON THEIR 286 00:15:47,686 --> 00:15:49,488 CHILD'S DISORDERS. 287 00:15:49,488 --> 00:15:52,291 THE FACT THE DOCTORS ARE 288 00:15:52,291 --> 00:15:54,460 INTRAMURAL STAFF KNEW WHAT THE 289 00:15:54,460 --> 00:15:55,828 CONDITION WAS AND KNEW THE KIND 290 00:15:55,828 --> 00:16:00,366 OF DIETS THEY NEEDED AND REALLY 291 00:16:00,366 --> 00:16:03,902 ACTED AS A RESOURCE FOR THE 292 00:16:03,902 --> 00:16:04,169 FAMILIES. 293 00:16:04,169 --> 00:16:05,637 I THINK THAT WAS IMPRESSIVE TO 294 00:16:05,637 --> 00:16:08,540 THE MEMBERS OF CONGRESS AND 295 00:16:08,540 --> 00:16:10,442 WE'VE ALREADY HAD SOME FOLLOW-UP 296 00:16:10,442 --> 00:16:13,946 WITH VARIOUS STAFF MEMBERS. 297 00:16:13,946 --> 00:16:16,615 SINCE IT IS CONGRESS WHO 298 00:16:16,615 --> 00:16:18,250 APPROPRIATES OUR BUDGET AND 299 00:16:18,250 --> 00:16:19,885 SINCE OUR NAME DOESN'T ALWAYS 300 00:16:19,885 --> 00:16:21,553 REFLECT WHAT IT IS WE DO, THESE 301 00:16:21,553 --> 00:16:22,554 KINDS OF RELATIONSHIPS ARE 302 00:16:22,554 --> 00:16:27,659 IMPORTANT. 303 00:16:27,659 --> 00:16:29,862 SO, IN ADDITION, RIGHT NOW THERE 304 00:16:29,862 --> 00:16:35,267 IS A NATIONAL ACADEMY OF 305 00:16:35,267 --> 00:16:37,369 MEDICINE STUDY EXAMINING 306 00:16:37,369 --> 00:16:38,303 STRATEGIES TO ENHANCE PEDIATRIC 307 00:16:38,303 --> 00:16:41,106 HEALTH RESEARCH FUNDED BY THE 308 00:16:41,106 --> 00:16:41,974 NIH. 309 00:16:41,974 --> 00:16:43,442 THIS IS REQUIRED BY CONGRESS. 310 00:16:43,442 --> 00:16:48,680 WE'RE THE STUDY SPONSORS. 311 00:16:48,680 --> 00:16:52,084 IT WAS PUT IN OUR FISCAL YEAR 312 00:16:52,084 --> 00:16:55,354 '24 BUDGET AND THIS COMMITTEE 313 00:16:55,354 --> 00:16:57,523 WILL EXAMINE THE PORTFOLIO OF 314 00:16:57,523 --> 00:16:58,323 NIH PEDIATRIC RESEARCH AS WELL 315 00:16:58,323 --> 00:17:00,926 AS STRUCTURE. 316 00:17:00,926 --> 00:17:04,863 SO IT'S LOOKING AT THE METHODS 317 00:17:04,863 --> 00:17:06,398 AND RATIONALE CATEGORIZING 318 00:17:06,398 --> 00:17:08,167 PROJECTS AS PEDIATRIC RESEARCH 319 00:17:08,167 --> 00:17:11,603 USING THE RCDC PROCESS THE 320 00:17:11,603 --> 00:17:12,237 RESEARCH CONDITION AND DISEASE 321 00:17:12,237 --> 00:17:15,607 CATEGORIZATION. 322 00:17:15,607 --> 00:17:19,077 SO, WHEN YOU GO TO THE RCDC 323 00:17:19,077 --> 00:17:20,078 WHICH IS PUBLICALLY AVAILABLE 324 00:17:20,078 --> 00:17:23,415 ONLINE YOU CAN LOOK TO SEE BOTH 325 00:17:23,415 --> 00:17:27,152 IN GENERAL WHAT IS CATEGORIZED 326 00:17:27,152 --> 00:17:28,520 AS CHILD HEALTH RESEARCH AS WELL 327 00:17:28,520 --> 00:17:29,121 SPECIFIC CONDITIONS. 328 00:17:29,121 --> 00:17:32,858 AND THEY WANT TO KNOW MORE ABOUT 329 00:17:32,858 --> 00:17:34,326 HOW PEDIATRIC COMPONENTS HAVE 330 00:17:34,326 --> 00:17:38,263 BEEN INCLUDED OR EXCLUDED FROM 331 00:17:38,263 --> 00:17:39,832 LARGER NIH INITIATIVES FOR 332 00:17:39,832 --> 00:17:41,099 EXAMPLE CLIMATE CHANGE AND 333 00:17:41,099 --> 00:17:41,567 HEALTH. 334 00:17:41,567 --> 00:17:44,770 THIS IS SOMETHING THAT WE'RE 335 00:17:44,770 --> 00:17:45,571 ACTUALLY QUITE PLEASED WITH 336 00:17:45,571 --> 00:17:49,441 BECAUSE MANY OF OUR STAFF 337 00:17:49,441 --> 00:17:51,143 MEMBERS ARE REPRESENTING 338 00:17:51,143 --> 00:17:52,611 CHILDREN ON THESE LARGER 339 00:17:52,611 --> 00:17:56,682 INITIATIVES AND IT TAKES A LOT 340 00:17:56,682 --> 00:17:58,817 OF TIME AND EFFORT AND SOMETIMES 341 00:17:58,817 --> 00:18:00,385 SWIMMING UP STREAM TO HAVE 342 00:18:00,385 --> 00:18:02,254 CHILDREN INCLUDED IN THESE 343 00:18:02,254 --> 00:18:07,793 INITIATIVES. 344 00:18:07,793 --> 00:18:09,795 AND THERE'S INTEREST IN HOW 345 00:18:09,795 --> 00:18:11,029 PEDIATRIC RESEARCH ARE 346 00:18:11,029 --> 00:18:14,266 ESTABLISHED AND STRUCTURAL OR 347 00:18:14,266 --> 00:18:15,601 PROCESS IMPEDIMENTS TO PEDIATRIC 348 00:18:15,601 --> 00:18:18,303 RESEARCH APPLICANTS. 349 00:18:18,303 --> 00:18:20,172 HOW WE COORDINATE PEDIATRIC 350 00:18:20,172 --> 00:18:20,606 RESEARCH ACTIVITY. 351 00:18:20,606 --> 00:18:26,879 OF COURSE WE DO THAT THROUGH 352 00:18:26,879 --> 00:18:33,218 NPERC A CONSORTIUM OF SENIOR 353 00:18:33,218 --> 00:18:34,686 REPRESENTATIVES AND CENTERS AND 354 00:18:34,686 --> 00:18:35,354 ZAUZ WHAT THEY'RE DOING IN TERMS 355 00:18:35,354 --> 00:18:45,731 OF PEDIATRIC RESEARCH. 356 00:18:48,200 --> 00:18:52,271 THE GOAL IS HOW THE CLINICAL 357 00:18:52,271 --> 00:18:53,939 CENTER COULD INCLUDE MORE 358 00:18:53,939 --> 00:18:54,673 PEDIATRIC PATIENTS AND 359 00:18:54,673 --> 00:19:04,850 PROTOCOLS. 360 00:19:07,119 --> 00:19:09,621 THERE'S A DRAFT IF YOU WANT TO 361 00:19:09,621 --> 00:19:10,989 REVIEW IT YOU CAN CLICK THIS 362 00:19:10,989 --> 00:19:14,092 LINK AND IF YOU DON'T THINK 363 00:19:14,092 --> 00:19:18,363 THERE'S ENOUGH REPRESENTATION 364 00:19:18,363 --> 00:19:20,566 FROM A SPECIFIC SPECIALTY YOU'RE 365 00:19:20,566 --> 00:19:22,134 ENCOURAGED TO COMMENT IN THE 366 00:19:22,134 --> 00:19:23,135 NEXT WEEK THOUGH IT'S KIND OF 367 00:19:23,135 --> 00:19:24,903 INTERESTING THE FIRST MEETING IS 368 00:19:24,903 --> 00:19:27,839 GOING TO OCCUR BEFORE THE 369 00:19:27,839 --> 00:19:29,875 COMMITTEE HAS RECEIVED THE 370 00:19:29,875 --> 00:19:30,943 PUBLIC COMMENTS. 371 00:19:30,943 --> 00:19:33,111 THERE WILL BE ABOUT THREE TO 372 00:19:33,111 --> 00:19:36,448 FIVE MEETINGS OVER A PERIOD OF 373 00:19:36,448 --> 00:19:38,350 18 MONTHS AND A FINAL REPORT IS 374 00:19:38,350 --> 00:19:44,723 EXPECTED IN JANUARY OF 2026. 375 00:19:44,723 --> 00:19:49,294 NOW WE'LL GET TO TRAINING. 376 00:19:49,294 --> 00:19:52,230 SO, OUR EXTRAMURAL STAFF HAS 377 00:19:52,230 --> 00:19:54,433 BEEN WORKING ON TRAINING AND 378 00:19:54,433 --> 00:19:58,303 CAREER DEVELOPMENT REALLY TAKING 379 00:19:58,303 --> 00:20:02,240 A COMPREHENSIVE VIEW OF HOW 380 00:20:02,240 --> 00:20:03,108 WE'RE PROVIDING OPPORTUNITIES 381 00:20:03,108 --> 00:20:04,142 FOR EXTRAMURAL TRAINING AND 382 00:20:04,142 --> 00:20:07,245 CAREER DEVELOPMENT AND THEY'VE 383 00:20:07,245 --> 00:20:08,547 COME UP WITH THE FOLLOWING 384 00:20:08,547 --> 00:20:09,014 RECOMMENDATIONS. 385 00:20:09,014 --> 00:20:13,185 NUMBER ONE IS TO REINVIGORATE 386 00:20:13,185 --> 00:20:14,019 INSTITUTIONAL TRAINING AND 387 00:20:14,019 --> 00:20:15,487 CAREER DEVELOPMENT PROGRAMS. 388 00:20:15,487 --> 00:20:19,324 NUMBER TWO IS TO RETHINK HOW WE 389 00:20:19,324 --> 00:20:22,728 TALK ABOUT OUTCOMES. 390 00:20:22,728 --> 00:20:24,363 SO, TYPICALLY A SUCCESSFUL 391 00:20:24,363 --> 00:20:26,431 OUTCOME IS DEFINED AS SOMEONE 392 00:20:26,431 --> 00:20:31,470 WHO CONTINUES TO GET NIH 393 00:20:31,470 --> 00:20:32,704 RESEARCH FUNDING AS WELL AS 394 00:20:32,704 --> 00:20:34,406 PROGRESSES UP THE ACADEMIC 395 00:20:34,406 --> 00:20:35,941 LADDER. 396 00:20:35,941 --> 00:20:41,046 AND WE ARE RETHINKING OTHER 397 00:20:41,046 --> 00:20:42,280 METRICS OF SUCCESS SO FOR 398 00:20:42,280 --> 00:20:44,149 EXAMPLE A CAREER IN INDUSTRY, A 399 00:20:44,149 --> 00:20:46,385 CAREER IN GOVERNMENT WHERE 400 00:20:46,385 --> 00:20:47,719 THEY'RE ALL DEALING WITH 401 00:20:47,719 --> 00:20:50,689 RESEARCH BUT NOT IN ESSENTIALLY 402 00:20:50,689 --> 00:20:53,025 AN ACADEMIC PARADIGM. 403 00:20:53,025 --> 00:20:56,495 WE WENT TO TALK UP THESE 404 00:20:56,495 --> 00:20:58,130 ALTERNATIVE CAREERS SO PEOPLE 405 00:20:58,130 --> 00:20:59,998 REALIZE THEY'RE VERY VALUED AND 406 00:20:59,998 --> 00:21:01,266 PART OF THE ENTIRE RESEARCH ECO 407 00:21:01,266 --> 00:21:02,734 SYSTEM. 408 00:21:02,734 --> 00:21:05,037 WE ALSO THINK WE COULD DO BETTER 409 00:21:05,037 --> 00:21:09,107 IN TERMS OF CREATING COMMUNITIES 410 00:21:09,107 --> 00:21:13,378 AMONGST TRAINEES TO GIVE PEERS 411 00:21:13,378 --> 00:21:14,546 THE OPPORTUNITY TO SHARE 412 00:21:14,546 --> 00:21:17,082 EXPERIENCE, WISDOM, CHALLENGES, 413 00:21:17,082 --> 00:21:17,349 ETCETERA. 414 00:21:17,349 --> 00:21:20,018 AND WE'D LIKE TO USE THE 415 00:21:20,018 --> 00:21:22,220 TRAINING CAREER DEVELOPMENT 416 00:21:22,220 --> 00:21:32,764 PROGRAMS TO DIVERSIFY THE REACH. 417 00:21:33,765 --> 00:21:36,268 WE'VE BEEN BEEN SUCCESSFUL IN 418 00:21:36,268 --> 00:21:37,135 REINVIGORATING THE LOAN PROGRAM 419 00:21:37,135 --> 00:21:39,604 AND NEED TO USE THE TRAINING 420 00:21:39,604 --> 00:21:40,205 PROGRAMS TO SUPPORT STRATEGIC 421 00:21:40,205 --> 00:21:45,243 RESEARCH PRIORITIES. 422 00:21:45,243 --> 00:21:48,313 I'M VERY TO SAY THAT IN THE LAST 423 00:21:48,313 --> 00:21:51,650 PHYSICAL YEAR WE INCREASED THE 424 00:21:51,650 --> 00:21:53,952 FUNDING FOR NICHD'S LOAN 425 00:21:53,952 --> 00:21:56,588 REPAYMENT PROGRAM BY 28% 426 00:21:56,588 --> 00:21:59,624 COMPARED TO FISCAL YEAR '23. 427 00:21:59,624 --> 00:22:02,127 THAT'S A HUGE SUCCESS AND CAN BE 428 00:22:02,127 --> 00:22:02,494 TRANSFORMATIVE. 429 00:22:02,494 --> 00:22:05,063 I KNOW IN MY PREVIOUS ACADEMIC 430 00:22:05,063 --> 00:22:07,799 LIFE BEING A MENTOR TO SOMEONE 431 00:22:07,799 --> 00:22:11,470 WHO SAID THAT THE $200,000 SHE 432 00:22:11,470 --> 00:22:13,872 RECEIVED TAX FREE FROM THE LOAN 433 00:22:13,872 --> 00:22:16,141 REPAYMENT PROGRAM WAS TRULY 434 00:22:16,141 --> 00:22:16,808 TRANSFORMATIONAL AND KEPT HER IN 435 00:22:16,808 --> 00:22:21,913 ACADEMIC MEDICINE. 436 00:22:21,913 --> 00:22:26,218 WE ALSO DECIDED WE WOULD CLUSTER 437 00:22:26,218 --> 00:22:32,491 TYPE I AND TYPE II THE RENEWAL 438 00:22:32,491 --> 00:22:33,158 APPLICATIONS SEPARATELY BECAUSE 439 00:22:33,158 --> 00:22:38,029 IT WASN'T THERE TO COMPARE A 440 00:22:38,029 --> 00:22:40,932 PROGRAM IN EXISTENCE FOR YEARS 441 00:22:40,932 --> 00:22:43,001 AND COMPARE THAT WITH A BRAND 442 00:22:43,001 --> 00:22:43,869 NEW APPLICATION. 443 00:22:43,869 --> 00:22:44,870 THEY'RE GOING TO BE REVIEWED 444 00:22:44,870 --> 00:22:48,206 SEPARATELY. 445 00:22:48,206 --> 00:22:49,941 WE'VE ALSO ADDED RESEARCH 446 00:22:49,941 --> 00:22:53,812 WORKFORCE TRAINING AS A NEW 447 00:22:53,812 --> 00:22:55,046 CROSS-CUTTING THEME IN THE NEW 448 00:22:55,046 --> 00:22:57,616 STRATEGIC PLAN WHICH YOU WILL 449 00:22:57,616 --> 00:22:57,783 SEE. 450 00:22:57,783 --> 00:23:00,318 AND WE'VE ALSO AT EVERY STEP OF 451 00:23:00,318 --> 00:23:02,587 THE WAY CONSIDERED EXPANDING 452 00:23:02,587 --> 00:23:05,157 OUTREACH FOR TRAINING 453 00:23:05,157 --> 00:23:07,692 OPPORTUNITIES AND I KNOW THAT 454 00:23:07,692 --> 00:23:11,029 THERESA HAS BEEN A LEADER WITH A 455 00:23:11,029 --> 00:23:13,832 LASER FOCUS ON TRAINING IN 456 00:23:13,832 --> 00:23:14,366 REHABILITATION RESEARCH. 457 00:23:14,366 --> 00:23:18,103 WE'VE ALSO OPENED UP THE 458 00:23:18,103 --> 00:23:20,338 OBSTETRIC PEDIATRIC THERAPEUTICS 459 00:23:20,338 --> 00:23:23,909 BRANCH WORKSHOP FOR CLINICAL 460 00:23:23,909 --> 00:23:24,810 PHARMACOLOGY TRAINING. 461 00:23:24,810 --> 00:23:26,077 YOU DON'T HAVE TO BE JUST IN 462 00:23:26,077 --> 00:23:30,649 THAT NETWORK TO LISTEN TO THEIR 463 00:23:30,649 --> 00:23:32,818 TRAINING OPPORTUNITIES AND OUR 464 00:23:32,818 --> 00:23:38,256 OFFICE OF HEALTH EQUITY HAS 465 00:23:38,256 --> 00:23:42,027 CREATED NEW MATERIALS FOR 466 00:23:42,027 --> 00:23:44,129 EXTRAMURAL AND INTRAMURAL 467 00:23:44,129 --> 00:23:45,997 TRAINING TO DISTRIBUTE AT 468 00:23:45,997 --> 00:23:46,498 SCIENTIFIC CONFERENCES. 469 00:23:46,498 --> 00:23:48,433 IN ADDITION THE OFFICE OF HEALTH 470 00:23:48,433 --> 00:23:51,937 EQUITY HAS BEEN HOSTING SESSIONS 471 00:23:51,937 --> 00:23:57,542 ON EXTRAMURAL FELLOWSHIP AND 472 00:23:57,542 --> 00:23:58,510 CAREER DEVELOPMENT 473 00:23:58,510 --> 00:23:58,844 OPPORTUNITIES. 474 00:23:58,844 --> 00:24:00,745 EACH OF THE SESSIONS WILL FOCUS 475 00:24:00,745 --> 00:24:03,481 ON A SPECIFIC FUNDING MECHANISM. 476 00:24:03,481 --> 00:24:10,789 THEY'RE PLANNING TO HOST 477 00:24:10,789 --> 00:24:12,891 ANNUALLY AND THE DECEMBER 9th IS 478 00:24:12,891 --> 00:24:18,430 GOING TO FOCUS ON THE F99 TO K00 479 00:24:18,430 --> 00:24:23,735 TRANSITION AWARD AND MARCH 13 ON 480 00:24:23,735 --> 00:24:25,270 THE PATHWAY TO INDEPENDENCE 481 00:24:25,270 --> 00:24:25,704 AWARD. 482 00:24:25,704 --> 00:24:26,872 THE LINK ARE THERE AND WE'LL 483 00:24:26,872 --> 00:24:32,143 MAKE SURE YOU HAVE ACCESS TO 484 00:24:32,143 --> 00:24:37,382 THOSE SLIDES A FEW RESEARCH 485 00:24:37,382 --> 00:24:41,052 UPDATES BECAUSE I'D LIKE TO 486 00:24:41,052 --> 00:24:43,021 LEAVE TIME FOR QUESTIONS THOUGH 487 00:24:43,021 --> 00:24:44,723 I KNOW WE'RE RUNNING LEAD. 488 00:24:44,723 --> 00:24:48,793 I'D LIKE TO SHARE WITH EVERYONE 489 00:24:48,793 --> 00:24:50,195 WE'RE INCREASINGLY USING 490 00:24:50,195 --> 00:24:52,163 FLEXIBLE FUNDING MECHANISMS. 491 00:24:52,163 --> 00:24:55,834 SO IN SOME SITUATIONS WHERE AS 492 00:24:55,834 --> 00:24:57,969 THE A PUBLIC HEALTH CHALLENGE 493 00:24:57,969 --> 00:24:58,436 MECHANISMS OTHER THAN 494 00:24:58,436 --> 00:24:59,437 TRADITIONAL GRANTS CAN BE USED 495 00:24:59,437 --> 00:25:01,373 TO SUPPORT RESEARCH. 496 00:25:01,373 --> 00:25:04,175 SO THERE'S TWO I WANTED TO 497 00:25:04,175 --> 00:25:05,577 HIGHLIGHT HERE. 498 00:25:05,577 --> 00:25:10,015 ONE ARE THE CHALLENGES OR PRIZE 499 00:25:10,015 --> 00:25:10,382 COMPETITIONS. 500 00:25:10,382 --> 00:25:13,785 SO THESE ARE OPPORTUNITIES TO 501 00:25:13,785 --> 00:25:16,588 ENGAGE PUBLIC INNOVATORS TO FIND 502 00:25:16,588 --> 00:25:19,057 INTERESTING IDEAS OR SOLUTIONS 503 00:25:19,057 --> 00:25:19,824 TO IMPORTANT PROBLEMS. 504 00:25:19,824 --> 00:25:26,264 AND WE USE KIND OF A SHARK TANK 505 00:25:26,264 --> 00:25:30,235 APPROACH AND OFFER PRIZES ALONG 506 00:25:30,235 --> 00:25:39,210 THE WAY AND NON-MONETARY 507 00:25:39,210 --> 00:25:42,013 BENEFITS INCLUDING SUPPORT FROM 508 00:25:42,013 --> 00:25:45,750 THE COMMUNITY OR FROM EXPERTS 509 00:25:45,750 --> 00:25:46,785 JUDGING GRANTS. 510 00:25:46,785 --> 00:25:48,286 ALSO THE OPPORTUNITIES TO SPEAK 511 00:25:48,286 --> 00:25:52,157 AT A WORKSHOP THAT ARE HELPING 512 00:25:52,157 --> 00:25:53,959 PARTICULARLY WITH INDUSTRY 513 00:25:53,959 --> 00:25:55,694 PARTNERS TO HELP THEM PITCH 514 00:25:55,694 --> 00:25:56,661 THEIR PRODUCT OR THEIR 515 00:25:56,661 --> 00:26:03,335 INNOVATION. 516 00:26:03,335 --> 00:26:04,736 THE OTHER TRANSACTION AUTHORITY 517 00:26:04,736 --> 00:26:05,637 INCLUDES NON-TRADITIONAL 518 00:26:05,637 --> 00:26:06,471 RESEARCH PARTNERS OR SITUATIONS 519 00:26:06,471 --> 00:26:09,341 WHERE THERE'S A NEED TO 520 00:26:09,341 --> 00:26:11,042 NEGOTIATE FLEXIBLE TERMS AS WELL 521 00:26:11,042 --> 00:26:13,311 AS HAVE THE FLEXIBILITY TO 522 00:26:13,311 --> 00:26:14,946 ADDRESS QUICKLY CHANGING 523 00:26:14,946 --> 00:26:16,581 SCIENTIFIC REQUIREMENTS. 524 00:26:16,581 --> 00:26:18,283 SO WE USE THAT DURING THE 525 00:26:18,283 --> 00:26:21,186 PANDEMIC QUITE A BIT. 526 00:26:21,186 --> 00:26:22,988 AND ALMOST ALWAYS THESE AWARDS 527 00:26:22,988 --> 00:26:25,857 CAN BE MADE MUCH MORE QUICKLY 528 00:26:25,857 --> 00:26:27,692 THAN THE TRADITIONAL GRANT 529 00:26:27,692 --> 00:26:29,627 MECHANISM LIKE AN RO1 WHERE AT A 530 00:26:29,627 --> 00:26:30,962 MINIMUM IT'S A YEAR FROM THE 531 00:26:30,962 --> 00:26:34,232 TIME YOU SUBMIT YOUR 532 00:26:34,232 --> 00:26:41,172 APPLICATION. 533 00:26:41,172 --> 00:26:47,078 TO ILLUSTRATE WHAT THE NEW 534 00:26:47,078 --> 00:26:49,447 MECHANISMS ARE WHICH IS AN 535 00:26:49,447 --> 00:26:50,782 OUTCOMES VISION FOR EVERYONE. 536 00:26:50,782 --> 00:26:53,251 I THINK MOST PEOPLE KNOW WE HAVE 537 00:26:53,251 --> 00:26:56,254 A REAL PUBLIC HEALTH CRISIS WITH 538 00:26:56,254 --> 00:27:02,260 ONE OF THE HIGHEST LEVELS OF 539 00:27:02,260 --> 00:27:03,061 MATERNAL MORTALITY IN THE 540 00:27:03,061 --> 00:27:04,095 DEVELOPED WORLD. 541 00:27:04,095 --> 00:27:05,797 SO CONGRESS HAS GIVEN US 542 00:27:05,797 --> 00:27:12,404 SPECIFIC MONEY FOR THE IMPROVE 543 00:27:12,404 --> 00:27:17,876 INITIATIVE AND WITH THAT WE ARE 544 00:27:17,876 --> 00:27:19,778 ABLE TO FUND MATERNAL MECHANISMS 545 00:27:19,778 --> 00:27:21,646 AND THERE WERE 10 AND NOW 546 00:27:21,646 --> 00:27:22,981 THERE'S 12. 547 00:27:22,981 --> 00:27:25,116 WE DID HAVE SEVERAL CHALLENGES. 548 00:27:25,116 --> 00:27:27,252 ONE WAS CONNECTING THE COMMUNITY 549 00:27:27,252 --> 00:27:32,590 FOR PLA TERM HEALTH AND THAT WAS 550 00:27:32,590 --> 00:27:34,959 TO HELP EDUCATE COMMUNITY-BASED 551 00:27:34,959 --> 00:27:38,797 ORGANIZATIONS ON HOW TO BUILD A 552 00:27:38,797 --> 00:27:41,266 RESEARCH INFRASTRUCTURE AND THEY 553 00:27:41,266 --> 00:27:43,535 RECEIVED FUNDING AS WELL AS 554 00:27:43,535 --> 00:27:45,770 ADVICE AND COULD BE MORE 555 00:27:45,770 --> 00:27:47,672 COMPETITIVE FOR FUTURE GRANT 556 00:27:47,672 --> 00:27:49,441 APPLICATIONS. 557 00:27:49,441 --> 00:27:56,081 THERE WAS A RAD X TECH FOCUSSED 558 00:27:56,081 --> 00:27:59,050 ON POSTPARTUM DIAGNOSTICS AND 559 00:27:59,050 --> 00:27:59,951 MONITORING BECAUSE OVER HALF THE 560 00:27:59,951 --> 00:28:02,620 WOMEN WHO DIED RELATED TO 561 00:28:02,620 --> 00:28:04,956 PREGNANCY ARE DYING IN THE 562 00:28:04,956 --> 00:28:06,257 POST-PARTUM PERIOD AFTER 563 00:28:06,257 --> 00:28:11,963 DELIVERY IN THE YEAR AFTER 564 00:28:11,963 --> 00:28:13,198 DELIVERY. 565 00:28:13,198 --> 00:28:17,669 I WANTED TO MENTION SOME OF 566 00:28:17,669 --> 00:28:18,670 THESE BECAUSE WE COULD CERTAINLY 567 00:28:18,670 --> 00:28:22,207 TAKE THE SAME APPROACH IN A 568 00:28:22,207 --> 00:28:24,576 REHABILITATION CONTEXT. 569 00:28:24,576 --> 00:28:27,145 WE HAVEN'T DONE THAT YET BUT WE 570 00:28:27,145 --> 00:28:29,747 THINK THAT WITH THE CHALLENGES 571 00:28:29,747 --> 00:28:30,849 OF RURAL HEALTH FOR EXAMPLE AND 572 00:28:30,849 --> 00:28:33,384 THERE'S SO MANY PLACES THAT 573 00:28:33,384 --> 00:28:35,720 PEOPLE DO NOT HAVE ADEQUATE 574 00:28:35,720 --> 00:28:36,621 ACCESS TO CARE. 575 00:28:36,621 --> 00:28:39,257 THAT THIS WHOLE APPROACH OF 576 00:28:39,257 --> 00:28:41,559 HAVING A CHALLENGE AND HAVING 577 00:28:41,559 --> 00:28:43,528 INNOVATORS DEVELOP REMOTE 578 00:28:43,528 --> 00:28:46,865 MONITORING OF PATIENTS 579 00:28:46,865 --> 00:28:48,700 POTENTIALLY WOULD BE RELEVANT 580 00:28:48,700 --> 00:28:52,937 FOR THE REHABILITATION PATIENTS. 581 00:28:52,937 --> 00:28:57,008 SO JUST EXAMPLES THE COMPANY 582 00:28:57,008 --> 00:28:59,077 THAT WON THE FIRST -- THE 583 00:28:59,077 --> 00:29:01,279 COMMUNITY ORGANIZATION THAT WON 584 00:29:01,279 --> 00:29:09,287 THE FIRST PRIZE IS NURTURELY, 585 00:29:09,287 --> 00:29:13,691 WHICH WAS FOCUSSED ON PROVIDING 586 00:29:13,691 --> 00:29:15,326 SUPPORT TO BLACK BIRTHING 587 00:29:15,326 --> 00:29:19,230 PARENTS AND PROVIDING A 588 00:29:19,230 --> 00:29:20,131 CULTURALLY INFORMED INTERVENTION 589 00:29:20,131 --> 00:29:23,134 TO IMPROVE POSTPARTUM HEALTH 590 00:29:23,134 --> 00:29:24,169 OUTCOMES INCLUDING INCREASING 591 00:29:24,169 --> 00:29:27,172 RATES OF LACTATION, DECREASING 592 00:29:27,172 --> 00:29:28,873 RATES OF DEPRESSION. 593 00:29:28,873 --> 00:29:32,243 SECOND PLACE WENT TO CENTRAL 594 00:29:32,243 --> 00:29:33,678 JERSEY FAMILY HEALTH CONSORTIUM 595 00:29:33,678 --> 00:29:36,548 WHICH AGAIN IS TAKING A 596 00:29:36,548 --> 00:29:39,384 COMMUNITY-BASED APPROACH AND 597 00:29:39,384 --> 00:29:41,452 DEVELOPING A MEDICAL COMPLEXITY 598 00:29:41,452 --> 00:29:43,755 RISK ALGORITHM TO IDENTIFY 599 00:29:43,755 --> 00:29:49,194 PEOPLE WHO ARE AT RISK FOR 600 00:29:49,194 --> 00:29:55,366 SEVERE MATERNAL MORBIDITY BY 601 00:29:55,366 --> 00:29:59,304 ANALYZING CLAIMS DATA. 602 00:29:59,304 --> 00:30:00,872 I THINK I'LL SKIP THIS IN THE 603 00:30:00,872 --> 00:30:04,842 INTEREST OF TIME. 604 00:30:04,842 --> 00:30:07,178 AND THE RADX TECH CHALLENGE. 605 00:30:07,178 --> 00:30:12,350 WE HAD SIX GRAND PRIZE WINNERS 606 00:30:12,350 --> 00:30:15,186 WHO HAD DEVELOPED TECHNOLOGIES 607 00:30:15,186 --> 00:30:19,390 TO ADDRESS CARDIAC FUNCTION, 608 00:30:19,390 --> 00:30:22,260 BLOOD PRESSURE, THE PRESENCE OF 609 00:30:22,260 --> 00:30:23,394 POSTPARTUM HEMORRHAGE. 610 00:30:23,394 --> 00:30:27,432 WAS THERE ANEMIA IN THE 611 00:30:27,432 --> 00:30:32,270 POSTPARTUM PERSON AND A 612 00:30:32,270 --> 00:30:35,773 DIAGNOSTIC FOR URINARY TRACT 613 00:30:35,773 --> 00:30:36,541 INFECTION. 614 00:30:36,541 --> 00:30:37,942 ADDRESSING BLOOD PRESSURE AND 615 00:30:37,942 --> 00:30:44,782 OVER ALL CARE MANAGEMENT. 616 00:30:44,782 --> 00:30:48,586 IN ANOTHER AREA JUST TO FOCUS 617 00:30:48,586 --> 00:30:51,723 ON POPULATION WE ARE SUPPORTING 618 00:30:51,723 --> 00:30:54,259 RESEARCHERS THROUGH THE RECOVER 619 00:30:54,259 --> 00:31:00,531 INITIATIVE WHO ARE FOCUSED ON 620 00:31:00,531 --> 00:31:01,866 SYMPTOMS AND MORBIDITIES 621 00:31:01,866 --> 00:31:04,369 ASSOCIATED WITH LONG COVID. 622 00:31:04,369 --> 00:31:09,040 IF YOU HADN'T SEEN THIS JAMA 623 00:31:09,040 --> 00:31:14,512 PUBLICATION IT'S A VERY DETAILED 624 00:31:14,512 --> 00:31:16,748 CHARACTERIZATION OF THE SYMPTOMS 625 00:31:16,748 --> 00:31:19,150 EXHIBITED BY CHILDREN AND 626 00:31:19,150 --> 00:31:21,085 ADOLESCENTS SHOWING THIS IS A 627 00:31:21,085 --> 00:31:22,754 NATURAL HISTORY STUDY USING BIG 628 00:31:22,754 --> 00:31:24,022 DATA BUT SHOWING THAT THE 629 00:31:24,022 --> 00:31:27,258 SYMPTOMS THAT ARE EXPERIENCED AT 630 00:31:27,258 --> 00:31:29,894 DIFFERENT AGE GROUPS ARE 631 00:31:29,894 --> 00:31:31,095 VARIABLE AND DIFFER 632 00:31:31,095 --> 00:31:32,163 SIGNIFICANTLY FROM ADULTS. 633 00:31:32,163 --> 00:31:33,264 HOPEFULLY KNOWING ABOUT THIS 634 00:31:33,264 --> 00:31:38,236 WILL LEAD TO INNOVATIVE 635 00:31:38,236 --> 00:31:42,607 OPPORTUNITIES FOR TREATMENT. 636 00:31:42,607 --> 00:31:48,446 AND THEN ONE OF DR. 637 00:31:48,446 --> 00:31:49,447 BERTAGNOLLI'S SIGNATURE PROGRAM 638 00:31:49,447 --> 00:31:52,050 IS CALLED CARE FOR HEALTH, AN 639 00:31:52,050 --> 00:31:53,685 ACRONYM FOR COMMUNITIES 640 00:31:53,685 --> 00:31:54,986 ADVANCING RESEARCH EQUITY FOR 641 00:31:54,986 --> 00:31:55,219 HEALTH. 642 00:31:55,219 --> 00:32:05,663 AND THIS IS A PILOT PROGRAM 643 00:32:05,663 --> 00:32:10,234 THAT'S ROUTINE CARE IN PRIMARY 644 00:32:10,234 --> 00:32:10,568 CARE SETTINGS. 645 00:32:10,568 --> 00:32:12,036 THERE WERE LISTENING SESSIONS 646 00:32:12,036 --> 00:32:14,072 THAT OCCURRED LAST SUMMER AND 647 00:32:14,072 --> 00:32:17,208 THEY INCLUDED HOSPITALS, PRIMARY 648 00:32:17,208 --> 00:32:20,311 CARE PROVIDERS AND ORGANIZATIONS 649 00:32:20,311 --> 00:32:22,847 AND COMMUNITY ORGANIZATIONS AS 650 00:32:22,847 --> 00:32:24,982 WELL AS FEDERAL AGENCIES. 651 00:32:24,982 --> 00:32:29,620 WE PARTICIPATED IN SOME OF THESE 652 00:32:29,620 --> 00:32:31,889 DISCUSSIONS AND THE GOALS ARE TO 653 00:32:31,889 --> 00:32:34,859 BUILD SUSTAINABLE AND EFFECTIVE 654 00:32:34,859 --> 00:32:39,197 BI-DIRECTIONAL PARTNERSHIPS, 655 00:32:39,197 --> 00:32:39,897 TAILORING INDIVIDUAL COMMUNITIES 656 00:32:39,897 --> 00:32:42,233 MUCH IN THE SAME WAY WE TAILOR 657 00:32:42,233 --> 00:32:45,503 THE COMMUNITY CHALLENGES FOR 658 00:32:45,503 --> 00:32:46,671 MATERNAL HEALTH. 659 00:32:46,671 --> 00:32:48,506 ACCOUNTING FOR PROVIDER NEEDS IN 660 00:32:48,506 --> 00:32:50,007 RESEARCH INTEGRATION, PRIMARY 661 00:32:50,007 --> 00:32:52,443 CARE PROVIDERS ARE SO BUSY, HAVE 662 00:32:52,443 --> 00:32:56,848 SO LITTLE TIME TO EVEN DO A 663 00:32:56,848 --> 00:32:59,517 HISTORY AND PHYSICAL AND NOW 664 00:32:59,517 --> 00:33:00,284 WE'RE ADDING RESEARCH TO THEIR 665 00:33:00,284 --> 00:33:05,056 JOB DESCRIPTION AND HOW CAN WE 666 00:33:05,056 --> 00:33:10,661 SUSTAIN THIS RESEARCH PROGRAM. 667 00:33:10,661 --> 00:33:14,599 SO AN INITIAL $30 MILLION WAS 668 00:33:14,599 --> 00:33:15,533 GIVEN AS PART OF THE COMMON FUND 669 00:33:15,533 --> 00:33:17,602 BUDGET WITH A FOCUS ON RURAL 670 00:33:17,602 --> 00:33:20,505 COMMUNITIES AND THE DECISION WAS 671 00:33:20,505 --> 00:33:24,075 MADE TO GIVE FUNDS TO THREE 672 00:33:24,075 --> 00:33:26,244 DIFFERENT ORGANIZATIONS, OREGON 673 00:33:26,244 --> 00:33:30,882 HEALTH AND SCIENCES UNIVERSITY, 674 00:33:30,882 --> 00:33:38,489 UNIVERSITY OF WISCONSIN-MADISON 675 00:33:38,489 --> 00:33:44,529 AND WEST VIRGINIA AND WE 676 00:33:44,529 --> 00:33:45,730 SUGGESTED TOPICS FOR OUR 677 00:33:45,730 --> 00:33:48,032 POPULATIONS AND EVALUATING A 678 00:33:48,032 --> 00:33:50,067 BEHAVIORAL INTERVENTION FOR 679 00:33:50,067 --> 00:33:53,871 CHRONIC HIGH IMPACT BACK PAIN TO 680 00:33:53,871 --> 00:33:55,072 REDUCE PAIN MANAGEMENT AND 681 00:33:55,072 --> 00:33:58,042 REDUCE RELIANCE ON PRESCRIPTION 682 00:33:58,042 --> 00:33:59,610 PAIN MEDICATIONS AND TESTING A 683 00:33:59,610 --> 00:34:01,279 COLLABORATIVE TREATMENT 684 00:34:01,279 --> 00:34:03,881 MEDICATION TO ADDRESS OPIOID AND 685 00:34:03,881 --> 00:34:06,250 POLY SUBSTANCE USE AND 686 00:34:06,250 --> 00:34:08,419 EVALUATING INTERVENTIONS FOR 687 00:34:08,419 --> 00:34:10,254 GOUT FLARE, PREVENTION AND/OR 688 00:34:10,254 --> 00:34:14,225 TREATMENT. 689 00:34:14,225 --> 00:34:16,127 SO JUST IN CLOSING I WANTED TO 690 00:34:16,127 --> 00:34:18,296 GIVE YOU A BRIEF UPDATE ON THE 691 00:34:18,296 --> 00:34:22,667 2025 STRATEGIC PLAN. 692 00:34:22,667 --> 00:34:25,136 SO, THE OVER ALL SCIENTIFIC 693 00:34:25,136 --> 00:34:30,274 THEMES REMAIN THE SAME. 694 00:34:30,274 --> 00:34:33,945 HOWEVER SOME OBJECTIVES WILL BE 695 00:34:33,945 --> 00:34:34,679 UPDATED. 696 00:34:34,679 --> 00:34:36,814 SO WITHIN EACH THEME ARE GOALS 697 00:34:36,814 --> 00:34:39,584 AND OBJECTIVES AND THE 698 00:34:39,584 --> 00:34:42,186 OBJECTIVES WILL REFLECT CHANGES 699 00:34:42,186 --> 00:34:46,757 IN SCIENCE, CHANGES IN PUBLIC 700 00:34:46,757 --> 00:34:48,092 HEALTH FOCUS AND CHANGING 701 00:34:48,092 --> 00:34:55,800 PRIORITIES IN GENERAL. 702 00:34:55,800 --> 00:34:59,537 WE'VE MADE SOME DECISIONS THAT 703 00:34:59,537 --> 00:35:02,240 ARE INFORMED BY EVIDENCE SO 704 00:35:02,240 --> 00:35:03,608 NICHD WORKING GROUPS LED THE 705 00:35:03,608 --> 00:35:06,244 PROCESS OF REFRESHING THE 706 00:35:06,244 --> 00:35:07,812 STRATEGIC PLAN AND THEY HAVE 707 00:35:07,812 --> 00:35:09,046 BEEN CONSIDERING UPDATES AND 708 00:35:09,046 --> 00:35:11,682 PRESENTING THEM TO THE 709 00:35:11,682 --> 00:35:13,618 LEADERSHIP TEAM FOR INPUT. 710 00:35:13,618 --> 00:35:17,054 AND PART OF IT HAS BEEN A 711 00:35:17,054 --> 00:35:20,558 DETAILED REVIEW OF THE 712 00:35:20,558 --> 00:35:21,025 IMPLEMENTATION PLAN. 713 00:35:21,025 --> 00:35:22,860 SO, IF WE SAID WE WERE GOING TO 714 00:35:22,860 --> 00:35:25,062 DO SOMETHING, DID WE ACTUALLY DO 715 00:35:25,062 --> 00:35:25,229 IT. 716 00:35:25,229 --> 00:35:32,303 SO WE'VE BEEN ANALYZING THAT 717 00:35:32,303 --> 00:35:32,670 RETROSPECTIVELY. 718 00:35:32,670 --> 00:35:33,738 EACH WORKING GROUP RECEIVED 719 00:35:33,738 --> 00:35:34,672 INFORMING ON THE TIME LINES OF 720 00:35:34,672 --> 00:35:37,842 THE MAJOR PROGRAMS AND FUNDING 721 00:35:37,842 --> 00:35:39,844 OPPORTUNITY ANNOUNCEMENTS THAT 722 00:35:39,844 --> 00:35:41,045 SUPPORTED THE IMPLEMENTATION 723 00:35:41,045 --> 00:35:43,214 PLAN AND THEN THE FUNDING TRENDS 724 00:35:43,214 --> 00:35:47,752 ON RESEARCH INITIATIVES AND 725 00:35:47,752 --> 00:35:48,519 ACTIVITIES AND INFORMATION ON 726 00:35:48,519 --> 00:35:49,787 THE CROSS-CUTTING THEME 727 00:35:49,787 --> 00:35:52,156 REPRESENTATION AND THE GOAL. 728 00:35:52,156 --> 00:35:54,559 SO FOR EXAMPLE HERE IS THEME 729 00:35:54,559 --> 00:35:58,262 FIVE, FOUNDATIONAL RESEARCH FOR 730 00:35:58,262 --> 00:35:59,864 PRECISION MEDICINE. 731 00:35:59,864 --> 00:36:02,500 ONE OF THE PRIORITY ACTIVITIES 732 00:36:02,500 --> 00:36:06,170 HAD AN INCREASE IN GREATER THAN 733 00:36:06,170 --> 00:36:08,039 20% FROM THE BASELINE. 734 00:36:08,039 --> 00:36:10,541 ONE WAS WITHIN 20% OF BASELINE 735 00:36:10,541 --> 00:36:12,743 AND ONE DECREASED. 736 00:36:12,743 --> 00:36:13,978 YOU CAN SEE IT'S A LITTLE HARD 737 00:36:13,978 --> 00:36:17,048 FOR ME TO READ BUT THE ONE THAT 738 00:36:17,048 --> 00:36:18,716 INCREASED WAS TRANSPORTERS. 739 00:36:18,716 --> 00:36:21,852 THE ONE THAT STAYED THE SAME WAS 740 00:36:21,852 --> 00:36:24,021 DRUG METABOLISM ENZYME AND THE 741 00:36:24,021 --> 00:36:27,425 ONE THAT DECREASED WAS DISCOVERY 742 00:36:27,425 --> 00:36:32,096 TOWARDS PRECISION MEDICINE. 743 00:36:32,096 --> 00:36:35,066 SO WE'RE REALLY TAKING AN 744 00:36:35,066 --> 00:36:36,801 EVIDENCE BASED APPROACH TO 745 00:36:36,801 --> 00:36:40,037 SEEING DID WE PUT MONEY WHERE 746 00:36:40,037 --> 00:36:44,642 OUR MOUTH WAS IN 2020. 747 00:36:44,642 --> 00:36:48,713 WE'VE ALSO GOTTEN INPUT FROM OUR 748 00:36:48,713 --> 00:36:51,215 EXTRAMURAL FUNDED RESEARCHERS. 749 00:36:51,215 --> 00:36:54,652 WE HAD EXTERNAL CONVERSATIONS ON 750 00:36:54,652 --> 00:36:59,056 DRAFT CONCEPTS AND HAD A REQUEST 751 00:36:59,056 --> 00:37:03,027 FOR INFORMATION PUBLICATION AND 752 00:37:03,027 --> 00:37:05,730 WE HAVE GOTTEN NICHD COUNCIL 753 00:37:05,730 --> 00:37:06,097 FEEDBACK. 754 00:37:06,097 --> 00:37:10,134 FOR EXAMPLE, ONE THING THE 755 00:37:10,134 --> 00:37:11,068 COUNCIL BROUGHT UP IN SEPTEMBER 756 00:37:11,068 --> 00:37:12,870 WAS THE FACT THAT WE DIDN'T 757 00:37:12,870 --> 00:37:14,338 REALLY SAY ANYTHING ABOUT 758 00:37:14,338 --> 00:37:16,207 ARTIFICIAL INTELLIGENCE AND I 759 00:37:16,207 --> 00:37:19,677 THINK THAT WAS A MAJOR GAP THAT 760 00:37:19,677 --> 00:37:23,080 WAS VERY HELPFULLY POINTED OUT 761 00:37:23,080 --> 00:37:26,183 BY OUR ADVISORY COUNCIL. 762 00:37:26,183 --> 00:37:30,254 SO, IN CLOSING I JUST WANT TO 763 00:37:30,254 --> 00:37:31,856 GIVE A MOMENT OF APPRECIATION 764 00:37:31,856 --> 00:37:37,228 AND I WANTED TO PUBLICALLY THANK 765 00:37:37,228 --> 00:37:42,733 DR. KATHLEEN ZAKOWSKI'S 766 00:37:42,733 --> 00:37:44,402 REPRESENTATION ON THE BRAIN 767 00:37:44,402 --> 00:37:46,337 MULTI-COUNCIL WORKING GROUP. 768 00:37:46,337 --> 00:37:50,274 KATHLEEN IS A MEMBER OF THE 769 00:37:50,274 --> 00:37:51,776 NATIONAL ADVISORY BOARD OF 770 00:37:51,776 --> 00:37:53,611 REHABILITATION RESEARCH AND HAS 771 00:37:53,611 --> 00:37:55,279 BEEN REPRESENTING NICHD. 772 00:37:55,279 --> 00:37:59,583 YOU PROBABLY KNOW SHE'S SOCIETY 773 00:37:59,583 --> 00:38:01,218 VICE PRESIDENT OF RESEARCH FOR 774 00:38:01,218 --> 00:38:04,522 THE MULTIPLE SCLEROSIS SOCIETY. 775 00:38:04,522 --> 00:38:05,056 KATHL 776 00:38:05,056 --> 00:38:05,690 KATHLEEN, JUST WANTED TO THANK 777 00:38:05,690 --> 00:38:06,724 YOU FOR DEVOTING YOUR TIME TO 778 00:38:06,724 --> 00:38:10,995 THIS IMPORTANT WORKING GROUP. 779 00:38:10,995 --> 00:38:12,463 I THINK THAT IS IT. 780 00:38:12,463 --> 00:38:13,864 NEXT SLIDE IS A THANK YOU TO 781 00:38:13,864 --> 00:38:18,369 EVERYONE AND HAPPY TO ADDRESS 782 00:38:18,369 --> 00:38:18,669 QUESTIONS. 783 00:38:18,669 --> 00:38:20,538 >> THANK YOU SO MUCH, 784 00:38:20,538 --> 00:38:20,838 DR. BIANCHI. 785 00:38:20,838 --> 00:38:22,640 ANY QUESTIONS EITHER ONLINE OR 786 00:38:22,640 --> 00:38:32,950 AROUND THE TABLE? 787 00:38:39,857 --> 00:38:40,925 >> THANK YOU SO MUCH. 788 00:38:40,925 --> 00:38:46,430 THAT WAS AN INTERESTING UPDATE. 789 00:38:46,430 --> 00:38:48,065 YOU TALKED A LITTLE BIT ABOUT 790 00:38:48,065 --> 00:38:49,900 RETHINKING HOW WE TALK ABOUT 791 00:38:49,900 --> 00:38:51,368 OUTCOMES AT THE BEGINNING OF THE 792 00:38:51,368 --> 00:38:57,074 TALK AND I NOTICED YOU TALKED 793 00:38:57,074 --> 00:39:03,347 ABOUT OTHER CAREER CHOICES BUT 794 00:39:03,347 --> 00:39:05,449 DIDN'T MENTION A FOUNDATION OR 795 00:39:05,449 --> 00:39:06,517 NON FOR PROFIT. 796 00:39:06,517 --> 00:39:07,952 >> GREAT POINT MADE. 797 00:39:07,952 --> 00:39:12,189 SORRY THAT WAS AN OMISSION. 798 00:39:12,189 --> 00:39:14,258 YES, NONPROFITS. 799 00:39:14,258 --> 00:39:19,964 THE POINT WAS ACADEMIA IS NOT 800 00:39:19,964 --> 00:39:21,999 THE ONLY OPPORTUNITY. 801 00:39:21,999 --> 00:39:25,569 >> WE'VE BEEN THINKING ABOUT IT 802 00:39:25,569 --> 00:39:25,836 OURSELVES. 803 00:39:25,836 --> 00:39:29,073 WE FUND RESEARCH TO A SMALLER 804 00:39:29,073 --> 00:39:32,009 EXTENT THAN THE NIH BUT SEE THIS 805 00:39:32,009 --> 00:39:33,878 AS A MAJOR ISSUE TOO AND HAPPY 806 00:39:33,878 --> 00:39:35,212 TO SEE IT WAS INCLUDED. 807 00:39:35,212 --> 00:39:37,414 I WASN'T JUST TRYING TO CALL YOU 808 00:39:37,414 --> 00:39:37,815 OUT. 809 00:39:37,815 --> 00:39:43,654 I THINK IT'S A GREAT IDEA. 810 00:39:43,654 --> 00:39:50,528 >> VERY IMPORTANT. 811 00:39:50,528 --> 00:39:57,401 THERE'S MANY OPPORTUNITIES WITH 812 00:39:57,401 --> 00:39:57,868 THE TERMINAL DEGREE. 813 00:39:57,868 --> 00:40:04,041 >> I JUST HAD A QUICK QUESTION. 814 00:40:04,041 --> 00:40:05,075 SO SO, IT WAS INTERESTING HOW 815 00:40:05,075 --> 00:40:10,014 YOU WERE SAYING IN TERMS OF THE 816 00:40:10,014 --> 00:40:10,714 NEW INITIATIVES MOST THE THEMES 817 00:40:10,714 --> 00:40:11,682 WERE KEPT THE SAME. 818 00:40:11,682 --> 00:40:17,087 YOU GUYS WERE LOOKING AT THE 819 00:40:17,087 --> 00:40:20,324 START AS WAYS OF USING 820 00:40:20,324 --> 00:40:21,358 EVIDENCE-BASED DATA TO MAKE 821 00:40:21,358 --> 00:40:23,027 DECISIONS ON WHERE YOUR MONEY 822 00:40:23,027 --> 00:40:25,196 WAS GOING. 823 00:40:25,196 --> 00:40:26,363 ONE OF THE THINGS I'VE BEEN 824 00:40:26,363 --> 00:40:29,300 CONCERNED WITH IS THE IDEA OF IS 825 00:40:29,300 --> 00:40:31,502 IT A ZERO SUM GAIN? 826 00:40:31,502 --> 00:40:35,639 IN A SENSE AS YOU INCREASE 827 00:40:35,639 --> 00:40:38,509 FUNDING IN ONE AREA 828 00:40:38,509 --> 00:40:39,109 AUTOMATICALLY ANOTHER AREA 829 00:40:39,109 --> 00:40:41,512 SUFFERS BECAUSE THE PIE IS THE 830 00:40:41,512 --> 00:40:42,146 SAME. 831 00:40:42,146 --> 00:40:44,748 SO INSTEAD OF EVERYTHING 832 00:40:44,748 --> 00:40:45,683 INCREASING, WE JUST KIND OF LIKE 833 00:40:45,683 --> 00:40:53,090 DECIDE WHO GETS THE MONEY AND 834 00:40:53,090 --> 00:40:54,458 ONE SET OF RESEARCH GETS 835 00:40:54,458 --> 00:40:55,659 SACRIFICED OVER THE OTHER. 836 00:40:55,659 --> 00:40:57,328 HOW DO WE PREVENT THAT? 837 00:40:57,328 --> 00:41:01,498 I WORRY THAT THAT OFTEN IS WHAT 838 00:41:01,498 --> 00:41:01,966 SEEMS TO BE HAPPENING. 839 00:41:01,966 --> 00:41:05,269 >> SO THAT IS A GREAT POINT AND 840 00:41:05,269 --> 00:41:07,338 QUESTION. 841 00:41:07,338 --> 00:41:09,306 IT IS A ZERO SUM GAME IN THE 842 00:41:09,306 --> 00:41:13,143 SENSE THAT UNLESS WE GET AN 843 00:41:13,143 --> 00:41:14,044 ADDITIONAL APPROPRIATION FOR AN 844 00:41:14,044 --> 00:41:16,981 AREA WE THEN HAVE TO MAKE DUE 845 00:41:16,981 --> 00:41:17,915 WITH THE BUDGET WE HAVE THOUGH 846 00:41:17,915 --> 00:41:19,783 RIGHT NOW WE DON'T HAVE A BUDGET 847 00:41:19,783 --> 00:41:26,390 SO WE'RE MAKING GUESSES. 848 00:41:26,390 --> 00:41:28,292 AND THE REASON WHY I MENTION THE 849 00:41:28,292 --> 00:41:31,028 IMPROVE INITIATIVE IS WE WERE 850 00:41:31,028 --> 00:41:32,997 ABLE TO GET ADDITIONAL FUNDING 851 00:41:32,997 --> 00:41:35,099 THAT GOES TO OUR BASE. 852 00:41:35,099 --> 00:41:37,334 SO THERE ARE OCCASIONALLY TOPICS 853 00:41:37,334 --> 00:41:39,503 THAT ARE NOT PART OF THE ZERO 854 00:41:39,503 --> 00:41:40,804 SUM GAME THAT GET ADDED TO OUR 855 00:41:40,804 --> 00:41:47,811 BUDGET. 856 00:41:47,811 --> 00:41:49,747 I DON'T KNOW WHY MY VIDEO JUST 857 00:41:49,747 --> 00:41:50,281 DISAPPEARED. 858 00:41:50,281 --> 00:42:00,691 I DIDN'T TOUCH ANYTHING. 859 00:42:09,099 --> 00:42:11,068 I'M GLAD THAT DIDN'T HAPPEN IN 860 00:42:11,068 --> 00:42:13,737 THE MIDDLE OF THE PRESENTATION. 861 00:42:13,737 --> 00:42:15,940 ANYWAY, IT'S ZERO SUM GAME 862 00:42:15,940 --> 00:42:21,345 UNLESS WE HAVE AN ADDITIONAL 863 00:42:21,345 --> 00:42:21,679 APPROPRIATION. 864 00:42:21,679 --> 00:42:32,222 YOU'RE RIGHT, UNLESS WE GET THAT 865 00:42:37,261 --> 00:42:39,496 APPROPRIATION WE HAVE TO MAKE 866 00:42:39,496 --> 00:42:40,564 DIFFICULT DECISIONS AND THAT'S 867 00:42:40,564 --> 00:42:45,970 THE HARDEST PART OF OUR JOBS IS 868 00:42:45,970 --> 00:42:47,838 TO DECIDE WHAT MERITS THE 869 00:42:47,838 --> 00:42:48,372 INVESTMENT OF OUR FUNDS. 870 00:42:48,372 --> 00:42:50,274 THAT BEING SAID, THERE'S A 871 00:42:50,274 --> 00:42:53,277 CERTAIN PERCENTAGE OF OUR BUDGET 872 00:42:53,277 --> 00:42:56,313 THAT IS FIXED FOR NCMRR AND WE 873 00:42:56,313 --> 00:43:01,752 TRIED TO FIX CERTAIN PERCENTAGE 874 00:43:01,752 --> 00:43:04,989 OF OUR BUDGET FOR TRAINING FOR 875 00:43:04,989 --> 00:43:06,256 CAREER DEVELOPMENT AND TRAINING 876 00:43:06,256 --> 00:43:08,759 AND A CERTAIN PERCENT AND FOR 877 00:43:08,759 --> 00:43:09,393 OUR TRAINING PROGRAM BUT 878 00:43:09,393 --> 00:43:11,261 EVERYTHING LEVEL IS SUBJECT TO 879 00:43:11,261 --> 00:43:15,666 INTERPRETATION. 880 00:43:15,666 --> 00:43:17,134 IT'S VERY DIFFICULT. 881 00:43:17,134 --> 00:43:22,272 ONE OF THE THINGS WE'VE DONE IN 882 00:43:22,272 --> 00:43:25,743 THE PAST FIVE TO EIGHT YEARS IS 883 00:43:25,743 --> 00:43:32,449 WE NO LONGER FUND GRANTS THAT IS 884 00:43:32,449 --> 00:43:33,384 BASED EXCLUSIVELY ON THE 885 00:43:33,384 --> 00:43:36,920 PRIORITY SCORE AND HAVE I A ZONE 886 00:43:36,920 --> 00:43:38,689 OF CONSIDERATION IN LOOKING AT 887 00:43:38,689 --> 00:43:40,157 HOW THE PROPOSED RESEARCH ALIGNS 888 00:43:40,157 --> 00:43:43,394 WITH OUR STRATEGIC PLAN. 889 00:43:43,394 --> 00:43:47,765 THAT'S ONE WAY WE WOULD CONSIDER 890 00:43:47,765 --> 00:43:50,300 HOW DO WE DEAL WITH THE FIXED 891 00:43:50,300 --> 00:43:50,534 BUDGET. 892 00:43:50,534 --> 00:43:53,537 I DON'T KNOW, THERESA, DO YOU 893 00:43:53,537 --> 00:43:55,672 WANT TO ADD ANYTHING TO THAT? 894 00:43:55,672 --> 00:43:57,775 >> I WOULD JUST ADD -- THANK 895 00:43:57,775 --> 00:44:01,779 YOU, THE OTHER THING WE DO IS 896 00:44:01,779 --> 00:44:05,115 LOOK AT HOW MUCH MONEY AN 897 00:44:05,115 --> 00:44:05,749 INDIVIDUAL INVESTIGATOR GETS. 898 00:44:05,749 --> 00:44:11,722 IT MIGHT BE THE SAME AMOUNT OF 899 00:44:11,722 --> 00:44:15,192 MONEY IN A TOPE IC AND MAYBE 900 00:44:15,192 --> 00:44:18,228 SPREAD OUT TO MORE P.I.s AND 901 00:44:18,228 --> 00:44:20,964 LABS AND HAVE A COUNCIL TO 902 00:44:20,964 --> 00:44:22,766 REVIEW P.I.s WHO ALREADY HAVE 903 00:44:22,766 --> 00:44:24,435 OVER $1 MILLION IN FUNDING AND 904 00:44:24,435 --> 00:44:25,869 EACH INSTITUTE HAS A SIMILAR 905 00:44:25,869 --> 00:44:27,938 TYPE OF LINE THEY ARE TAKE AN 906 00:44:27,938 --> 00:44:33,043 EXTRA LOOK AT THOSE GRANTS TO 907 00:44:33,043 --> 00:44:35,446 SEE IF THERE'S A WAY TO SPREAD 908 00:44:35,446 --> 00:44:37,281 THE WEALTH AMONG P.I.s. 909 00:44:37,281 --> 00:44:38,549 >> DID THAT ANSWER YOUR 910 00:44:38,549 --> 00:44:41,118 QUESTION? 911 00:44:41,118 --> 00:44:51,595 >> YES, THANK YOU VERY MUCH. 912 00:44:57,367 --> 00:45:07,811 >> THIS IS TIFFANY YU. 913 00:45:07,811 --> 00:45:10,514 THE ONE IS A FOCUS ON PEDIATRIC 914 00:45:10,514 --> 00:45:11,982 RESEARCH AND WOULD ADVOCATE TO 915 00:45:11,982 --> 00:45:13,283 ENSURE THERE'S ALSO MENTAL 916 00:45:13,283 --> 00:45:16,286 HEALTH AND EMOTIONAL SUPPORT FOR 917 00:45:16,286 --> 00:45:18,255 THE PEOPLE WHO ARE COMPETING IN 918 00:45:18,255 --> 00:45:23,160 THE CLINICAL TRIALS AND 919 00:45:23,160 --> 00:45:33,604 POTENTIALLY SOME FOR PART OF THE 920 00:45:33,604 --> 00:45:33,937 RESEARCH. 921 00:45:33,937 --> 00:45:38,242 I'D BE CURIOUS IF THEY'RE 922 00:45:38,242 --> 00:45:42,646 TRACKED TO ADULTHOOD AND IF 923 00:45:42,646 --> 00:45:44,581 BEING PRODDED AS KIDS HAS 924 00:45:44,581 --> 00:45:45,482 OUTCOMES AND THERE'S THE FIRST 925 00:45:45,482 --> 00:45:50,621 THING AROUND THE PEDIATRIC 926 00:45:50,621 --> 00:45:52,122 RESEARCH. 927 00:45:52,122 --> 00:45:53,056 A COMMENT AROUND REPRODUCTIVE 928 00:45:53,056 --> 00:45:53,757 HEALTH. 929 00:45:53,757 --> 00:45:59,763 I WOULD ASSUME THAT YOU PROBABLY 930 00:45:59,763 --> 00:46:01,165 DON'T DO AS MUCH ADVOCACY BUT 931 00:46:01,165 --> 00:46:04,935 REMIND PEOPLE HERE AND LISTENING 932 00:46:04,935 --> 00:46:06,837 IT'S STILL FORCED STERILIZATION 933 00:46:06,837 --> 00:46:12,109 OF DISABLED PEOPLE IS STILL 934 00:46:12,109 --> 00:46:14,611 LEGAL IN 30 STATES AND MAKE SURE 935 00:46:14,611 --> 00:46:16,480 THERE'S NOT A LARGE PORTION OF 936 00:46:16,480 --> 00:46:17,514 OUR POPULATION LEFT BEHIND. 937 00:46:17,514 --> 00:46:21,952 >> OKAY. 938 00:46:21,952 --> 00:46:31,295 I WROTE IT DOWN. 939 00:46:31,295 --> 00:46:40,704 YOU ASKED ABOUT THE MENSTRUAL -- 940 00:46:40,704 --> 00:46:42,005 MENTAL HEALTH OF THOSE INVOLVED 941 00:46:42,005 --> 00:46:43,207 WITH CLINICAL TRIALS IN CHILDREN 942 00:46:43,207 --> 00:46:45,042 THAT REVIEWERS LOOK AT THAT. 943 00:46:45,042 --> 00:46:47,711 I CAN ONLY SPEAK FOR THE 944 00:46:47,711 --> 00:46:50,280 INTRAMURAL PROGRAM AND CLINICAL 945 00:46:50,280 --> 00:46:54,251 RESEARCH PROGRAM AND MREEFRD TO 946 00:46:54,251 --> 00:46:57,521 SAY TWO CHILD HEALTH SPECIALISTS 947 00:46:57,521 --> 00:47:00,824 HAVE BEEN ADDED TO THE STAFF OF 948 00:47:00,824 --> 00:47:04,995 THE CLINICAL CENTER -- PLEASED 949 00:47:04,995 --> 00:47:07,831 TO SAY. 950 00:47:07,831 --> 00:47:09,833 THEY'RE CHILD LIFE SPECIALISTS 951 00:47:09,833 --> 00:47:11,134 AND PAYING CLOSE ATTENTION TO 952 00:47:11,134 --> 00:47:12,903 THE MENTAL HEALTH AND OVER ALL 953 00:47:12,903 --> 00:47:14,238 WELL BEING OF THE CHILDREN WHO 954 00:47:14,238 --> 00:47:16,673 ARE HOSPITALIZED AS PART OF 955 00:47:16,673 --> 00:47:17,774 THEIR PROTOCOLS. 956 00:47:17,774 --> 00:47:20,577 WE HAVE THE CHILDREN'S INN WHERE 957 00:47:20,577 --> 00:47:22,779 FAMILIES CAN STAY FOR FREE WHILE 958 00:47:22,779 --> 00:47:24,648 THEIR CHILDREN ARE PARTICIPATING 959 00:47:24,648 --> 00:47:26,984 AS INPATIENTS OR OUT PATIENTS 960 00:47:26,984 --> 00:47:30,087 AND THAT PLACE IS LIKE A RONALD 961 00:47:30,087 --> 00:47:32,422 McDONALD'S ON STEROIDS. 962 00:47:32,422 --> 00:47:33,423 YOU WOULD NOT BELIEVE THE KINDS 963 00:47:33,423 --> 00:47:35,559 OF ACTIVITIES THEY HAVE TO 964 00:47:35,559 --> 00:47:36,660 ENGAGE THE CHILDREN AND EDUCATE 965 00:47:36,660 --> 00:47:40,464 THEM AND MAKE IT AN OVER ALL 966 00:47:40,464 --> 00:47:40,897 PLEASANT EXPERIENCE. 967 00:47:40,897 --> 00:47:43,133 THE SECOND THING YOU MENTIONED 968 00:47:43,133 --> 00:47:48,171 WAS TRANSITION TO ADULT HEALTH. 969 00:47:48,171 --> 00:47:52,943 THAT WAS IDENTIFIED FIRST, IN 970 00:47:52,943 --> 00:47:58,849 THE FIRST STRATEGIC PLAN WE 971 00:47:58,849 --> 00:48:04,688 RECOGNIZED ADOLESCENCE IN 972 00:48:04,688 --> 00:48:06,089 GENERAL WAS A GAP AND ADDED THAT 973 00:48:06,089 --> 00:48:10,827 AS A THEME AND FOCUSSED ON THE 974 00:48:10,827 --> 00:48:12,095 SIGNIFICANT GAP FOR CHILDREN 975 00:48:12,095 --> 00:48:14,698 WITH CHRONIC ILLNESS OR CHRONIC 976 00:48:14,698 --> 00:48:16,500 CONDITIONS HOW THEY MAKE THE 977 00:48:16,500 --> 00:48:18,001 TRANSITION FROM BEING A 978 00:48:18,001 --> 00:48:20,203 PEDIATRIC PATIENT TO BEING AN 979 00:48:20,203 --> 00:48:20,804 ADULT PATIENT. 980 00:48:20,804 --> 00:48:25,142 AND WE HELD A WORKSHOP OWN THAT 981 00:48:25,142 --> 00:48:26,843 AND WE'RE NOW FUNDING RESEARCH 982 00:48:26,843 --> 00:48:32,082 GRANTS RELATED TO TRANSITION. 983 00:48:32,082 --> 00:48:36,086 AND OUR JOB IS TO GENERATE 984 00:48:36,086 --> 00:48:39,256 EVIDENCE THAT INFORMS PEOPLE WHO 985 00:48:39,256 --> 00:48:39,756 MAKE POLICY. 986 00:48:39,756 --> 00:48:43,527 WE -- I FORGET THE EXACT TERM 987 00:48:43,527 --> 00:48:45,529 BUT WE'RE NOT IN A SITUATION 988 00:48:45,529 --> 00:48:47,931 WHERE WE'RE ADVOCATES OR 989 00:48:47,931 --> 00:48:51,335 NON-ADVOCATES. 990 00:48:51,335 --> 00:48:53,737 WE ARE TRYING TO PROVIDE THE 991 00:48:53,737 --> 00:48:54,571 SCIENTIFIC EVIDENCE AND 992 00:48:54,571 --> 00:48:55,238 REPRODUCTIVE HEALTH IS A MAJOR 993 00:48:55,238 --> 00:48:57,140 PART OF WHAT WE DO. 994 00:48:57,140 --> 00:48:59,109 OUR NAME DOESN'T COMMUNICATE 995 00:48:59,109 --> 00:49:00,644 THAT IN THE WAY WE COMMUNICATE 996 00:49:00,644 --> 00:49:04,047 WE'RE THE LOCUS FOR MEDICAL 997 00:49:04,047 --> 00:49:04,581 REHABILITATION RESEARCH. 998 00:49:04,581 --> 00:49:10,520 BUT WE'RE VERY FOCUSSED ON 999 00:49:10,520 --> 00:49:12,789 REPRODUCTIVE HEALTH AND AGAIN 1000 00:49:12,789 --> 00:49:14,658 WAYS WE CAN PROVIDE EVIDENCE AS 1001 00:49:14,658 --> 00:49:16,326 TO HOW SOME OF THE CHANGES THAT 1002 00:49:16,326 --> 00:49:19,730 HAVE OCCURRED OVER THE LAST FEW 1003 00:49:19,730 --> 00:49:24,000 YEARS ARE IMPACTING ON INFANT 1004 00:49:24,000 --> 00:49:27,137 MORTALITY, MATERNAL MORTALITY, 1005 00:49:27,137 --> 00:49:27,738 FOR EXAMPLE. 1006 00:49:27,738 --> 00:49:30,240 IT'S PART OF THE REPRODUCTIVE 1007 00:49:30,240 --> 00:49:33,210 JUSTICE ECO SYSTEM BUT WITH A 1008 00:49:33,210 --> 00:49:38,382 BASIS ON SCIENTIFIC EVIDENCE. 1009 00:49:38,382 --> 00:49:40,584 DID I CAPTURE YOUR QUESTIONS 1010 00:49:40,584 --> 00:49:41,385 CORRECTLY? 1011 00:49:41,385 --> 00:49:51,695 >> YES, THANK YOU. 1012 00:49:53,697 --> 00:50:02,005 >> THIS SOUND LIKE JEREMY WITH 1013 00:50:02,005 --> 00:50:02,739 AN "F". 1014 00:50:02,739 --> 00:50:04,541 THERE'S MORE PROFESSIONS NOT 1015 00:50:04,541 --> 00:50:09,446 JUST AC 2K50ADEMACADEMIA. 1016 00:50:09,446 --> 00:50:12,749 THIS IS A COMMENT OF PEOPLE WHO 1017 00:50:12,749 --> 00:50:16,286 REMAIN WITHIN ACADEMIA AND OFTEN 1018 00:50:16,286 --> 00:50:20,557 THE TIME WE SUPPORT AND PROMOTE 1019 00:50:20,557 --> 00:50:22,559 FACULTIES IS IN A RIGID 1020 00:50:22,559 --> 00:50:24,094 FRAMEWORK OF WHAT CAN BE FUNDED. 1021 00:50:24,094 --> 00:50:26,163 IF WE WANT TO DEMONSTRATE 1022 00:50:26,163 --> 00:50:30,500 THERE'S PROFESSIONS OUTSIDE OF 1023 00:50:30,500 --> 00:50:32,235 ACADEMIA SOME REMAN IN ACADEMIA 1024 00:50:32,235 --> 00:50:33,036 WITHIN THE COMMUNITY THAT COULD 1025 00:50:33,036 --> 00:50:33,870 HAVE MORE OPPORTUNITIES FOR 1026 00:50:33,870 --> 00:50:36,139 FUNDING IF THE WAY FUNDING IS 1027 00:50:36,139 --> 00:50:41,278 ALLOCATED SINCE THERE MAY NOT BE 1028 00:50:41,278 --> 00:50:50,821 AN ADDITIONAL ALLOCATION AND 1029 00:50:50,821 --> 00:50:52,522 SOME OF US FOCUS ON 1030 00:50:52,522 --> 00:50:53,857 COMMUNITY-BASED OR PARTICIPATORY 1031 00:50:53,857 --> 00:50:55,258 RESEARCH HAS NOT HISTORICALLY 1032 00:50:55,258 --> 00:50:58,195 BEEN THE MECHANISM THAT HAS LED 1033 00:50:58,195 --> 00:51:00,430 TO PROMOTION FOR JUNIOR FACULTY 1034 00:51:00,430 --> 00:51:04,134 PRIMARILY WITHIN THE PRIMARY 1035 00:51:04,134 --> 00:51:05,802 FIELD CARE WHO WANT TO DO THAT 1036 00:51:05,802 --> 00:51:06,002 WORK. 1037 00:51:06,002 --> 00:51:07,404 >> THAT'S AN EXCELLENT POINT. 1038 00:51:07,404 --> 00:51:12,642 I DO SEE TRENDS FROM SOMEONE WHO 1039 00:51:12,642 --> 00:51:15,045 CAME FROM A BASIC SCIENCE 1040 00:51:15,045 --> 00:51:15,879 TRANSLATIONAL BACKGROUND. 1041 00:51:15,879 --> 00:51:18,582 CERTAINLY OVER THE LAST EIGHT 1042 00:51:18,582 --> 00:51:24,254 YEARS THERE'S THE RECOGNITION 1043 00:51:24,254 --> 00:51:34,764 COMMUNITIES HAVE UNIQUE NEEDS 1044 00:51:38,268 --> 00:51:38,869 AND IMPLEMENTATION RESEARCH 1045 00:51:38,869 --> 00:51:40,270 FUNDING IN THAT AREA AND THERE'S 1046 00:51:40,270 --> 00:51:41,538 AN OVER ALL RECOGNITION AND 1047 00:51:41,538 --> 00:51:46,643 ASSUME WE'LL SEE MORE IN THE 1048 00:51:46,643 --> 00:51:48,912 COMING YEARS THAT AMERICANS WANT 1049 00:51:48,912 --> 00:51:51,715 TO SEE HOW THEIR TAX DOLLARS ARE 1050 00:51:51,715 --> 00:51:53,083 GOING AND HOW DOES IT BENEFIT 1051 00:51:53,083 --> 00:51:55,485 THEM OR MAKE THEM OR THEIR 1052 00:51:55,485 --> 00:52:03,593 COMMUNITIES HEALTHIER. 1053 00:52:03,593 --> 00:52:07,297 >> THANK YOU. 1054 00:52:07,297 --> 00:52:10,567 >> ON THE COMMENT FROM TIFFANY 1055 00:52:10,567 --> 00:52:13,270 WITH MY LIMITED RESEARCH WITH 1056 00:52:13,270 --> 00:52:16,606 CHILDREN I FIND VERY IMPORTANT 1057 00:52:16,606 --> 00:52:20,977 TO ALSO THINK ABOUT THE PARENTS 1058 00:52:20,977 --> 00:52:21,878 PARTICULARLY IN MENTAL HEALTH 1059 00:52:21,878 --> 00:52:24,915 BECAUSE IT MAY BE A BARRIER FOR 1060 00:52:24,915 --> 00:52:26,149 PARTICIPATION OF CHILDREN IN 1061 00:52:26,149 --> 00:52:26,516 STUDIES. 1062 00:52:26,516 --> 00:52:29,953 I WOULD LIKE TO SEE MORE 1063 00:52:29,953 --> 00:52:33,690 THINKING ABOUT NOT ONLY THE 1064 00:52:33,690 --> 00:52:36,826 CHILD CONTEXT BUT THE CONTEXT OF 1065 00:52:36,826 --> 00:52:41,665 FAMILY IS VERY IMPORTANT. 1066 00:52:41,665 --> 00:52:46,036 I KNOW THAT AND IN MY MIND WOULD 1067 00:52:46,036 --> 00:52:51,575 BE GREAT TO HAVE AN INTERVENTION 1068 00:52:51,575 --> 00:52:52,609 AND PARENTS. 1069 00:52:52,609 --> 00:52:55,345 I THINK THAT WOULD BE VERY 1070 00:52:55,345 --> 00:52:55,645 INFORMATIVE. 1071 00:52:55,645 --> 00:52:56,713 MY SECOND COMMENT IS THINKING 1072 00:52:56,713 --> 00:52:59,916 ABOUT THE STRATEGIC PLAN. 1073 00:52:59,916 --> 00:53:02,052 YOU MENTIONED I CAME IN THE 1074 00:53:02,052 --> 00:53:10,226 MEETING AND I THINK WE NEED TO 1075 00:53:10,226 --> 00:53:12,996 THINK ABOUT TECHNOLOGICAL 1076 00:53:12,996 --> 00:53:14,030 CONVERGENCE AND WEARABLES AND 1077 00:53:14,030 --> 00:53:17,567 OTHER DEVICES AND INTERFACES. 1078 00:53:17,567 --> 00:53:23,773 I THINK WE NEED TO START 1079 00:53:23,773 --> 00:53:25,442 HARNESSING AND CONVERGENCE. 1080 00:53:25,442 --> 00:53:26,242 THAT WILL BE IMPORTANT TO BE 1081 00:53:26,242 --> 00:53:32,782 SPECIFIC ABOUT THAT. 1082 00:53:32,782 --> 00:53:43,326 AND NOT ONLY A MATTER OF ASKING 1083 00:53:52,836 --> 00:53:56,873 FER SUPPORT AND NEED TO HAVE A 1084 00:53:56,873 --> 00:54:04,347 WAY TO MAXIMIZE OUR REACH AND 1085 00:54:04,347 --> 00:54:08,218 WHILE COLLABORATING WITH OTHER 1086 00:54:08,218 --> 00:54:11,121 PROFESSIONALS GOING BACK TO TEAM 1087 00:54:11,121 --> 00:54:11,354 SCIENCE. 1088 00:54:11,354 --> 00:54:15,091 >> I DON'T KNOW IF YOU MENTIONED 1089 00:54:15,091 --> 00:54:17,794 IT IN THE INTRODUCTION YOU'RE AN 1090 00:54:17,794 --> 00:54:21,865 NICHD MEMBER AS WELL AND HAVE A 1091 00:54:21,865 --> 00:54:27,771 BROAD OVERVIEW OF NAB AND NICHD 1092 00:54:27,771 --> 00:54:32,509 INTERSECT AND WE THANK YOU FOR 1093 00:54:32,509 --> 00:54:33,743 YOUR TIME AND SERVICE. 1094 00:54:33,743 --> 00:54:35,912 >> THANK YOU FOR SHARING YOUR 1095 00:54:35,912 --> 00:54:44,220 TIME WITH US THIS MORNING. 1096 00:54:44,220 --> 00:54:45,955 STEVE CRAMER. 1097 00:54:45,955 --> 00:54:48,692 I GOT MY FIRST JOB AT AGE 35 1098 00:54:48,692 --> 00:54:49,759 AFTER EXTENSIVE TRAINING. 1099 00:54:49,759 --> 00:54:52,295 I WAS A REAL GOOD STROKE 1100 00:54:52,295 --> 00:54:55,065 NEUROLOGIST AND INTERESTED IN 1101 00:54:55,065 --> 00:54:59,302 BRAIN REPAIR AND TWO KIDS AND A 1102 00:54:59,302 --> 00:55:02,038 MORTGAGE AND LOW SALARY FOR AN 1103 00:55:02,038 --> 00:55:02,906 ACADEMIC. 1104 00:55:02,906 --> 00:55:09,479 IT MUST HAVE BEEN IN '98, '99 1105 00:55:09,479 --> 00:55:16,219 AND IF IT WASN'T FOR THAT I 1106 00:55:16,219 --> 00:55:19,823 WOULDN'T REMAIN AND BIG THUMBS 1107 00:55:19,823 --> 00:55:22,025 UP ON THAT AND ON THE SECOND 1108 00:55:22,025 --> 00:55:23,626 TOPIC OF OUTCOME. 1109 00:55:23,626 --> 00:55:25,061 I THINK OUR OUTCOMES STINK FOR 1110 00:55:25,061 --> 00:55:27,363 STROKE AND AS A NEUROLOGIST 1111 00:55:27,363 --> 00:55:28,898 THEY'RE SO SO GREAT FOR OTHER 1112 00:55:28,898 --> 00:55:31,568 DISEASES BUT I DON'T HAVE 1113 00:55:31,568 --> 00:55:32,569 EXPERTISE. 1114 00:55:32,569 --> 00:55:33,203 THEY'RE WHAT'S EASY. 1115 00:55:33,203 --> 00:55:36,673 MANY FROM ORTHOPEDIC. 1116 00:55:36,673 --> 00:55:39,776 SORRY BUT HUMANS DESERVE TO BE 1117 00:55:39,776 --> 00:55:41,911 CHARACTERIZED BY MORE THAN A 1118 00:55:41,911 --> 00:55:42,879 SINGLE DIGIT. 1119 00:55:42,879 --> 00:55:45,715 THEY'RE RANKED IN FEVER AND 1120 00:55:45,715 --> 00:55:45,949 STROKE. 1121 00:55:45,949 --> 00:55:49,986 IMAGINE YOU GO IN A ROOM AND 1122 00:55:49,986 --> 00:55:54,657 ANALYZE A PATIENT EXAMINE THEM 1123 00:55:54,657 --> 00:55:56,993 AND DECLARE THREE AND WRITE IT 1124 00:55:56,993 --> 00:55:59,162 DOWN AND WALK AWAY. 1125 00:55:59,162 --> 00:56:00,764 THERE'S SO MUCH MORE WE CAN DO 1126 00:56:00,764 --> 00:56:03,800 IN THE TECHNOLOGICAL ERA AND 1127 00:56:03,800 --> 00:56:05,135 WEARABLE HEALTH AND PUSH THAT 1128 00:56:05,135 --> 00:56:07,737 WHETHER IT'S THE CARROT OR STICK 1129 00:56:07,737 --> 00:56:10,673 AND TALKING ABOUT IT. 1130 00:56:10,673 --> 00:56:13,676 TOTALLY AGREE OUR OUTCOMES NEED 1131 00:56:13,676 --> 00:56:15,145 REVAMPING AND HOPE WE'LL FIND 1132 00:56:15,145 --> 00:56:16,446 MEANS TO DO SO RATHER THAN NOD 1133 00:56:16,446 --> 00:56:19,582 OUR HEADS AND AAGREE. 1134 00:56:19,582 --> 00:56:19,949 -- AND AGREE. 1135 00:56:19,949 --> 00:56:21,785 >> THANK YOU. 1136 00:56:21,785 --> 00:56:25,588 >> I HAVE LOTS OF IDEA HOW WE 1137 00:56:25,588 --> 00:56:27,357 MIGHT REVAMP THEM FOR WHAT IT'S 1138 00:56:27,357 --> 00:56:29,692 WORTH BUT THAT'S NOT MY MAIN 1139 00:56:29,692 --> 00:56:30,326 POINT. 1140 00:56:30,326 --> 00:56:35,665 >> THANK YOU, WE DO VALUE YOUR 1141 00:56:35,665 --> 00:56:35,899 OPINION. 1142 00:56:35,899 --> 00:56:40,003 THE REASON I PRESENTED THE RADX 1143 00:56:40,003 --> 00:56:40,837 TECH CHALLENGE IS BECAUSE IIS 1144 00:56:40,837 --> 00:56:41,838 THIS THERE'S RELEVANCE AND 1145 00:56:41,838 --> 00:56:44,040 THERE'S PARALLELS FOR WHAT CAN 1146 00:56:44,040 --> 00:56:45,775 BE DONE IN MONITORING A PERSON 1147 00:56:45,775 --> 00:56:47,210 WHO IS RECOVERING FROM STROKE, 1148 00:56:47,210 --> 00:56:52,115 FOR EXAMPLE. 1149 00:56:52,115 --> 00:56:54,017 AS YOU KNOW THE MAJORITY OF 1150 00:56:54,017 --> 00:56:56,319 STROKE-RELATED RESEARCH IS 1151 00:56:56,319 --> 00:56:57,353 COMING FROM NINDS HOWEVER WE'RE 1152 00:56:57,353 --> 00:57:02,992 VERY ALARMED BY THE INCREASING 1153 00:57:02,992 --> 00:57:10,233 RATE OF POSTPARTUM STROKES IN 1154 00:57:10,233 --> 00:57:16,673 WOMEN WHO ARE YOUNG AND HAD A 1155 00:57:16,673 --> 00:57:18,808 STROKE AFTER CHILD BIRTH AND 1156 00:57:18,808 --> 00:57:23,713 WHERE OUR FOCUS AND NINDS' FOCUS 1157 00:57:23,713 --> 00:57:23,980 INTERSECT. 1158 00:57:23,980 --> 00:57:25,615 >> RALPH YOU HAVE A QUESTION? 1159 00:57:25,615 --> 00:57:27,183 >> I THINK SOME OF THE 1160 00:57:27,183 --> 00:57:30,553 DISCUSSION IS REVOLVING AROUND 1161 00:57:30,553 --> 00:57:34,190 THE EXISTENTIAL TENSION WE HAVE 1162 00:57:34,190 --> 00:57:35,625 BETWEEN ACADEMIC RESEARCH, WHICH 1163 00:57:35,625 --> 00:57:37,961 DRIVES A LOT OF THE NIH-PEER 1164 00:57:37,961 --> 00:57:44,868 REVIEW SYSTEM AND THE CONTEXTUAL 1165 00:57:44,868 --> 00:57:47,136 ASPECT THESE ARE HUMANS AND 1166 00:57:47,136 --> 00:57:48,705 FAMILIES AND NICHD IS VERY 1167 00:57:48,705 --> 00:57:50,473 SENSITIVE TO THAT WITH 1168 00:57:50,473 --> 00:57:51,708 INITIATIVES TO TRY TO REMIND 1169 00:57:51,708 --> 00:57:53,376 PEOPLE ABOUT THE BROADER CONTEXT 1170 00:57:53,376 --> 00:57:54,878 INCLUDING THINGS LIKE INCLUDING 1171 00:57:54,878 --> 00:57:55,812 PEOPLE WITH LIVED EXPERIENCE IN 1172 00:57:55,812 --> 00:57:59,148 RESEARCH STUDIES, TRYING TO GET 1173 00:57:59,148 --> 00:58:01,317 RESEARCHERS TO THINK BEYOND 1174 00:58:01,317 --> 00:58:03,453 THEIR OWN SILOED TRAINING AND 1175 00:58:03,453 --> 00:58:05,288 EVEN SOME OF THE SUPPORT 1176 00:58:05,288 --> 00:58:07,357 INITIATIVES WE HAVE AND I THINK 1177 00:58:07,357 --> 00:58:10,793 MICHELLE'S QUESTION HOW WE 1178 00:58:10,793 --> 00:58:15,198 SUPPORT RESEARCH -- NIH TAKES A 1179 00:58:15,198 --> 00:58:25,742 LOT OF IT'S A MERITOCRACY AND WE 1180 00:58:29,779 --> 00:58:32,415 USE THE DISCRETION IN RESEARCH 1181 00:58:32,415 --> 00:58:34,884 INITIATIVES WHEN WE SEE A BLIND 1182 00:58:34,884 --> 00:58:35,919 SPOT IN ACADEMIC RESEARCH. 1183 00:58:35,919 --> 00:58:37,387 SO I THINK YOU GUYS ARE RIGHT AT 1184 00:58:37,387 --> 00:58:39,155 THE HEART OF WHAT WE ARE TRYING 1185 00:58:39,155 --> 00:58:41,557 TO DO HERE WHICH IS VERY MUCH IN 1186 00:58:41,557 --> 00:58:52,068 YOUR ROLE AS AN ADVISORY BODY. 1187 00:58:52,702 --> 00:58:54,637 >> AS PEPE KNOWS WE INCLUDE THE 1188 00:58:54,637 --> 00:58:58,942 VOICE OF THE PARTICIPANT. 1189 00:58:58,942 --> 00:59:00,576 THE PATIENT AND FAMILY IS NEVER 1190 00:59:00,576 --> 00:59:04,714 FAR FROM OUR MIND AND NOW 1191 00:59:04,714 --> 00:59:09,385 INCLUDING THAT IN THE ANNUAL 1192 00:59:09,385 --> 00:59:10,987 INTRAMURAL RESEARCH SYMPOSIUM 1193 00:59:10,987 --> 00:59:12,956 WHERE THE INTRAMURAL RESEARCHERS 1194 00:59:12,956 --> 00:59:14,490 PRESENT THEIR RESEARCH AND THIS 1195 00:59:14,490 --> 00:59:19,996 YEAR WE HAD AN 11-YEAR-OLD GIRL 1196 00:59:19,996 --> 00:59:22,732 WHO HAD AN ERROR OF METABOLISM 1197 00:59:22,732 --> 00:59:26,235 AND HER PARENTS TALKED ABOUT 1198 00:59:26,235 --> 00:59:29,639 LOSING THEIR FIRST COUPLE OF 1199 00:59:29,639 --> 00:59:40,183 CHILDREN TO CARDIOMYOPATHY IN 1200 00:59:40,650 --> 00:59:41,884 INFANCY AND HAD AN 11-YEAR-OLD 1201 00:59:41,884 --> 00:59:42,618 GIRL WHO BENEFITTED FROM ALL THE 1202 00:59:42,618 --> 00:59:49,993 KNOWLEDGE. 1203 00:59:49,993 --> 00:59:53,129 THESE VOICE OF THE PARTICIPANT 1204 00:59:53,129 --> 00:59:54,097 SESSIONS GROUND EVERYONE IN THE 1205 00:59:54,097 --> 00:59:58,234 INSTITUTE. 1206 00:59:58,234 --> 01:00:08,044 I HEAR REPEATED LY FROM 1207 01:00:08,044 --> 01:00:10,780 ADMINISTERIAL SUPPORT STAFF 1208 01:00:10,780 --> 01:00:13,049 BECAUSE IT'S INSPIRATIONAL AND 1209 01:00:13,049 --> 01:00:14,350 DEMONSTRATES THE HUMAN ASPECT OF 1210 01:00:14,350 --> 01:00:24,560 WHAT WE DO. 1211 01:00:34,771 --> 01:00:38,508 >> FERANMI. 1212 01:00:38,508 --> 01:00:42,245 >> I WANT TO HIGHLIGHT THE 1213 01:00:42,245 --> 01:00:45,014 IMPORTANCE OF MAKING SURE 1214 01:00:45,014 --> 01:00:46,049 THROUGH THE CONTINUUM WE'RE 1215 01:00:46,049 --> 01:00:47,817 PROVIDING THE ACCOMMODATIONS 1216 01:00:47,817 --> 01:00:50,286 PEOPLE NEED TO BE SUCCESSFUL IN 1217 01:00:50,286 --> 01:00:52,889 THE SPACE BECAUSE THE 1218 01:00:52,889 --> 01:00:54,624 11-YEAR-OLD GIRL CAN DO WHATEVER 1219 01:00:54,624 --> 01:00:57,593 SHE WANTS GROWING UP BUT WITHOUT 1220 01:00:57,593 --> 01:00:58,361 PROVIDING REASONABLE 1221 01:00:58,361 --> 01:00:59,128 ACCOMMODATIONS TO DEMONSTRATE 1222 01:00:59,128 --> 01:01:00,897 THEY'LL BE ABLE TO MAKE 1223 01:01:00,897 --> 01:01:02,298 MEANINGFUL CHANGE IN SOCIETY SO 1224 01:01:02,298 --> 01:01:05,201 THAT'S NOT REALLY A CRITICISM 1225 01:01:05,201 --> 01:01:08,838 SUSPECT AN OPPORTUNISTIC TIME TO 1226 01:01:08,838 --> 01:01:10,239 SAY THAT BECAUSE WE SEE THE 1227 01:01:10,239 --> 01:01:12,341 STORIES AS INSPIRATIONAL BUT AS 1228 01:01:12,341 --> 01:01:13,876 WE DO BETTER WITH OUR 1229 01:01:13,876 --> 01:01:14,610 REHABILITATION RESEARCH WE'LL 1230 01:01:14,610 --> 01:01:16,779 HAVE MORE INDIVIDUALS WITH 1231 01:01:16,779 --> 01:01:18,247 DISABILITIES WHO WILL NEED 1232 01:01:18,247 --> 01:01:20,683 RELATED ACCOMMODATIONS TO HAVE 1233 01:01:20,683 --> 01:01:22,819 ACCESS TO DEMONSTRATE THEY CAN 1234 01:01:22,819 --> 01:01:23,286 ACHIEVE. 1235 01:01:23,286 --> 01:01:25,788 THE ACCOMMODATION IS NOT THE 1236 01:01:25,788 --> 01:01:27,190 TICKET TO SUCCESS. 1237 01:01:27,190 --> 01:01:29,025 THE ACCOMMODATION IS MERELY 1238 01:01:29,025 --> 01:01:34,230 ACCESS AND AFTER BEING GIVEN 1239 01:01:34,230 --> 01:01:36,799 EQUITABLE ACCESS CAN SOMEONE 1240 01:01:36,799 --> 01:01:38,067 DEMONSTRATE THEIR SUCCESS TO 1241 01:01:38,067 --> 01:01:39,168 POINT OUT TO THE GROUP. 1242 01:01:39,168 --> 01:01:40,603 >> IT'S WELL TAKEN. 1243 01:01:40,603 --> 01:01:44,841 THAT'S A GREAT WAY TO END THE 1244 01:01:44,841 --> 01:01:45,074 SEGMENT. 1245 01:01:45,074 --> 01:01:45,975 I'M SURE DR. CRUZ WILL TALK 1246 01:01:45,975 --> 01:01:46,409 ABOUT ACCESSIBILITY. 1247 01:01:46,409 --> 01:01:56,586 THANK YOU. 1248 01:01:56,786 --> 01:01:58,621 I'LL LISTEN TO HER TALK. 1249 01:01:58,621 --> 01:02:02,225 >> WE'LL MOVE ON DR. CRUZ'S 1250 01:02:02,225 --> 01:02:06,129 REPORT FOR ACCESS TO NCMRR. 1251 01:02:06,129 --> 01:02:08,531 >> WE'RE OFF TO A GREAT START 1252 01:02:08,531 --> 01:02:10,099 AND GREAT CONVERSATION. 1253 01:02:10,099 --> 01:02:11,868 I HOPE WE HIT ON YOUR COMMENTS 1254 01:02:11,868 --> 01:02:14,137 IN MULTIPLE PRESENTATIONS TODAY. 1255 01:02:14,137 --> 01:02:18,241 IF YOU DON'T HEAR IT NEXT, WAIT 1256 01:02:18,241 --> 01:02:26,249 UNTIL THE AFTERNOON. 1257 01:02:26,249 --> 01:02:29,418 SKA 1258 01:02:29,418 --> 01:02:32,655 >> FERANMI IS A COMMUNITY 1259 01:02:32,655 --> 01:02:34,223 ACTIVIST IN HIS POSITION. 1260 01:02:34,223 --> 01:02:44,767 >> I HOPE TO TALK ABOUT STAFFING 1261 01:02:49,238 --> 01:02:54,944 AT NCMRR AND COLLABORATION. 1262 01:02:54,944 --> 01:02:57,146 UPDATES FROM OUR MAY BOARD 1263 01:02:57,146 --> 01:02:57,380 MEETING. 1264 01:02:57,380 --> 01:02:59,148 WE WANT YOU TO KNOW WE TAKE 1265 01:02:59,148 --> 01:03:03,052 YOUR INPUT SERIOUSLY AND MAKE 1266 01:03:03,052 --> 01:03:05,054 CHANGES BASED ON THAT AND END 1267 01:03:05,054 --> 01:03:06,222 WITH SCIENCE ADVANCES. 1268 01:03:06,222 --> 01:03:13,996 THAT'S THE FUN PART. 1269 01:03:13,996 --> 01:03:17,833 SO, WE BROUGHT ON A NEW PROGRAM 1270 01:03:17,833 --> 01:03:18,234 ANALYST. 1271 01:03:18,234 --> 01:03:20,102 CHRIS, WAVE. 1272 01:03:20,102 --> 01:03:26,242 HE COMES TO US WITH A Ph.D. IN 1273 01:03:26,242 --> 01:03:27,843 BIOENGINEERING FROM UNIVERSITY 1274 01:03:27,843 --> 01:03:28,778 OF PITTSBURGH AS WELL AS POSTDOC 1275 01:03:28,778 --> 01:03:30,947 IN ANIMAL PHYSIOLOGY WORK. 1276 01:03:30,947 --> 01:03:33,416 HE STARTED ABOUT A MONTH AGO, 1277 01:03:33,416 --> 01:03:35,851 NOT QUITE, AND ALREADY MAKING A 1278 01:03:35,851 --> 01:03:37,053 DIFFERENCE IN THE CENTER SO 1279 01:03:37,053 --> 01:03:38,221 SUPER EXCITED TO HAVE HIM ON 1280 01:03:38,221 --> 01:03:41,557 BOARD. 1281 01:03:41,557 --> 01:03:43,826 AND THEN WE HAD A SUMMER 1282 01:03:43,826 --> 01:03:44,060 STUDENT. 1283 01:03:44,060 --> 01:03:47,897 I WANTED TO ACKNOWLEDGE DANIEL. 1284 01:03:47,897 --> 01:03:48,931 I DON'T KNOW IF YOU'RE WATCHING 1285 01:03:48,931 --> 01:03:52,068 BUT IT WAS NICE HAVING A SUMMER 1286 01:03:52,068 --> 01:03:53,302 STUDENT HELP US WITH SOME 1287 01:03:53,302 --> 01:03:54,237 SMALLER THINGS AROUND THE 1288 01:03:54,237 --> 01:03:56,906 OFFICE. 1289 01:03:56,906 --> 01:03:59,709 AND IT WOULD BE REMISS OF ME NOT 1290 01:03:59,709 --> 01:04:07,783 TO ACKNOWLEDGE ALICIA ROSS WHO 1291 01:04:07,783 --> 01:04:09,051 HELPED GETTING EVERYONE 1292 01:04:09,051 --> 01:04:14,390 ONBOARDED AND UP TO SPEED SO 1293 01:04:14,390 --> 01:04:20,463 THANK YOU AS WELL. 1294 01:04:20,463 --> 01:04:23,099 SO, THE MAJOR REQUEST FOR 1295 01:04:23,099 --> 01:04:25,001 APPLICATIONS THAT WE HAVE HAD IN 1296 01:04:25,001 --> 01:04:29,005 THE PREVIOUS FISCAL YEAR WAS OUR 1297 01:04:29,005 --> 01:04:31,140 RFA ON ABLISM LOOKING TO 1298 01:04:31,140 --> 01:04:36,646 UNDERSTAND AND MITIGATE HEALTH 1299 01:04:36,646 --> 01:04:37,780 DISPARITIES CAUSED BY ABLISM. 1300 01:04:37,780 --> 01:04:40,483 THOSE AWARDS WERE MADE AT THE 1301 01:04:40,483 --> 01:04:46,055 END OF FISCAL YEAR 2024. 1302 01:04:46,055 --> 01:04:48,124 I CAN'T TELL YOU HOW WILDLY 1303 01:04:48,124 --> 01:04:49,392 SUCCESSFUL THIS WAS BASED ON THE 1304 01:04:49,392 --> 01:04:52,461 NUMBER OF APPLICATIONS THAT CAME 1305 01:04:52,461 --> 01:04:57,133 IN, THE COLLABORATIVE NATURE OF 1306 01:04:57,133 --> 01:04:58,567 THIS PROJECT. 1307 01:04:58,567 --> 01:05:03,306 WE HAD PLANNED TO FUND TWO RO1s, 1308 01:05:03,306 --> 01:05:08,344 10 ENDED UP BEING FUNDED BECAUSE 1309 01:05:08,344 --> 01:05:10,246 OF THE DEMAND AS WELL AS THE 1310 01:05:10,246 --> 01:05:12,581 FINANCIAL CONTRIBUTIONS OF OTHER 1311 01:05:12,581 --> 01:05:14,250 PARTS OF NICHD. 1312 01:05:14,250 --> 01:05:17,153 SO A SPECIAL THANK YOU TO 1313 01:05:17,153 --> 01:05:19,955 DR. BIANCHI FOR ADDING TO OUR 1314 01:05:19,955 --> 01:05:20,122 POT. 1315 01:05:20,122 --> 01:05:21,123 THE NATIONAL EYE INSTITUTE 1316 01:05:21,123 --> 01:05:23,159 PICKED UP THREE AND ONE OF THING 1317 01:05:23,159 --> 01:05:26,962 OFFS -- OFFICES IN THE OFFICE OF 1318 01:05:26,962 --> 01:05:29,098 THE DIRECTOR AND BEHAVIORAL AND 1319 01:05:29,098 --> 01:05:31,167 SOCIAL SCIENCE RESEARCH WERE 1320 01:05:31,167 --> 01:05:34,070 ABLE TO CONTRIBUTE SIGNIFICANT 1321 01:05:34,070 --> 01:05:34,670 CO-FUNDING. 1322 01:05:34,670 --> 01:05:40,242 SO 10 RO1s GETS YOU CLOSE TO $30 1323 01:05:40,242 --> 01:05:40,943 MILLION. 1324 01:05:40,943 --> 01:05:43,512 SOME OF THE TOPICS THAT ARE 1325 01:05:43,512 --> 01:05:45,247 GOING TO BE ADDRESSED INCLUDE 1326 01:05:45,247 --> 01:05:49,485 THINGS LIKE DIAGNOSTIC 1327 01:05:49,485 --> 01:05:52,521 OVERSHADOWING WAYS TO MEASURE 1328 01:05:52,521 --> 01:05:59,161 AND DISMANTLE STRUCTURAL ABLISM 1329 01:05:59,161 --> 01:06:05,067 AND LAWS LIKE ORGAN TRANSPLANTS 1330 01:06:05,067 --> 01:06:06,635 AND PREGNANCY AND CHILD BIRTH 1331 01:06:06,635 --> 01:06:06,902 OUTCOMES. 1332 01:06:06,902 --> 01:06:08,304 IT'S BEEN A LONG STANDING 1333 01:06:08,304 --> 01:06:11,173 INTEREST OF NICHD AND NOW WE'RE 1334 01:06:11,173 --> 01:06:12,775 EXPANDING THAT REACH. 1335 01:06:12,775 --> 01:06:16,679 WHAT OTHER BARRIERS ARE FACED BY 1336 01:06:16,679 --> 01:06:19,281 PEOPLE WITH INTELLECTUAL 1337 01:06:19,281 --> 01:06:19,982 DISABILITIES, MOBILITY 1338 01:06:19,982 --> 01:06:21,083 DISABILITIES AND LOW VISION WHEN 1339 01:06:21,083 --> 01:06:24,153 THEY INTERACT WITH THE HEALTH 1340 01:06:24,153 --> 01:06:24,487 CARE SYSTEM. 1341 01:06:24,487 --> 01:06:26,555 AND THEN WE MENTIONED THE 1342 01:06:26,555 --> 01:06:28,290 IMPORTANCE OF CAREGIVERS AND 1343 01:06:28,290 --> 01:06:29,158 EDUCATORS. 1344 01:06:29,158 --> 01:06:31,193 SOMETIMES THEY COME IN WITH 1345 01:06:31,193 --> 01:06:33,796 ABLIST BELIEFS. 1346 01:06:33,796 --> 01:06:38,067 HOW CAN WE DEVELOP INTERVENTIONS 1347 01:06:38,067 --> 01:06:41,270 TO ADDRESS THEIR ABLISM TO HELP 1348 01:06:41,270 --> 01:06:43,539 CHILDREN WHO ARE IN THE CASE FOR 1349 01:06:43,539 --> 01:06:48,544 BLIND AND VISUALLY IMPAIRED. 1350 01:06:48,544 --> 01:06:49,645 SO, INCREDIBLY THRILLED WITH 1351 01:06:49,645 --> 01:06:50,446 THIS PROGRAM SO FAR. 1352 01:06:50,446 --> 01:06:53,048 WE'RE MEETING WITH ALL THE P.I.s 1353 01:06:53,048 --> 01:06:55,484 ON FRIDAY. 1354 01:06:55,484 --> 01:06:58,020 BIG SHOUT OUT TO TOIAN BEHIND ME 1355 01:06:58,020 --> 01:07:00,156 WHO HAS DONE ALL THE HEAVY 1356 01:07:00,156 --> 01:07:03,759 LIFTING ON THIS AND TO COMMENT 1357 01:07:03,759 --> 01:07:05,594 THAT WE HAD A REQUIREMENT FOR A 1358 01:07:05,594 --> 01:07:10,232 SPECIAL ATTACHMENT THAT WAS A 1359 01:07:10,232 --> 01:07:12,902 PLAN FOR INCLUDING LIVED 1360 01:07:12,902 --> 01:07:18,674 EXPERIENCE. 1361 01:07:18,674 --> 01:07:20,209 WE THOUGHT IT WAS ESPECIALLY 1362 01:07:20,209 --> 01:07:22,211 IMPORTANT FOR THE TOPIC AND 1363 01:07:22,211 --> 01:07:24,113 WORKED WELL WITH OUR PEER REVIEW 1364 01:07:24,113 --> 01:07:26,449 TO MAKE SURE THERE WERE PEOPLE 1365 01:07:26,449 --> 01:07:29,185 WITH THOSE LIVED EXPERIENCES AT 1366 01:07:29,185 --> 01:07:32,621 THE REVIEW. 1367 01:07:32,621 --> 01:07:34,723 WE'LL CHECK IN WITH YOU ALL ON 1368 01:07:34,723 --> 01:07:36,125 THIS BUT IT'S BEEN AT LEAST A 1369 01:07:36,125 --> 01:07:37,993 COUPLE YEARS SINCE WE STARTED 1370 01:07:37,993 --> 01:07:38,794 TALKING ABOUT THIS PROGRAM WITH 1371 01:07:38,794 --> 01:07:43,065 YOU ALL AND GETTING YOUR INPUT. 1372 01:07:43,065 --> 01:07:49,738 PLEASED TO SEE IT'S AT THIS 1373 01:07:49,738 --> 01:07:51,006 POINT. 1374 01:07:51,006 --> 01:07:52,675 OTHER PEOPLE THOUGHT IT WAS 1375 01:07:52,675 --> 01:07:54,343 INTERESTING TOO AND WE DID GET 1376 01:07:54,343 --> 01:08:00,249 POPULAR PRESS ON THAT, WHICH WAS 1377 01:08:00,249 --> 01:08:02,885 NICE AND AN INTERVIEW WITH STAT 1378 01:08:02,885 --> 01:08:03,486 NEWS IF YOU'RE INTERESTED IN 1379 01:08:03,486 --> 01:08:13,696 SEEING THAT. 1380 01:08:17,533 --> 01:08:20,269 THE OTHER THING IS THE 1381 01:08:20,269 --> 01:08:21,904 DISABILITY PRIZE CHALLENGE. 1382 01:08:21,904 --> 01:08:25,474 WHEN PEOPLE WITH DISABILITIES 1383 01:08:25,474 --> 01:08:26,942 WERE NAMED A POPULATION THAT 1384 01:08:26,942 --> 01:08:29,178 EXPERIENCES HEALTH DISPARITIES 1385 01:08:29,178 --> 01:08:33,516 WE WANTED TO LOOK TO THE OTHER 1386 01:08:33,516 --> 01:08:35,184 PROGRAMS AT NIH THAT SUPPORT 1387 01:08:35,184 --> 01:08:36,919 HEALTH DISPARITIES WORK AND 1388 01:08:36,919 --> 01:08:37,653 LEARN FROM THEM. 1389 01:08:37,653 --> 01:08:39,755 AND ONE OF THE FIRST THING YOU 1390 01:08:39,755 --> 01:08:41,190 REALIZE IS THAT IF YOU'RE NOT 1391 01:08:41,190 --> 01:08:42,925 DOING COMMUNITY ENGAGED WORK 1392 01:08:42,925 --> 01:08:44,260 THEN YOU'RE NOT GOING TO BE 1393 01:08:44,260 --> 01:08:54,737 MAKING MUCH OF A DIFFERENCE. 1394 01:08:59,575 --> 01:09:03,012 WE WANTED TO BUILD TRUST AND 1395 01:09:03,012 --> 01:09:04,914 WITH COLLEAGUES AT THE NATIONAL 1396 01:09:04,914 --> 01:09:08,350 EYE INSTITUTE, NATIONAL 1397 01:09:08,350 --> 01:09:11,921 INSTITUTE ON DEAFNESS AND 1398 01:09:11,921 --> 01:09:15,824 COMMUNICATION DISORDERS AND 1399 01:09:15,824 --> 01:09:17,192 MUSCULOSKELETAL AND SKIN 1400 01:09:17,192 --> 01:09:18,394 DISORDERS AND OUR DIRECTOR AND 1401 01:09:18,394 --> 01:09:22,231 COLLEAGUES AT ACL AND NIDELER WE 1402 01:09:22,231 --> 01:09:29,204 PULLED OUR RESOURCES AND IT WAS 1403 01:09:29,204 --> 01:09:34,910 ONLY ONLY OPEN TO 501 1404 01:09:40,849 --> 01:09:42,585 3C ORGANIZATIONS. 1405 01:09:42,585 --> 01:09:46,221 IT CLOIFD LAST MONTH AND SO THE 1406 01:09:46,221 --> 01:09:50,326 APPLICATIONS ARE STILL BEING 1407 01:09:50,326 --> 01:09:53,195 REVIE 1408 01:09:53,195 --> 01:09:53,762 REVIEWED. 1409 01:09:53,762 --> 01:09:56,665 I DON'T HAVE WINNERS YET BUT THE 1410 01:09:56,665 --> 01:09:59,969 PLAN IS TO HAVE WINNERS WITH AN 1411 01:09:59,969 --> 01:10:01,737 INITIAL POT OF MONEY AND WORK 1412 01:10:01,737 --> 01:10:03,739 WITH THEM IN THE NEXT YEAR AND 1413 01:10:03,739 --> 01:10:05,507 SEE HOW THEY'RE ABLE TO 1414 01:10:05,507 --> 01:10:09,545 IMPLEMENT THEIR IDEAS AND 1415 01:10:09,545 --> 01:10:11,013 ADVANCE THEIR OFFERINGS. 1416 01:10:11,013 --> 01:10:14,617 WE'LL HAVE A FINAL SET OF PRIZES 1417 01:10:14,617 --> 01:10:16,952 AT THE END OF THE BEGINNING OF 1418 01:10:16,952 --> 01:10:27,029 '26. 1419 01:10:30,833 --> 01:10:32,368 WE'LL BRING THEM IN OR HAVE A 1420 01:10:32,368 --> 01:10:32,568 VIDEO. 1421 01:10:32,568 --> 01:10:34,670 WE WANT TO GIVE THEM AN 1422 01:10:34,670 --> 01:10:35,270 OPPORTUNITY TO TALK ABOUT THE 1423 01:10:35,270 --> 01:10:44,713 WORK THEY'RE DOING. 1424 01:10:44,713 --> 01:10:47,116 A HUGE COLLABORATIVE EFFORT. 1425 01:10:47,116 --> 01:10:48,050 NONE OF THIS HAPPENS WITHOUT 1426 01:10:48,050 --> 01:10:58,560 HELP FROM OUR SISTER AGENCIES. 1427 01:11:06,535 --> 01:11:08,604 I'LL FOLLOW UP WITH YOU AT THE 1428 01:11:08,604 --> 01:11:11,507 END OF THIS MEETING WITH THIS 1429 01:11:11,507 --> 01:11:11,707 LINK. 1430 01:11:11,707 --> 01:11:14,877 IT WILL BE IN THE NEWSLETTER OF 1431 01:11:14,877 --> 01:11:18,547 COURSE, AS WELL, BUT IT WILL BE 1432 01:11:18,547 --> 01:11:19,515 IN PERSON IN BETHESDA. 1433 01:11:19,515 --> 01:11:21,150 HOPE YOU CAN JOIN US. 1434 01:11:21,150 --> 01:11:26,221 WE'LL HAVE A GOOD PORTION OF IT 1435 01:11:26,221 --> 01:11:31,360 VIDEOCAST SO IF COMING TO MAUR 1436 01:11:31,360 --> 01:11:32,828 -- MARYLAND IS NOT IN THE CARDS 1437 01:11:32,828 --> 01:11:34,630 YOU CAN PARTICIPATE WITH MOST 1438 01:11:34,630 --> 01:11:35,230 THE CONFERENCE. 1439 01:11:35,230 --> 01:11:37,733 MANY HAVE BEEN HELPING TO PLAN 1440 01:11:37,733 --> 01:11:37,933 THIS. 1441 01:11:37,933 --> 01:11:40,602 THANK YOU SO THE MEMBERS OF THIS 1442 01:11:40,602 --> 01:11:43,906 BOARD WHO HAVE GIVEN US 1443 01:11:43,906 --> 01:11:51,580 ASSISTANCE ON THAT. 1444 01:11:51,580 --> 01:11:55,484 THIS IS A TEASER. 1445 01:11:55,484 --> 01:11:59,521 I NOTICED DR. SCHWETZ HAS JOINED 1446 01:11:59,521 --> 01:12:02,224 AND ADAM POLITEIS WILL GIVE A 1447 01:12:02,224 --> 01:12:04,526 LONGER PRESENTATION THIS 1448 01:12:04,526 --> 01:12:06,495 AFTERNOON BUT NIH RECENTLY STOOD 1449 01:12:06,495 --> 01:12:11,633 UP A RESEARCH COORDINATING 1450 01:12:11,633 --> 01:12:13,702 COMMITTEE AND THIS IS OUT OF THE 1451 01:12:13,702 --> 01:12:14,403 OFFICE OF THE DIRECTOR. 1452 01:12:14,403 --> 01:12:15,838 BROADER THAN WHAT WE DO AT 1453 01:12:15,838 --> 01:12:17,573 NCMRR. 1454 01:12:17,573 --> 01:12:21,376 IF YOU'RE NOT FAMILIAR WITH THE 1455 01:12:21,376 --> 01:12:22,811 DIVISION OF PROGRAM 1456 01:12:22,811 --> 01:12:25,180 COORDINATION, PLAN AND STRATEGIC 1457 01:12:25,180 --> 01:12:35,891 INITIATIVES, DDPIPSI AND THAT'S 1458 01:12:40,629 --> 01:12:42,231 WHERE THE OFFICE FOR NIH ARE 1459 01:12:42,231 --> 01:12:44,733 SITUATED THE OFFICE OF RESEARCH 1460 01:12:44,733 --> 01:12:46,235 ON WOMEN'S HEALTH, OFFICE OF 1461 01:12:46,235 --> 01:12:48,704 BEHAVIORAL AND SOCIAL SCIENCES 1462 01:12:48,704 --> 01:12:49,705 THE TRIBAL HEALTH RESEARCH 1463 01:12:49,705 --> 01:12:51,440 OFFICE, ETCETERA. 1464 01:12:51,440 --> 01:12:52,174 AND THEIR ADVISORY COMMITTEE IS 1465 01:12:52,174 --> 01:13:00,816 THE COUNCIL OF COUNCILS. 1466 01:13:00,816 --> 01:13:04,753 THIS GROUP IS CHAIRED BY A 1467 01:13:04,753 --> 01:13:15,297 MEMBER OF DPIPSI AND NIMHD AND 1468 01:13:19,501 --> 01:13:21,670 POST THE GROUP'S WORK HAS BEEN 1469 01:13:21,670 --> 01:13:23,172 ON COMMUNITY ENGAGEMENT. 1470 01:13:23,172 --> 01:13:26,008 I'LL LEAVE THAT AS A TEASER AND 1471 01:13:26,008 --> 01:13:29,211 YOU'LL HEAR MORE ABOUT THAT 1472 01:13:29,211 --> 01:13:39,588 GROUP THIS AFTERNOON. 1473 01:13:49,064 --> 01:13:52,134 WE HAVE COLLABORATIONS WITH IS 1474 01:13:52,134 --> 01:13:55,771 THE NATIONAL INSTITUTE ON BIO 1475 01:13:55,771 --> 01:13:58,507 MEDICAL IMAGING AND WE SUPPLY 1476 01:13:58,507 --> 01:14:02,211 FUNDING FOR A PRIZE IN THEIR 1477 01:14:02,211 --> 01:14:10,219 UNDER GRADUATE PRIDES 1478 01:14:10,219 --> 01:14:13,322 COMPETITION. 1479 01:14:13,322 --> 01:14:15,023 AND IT WENT TO A GROUP OF 1480 01:14:15,023 --> 01:14:18,126 STUDENTS IN UTAH WORKING ON A 1481 01:14:18,126 --> 01:14:20,462 LOW COST BUT POWERED PROSTHETIC 1482 01:14:20,462 --> 01:14:20,662 LIMB. 1483 01:14:20,662 --> 01:14:23,198 THEY WERE FEATURED IN THE PRESS 1484 01:14:23,198 --> 01:14:33,508 RELEASE FOR THIS. 1485 01:14:37,679 --> 01:14:44,853 WE HAVE SUITCASE, WILL TRAVEL. 1486 01:14:44,853 --> 01:14:46,221 GETTING BACK IN THE WORLD AFTER 1487 01:14:46,221 --> 01:14:48,323 THE PANDEMIC AND WE'RE BACK TO 1488 01:14:48,323 --> 01:14:51,293 TRAVELLING AND SOME WERE 1489 01:14:51,293 --> 01:14:53,028 CONFERENCES WE HAVE BEEN TO AND 1490 01:14:53,028 --> 01:14:55,063 WE HEARD FROM YOU THAT WE NEED 1491 01:14:55,063 --> 01:14:58,867 TO START GOING TO NEW PLACES AS 1492 01:14:58,867 --> 01:14:59,067 WELL. 1493 01:14:59,067 --> 01:15:01,436 I'M EXCITED THAT THIS YEAR WE 1494 01:15:01,436 --> 01:15:08,877 WERE ABLE TO SEND JOE TO 1495 01:15:08,877 --> 01:15:15,017 PITTSB 1496 01:15:15,017 --> 01:15:15,584 PITTSBURGH. 1497 01:15:15,584 --> 01:15:22,224 WE'VE BEEN WORKING WITH NIDLER 1498 01:15:22,224 --> 01:15:24,326 AND ATTENDED THEIR RESEARCHERS 1499 01:15:24,326 --> 01:15:25,661 TRAINING MEETING AND MET WITH 1500 01:15:25,661 --> 01:15:29,698 THE ORTHOPEDIC RESEARCH SOCIETY. 1501 01:15:29,698 --> 01:15:35,737 MARIA WENT OUT TO THEIR MEETING. 1502 01:15:35,737 --> 01:15:38,840 SOMETIMES WE CAN GET NEURO HEAVY 1503 01:15:38,840 --> 01:15:42,811 AND WANTED TO GET OUR 1504 01:15:42,811 --> 01:15:43,111 POPULATION. 1505 01:15:43,111 --> 01:15:48,150 IF THERE ARE OTHER CONFERENCES 1506 01:15:48,150 --> 01:15:54,222 YOU THINK THERE'S OTHER 1507 01:15:54,222 --> 01:15:56,425 CONFERENCES WE WOULD BENEFIT LET 1508 01:15:56,425 --> 01:15:58,794 US KNOW AND WE'RE HAPPY TO 1509 01:15:58,794 --> 01:16:02,230 CONSIDER IT AND PUT IT IN THE 1510 01:16:02,230 --> 01:16:06,134 ROTATION IF WE CAN. 1511 01:16:06,134 --> 01:16:09,738 >> AS PART OF OUR OUTREACH AND 1512 01:16:09,738 --> 01:16:15,143 DISCUSSION ABOUT THE NEEDS OF 1513 01:16:15,143 --> 01:16:20,048 RESEARCHERS WITH DISABILITYIES 1514 01:16:20,048 --> 01:16:21,984 WE'VE BEEN WORKING WITH THE 1515 01:16:21,984 --> 01:16:24,386 OFFICE OF RESEARCH MAKING SURE 1516 01:16:24,386 --> 01:16:25,854 ALL THE RESOURCES AVAILABLE ARE 1517 01:16:25,854 --> 01:16:29,191 KNOWN TO PEOPLE SO THEY CAN ASK 1518 01:16:29,191 --> 01:16:33,695 FOR THEM. 1519 01:16:33,695 --> 01:16:37,666 ALISON CERNICH OUR DEPUTY 1520 01:16:37,666 --> 01:16:39,501 DIRECTOR WE WERE INVITED TO DO A 1521 01:16:39,501 --> 01:16:42,971 PODCAST TALKING ABOUT HOW WE CAN 1522 01:16:42,971 --> 01:16:46,541 HELP SUPPORT RESEARCHERS WITH 1523 01:16:46,541 --> 01:16:46,875 DISABILITIES. 1524 01:16:46,875 --> 01:16:48,643 I HAVEN'T LISTENED TO IT BECAUSE 1525 01:16:48,643 --> 01:16:50,746 I CAN'T LISTEN TO MYSELF BUT I 1526 01:16:50,746 --> 01:16:51,747 DID HAVE OTHER PEOPLE CHECK IT 1527 01:16:51,747 --> 01:16:57,753 AND THEY SAID IT WAS OKAY. 1528 01:16:57,753 --> 01:17:01,857 SO IT'S BRIEF BUT ON THE OER 1529 01:17:01,857 --> 01:17:03,125 PODCAST WEBSITE SO IF YOU WANT 1530 01:17:03,125 --> 01:17:04,292 TO HEAR US TALKING ABOUT THAT, 1531 01:17:04,292 --> 01:17:08,030 PLEASE TAKE A LISTEN. 1532 01:17:08,030 --> 01:17:13,902 AND I WANT TO THANK DAVID POSIT 1533 01:17:13,902 --> 01:17:17,072 WHO RUNS THE ALL OF US GRANT 1534 01:17:17,072 --> 01:17:17,706 PODCAST FOR HAVING US FOR THAT 1535 01:17:17,706 --> 01:17:23,378 SESSION. 1536 01:17:23,378 --> 01:17:27,149 A COUPLE MORE UPDATES FROM OUR 1537 01:17:27,149 --> 01:17:30,652 MAY MEETING. 1538 01:17:30,652 --> 01:17:33,889 SO, WE HAVE A P50, A CENTERS 1539 01:17:33,889 --> 01:17:36,591 PROGRAM RFA ON THE STREET. 1540 01:17:36,591 --> 01:17:41,596 WE HAVE HAD TO PUSH IT FROM 1541 01:17:41,596 --> 01:17:42,431 JANUARY COUNCIL TO MAY COUNCIL. 1542 01:17:42,431 --> 01:17:44,733 SO I THOUGHT I MIGHT HAVE A 1543 01:17:44,733 --> 01:17:46,234 LITTLE MORE INFORMATION TO SHARE 1544 01:17:46,234 --> 01:17:49,271 WITH YOU NOW BUT I DON'T. 1545 01:17:49,271 --> 01:17:50,639 SO YOU'LL BE HEARING MORE ABOUT 1546 01:17:50,639 --> 01:17:57,512 THIS PROBABLY A YEAR FROM NOW. 1547 01:17:57,512 --> 01:17:58,380 THAT'S REALLY ALL I CAN SAY 1548 01:17:58,380 --> 01:18:03,785 ABOUT THAT. 1549 01:18:03,785 --> 01:18:09,791 THIS IS PROBABLY MY LAST UPDATE 1550 01:18:09,791 --> 01:18:11,860 ON THE PRESERVATION REGISTRY. 1551 01:18:11,860 --> 01:18:12,928 EXCUSE ME. 1552 01:18:12,928 --> 01:18:17,199 THIS WAS A COLLABORATION THAT 1553 01:18:17,199 --> 01:18:20,735 BEGAN 2017, 2018 WITH OUR 1554 01:18:20,735 --> 01:18:22,838 COLLEAGUES AT THE DEPARTMENT OF 1555 01:18:22,838 --> 01:18:27,042 DEFENSE WHERE WE CONTRACTED WITH 1556 01:18:27,042 --> 01:18:31,847 MAYO CLINIC TO SET OUT 1557 01:18:31,847 --> 01:18:32,814 E.H.R.-BASED QUALITY REGISTRY 1558 01:18:32,814 --> 01:18:35,150 AND AFTER FIVE YEARS OF CONTRACT 1559 01:18:35,150 --> 01:18:37,052 SUPPORT WE'RE THRILLED TO SAY 1560 01:18:37,052 --> 01:18:40,322 IT'S TRANSITIONED TO AN 1561 01:18:40,322 --> 01:18:46,695 INDEPENDENT ENTITY AND RAN BY 1562 01:18:46,695 --> 01:18:52,234 TLI A NON-PROFIT AND 1563 01:18:52,234 --> 01:18:53,668 COLLABORATING WITH THE AMPUTEE 1564 01:18:53,668 --> 01:18:54,236 ORGANIZATION OF AMERICA TO 1565 01:18:54,236 --> 01:18:56,938 SUPPORT THIS. 1566 01:18:56,938 --> 01:18:59,207 I'M SURE THESE NUMBERS ARE OUT 1567 01:18:59,207 --> 01:19:04,312 OF DATE BY THIS POINT BUT WE HAD 1568 01:19:04,312 --> 01:19:06,047 225 LOCATIONS FROM HOSPITAL 1569 01:19:06,047 --> 01:19:08,750 SYSTEMS TO OMP CLINICS AND HUGE 1570 01:19:08,750 --> 01:19:11,186 AMOUNTS OF DATA OVER HALF A 1571 01:19:11,186 --> 01:19:14,222 MILLION PATIENTS AND $12 MILLION 1572 01:19:14,222 --> 01:19:15,957 INDIVIDUAL PATIENT ENCOUNTERS. 1573 01:19:15,957 --> 01:19:19,628 AND WE'RE REALLY HOPING THIS 1574 01:19:19,628 --> 01:19:22,063 DATA SET CONTINUES TO LIVE AND 1575 01:19:22,063 --> 01:19:26,535 GROW AND TO PROVIDE A RESOURCE 1576 01:19:26,535 --> 01:19:30,238 FOR THE RESEARCH COMMUNITY IN 1577 01:19:30,238 --> 01:19:33,508 IDENTIFYING NEEDS FOR THE PEOPLE 1578 01:19:33,508 --> 01:19:35,310 LIVING WITH LIMB LOSS OR 1579 01:19:35,310 --> 01:19:41,049 DIFFERENT DEFERENCE. 1580 01:19:41,049 --> 01:19:46,221 WE HAVE PARTICIPATED IN SEVERAL 1581 01:19:46,221 --> 01:19:47,656 OTHER NIH SUPPORTED CONFERENCES 1582 01:19:47,656 --> 01:19:48,390 SINCE MAY. 1583 01:19:48,390 --> 01:19:52,594 THE OFFICE OF BEHAVIORAL AND 1584 01:19:52,594 --> 01:19:54,996 SOCIAL SCIENCE HOSTED A FUTURE 1585 01:19:54,996 --> 01:19:57,165 OF SCIENTIFIC CONFERENCING 1586 01:19:57,165 --> 01:19:58,099 WORKSHOP. 1587 01:19:58,099 --> 01:20:00,101 IT WAS VERY META. 1588 01:20:00,101 --> 01:20:03,805 IT WAS QUITE ENJOYABLE AND THEY 1589 01:20:03,805 --> 01:20:06,074 TALKED ABOUT THINGS LIKE 1590 01:20:06,074 --> 01:20:06,975 CULTIVATING BELONGING AND 1591 01:20:06,975 --> 01:20:08,944 INCLUSION, HOW CAN WE BE 1592 01:20:08,944 --> 01:20:14,583 SUSTAINABLE, HOW DO WE DO 1593 01:20:14,583 --> 01:20:15,217 NETWOR 1594 01:20:15,217 --> 01:20:16,651 NETWORKING WHEN WE DO VIRTUAL 1595 01:20:16,651 --> 01:20:20,555 SPACES AND I WAS PLEASED TO HOST 1596 01:20:20,555 --> 01:20:22,224 A SESSION ACCESSIBILITY OR 1597 01:20:22,224 --> 01:20:25,627 MAKING CONFERENCES WELCOMING AND 1598 01:20:25,627 --> 01:20:28,630 ACCESSIBLE FOR PEOPLE WITH 1599 01:20:28,630 --> 01:20:28,964 DISABILITIES. 1600 01:20:28,964 --> 01:20:33,134 WE HAD GUEST SPEAKERS TALKING 1601 01:20:33,134 --> 01:20:39,674 ABOUT MOBILITY, TALKING ABOUT 1602 01:20:39,674 --> 01:20:44,512 VISION AND BEHAVIORAL HEALTH 1603 01:20:44,512 --> 01:20:45,347 CONSIDERATIONS. 1604 01:20:45,347 --> 01:20:47,282 THAT WAS A WONDERFUL OPPORTUNITY 1605 01:20:47,282 --> 01:20:49,551 AND IT'S RECORDED AND IF YOU 1606 01:20:49,551 --> 01:20:50,819 GUYS WOULD LIKE TO LOOK AT THAT, 1607 01:20:50,819 --> 01:20:55,757 I CAN GET YOU THE LINK. 1608 01:20:55,757 --> 01:20:58,827 IN SEPTEMBER WE HAD A WORKSHOP 1609 01:20:58,827 --> 01:20:59,361 WITH FDA. 1610 01:20:59,361 --> 01:21:03,498 THIS WAS MOSTLY RUN BY NINDS AND 1611 01:21:03,498 --> 01:21:06,568 THE BRAIN INITIATIVE BUT THEY 1612 01:21:06,568 --> 01:21:08,370 TAPPED INTO NCMRR WHEN THEY 1613 01:21:08,370 --> 01:21:10,038 WANTED TO KNOW WHO WOULD BE AN 1614 01:21:10,038 --> 01:21:13,842 EXPERT TO TALK ABOUT OUTCOMES 1615 01:21:13,842 --> 01:21:17,445 FOR BRAIN COMPUTER INTERFACES. 1616 01:21:17,445 --> 01:21:20,415 SO THERE'S STILL WORKING ON THIS 1617 01:21:20,415 --> 01:21:23,918 BUT AS WE GET CLOSER TO PIVOTAL 1618 01:21:23,918 --> 01:21:26,021 TRIALS WE REALLY NEED TO COME TO 1619 01:21:26,021 --> 01:21:29,357 AGREEMENT ON WHAT THE CLINICAL 1620 01:21:29,357 --> 01:21:30,458 OUTCOME ASSESSMENT MIGHT LOOK 1621 01:21:30,458 --> 01:21:35,263 LIKE IN THE BCI STUDY. 1622 01:21:35,263 --> 01:21:41,236 AND THEN FINALLY NIH HAS A 1623 01:21:41,236 --> 01:21:43,872 DIVERSITY SUPPLEMENT WORKSHOP 1624 01:21:43,872 --> 01:21:48,009 AND TOYAN WAS A CHAIR AND HE DID 1625 01:21:48,009 --> 01:21:58,219 AN INCREDIBLE JOB PUTTING 1626 01:21:58,219 --> 01:22:05,660 TOGETHER THAT AGENDA. 1627 01:22:05,660 --> 01:22:07,062 THERE WAS A SATELLITE SESSION TO 1628 01:22:07,062 --> 01:22:10,432 INCLUDE PEOPLE WHO ARE SUPPORTED 1629 01:22:10,432 --> 01:22:13,501 ON SBFRs OR INTERESTED IN SMALL 1630 01:22:13,501 --> 01:22:13,835 BUSINESS. 1631 01:22:13,835 --> 01:22:15,870 SO VERY HAPPY WITH THE SUCCESS 1632 01:22:15,870 --> 01:22:22,277 OF THAT WORKSHOP. 1633 01:22:22,277 --> 01:22:25,847 JUST WANTED TO UPDATE YOU ON A 1634 01:22:25,847 --> 01:22:28,283 COUPLE OTHER FEDERAL ACTIVITIES 1635 01:22:28,283 --> 01:22:30,518 THAT HAVE BEEN GOING ON. 1636 01:22:30,518 --> 01:22:35,690 ONE OF OUR SISTER AGENCIES IN 1637 01:22:35,690 --> 01:22:37,826 HHS IS THE AGENCY FOR HEALTH 1638 01:22:37,826 --> 01:22:40,595 RESEARCH AND QUALITY. 1639 01:22:40,595 --> 01:22:43,398 THEY RECENTLY PUBLISHED AN 1640 01:22:43,398 --> 01:22:44,299 SYSTEMATIC EVIDENCE REVIEW 1641 01:22:44,299 --> 01:22:46,234 LOOKING AT THE DELIVERY OF 1642 01:22:46,234 --> 01:22:49,371 PREVENTIVE SERVICES TO PEOPLE 1643 01:22:49,371 --> 01:22:50,338 WITH DISABILITIES, THEIR 1644 01:22:50,338 --> 01:22:53,742 DIRECTOR POSTED A BLOG ABOUT 1645 01:22:53,742 --> 01:23:00,115 THAT AND THE TITLE OF THAT WAS 1646 01:23:00,115 --> 01:23:03,084 AHRQ HIGHLIGHTS THE NEED FOR 1647 01:23:03,084 --> 01:23:05,153 RESEARCH FOR DELIVERY OF 1648 01:23:05,153 --> 01:23:06,221 PREVENTIVE SERVICES TO PEOPLE 1649 01:23:06,221 --> 01:23:08,356 WITH DISABILITIES SO I THINK WE 1650 01:23:08,356 --> 01:23:11,359 HAVE SOME WORK TO DO. 1651 01:23:11,359 --> 01:23:17,065 I WANT TO THANK THE STAFF AT 1652 01:23:17,065 --> 01:23:20,034 AHRQ WHO WERE VERY ENGAGING AND 1653 01:23:20,034 --> 01:23:22,203 INVITED NIH TO MANY OF THESE 1654 01:23:22,203 --> 01:23:23,872 MEETINGS AND HELP LEARN ABOUT 1655 01:23:23,872 --> 01:23:24,572 THE LAND SCAPE. 1656 01:23:24,572 --> 01:23:27,709 THE OTHER THING THAT'S BEEN 1657 01:23:27,709 --> 01:23:29,677 GOING ON KIND OF AT A FEDERAL 1658 01:23:29,677 --> 01:23:32,414 LEVEL HAS BEEN THROUGH THE 1659 01:23:32,414 --> 01:23:34,416 OFFICE OF SCIENCE AND TECHNOLOGY 1660 01:23:34,416 --> 01:23:35,283 POLICY. 1661 01:23:35,283 --> 01:23:37,652 THIS IS PART OF A WHITE HOUSE 1662 01:23:37,652 --> 01:23:41,222 OVER THE LAST YEAR THEY HAVE 1663 01:23:41,222 --> 01:23:44,092 BROUGHT TOGETHER PEOPLE FROM 1664 01:23:44,092 --> 01:23:46,528 MANY AGENCIES. 1665 01:23:46,528 --> 01:23:49,764 ONCE THAT NIH DOESN'T ALWAYS 1666 01:23:49,764 --> 01:23:52,066 TYPICALLY INTERACT WITH TO TALK 1667 01:23:52,066 --> 01:23:52,667 ABOUT THEIR COLLECTION OF 1668 01:23:52,667 --> 01:23:55,336 DISABILITY DATA AND HOW WE CAN 1669 01:23:55,336 --> 01:23:56,304 IMPROVE EQUITY IN THE DELIVERY 1670 01:23:56,304 --> 01:24:03,745 OF SERVICES. 1671 01:24:03,745 --> 01:24:05,280 I DON'T KNOW WHAT'S GOING TO 1672 01:24:05,280 --> 01:24:09,250 HAPPEN WITH SOME OF THESE WITH 1673 01:24:09,250 --> 01:24:10,718 THE CHANGE OF ADMINISTRATION BUT 1674 01:24:10,718 --> 01:24:11,953 HAVE A COMMUNITY OF PRACTICE 1675 01:24:11,953 --> 01:24:16,424 I'LL CALL IT THAT IS VERY 1676 01:24:16,424 --> 01:24:16,991 INTERESTED IN CONTINUING TO 1677 01:24:16,991 --> 01:24:17,192 MEET. 1678 01:24:17,192 --> 01:24:20,428 AND THEY HAVE ALSO BEEN 1679 01:24:20,428 --> 01:24:23,498 PROMOTING DIGITAL ACCESSIBILITY 1680 01:24:23,498 --> 01:24:25,967 OF SCIENTIFIC AND THE TECHNICAL 1681 01:24:25,967 --> 01:24:26,301 PUBLICATIONS. 1682 01:24:26,301 --> 01:24:30,038 SO BRINGING TOGETHER JOURNALS AS 1683 01:24:30,038 --> 01:24:31,139 WELL AS THE NATIONAL LIBRARY OF 1684 01:24:31,139 --> 01:24:35,243 MEDICINE AND PUB MED TO TALK 1685 01:24:35,243 --> 01:24:41,483 ABOUT WHAT STANDARDS AND WHAT 1686 01:24:41,483 --> 01:24:42,917 OFFERINGS WE HAVE AND HOW TO 1687 01:24:42,917 --> 01:24:44,552 EXPAND THEM TO MAKE THE PRODUCTS 1688 01:24:44,552 --> 01:24:50,959 OF OUR RESEARCH MORE ACCESSIBLE. 1689 01:24:50,959 --> 01:24:53,228 MORE TO COME HOPEFULLY BUT 1690 01:24:53,228 --> 01:24:55,864 LETTING YOU KNOW THESE ARE HIGH 1691 01:24:55,864 --> 01:25:06,374 LEVEL CONVERSATIONS GOING ON. 1692 01:25:11,246 --> 01:25:13,214 WE'LL WRAP UP WITH SCIENCE 1693 01:25:13,214 --> 01:25:13,748 TOPICS. 1694 01:25:13,748 --> 01:25:16,651 I LOVE WHEN THE DIRECTOR'S BLOG 1695 01:25:16,651 --> 01:25:18,753 HIGHLIGHTS RESEARCH FUNDED BY 1696 01:25:18,753 --> 01:25:29,230 NCMRR OR PART OF OUR REHAB 1697 01:25:29,230 --> 01:25:33,735 COMMUNITY. 1698 01:25:33,735 --> 01:25:37,739 THIS LOOKED AT THE USING OF 1699 01:25:37,739 --> 01:25:43,778 INTERCORTICAL ELECTRODES TO CODE 1700 01:25:43,778 --> 01:25:45,046 INTERNALIZED SPEECH. 1701 01:25:45,046 --> 01:25:47,115 WE'VE HAD SEVERAL GROUPS LOOKING 1702 01:25:47,115 --> 01:25:49,017 AT THE MOTOR PART OF SPEECH 1703 01:25:49,017 --> 01:25:51,119 WHETHER YOU CAN DETECT AND 1704 01:25:51,119 --> 01:25:56,324 DECODE SPEECH THROUGH THAT PART 1705 01:25:56,324 --> 01:26:06,834 OF THE BRAIN AND MIND SPEECH 1706 01:26:07,602 --> 01:26:08,536 ETCETERA. 1707 01:26:08,536 --> 01:26:10,939 WE HAVEN'T ABLE TO GET AT THE 1708 01:26:10,939 --> 01:26:12,774 INTERNALIZED SPEECH UNTIL NOW. 1709 01:26:12,774 --> 01:26:18,212 THIS WORK WAS SUPPORTED BY THE 1710 01:26:18,212 --> 01:26:28,756 BRAIN INITIATIVE NCMRR WAS OUT 1711 01:26:30,291 --> 01:26:32,560 THERE SUPPORTING THIS WORK 20 1712 01:26:32,560 --> 01:26:33,761 YEARS AGO. 1713 01:26:33,761 --> 01:26:41,002 NANCY SHINOWARA WAS THE 1714 01:26:41,002 --> 01:26:48,209 CONTRACTING OFFICER ON STUDIES 1715 01:26:48,209 --> 01:26:49,811 20 YEARS AGO. 1716 01:26:49,811 --> 01:26:55,817 IT WARMS MY HEART TO SEE WE'RE 1717 01:26:55,817 --> 01:27:03,591 MOVING TOWARDS THESE NEW 1718 01:27:03,591 --> 01:27:03,925 TECHNOLOGIES. 1719 01:27:03,925 --> 01:27:08,796 THE NEXT COMES FROM OUR 1720 01:27:08,796 --> 01:27:10,264 COLLEAGUES AT THE NATIONAL 1721 01:27:10,264 --> 01:27:11,933 HEART, LUNG AND BLOOD INSTITUTE 1722 01:27:11,933 --> 01:27:14,702 PUBLISHED IN JAMA EARLIER THIS 1723 01:27:14,702 --> 01:27:15,203 YEAR. 1724 01:27:15,203 --> 01:27:16,904 WE KNOW CARDIAC REHAB IS ONE OF 1725 01:27:16,904 --> 01:27:23,211 THE MOST EFFECTIVE TREATMENTS WE 1726 01:27:23,211 --> 01:27:30,184 HAVE IT'S EXTREMELY UNDER 1727 01:27:30,184 --> 01:27:36,457 UTILIZED AND UNDER UTILIZED IN 1728 01:27:36,457 --> 01:27:40,361 PEOPLE WITH LOW SES. 1729 01:27:40,361 --> 01:27:44,298 THEY WERE LOOKING AT WAYS TO 1730 01:27:44,298 --> 01:27:45,967 INCENTIVIZE ADHERENCE TO CARDIAC 1731 01:27:45,967 --> 01:27:47,435 REH 1732 01:27:47,435 --> 01:27:47,635 REHAB. 1733 01:27:47,635 --> 01:27:48,436 THERE'S A FEW GROUPS. 1734 01:27:48,436 --> 01:27:53,107 FINANCIAL INCENTIVES, USUAL AND 1735 01:27:53,107 --> 01:27:54,942 PERSONALIZED CARE AND 1736 01:27:54,942 --> 01:27:55,510 COMBINATIONS OF. 1737 01:27:55,510 --> 01:28:05,253 IF YOU COMBINE A PERSONALIZED 1738 01:28:05,253 --> 01:28:06,554 APPROACH YOU CAN INCREASE FROM 1739 01:28:06,554 --> 01:28:07,522 11% TO 62%. 1740 01:28:07,522 --> 01:28:09,490 THESE ARE PATIENTS ABLE TO 1741 01:28:09,490 --> 01:28:11,225 COMPLETE AT LEAST 30 SESSIONS OF 1742 01:28:11,225 --> 01:28:13,294 CARDIAC REHAN. 1743 01:28:13,294 --> 01:28:13,928 -- REHAB. 1744 01:28:13,928 --> 01:28:15,196 THE FINANCIAL INCENTIVES WERE 1745 01:28:15,196 --> 01:28:16,831 NOT OVERWHELMING. 1746 01:28:16,831 --> 01:28:20,368 THEY WERE FAIRLY MODEST I THINK 1747 01:28:20,368 --> 01:28:21,836 AROUND $1200 ACROSS THE TIME OF 1748 01:28:21,836 --> 01:28:31,979 THE STUDY. 1749 01:28:31,979 --> 01:28:35,817 WE HAVE SOME GOOD TOOLS THAT WE 1750 01:28:35,817 --> 01:28:38,219 SHOULD BE THINKING ABOUT 1751 01:28:38,219 --> 01:28:41,422 ELEMENTING. 1752 01:28:41,422 --> 01:28:51,966 AND THE LAST ONE BECAUSE AND IN 1753 01:28:52,600 --> 01:28:55,403 NATURE AND MEDICINE THE LAST 1754 01:28:55,403 --> 01:28:59,407 AUTHOR IS HUGH HERIT AT M.I.T. 1755 01:28:59,407 --> 01:29:02,143 AND ALL THE BELLS AND WHISTLES. 1756 01:29:02,143 --> 01:29:05,246 WE HAVE THE COMBINATION OF THE 1757 01:29:05,246 --> 01:29:09,517 SURGERY WITH THE 1758 01:29:09,517 --> 01:29:12,920 AGONIST/ANTAGONIST MYONEURAL 1759 01:29:12,920 --> 01:29:14,222 INTERFACE AS WELL AS THE NEURAL 1760 01:29:14,222 --> 01:29:15,189 CONTROLLED PROSTHETIC AND THAT 1761 01:29:15,189 --> 01:29:17,592 LED TO FASTER WALKING, BETTER 1762 01:29:17,592 --> 01:29:20,328 BALANCE, ABILITY TO CHANGE 1763 01:29:20,328 --> 01:29:21,162 SPEED, CLIMB STAIRS, STEP OVER 1764 01:29:21,162 --> 01:29:31,339 OBSTACLES. 1765 01:29:42,717 --> 01:29:44,352 I'LL TAKE QUESTIONS. 1766 01:29:44,352 --> 01:29:46,220 >> AROUND THE TABLE AND ONLINE. 1767 01:29:46,220 --> 01:29:51,025 ANY COMMENTS OR QUESTIONS FOR 1768 01:29:51,025 --> 01:29:51,559 THERESA. 1769 01:29:51,559 --> 01:29:53,661 >> THIS IS TIFFANY YU. 1770 01:29:53,661 --> 01:29:54,362 I HAVE THREE COMMENTS THAT ALSO 1771 01:29:54,362 --> 01:29:55,763 MAY BE QUESTIONS. 1772 01:29:55,763 --> 01:30:01,702 SO THE FIRST IS AROUND THE 1773 01:30:01,702 --> 01:30:07,441 COMMUNITY CHAMPIONS PROGRAM -- 1774 01:30:07,441 --> 01:30:08,442 CHAMPIONS FOR DISABILITY HEALTH 1775 01:30:08,442 --> 01:30:08,876 CHALLENGE. 1776 01:30:08,876 --> 01:30:11,913 I KNOW IT PLAY BE TOO LATE BUT 1777 01:30:11,913 --> 01:30:13,181 EXCITED TO SEE A FOCUS ON LIVED 1778 01:30:13,181 --> 01:30:15,249 EXPERIENCE AND MORE 1779 01:30:15,249 --> 01:30:15,783 ORGANIZATIONS THAT ARE 1780 01:30:15,783 --> 01:30:18,219 DISABILITY LED BUT WANTED TO 1781 01:30:18,219 --> 01:30:20,555 HIGHLIGHT THAT A LOT OF THE 1782 01:30:20,555 --> 01:30:21,889 BIPOC AND BLACK INDIGENOUS 1783 01:30:21,889 --> 01:30:23,491 PEOPLE OF COLOR, DISABILITY LED 1784 01:30:23,491 --> 01:30:24,725 ORGANIZATIONS ARE OFTEN LEFT OUT 1785 01:30:24,725 --> 01:30:26,294 OF FUNDING OPPORTUNITIES AND NOT 1786 01:30:26,294 --> 01:30:29,564 PLATFORMS AND ULTIMATELY CREATE 1787 01:30:29,564 --> 01:30:30,231 A LITTLE BIT OF 1788 01:30:30,231 --> 01:30:33,434 INTERSECTIONALITY IN TERMS OF 1789 01:30:33,434 --> 01:30:34,302 WHO GETS VISIBILITY AND FUNDING 1790 01:30:34,302 --> 01:30:44,579 AND OPPORTUNITY. 1791 01:30:46,781 --> 01:30:51,519 SOME DISABILITIES MAY HAVE A 14C 1792 01:30:51,519 --> 01:30:55,223 WHICH MEANS YOU CAN LEGALLY PAY 1793 01:30:55,223 --> 01:30:56,858 SOMEONE BELOW MINIMUM WAGE AND 1794 01:30:56,858 --> 01:31:00,061 WE SEE THEM GET MORE FUNDING 1795 01:31:00,061 --> 01:31:03,164 BECAUSE OF THESE ROBUST PROGRAM 1796 01:31:03,164 --> 01:31:09,303 UNDER THE GUISE OF PAYING 1797 01:31:09,303 --> 01:31:11,639 SOMEONE LIKE $2 AN HOUR. 1798 01:31:11,639 --> 01:31:12,573 I DON'T KNOW IF THERE'S 1799 01:31:12,573 --> 01:31:13,875 DILIGENCE DONE OR CHECKING DONE 1800 01:31:13,875 --> 01:31:16,310 IN TERMS OF HOW THESE ARE BEING 1801 01:31:16,310 --> 01:31:22,316 AWARDED AND AGAIN WHO WE'RE 1802 01:31:22,316 --> 01:31:30,625 PLATFORMING. 1803 01:31:30,625 --> 01:31:37,398 AND DIGITAL ACCESSIBILITY AND 1804 01:31:37,398 --> 01:31:38,232 PLAIN LANGUAGE FOR PEOPLE WHO 1805 01:31:38,232 --> 01:31:42,370 COULD BENEFIT FROM THE RESEARCH 1806 01:31:42,370 --> 01:31:52,947 BUT IN SIMPLER LANGUAGE. 1807 01:31:52,947 --> 01:31:55,016 WE' 1808 01:31:55,016 --> 01:32:00,688 >> WE'RE REALLY CONCERNED ABOUT 1809 01:32:00,688 --> 01:32:03,958 PLAIN LANGUAGE AND WE'LL HAVE A 1810 01:32:03,958 --> 01:32:07,995 SEPARATE PLAIN LANGUAGE VERSION 1811 01:32:07,995 --> 01:32:10,231 BECAUSE VERY MUCH WANT PEOPLE TO 1812 01:32:10,231 --> 01:32:14,068 BE ABLE TO RESPOND AND NOT JUST 1813 01:32:14,068 --> 01:32:14,802 THE ACADEMICS BUT EVERYBODY. 1814 01:32:14,802 --> 01:32:16,804 WE'RE STARTING TO SEE MORE OF 1815 01:32:16,804 --> 01:32:17,004 THAT. 1816 01:32:17,004 --> 01:32:22,209 WE'RE ABSOLUTELY NOT WHERE WE 1817 01:32:22,209 --> 01:32:28,716 NEED TO BE WITH PLAIN LANGUAGE 1818 01:32:28,716 --> 01:32:32,453 AND THE LOW WAGES FOR EMPLOYMENT 1819 01:32:32,453 --> 01:32:36,390 WE CHOSE TO FOCUS ON HEALTH 1820 01:32:36,390 --> 01:32:38,225 DISPARITIES SO THOSE WERE THE 1821 01:32:38,225 --> 01:32:43,731 THINGS WE WERE ASKING FOR IN THE 1822 01:32:43,731 --> 01:32:44,165 CHALLENGE. 1823 01:32:44,165 --> 01:32:46,968 THEN WE HAVE THE RULES LIKE I 1824 01:32:46,968 --> 01:32:50,237 WAS WITH BEING ABLE TO AWARD 1825 01:32:50,237 --> 01:32:51,505 CHALLENGE DOLLARS. 1826 01:32:51,505 --> 01:32:53,174 SO THERE ARE CERTAIN CONSTRAINTS 1827 01:32:53,174 --> 01:32:55,609 IN THE LEGISLATION. 1828 01:32:55,609 --> 01:32:57,511 THOSE ARE THE THINGS THAT WE ARE 1829 01:32:57,511 --> 01:32:58,412 LOOKING AT. 1830 01:32:58,412 --> 01:33:01,716 WE HAVEN'T MADE ANY AWARDS YET. 1831 01:33:01,716 --> 01:33:07,722 WE'RE STILL PROCESSING BUT I 1832 01:33:07,722 --> 01:33:10,958 APPRECIATE -- YEAH. 1833 01:33:10,958 --> 01:33:15,396 AND THE INTERSECTIONALITY. 1834 01:33:15,396 --> 01:33:18,699 WE WORK CLOSELY -- I WOULD SAY, 1835 01:33:18,699 --> 01:33:24,271 WITH OUR OFFICE OF HEALTH EQUITY 1836 01:33:24,271 --> 01:33:28,142 AND WITH OTHER PARTS OF NIH THAT 1837 01:33:28,142 --> 01:33:32,380 REPRESENT HEALTH DISPARITIES SO 1838 01:33:32,380 --> 01:33:34,281 WE TRY TO BRING THEM AS MUCH AS 1839 01:33:34,281 --> 01:33:36,717 WE CAN INTO THE CONVERSATION. 1840 01:33:36,717 --> 01:33:41,255 SO IT IS SOMETHING TOP OF MIND 1841 01:33:41,255 --> 01:33:45,893 AND I HOPE WE ARE SHOWING THAT 1842 01:33:45,893 --> 01:33:46,460 BUT AGAIN I APPRECIATE THE 1843 01:33:46,460 --> 01:33:56,604 COMMENT. 1844 01:33:57,071 --> 01:33:59,440 >> A LARGE PART IS BRAIN 1845 01:33:59,440 --> 01:34:00,708 STORMING WITH RESEARCH 1846 01:34:00,708 --> 01:34:01,008 APPLICANTS. 1847 01:34:01,008 --> 01:34:03,411 WE TRY TO BRING IT UP WITH 1848 01:34:03,411 --> 01:34:05,246 PEOPLE WHEN WE'RE LOOKING AT 1849 01:34:05,246 --> 01:34:08,749 SOME ACADEMIC ISSUE TO THINK IT 1850 01:34:08,749 --> 01:34:11,252 MIGHT PLAY DIFFERENTLY ACROSS 1851 01:34:11,252 --> 01:34:12,486 ETHNIC CULTURES AND OPEN UP 1852 01:34:12,486 --> 01:34:13,287 THEIR EYES A LITTLE BIT. 1853 01:34:13,287 --> 01:34:14,221 I THINK YOU'RE ON THE RIGHT 1854 01:34:14,221 --> 01:34:16,957 TRACK. 1855 01:34:16,957 --> 01:34:22,096 >> FRANCISCO, QUESTION? 1856 01:34:22,096 --> 01:34:22,830 ONLINE? 1857 01:34:22,830 --> 01:34:23,197 >> HELLO. 1858 01:34:23,197 --> 01:34:24,432 CAN YOU HEAR ME OKAY? 1859 01:34:24,432 --> 01:34:29,904 >> YES, WE CAN. 1860 01:34:29,904 --> 01:34:31,806 >> IT'S BE AN OPPORTUNITY FOR 1861 01:34:31,806 --> 01:34:34,175 ESSENTIALLY A CONNECTION BETWEEN 1862 01:34:34,175 --> 01:34:36,777 TWO TOPICS WE'VE BEEN DISCUSSING 1863 01:34:36,777 --> 01:34:39,713 AND I'LL START BY SAYING I WAS 1864 01:34:39,713 --> 01:34:42,583 ENCOURAGED TO SEE THE WORKSHOP 1865 01:34:42,583 --> 01:34:50,858 ON SBIRs AND THE ENTREPRENEURIAL 1866 01:34:50,858 --> 01:34:52,593 TRANSLATION WENT WELL THIS IS 1867 01:34:52,593 --> 01:34:54,228 SOMETHING WE STARTED DISCUSSING 1868 01:34:54,228 --> 01:34:56,397 IN THE FORUM SOME TIME AGO AND 1869 01:34:56,397 --> 01:34:58,799 GLAD IT CAME TO FRUITION. 1870 01:34:58,799 --> 01:35:02,203 BUT THERE'S A VERY INTERESTING 1871 01:35:02,203 --> 01:35:03,804 CONNECTION BETWEEN THAT AND WHAT 1872 01:35:03,804 --> 01:35:05,272 STEVE AND PEPE WERE TALKING 1873 01:35:05,272 --> 01:35:08,642 ABOUT IN TERMS OF OUTCOME AND 1874 01:35:08,642 --> 01:35:13,180 THE NEED FOR REAL USE, 1875 01:35:13,180 --> 01:35:17,551 INFORMATIVE OUTCOMES AND TO HAVE 1876 01:35:17,551 --> 01:35:19,153 AN OUTCOME MEASURE IN THE 1877 01:35:19,153 --> 01:35:21,555 CLIN 1878 01:35:21,555 --> 01:35:22,056 CLIN 1879 01:35:22,056 --> 01:35:25,092 CLINIC, ETCETERA MEANS IT'S A 1880 01:35:25,092 --> 01:35:26,460 DEPLOYMENT OF A PRODUCT OR 1881 01:35:26,460 --> 01:35:27,061 SERVICE. 1882 01:35:27,061 --> 01:35:33,567 EVEN IF WE END UP CREATING 1883 01:35:33,567 --> 01:35:36,670 BETTER OUTCOME MEASURES FOR 1884 01:35:36,670 --> 01:35:38,205 WHICH MANY OF US ARE COMMITTED 1885 01:35:38,205 --> 01:35:44,044 TO THE TASK, THE LIKELIHOOD IT 1886 01:35:44,044 --> 01:35:49,884 BECOMES A USEFUL CLINICALLY 1887 01:35:49,884 --> 01:35:51,519 IMPLEMENTED ACTIVITY CAB TAKE AN 1888 01:35:51,519 --> 01:35:52,953 ADVANTAGE OF 17 YEARS. 1889 01:35:52,953 --> 01:35:59,093 THAT'S KIND OF THE AVERAGE 1890 01:35:59,093 --> 01:36:03,197 TRANSLATION TIME LINE. 1891 01:36:03,197 --> 01:36:04,532 I'M INTERESTING IN BRINGING 1892 01:36:04,532 --> 01:36:05,733 TOGETHER BETTER OUTCOME MEASURES 1893 01:36:05,733 --> 01:36:09,103 BUT HOW DO WE DEPLOY THEM IN THE 1894 01:36:09,103 --> 01:36:10,804 REAL WORLD WILL BE A CHALLENGE 1895 01:36:10,804 --> 01:36:12,339 THAT WE KNOW IS THERE AND WE 1896 01:36:12,339 --> 01:36:14,208 COULD DO SOMETHING NOW TO 1897 01:36:14,208 --> 01:36:24,451 ACCELERATE IT. 1898 01:36:35,996 --> 01:36:37,731 >> WE'RE DOING BUT IN A WAY TO 1899 01:36:37,731 --> 01:36:38,866 INFORM THE DECISIONS THEY HAVE 1900 01:36:38,866 --> 01:36:42,169 TO MAKE AT THEIR AGENCIES. 1901 01:36:42,169 --> 01:36:46,006 THERE WAS A TALK AT ACRM WEEKS 1902 01:36:46,006 --> 01:36:47,608 AGO TALKING ABOUT THIS NEW 1903 01:36:47,608 --> 01:36:52,780 OUTCOME MEASURE AND WE HAD A 1904 01:36:52,780 --> 01:36:53,881 DISCUSSION THEY HAD WITH THE FDA 1905 01:36:53,881 --> 01:37:01,889 HOW TO GET THAT AS A REGISTERED 1906 01:37:01,889 --> 01:37:02,790 BIO MARKER. 1907 01:37:02,790 --> 01:37:08,062 WE USE IT A LOT BUT IN A WAY 1908 01:37:08,062 --> 01:37:12,366 THAT CAN BE USED TO GET A DEVICE 1909 01:37:12,366 --> 01:37:14,368 OR THERAPY APPROVED BY FDA. 1910 01:37:14,368 --> 01:37:15,469 HAVE YOU GONE THROUGH THOSE 1911 01:37:15,469 --> 01:37:17,605 STEPS AND WE WERE LUCKY TO HAVE 1912 01:37:17,605 --> 01:37:19,006 PEOPLE FROM FDA IN THE AUDIENCE. 1913 01:37:19,006 --> 01:37:20,841 SO THERE WERE ABLE TO CONNECT 1914 01:37:20,841 --> 01:37:22,209 AND TALK ABOUT THIS IS WHAT YOU 1915 01:37:22,209 --> 01:37:24,311 NEED TO DO TO GET IT TO THE NEXT 1916 01:37:24,311 --> 01:37:25,045 STEP. 1917 01:37:25,045 --> 01:37:27,915 IT'S NOT ENOUGH TO JUST SAY I 1918 01:37:27,915 --> 01:37:29,250 HAVE THIS GREAT BIOMEDICAL OR 1919 01:37:29,250 --> 01:37:30,551 DEVICE AND PUT A PAPER OUT. 1920 01:37:30,551 --> 01:37:34,088 WE NEED TO DO THAT NEXT STEP. 1921 01:37:34,088 --> 01:37:42,129 SO COMPLETELY AGREE. 1922 01:37:42,129 --> 01:37:46,233 >> THE GOOD NEWS IS A LOT OF THE 1923 01:37:46,233 --> 01:37:47,201 TECHNOLOGIES FOR EXAMPLE THAT 1924 01:37:47,201 --> 01:37:50,070 WERE TALKED ABOUT AND WE CAN USE 1925 01:37:50,070 --> 01:37:53,274 IN STROKE AND A VARIETY OF 1926 01:37:53,274 --> 01:37:56,610 ENVIRONMENTS ARE ALL CLASS 1 AND 1927 01:37:56,610 --> 01:37:59,313 ALL FALL WITHIN THE CMS APPROVED 1928 01:37:59,313 --> 01:38:01,181 GUIDELINES SO THAT'S THE GOOD 1929 01:38:01,181 --> 01:38:01,382 NEWS. 1930 01:38:01,382 --> 01:38:11,659 LET'S CONTINUE. 1931 01:38:13,961 --> 01:38:16,230 >> THERE'S THREE RESEARCH TALKS 1932 01:38:16,230 --> 01:38:19,800 AND BEFORE YOU ROTATE OFF WE 1933 01:38:19,800 --> 01:38:22,202 WANT YOU TO TALK ABOUT YOUR OWN 1934 01:38:22,202 --> 01:38:23,637 STUFF AND IN ADDITION THERE'S A 1935 01:38:23,637 --> 01:38:25,706 SPECIAL TALK AT THE END OF EARLY 1936 01:38:25,706 --> 01:38:29,276 TUESDAY AFTERNOON ON COMMUNITY 1937 01:38:29,276 --> 01:38:29,943 ENGAGEMENT SPECIFICALLY AN ISSUE 1938 01:38:29,943 --> 01:38:32,012 THE BOARD BROUGHT BEFORE US. 1939 01:38:32,012 --> 01:38:34,214 I THINK WE'LL CIRCLE BACK TO 1940 01:38:34,214 --> 01:38:42,089 THOSE VERY ISSUES. 1941 01:38:42,089 --> 01:38:47,294 >> I HAVE A COMMENT ON THE LAST 1942 01:38:47,294 --> 01:38:52,900 CONVERSATION WHICH IS MORE JUST 1943 01:38:52,900 --> 01:38:55,402 A JAB IF YOU INVITE ME TO A 1944 01:38:55,402 --> 01:38:57,571 PLACE WITH A MICROPHONE I'LL BE 1945 01:38:57,571 --> 01:39:00,274 MYSELF AND A COUPLE MEANT. 1946 01:39:00,274 --> 01:39:03,010 WHAT DO WE DO WITH THE FDA'S 1947 01:39:03,010 --> 01:39:08,749 PART AND THERE'S RECALCULAITRAN 1948 01:39:08,749 --> 01:39:10,751 FOR THE FIELD OF STROKE AND 1949 01:39:10,751 --> 01:39:13,454 DON'T ANSWER THAT BUT I'M SAYING 1950 01:39:13,454 --> 01:39:15,122 WE'LL END IT AND EVERYTHING WILL 1951 01:39:15,122 --> 01:39:18,025 BE SOLVED OR NOT. 1952 01:39:18,025 --> 01:39:18,392 OKAY. 1953 01:39:18,392 --> 01:39:20,661 AND THEY'RE NOT GOING TO FOLLOW 1954 01:39:20,661 --> 01:39:22,696 ME HOME. 1955 01:39:22,696 --> 01:39:30,003 SECOND, DO WE REALLY WANT PEOPLE 1956 01:39:30,003 --> 01:39:30,571 KNOWING OUR INTERNAL VOICE 1957 01:39:30,571 --> 01:39:33,974 THOUGH? 1958 01:39:33,974 --> 01:39:36,009 I KNOW YOU DON'T WANT TO HEAR MY 1959 01:39:36,009 --> 01:39:36,477 INTERNAL VOICE. 1960 01:39:36,477 --> 01:39:38,145 NOBODY WANTS IT HEAR THAT. 1961 01:39:38,145 --> 01:39:39,513 REGARDING PAIN PATIENTS. 1962 01:39:39,513 --> 01:39:40,647 I THINK IT'S BRILLIANT. 1963 01:39:40,647 --> 01:39:43,484 I WOULD NEVER DARE TO PROPOSE IT 1964 01:39:43,484 --> 01:39:48,021 BUT IS THAT OPEN SEASON NOW? 1965 01:39:48,021 --> 01:39:49,490 PEOPLE HAVE 50% COMPLIANCE WITH 1966 01:39:49,490 --> 01:39:52,226 PILLS FOR UNCHANGED FOR DECADES. 1967 01:39:52,226 --> 01:39:54,695 PEOPLE WITH STROKE ARE 50% 1968 01:39:54,695 --> 01:39:55,729 COMPLIANCE WITH PHYSICAL 1969 01:39:55,729 --> 01:39:56,230 THERAPY. 1970 01:39:56,230 --> 01:39:58,065 ASSIGNED BY CLINICIANS THEY 1971 01:39:58,065 --> 01:39:59,967 TRUST AND HOW DO YOU GET PEOPLE 1972 01:39:59,967 --> 01:40:01,435 TO DO SOMETHING DIFFERENT? 1973 01:40:01,435 --> 01:40:02,136 YOU BRIBE THEM. 1974 01:40:02,136 --> 01:40:05,439 IT'S TIMELESS AND RELIABLE. 1975 01:40:05,439 --> 01:40:06,473 NEXT, SOMETHING I CAN'T MENTION 1976 01:40:06,473 --> 01:40:09,610 AND THEN CANDY AND THEN SO 1977 01:40:09,610 --> 01:40:09,810 FORTH. 1978 01:40:09,810 --> 01:40:10,611 SO, I THINK THAT'S GREAT. 1979 01:40:10,611 --> 01:40:12,246 I HOPE WE SEE MORE OF THAT. 1980 01:40:12,246 --> 01:40:14,748 I JUST WANTED TO GIVE A HUGE 1981 01:40:14,748 --> 01:40:18,018 THUMB'S UP TO THAT IDEA AND 1982 01:40:18,018 --> 01:40:19,319 HOPEFULLY INTERESTED IN HEARING 1983 01:40:19,319 --> 01:40:21,088 MORE SUGGESTIONS ALONG THE WAY. 1984 01:40:21,088 --> 01:40:23,524 >> I NEVER YOU HEARD YOU SAY 1985 01:40:23,524 --> 01:40:24,425 ANYTHING ABOUT FDA BEFORE. 1986 01:40:24,425 --> 01:40:28,962 THAT WAS TOTALLY NEW. 1987 01:40:28,962 --> 01:40:31,331 I WON'T RESPOND. 1988 01:40:31,331 --> 01:40:32,766 I APPRECIATE THE COMMENT. 1989 01:40:32,766 --> 01:40:35,369 YEAH, THE ETHICAL ISSUES ARE 1990 01:40:35,369 --> 01:40:37,938 REALLY INTERESTING. 1991 01:40:37,938 --> 01:40:40,107 THE BRAIN INITIATIVE HAS 1992 01:40:40,107 --> 01:40:42,776 NEUROETHICS WORKING GROUP WHERE 1993 01:40:42,776 --> 01:40:46,213 THEY HELP PROGRAM AND P.I.s 1994 01:40:46,213 --> 01:40:47,281 NOODLE THROUGH AND WHAT 1995 01:40:47,281 --> 01:40:48,816 QUESTIONS WE NEED TO ASK. 1996 01:40:48,816 --> 01:40:49,983 IT WAS LAST MEETING OR THE 1997 01:40:49,983 --> 01:40:53,854 MEETING BEFORE WE TALKED ABOUT 1998 01:40:53,854 --> 01:40:58,225 THE TBI/DBS STUDIES AND HOW WE 1999 01:40:58,225 --> 01:41:01,395 ADDED AN RO1 TO LOOK AT THOSE 2000 01:41:01,395 --> 01:41:02,362 ETHICAL ISSUES BECAUSE NOW WE 2001 01:41:02,362 --> 01:41:05,032 WERE RESTORING A LEVEL OF 2002 01:41:05,032 --> 01:41:07,468 FUNCTION THAT WAS PREVIOUSLY 2003 01:41:07,468 --> 01:41:10,204 UNEXPERIENCED AND WHAT WERE THE 2004 01:41:10,204 --> 01:41:11,738 ETHICAL IMPLICATIONS OF THAT. 2005 01:41:11,738 --> 01:41:14,942 I DON'T HAVE ANSWERS BUT THESE 2006 01:41:14,942 --> 01:41:17,277 ARE RESEARCHABLE QUESTIONS WE 2007 01:41:17,277 --> 01:41:20,481 CAN BE DOING RESEARCH ON. 2008 01:41:20,481 --> 01:41:22,916 AND THE CARDIAC REHAB PAPER I 2009 01:41:22,916 --> 01:41:25,652 JUST POINTED OUT THAT CAME OUT 2010 01:41:25,652 --> 01:41:31,391 OF AN RFA THAT NHLBI AND NIA DID 2011 01:41:31,391 --> 01:41:36,630 LIKE SEVEN YEARS AGO TO SEE HOW 2012 01:41:36,630 --> 01:41:38,232 TO ADVANCE CARDIAC AND PULMONARY 2013 01:41:38,232 --> 01:41:41,001 REHAB IN THE COMMUNITY. 2014 01:41:41,001 --> 01:41:43,136 >> I ALSO SECOND YOUR ISSUE 2015 01:41:43,136 --> 01:41:44,505 ABOUT HOW DO YOU GET THROUGH TO 2016 01:41:44,505 --> 01:41:46,974 YOUR PATIENTS, HOW DO YOU BRIBE 2017 01:41:46,974 --> 01:41:47,174 THEM? 2018 01:41:47,174 --> 01:41:49,443 I THINK ONE THING WE'RE SEEING 2019 01:41:49,443 --> 01:41:51,044 IN THE REHAB FIELD IS HOW 2020 01:41:51,044 --> 01:41:52,446 IMPORTANT THAT WHOLE PSYCHOLOGY 2021 01:41:52,446 --> 01:41:54,414 THAT APPLIED BEHAVIOR, THE 2022 01:41:54,414 --> 01:41:57,718 LITTLE TRICKS YOU DO ESPECIALLY 2023 01:41:57,718 --> 01:42:00,487 TO REHAB POPULATION. 2024 01:42:00,487 --> 01:42:01,455 PEOPLE ARE NOT GREAT ABOUT DOING 2025 01:42:01,455 --> 01:42:03,824 HEALTH THE BEHAVIOR. 2026 01:42:03,824 --> 01:42:07,227 WITH THE SPECIAL OPPORTUNITY 2027 01:42:07,227 --> 01:42:08,529 BECAUSE THEY'RE TRYING TO BE 2028 01:42:08,529 --> 01:42:12,699 RESPONSIVE BUT IT'S SUCH A HUMAN 2029 01:42:12,699 --> 01:42:15,302 THING TO TRY TO PULL BACK AND 2030 01:42:15,302 --> 01:42:17,371 NOT DO WHAT'S IN THEIR OWN BEST 2031 01:42:17,371 --> 01:42:18,839 INTEREST. 2032 01:42:18,839 --> 01:42:21,241 THAT PSYCHOLOGY IS AN 2033 01:42:21,241 --> 01:42:23,277 UNAPPRECIATED THING IN THE 2034 01:42:23,277 --> 01:42:24,411 ACADEMIC COMMUNITY. 2035 01:42:24,411 --> 01:42:27,347 >> I THINK IT OPENS THE DOOR. 2036 01:42:27,347 --> 01:42:30,851 SOME PEOPLE WILL RESPOND TO A 2037 01:42:30,851 --> 01:42:32,819 CARTON OF MARLBOROUGHS OR A 2038 01:42:32,819 --> 01:42:34,821 FIFTH OF JACK DANIELS AND THIS 2039 01:42:34,821 --> 01:42:36,924 IS WHAT MOTIVATES PEOPLE AND I'M 2040 01:42:36,924 --> 01:42:37,724 WONDERING HOW MUCH WE'RE OPENING 2041 01:42:37,724 --> 01:42:40,427 THE DOOR TO ALLOW US TO BRIBE 2042 01:42:40,427 --> 01:42:41,929 PATIENTS IN THEIR VOICE IN THEIR 2043 01:42:41,929 --> 01:42:44,164 LANGUAGE TO GET THEM TO DO 2044 01:42:44,164 --> 01:42:45,899 WHAT'S GOOD FOR THEM. 2045 01:42:45,899 --> 01:42:47,568 >> NOT BRIBES -- THESE WERE 2046 01:42:47,568 --> 01:42:55,309 FINANCIAL INCENTIVES. 2047 01:42:55,309 --> 01:42:59,279 YEAH, WE HAVE MORE WORK TO DO. 2048 01:42:59,279 --> 01:43:01,949 >> THIS IS FERANMI SPEAKING 2049 01:43:01,949 --> 01:43:03,350 AGAIN AND TALKING ABOUT THE 2050 01:43:03,350 --> 01:43:04,251 DIFFERENT CONFERENCES YOU'VE 2051 01:43:04,251 --> 01:43:06,820 BEEN ABLE TO GO TO. 2052 01:43:06,820 --> 01:43:08,722 ONE SUGGESTION -- I'M NOT SURE 2053 01:43:08,722 --> 01:43:11,992 IF YOU'VE DONE THIS IN THE PAST, 2054 01:43:11,992 --> 01:43:13,360 REHABILITATION ENGINEERING 2055 01:43:13,360 --> 01:43:16,930 SOCIETY OF AMERICA AND ANOTHER 2056 01:43:16,930 --> 01:43:17,731 WHICH YOU PROBABLY HAVEN'T BUT 2057 01:43:17,731 --> 01:43:24,004 HAVE YOU HEARD OF THE ABILITY 2058 01:43:24,004 --> 01:43:24,404 EX-POS? 2059 01:43:24,404 --> 01:43:25,939 IT'S NOT A TRADITIONAL ACADEMIC 2060 01:43:25,939 --> 01:43:29,276 SETTING BUT IF THERE WAS A 2061 01:43:29,276 --> 01:43:31,211 PRESENTATION AT A DISABILITIES 2062 01:43:31,211 --> 01:43:34,214 EXPO YOU COULD INTERACT WITH THE 2063 01:43:34,214 --> 01:43:34,481 COMMUNITY. 2064 01:43:34,481 --> 01:43:38,552 THEY'RE NOT THE RIGOROUS 2065 01:43:38,552 --> 01:43:40,554 ACADEMIC EVENTS BUT I THINK IT 2066 01:43:40,554 --> 01:43:41,488 MAY BE A REASONABLE SPACE TO AT 2067 01:43:41,488 --> 01:43:44,057 LEAST GET MORE OF THE VOICE OF 2068 01:43:44,057 --> 01:43:50,597 THE COMMUNITY BY MAYBE PICKING 2069 01:43:50,597 --> 01:43:54,101 AN ABILITIES EXPO. 2070 01:43:54,101 --> 01:43:58,972 >> WE HAVE A HUGE ONE IN 2071 01:43:58,972 --> 01:43:59,339 HOUSTON. 2072 01:43:59,339 --> 01:44:01,108 >> THANK YOU FOR YOUR REPORT AND 2073 01:44:01,108 --> 01:44:06,213 THE COLLABORATION WITH THE NIBIB 2074 01:44:06,213 --> 01:44:10,450 ON THE GRADUATE CAP STONE 2075 01:44:10,450 --> 01:44:13,754 PROJECTS AND THE PRIZES ARE 2076 01:44:13,754 --> 01:44:15,022 GREAT BUT TENDS TO FAVOR WHERE 2077 01:44:15,022 --> 01:44:18,992 IT'S SET UP TO DO THAT. 2078 01:44:18,992 --> 01:44:22,229 HOW ABOUT PROVIDING MODEST 2079 01:44:22,229 --> 01:44:25,832 FUNDING TO TEAMS TO WORK TOWARDS 2080 01:44:25,832 --> 01:44:26,033 THAT. 2081 01:44:26,033 --> 01:44:27,734 THIS IS OFFERED. 2082 01:44:27,734 --> 01:44:31,104 I THINK THEY OFFERED 4500 TO 2083 01:44:31,104 --> 01:44:32,739 TEAMS TO DEVELOP CAP STONE 2084 01:44:32,739 --> 01:44:43,150 PROJECTS FOR GUIDELINES. 2085 01:44:43,817 --> 01:44:45,619 THAT WOULD OPEN IT TOE 2086 01:44:45,619 --> 01:44:45,952 UNIVERSITIES. 2087 01:44:45,952 --> 01:44:48,021 >> THERE'S -- TO UNIVERSITIES. 2088 01:44:48,021 --> 01:44:55,028 >> THERE'S DEFINITELY FREQUENT 2089 01:44:55,028 --> 01:44:57,330 FLYER UNIVERSITIES THAT ARE WELL 2090 01:44:57,330 --> 01:45:00,100 OIL MACHINES BUT I'LL BRING IT 2091 01:45:00,100 --> 01:45:07,674 BACK TO NABIB. 2092 01:45:07,674 --> 01:45:09,810 >> KATHLEEN. 2093 01:45:09,810 --> 01:45:11,978 >> I WANTED TO TALK ABOUT THE 2094 01:45:11,978 --> 01:45:17,884 MOTIVATION TO DO REHAB IS A BIG 2095 01:45:17,884 --> 01:45:19,820 PROBLEM. 2096 01:45:19,820 --> 01:45:22,255 IN TERMS OF PREVENTION WE NEED 2097 01:45:22,255 --> 01:45:32,699 TO GET PEOPLE DOING BEHAVIORS 2098 01:45:32,699 --> 01:45:39,206 EARLIER AND BEHAVIOR CHANGES AND 2099 01:45:39,206 --> 01:45:40,841 WORKING WITH CHILDREN SO IF THEY 2100 01:45:40,841 --> 01:45:42,709 START DOING IT YOUNG IT BECOMES 2101 01:45:42,709 --> 01:45:43,443 EASIER AS YOU PAGE. 2102 01:45:43,443 --> 01:45:45,078 I DON'T HAVE A SOLUTION BUT I 2103 01:45:45,078 --> 01:45:47,047 THINK ABOUT THIS MOTIVATION IN 2104 01:45:47,047 --> 01:45:56,757 TERMS OF PREVENTION TOO. 2105 01:45:56,757 --> 01:45:57,824 >> THAT'S ONE OF THE REASONS I'M 2106 01:45:57,824 --> 01:46:03,797 GLAD WE HAVE FRIENDS AT OBSSR. 2107 01:46:03,797 --> 01:46:08,969 I DON'T HAVE THAT EXPERTISE BUT 2108 01:46:08,969 --> 01:46:10,270 I KNOW WHAT WE DON'T KNOW AND 2109 01:46:10,270 --> 01:46:11,338 HAVE THE COLLABORATIONS AND 2110 01:46:11,338 --> 01:46:17,878 RESOURCES. 2111 01:46:17,878 --> 01:46:21,848 AT THE COUNCIL OF OBSSR AND I 2112 01:46:21,848 --> 01:46:27,654 MET WITH HER AND FASCINATED BY 2113 01:46:27,654 --> 01:46:29,322 HAVING A PILL THAT COULD SAVE 2114 01:46:29,322 --> 01:46:33,827 YOUR LIFE AND CAN'T GET THEM TO 2115 01:46:33,827 --> 01:46:34,294 TAKE IT. 2116 01:46:34,294 --> 01:46:44,638 AND WE'RE NOT ALONE. 2117 01:46:46,306 --> 01:46:51,244 >> AND AS YOU GET TO THE 2118 01:46:51,244 --> 01:46:52,646 ENVIRONMENTAL FACTORS THEY CAN 2119 01:46:52,646 --> 01:46:54,314 BE SUPPORTS OR BARRIERS AND ALSO 2120 01:46:54,314 --> 01:46:56,283 IT'S AN OPPORTUNITY FOR WHAT 2121 01:46:56,283 --> 01:46:58,852 TIFFANY WAS SAYING TO THINK 2122 01:46:58,852 --> 01:47:01,955 ABOUT THE CULTURAL, RACIAL 2123 01:47:01,955 --> 01:47:07,360 ETHNIC ISSUES AND HOW WHAT IS 2124 01:47:07,360 --> 01:47:11,164 THE DISABILITY AND IT'S AN UNDER 2125 01:47:11,164 --> 01:47:12,599 APPRECIATED AREA AND COME UP 2126 01:47:12,599 --> 01:47:14,201 AGAINST THE HEALTH CARE 2127 01:47:14,201 --> 01:47:17,637 CONSTRAINTS BECAUSE IT'S NOT 2128 01:47:17,637 --> 01:47:18,171 REIMBURSABLE. 2129 01:47:18,171 --> 01:47:22,576 IT'S A PART OF OUR DISCUSSION 2130 01:47:22,576 --> 01:47:23,877 HERE. 2131 01:47:23,877 --> 01:47:25,679 >> THERE'S ANOTHER CONFERENCE AT 2132 01:47:25,679 --> 01:47:30,217 THE AMERICAN SOCIETY FOR NEURAL 2133 01:47:30,217 --> 01:47:30,584 REHABILITATION. 2134 01:47:30,584 --> 01:47:40,861 I LIKE THAT TOO. 2135 01:47:45,165 --> 01:47:51,638 >> FIRST, A THUMBS UP TO THE 2136 01:47:51,638 --> 01:48:02,315 ABLISM RFA AND THE BIOETHICS 2137 01:48:02,315 --> 01:48:05,552 ASSOCIATED WITH SHARING OUTCOMES 2138 01:48:05,552 --> 01:48:09,589 WITH PARTICIPANTS IN RESEARCH 2139 01:48:09,589 --> 01:48:09,823 STUDIES. 2140 01:48:09,823 --> 01:48:10,891 THE QUESTION AROUND THE DECISION 2141 01:48:10,891 --> 01:48:12,592 MAKING WITH BRINGING BACK SOME 2142 01:48:12,592 --> 01:48:14,160 OF THOSE FUNDING OPPORTUNITIES 2143 01:48:14,160 --> 01:48:16,963 BECAUSE I FEEL LIKE I'VE MISSED 2144 01:48:16,963 --> 01:48:18,531 OUT AND WOULD LOVE TO BE A PART. 2145 01:48:18,531 --> 01:48:22,235 SO THAT'S A QUESTION AND MAYBE A 2146 01:48:22,235 --> 01:48:25,372 COMMENT REFLECTING BACK PART OF 2147 01:48:25,372 --> 01:48:26,273 WHAT TIFFANY AND JEREMY BROUGHT 2148 01:48:26,273 --> 01:48:32,045 UP AND YOU MENTIONED THIS VIA 2149 01:48:32,045 --> 01:48:34,714 THE IMPROVING DIGITAL 2150 01:48:34,714 --> 01:48:39,853 ACCESSIBILITY AND TECHNICAL 2151 01:48:39,853 --> 01:48:41,821 PUBLICATIONS IS HOW WE CAN 2152 01:48:41,821 --> 01:48:46,026 BETTER INCLUDE RESEARCH 2153 01:48:46,026 --> 01:48:46,726 PARTICI 2154 01:48:46,726 --> 01:48:48,561 PARTICIPANTS PUBLISHING PROCESS 2155 01:48:48,561 --> 01:48:49,262 AND INDIVIDUALS WITH DISABILITY 2156 01:48:49,262 --> 01:48:51,364 AND WHAT WE'RE TRYING TO DO WITH 2157 01:48:51,364 --> 01:48:57,203 THE JOURNAL ISN'T JUST LOOKING 2158 01:48:57,203 --> 01:49:00,206 AT HOW APPROACHES AND STRATEGIES 2159 01:49:00,206 --> 01:49:02,242 TO HUMANITY WILL ENHANCE HOW WE 2160 01:49:02,242 --> 01:49:04,210 LOOK AT THE WORK IN 2161 01:49:04,210 --> 01:49:06,179 REHABILITATION BUT ALSO TRYING 2162 01:49:06,179 --> 01:49:07,881 TO BE AN INCLUSIVE PUBLICATION 2163 01:49:07,881 --> 01:49:11,251 OF CO-CREATING CONTENT WITH 2164 01:49:11,251 --> 01:49:12,085 PARTICIPANTS WITH THE DISABILITY 2165 01:49:12,085 --> 01:49:16,423 COMMUNITY AND TRYING TO ACTIVELY 2166 01:49:16,423 --> 01:49:17,590 SEEK FUNDING TO SUPPORT 2167 01:49:17,590 --> 01:49:19,960 EDITORIAL STAFF FROM THE 2168 01:49:19,960 --> 01:49:21,628 DISABILITY COMMUNITY TO SHAPE 2169 01:49:21,628 --> 01:49:26,733 THE VISION OF THE JOURNAL. 2170 01:49:26,733 --> 01:49:29,169 I THINK IT CREATES A SPACE WHERE 2171 01:49:29,169 --> 01:49:35,308 THE LIVED EXPERIENCE IS BROUGHT 2172 01:49:35,308 --> 01:49:40,447 AS WITH THE SAME RESPECT AND 2173 01:49:40,447 --> 01:49:41,548 RIGOR OF THE SCIENTIFIC OUTCOME 2174 01:49:41,548 --> 01:49:43,750 OF WHAT WE MIGHT DO IN OUR 2175 01:49:43,750 --> 01:49:44,017 JOURNALS. 2176 01:49:44,017 --> 01:49:47,320 THEY'RE A NARRATIVE REFLECTION 2177 01:49:47,320 --> 01:49:49,022 MAY BE LOOKED AT IN THE SAME WAY 2178 01:49:49,022 --> 01:49:51,558 AROUND WHAT THEIR LIVED 2179 01:49:51,558 --> 01:49:53,259 EXPERIENCE HAS BEEN ON A 2180 01:49:53,259 --> 01:49:55,462 PARTICULAR CLINICAL TRIAL OR HOW 2181 01:49:55,462 --> 01:49:59,099 THAT MIGHT SHAPE WHAT WE THINK 2182 01:49:59,099 --> 01:50:01,334 ABOUT COMMUNITY ENGAGEMENT AND 2183 01:50:01,334 --> 01:50:01,601 INCLUSION. 2184 01:50:01,601 --> 01:50:06,239 >> I WANT TO CALL OUT SARAH HAS 2185 01:50:06,239 --> 01:50:08,942 TAKEN ON THE LEADERSHIP AND THE 2186 01:50:08,942 --> 01:50:13,013 HUMANITIES AND REHABILITATION. 2187 01:50:13,013 --> 01:50:14,247 THAT'S SOMETHING SHE'S BECOME A 2188 01:50:14,247 --> 01:50:21,221 CHAMPION ON. 2189 01:50:21,221 --> 01:50:22,589 >> THANK YOU. 2190 01:50:22,589 --> 01:50:25,125 >> SO WE DON'T HAVE ANY PLANS TO 2191 01:50:25,125 --> 01:50:28,495 REISSUE THE ABLISM RFA RIGHT 2192 01:50:28,495 --> 01:50:29,162 NOW. 2193 01:50:29,162 --> 01:50:31,464 SO WE JUST STARTED A COUPLE 2194 01:50:31,464 --> 01:50:34,901 MONTHS AGO WITH THE FIRST 10. 2195 01:50:34,901 --> 01:50:36,469 WE'LL SEE HOW THAT GOES. 2196 01:50:36,469 --> 01:50:39,305 THAT SAID, MOST OF WHAT WE FUND 2197 01:50:39,305 --> 01:50:41,274 COMES THROUGH PARENT 2198 01:50:41,274 --> 01:50:44,477 ANNOUNCEMENTS AND WE'LL ALWAYS 2199 01:50:44,477 --> 01:50:45,311 TAKE APPLICATIONS ADDRESSING THE 2200 01:50:45,311 --> 01:50:47,313 HEALTH NEEDS OF PEOPLE WITH 2201 01:50:47,313 --> 01:50:47,647 DISABILITIES. 2202 01:50:47,647 --> 01:50:49,682 SO JUST BECAUSE YOU DON'T SEE A 2203 01:50:49,682 --> 01:50:51,418 SPECIFIC FUNDING OPPORTUNITY 2204 01:50:51,418 --> 01:50:53,019 THAT CALLS OUT YOUR THING, 2205 01:50:53,019 --> 01:50:53,920 PLEASE KNOW THAT YOU CAN ALWAYS 2206 01:50:53,920 --> 01:50:56,389 TALK TO US AND WE CAN HELP YOU 2207 01:50:56,389 --> 01:50:59,092 FIND A PARENT ANNOUNCEMENT THAT 2208 01:50:59,092 --> 01:51:04,297 WOULD COVER THAT. 2209 01:51:04,297 --> 01:51:13,907 I DO THINK THERE'S A CALL IN 2210 01:51:13,907 --> 01:51:22,248 RESEARCH REPORTING RESULT S AND 2211 01:51:22,248 --> 01:51:26,252 YOUR QUESTION ABOUT CO-CREATION 2212 01:51:26,252 --> 01:51:34,794 A 2213 01:51:34,794 --> 01:51:40,166 AND LOOK AT ASSETS AND FORGET 2214 01:51:40,166 --> 01:51:42,001 THE ASSETS THE COMMUNITY IS 2215 01:51:42,001 --> 01:51:45,004 BRINGING SO I APPRECIATE THE 2216 01:51:45,004 --> 01:51:45,438 CO-CREATING ASPECT. 2217 01:51:45,438 --> 01:51:48,374 >> ANGEL. 2218 01:51:48,374 --> 01:51:49,008 >> THANK YOU. 2219 01:51:49,008 --> 01:51:54,714 JUST RESPONDING TO WHAT YOU WERE 2220 01:51:54,714 --> 01:52:03,957 SAYING ABOUT HOW TO CHANGE 2221 01:52:03,957 --> 01:52:09,662 BEHAVIOR AND REACH MORE PEOPLE. 2222 01:52:09,662 --> 01:52:11,097 IT GOES TO EXPANDING CONFERENCES 2223 01:52:11,097 --> 01:52:14,134 AND GETTING TO WHERE THE PEOPLE 2224 01:52:14,134 --> 01:52:18,838 ARE COULD DEFINITELY HELP 2225 01:52:18,838 --> 01:52:20,707 ENCOURAGE THAT AND HAVE A 2226 01:52:20,707 --> 01:52:21,508 QUESTION ON THE DISABILITY 2227 01:52:21,508 --> 01:52:22,442 CHALLENGE AND DID YOU SAY WHEN 2228 01:52:22,442 --> 01:52:30,984 IT WOULD BE ANNOUNCED. 2229 01:52:30,984 --> 01:52:37,824 DO YOU THIS BEING ANNIAN -- AN 2230 01:52:37,824 --> 01:52:38,158 ONGOING THING. 2231 01:52:38,158 --> 01:52:39,993 >> IT WILL BE ANNOUNCED MID 2232 01:52:39,993 --> 01:52:41,327 JANUARY ASSUMING IT'S ON 2233 01:52:41,327 --> 01:52:49,102 SCHEDULE. 2234 01:52:49,102 --> 01:52:50,069 >> THERE'S TIMES WHEN YOUR 2235 01:52:50,069 --> 01:52:52,305 CHALLENGE IS A GOOD WAY TO 2236 01:52:52,305 --> 01:52:54,140 ENGAGE WITH THE FIELD TO MOVE 2237 01:52:54,140 --> 01:52:56,943 SCIENCE FORWARD IN A DIFFERENT 2238 01:52:56,943 --> 01:53:01,748 WAY AND A DIFFERENT TIME SCALE 2239 01:53:01,748 --> 01:53:02,582 AND HAS ITS PLACE. 2240 01:53:02,582 --> 01:53:05,919 THIS IS THE FIRST TIME WE RAN A 2241 01:53:05,919 --> 01:53:06,519 CHALLENGE OURSELVES AND HAVE 2242 01:53:06,519 --> 01:53:14,260 LEARNED A LOT. 2243 01:53:14,260 --> 01:53:16,696 I'M ENCOURAGED WHEN THERE'S A 2244 01:53:16,696 --> 01:53:20,533 NEED THAT ISN'T GOING TO BE 2245 01:53:20,533 --> 01:53:22,602 ADDRESSED BY THE TYPICAL NIH 2246 01:53:22,602 --> 01:53:23,503 AWARD SYSTEM THIS IS AN 2247 01:53:23,503 --> 01:53:27,507 OPPORTUNITY. 2248 01:53:27,507 --> 01:53:28,341 WE DON'T HAVE ANYTHING PLANNED 2249 01:53:28,341 --> 01:53:29,442 AT THE MOMENT. 2250 01:53:29,442 --> 01:53:33,646 WE PLANNED THIS AS A TWO-YEAR 2251 01:53:33,646 --> 01:53:33,880 PROJECT. 2252 01:53:33,880 --> 01:53:37,984 WE WANT TO GET TO KNOW THE 2253 01:53:37,984 --> 01:53:39,118 TEAMS. 2254 01:53:39,118 --> 01:53:42,255 THIS IS A TWO-WAY STREET. 2255 01:53:42,255 --> 01:53:43,389 YES, THEY WON A PRIZE BUT WANT 2256 01:53:43,389 --> 01:53:46,125 TO KNOW WHAT THEY'RE DOING AND 2257 01:53:46,125 --> 01:53:47,026 WHAT THEIR COMMUNITIES ARE 2258 01:53:47,026 --> 01:53:48,027 TELLING THEM. 2259 01:53:48,027 --> 01:53:51,764 WE'RE HOPING TO LEARN FROM THEM 2260 01:53:51,764 --> 01:53:53,233 AS WELL. 2261 01:53:53,233 --> 01:53:56,769 SO IT'S NOTHING PLANNED RIGHT 2262 01:53:56,769 --> 01:53:59,339 NOW BUT DEFINITELY ANOTHER TOOL 2263 01:53:59,339 --> 01:54:08,448 IN OUR TOOL KIT. 2264 01:54:08,448 --> 01:54:11,317 >> WE HAVE TO THINK OF BEHAVIOR 2265 01:54:11,317 --> 01:54:12,452 CHANGE AND TWO WAYS IN WHICH 2266 01:54:12,452 --> 01:54:15,955 PEOPLE WANT TO CHANGE AND 2267 01:54:15,955 --> 01:54:16,723 EXTERNAL THINGS THAT MAKE PEOPLE 2268 01:54:16,723 --> 01:54:18,725 CHANGE LUKE INCENTIVES. 2269 01:54:18,725 --> 01:54:20,627 NOT TO LOSE THAT PIECE ABOUT 2270 01:54:20,627 --> 01:54:23,062 LOOKING AT IT FROM THE 2271 01:54:23,062 --> 01:54:24,764 INDIVIDUAL FROM WHAT IS IT THAT 2272 01:54:24,764 --> 01:54:26,266 HELPS THEM TO INTERNALLY 2273 01:54:26,266 --> 01:54:33,973 MOTIVATE. 2274 01:54:33,973 --> 01:54:35,575 >> IN THAT CASE WE'LL TURN IT 2275 01:54:35,575 --> 01:54:37,710 OVER TO STAFF. 2276 01:54:37,710 --> 01:54:41,247 >> OKAY, THANK YOU FOR THE 2277 01:54:41,247 --> 01:54:44,450 COMMENTS ON THE DIRECTOR'S 2278 01:54:44,450 --> 01:54:48,421 REPORTS FROM NICHD LEVEL AND NIH 2279 01:54:48,421 --> 01:54:58,965 LEVEL AND THERESA'S INSIGHTS IT 2280 01:55:00,300 --> 01:55:02,435 NCMRR. 2281 01:55:02,435 --> 01:55:06,739 AND NOW TO PEPE ADVISES TO THE 2282 01:55:06,739 --> 01:55:08,508 LARGER COUNCIL AND HAS TO SIT 2283 01:55:08,508 --> 01:55:13,579 THROUGH THREE OTHER MEETINGS PER 2284 01:55:13,579 --> 01:55:24,123 YEAR WE WANTED TO GET AN UPDATE 2285 01:55:27,694 --> 01:55:29,195 IN TERMS OF REPRESENTING A BOARD 2286 01:55:29,195 --> 01:55:34,767 AND WANTED TO GIVE HIM A FORMAL 2287 01:55:34,767 --> 01:55:35,168 INTRODUCTION AND 2288 01:55:35,168 --> 01:55:39,439 DR. CONTRERAS-VIDAL IS THE 2289 01:55:39,439 --> 01:55:40,073 DISTINGUISHED PROFESSOR IN THE 2290 01:55:40,073 --> 01:55:41,607 DEPARTMENT OF ENGINEERING AT THE 2291 01:55:41,607 --> 01:55:43,609 UNIVERSITY OF HOUSTON DIRECTING 2292 01:55:43,609 --> 01:55:47,313 THE NSF FUNDED BRAIN CENTER AND 2293 01:55:47,313 --> 01:55:52,018 A FELLOW OF THE IEE E AND SERVES 2294 01:55:52,018 --> 01:55:57,190 AT THE BOARD'S LIAISON TO THE 2295 01:55:57,190 --> 01:55:58,658 NICHD COUNCIL. 2296 01:55:58,658 --> 01:56:00,893 WE ALSO HAVE ANOTHER RESEARCH OR 2297 01:56:00,893 --> 01:56:05,331 TWO REPRESENTING US ON THE NICHD 2298 01:56:05,331 --> 01:56:10,236 LEVEL COUNCIL. 2299 01:56:10,236 --> 01:56:12,839 HE'LL REPORT OUT HIS EXPERIENCES 2300 01:56:12,839 --> 01:56:17,176 ON SERVING ON THE COUNCIL AND 2301 01:56:17,176 --> 01:56:18,044 THANK HIM FOR THE EXTRA WORK 2302 01:56:18,044 --> 01:56:18,511 HE'S DOING. 2303 01:56:18,511 --> 01:56:22,014 >> THANK YOU FOR GIVING ME THE 2304 01:56:22,014 --> 01:56:23,249 OPPORTUNITY TO REPRESENT THE 2305 01:56:23,249 --> 01:56:23,983 BOARD AT COUNCIL. 2306 01:56:23,983 --> 01:56:30,123 IT'S BEEN A PHENOMENAL 2307 01:56:30,123 --> 01:56:30,423 EXPERIENCE. 2308 01:56:30,423 --> 01:56:34,193 I'VE BEEN SPEAKING TO THE VOICE 2309 01:56:34,193 --> 01:56:36,963 OF THE PARTICIPANT TOO BUT 2310 01:56:36,963 --> 01:56:39,899 TRUTHFULLY I THINK IT'S A HIDDEN 2311 01:56:39,899 --> 01:56:40,133 SECRET. 2312 01:56:40,133 --> 01:56:42,235 WE HAVE ONE DAY THAT'S PUBLIC 2313 01:56:42,235 --> 01:56:46,239 AND ONE DAY WHERE IT'S BEHIND 2314 01:56:46,239 --> 01:56:48,741 CLOSED DOORS BUT WE HAVE 2315 01:56:48,741 --> 01:56:49,509 DIFFERENT DIRECTORS FROM 2316 01:56:49,509 --> 01:56:50,276 DIFFERENT INSTITUTES REPORTING 2317 01:56:50,276 --> 01:57:00,653 ON WHAT THEY'RE DOING. 2318 01:57:03,923 --> 01:57:06,125 AND LOOKING AT WHAT THEY CAN DO 2319 01:57:06,125 --> 01:57:06,392 TOGETHER. 2320 01:57:06,392 --> 01:57:10,296 THE CONCEPT REVIEW AND CLEARANCE 2321 01:57:10,296 --> 01:57:12,765 FOR REQUEST FOR APPLICATION WAS 2322 01:57:12,765 --> 01:57:18,004 INTERESTING TO ME. 2323 01:57:18,004 --> 01:57:25,378 I THINK ONE OF THE MOST TO ME 2324 01:57:25,378 --> 01:57:30,983 INFLUENTIAL PARTS IS THE VOICE 2325 01:57:30,983 --> 01:57:36,556 OF THE PARTICIPANT. 2326 01:57:36,556 --> 01:57:39,792 I HAVE INCLUDED THAT IN MY OWN 2327 01:57:39,792 --> 01:57:49,469 RESEARCH AND MENTORING. 2328 01:57:49,469 --> 01:57:52,438 WE ASSESSED THE CLINICAL TRIAL 2329 01:57:52,438 --> 01:57:54,240 FOR INTERFACES AND IT WAS CLEAR 2330 01:57:54,240 --> 01:57:56,609 WE NEEDED SOMEBODY WITH 2331 01:57:56,609 --> 01:58:01,514 EXPERIENCE TO BE PART OF THE 2332 01:58:01,514 --> 01:58:05,718 TEAM AND A COLLEAGUE INVITED TO 2333 01:58:05,718 --> 01:58:12,525 BE A CO-AUTHOR AND OFFER HIS 2334 01:58:12,525 --> 01:58:22,768 PERSPECTIVE AND KNEW MANY PEOPLE 2335 01:58:22,768 --> 01:58:26,239 AND INCLUDED THAT EARLY ON AND 2336 01:58:26,239 --> 01:58:36,582 THROUGH THE PROCESS. 2337 01:58:38,017 --> 01:58:41,387 AND TREAT THEM AS A FULL MEMBER 2338 01:58:41,387 --> 01:58:42,522 INCLUDING REIMBURSEMENT AND 2339 01:58:42,522 --> 01:58:45,424 PAYMENT FOR THEIR WORK. 2340 01:58:45,424 --> 01:58:48,928 SO THAT WAS REALLY THAT CAME 2341 01:58:48,928 --> 01:58:52,965 FROM THAT TO BE INCLUSIVE AND 2342 01:58:52,965 --> 01:58:53,466 HAVE THEIR PERSPECTIVE. 2343 01:58:53,466 --> 01:58:56,736 IN MY MENTORING SO WHENEVER I 2344 01:58:56,736 --> 01:59:03,109 CAN I TRY TO BRING THE VOICE OF 2345 01:59:03,109 --> 01:59:05,811 THE PARTICIPANT OR GO TO THEM. 2346 01:59:05,811 --> 01:59:06,846 I BRING MANY STUDENTS FOR 2347 01:59:06,846 --> 01:59:13,819 EXAMPLE TO THE MUSE -- MUSEUM 2348 01:59:13,819 --> 01:59:16,889 AND WE TALK TO THE PARENTS AND 2349 01:59:16,889 --> 01:59:18,891 CONDUCT RESEARCH AT THE SAME 2350 01:59:18,891 --> 01:59:20,726 TIME AS TRAINING STUDENTS AND 2351 01:59:20,726 --> 01:59:21,527 DOING OUTREACH. 2352 01:59:21,527 --> 01:59:25,031 IT'S A GREAT WAY TO INTEGRATE 2353 01:59:25,031 --> 01:59:27,199 ALL THESE THINGS TOGETHER. 2354 01:59:27,199 --> 01:59:31,604 AND I THINK IT'S VERY SUCCESSFUL 2355 01:59:31,604 --> 01:59:32,705 BECAUSE IT'S REALLY IMPORTANT TO 2356 01:59:32,705 --> 01:59:35,341 BE ABLE TO SUSTAIN THESE 2357 01:59:35,341 --> 01:59:38,444 EFFORTS. 2358 01:59:38,444 --> 01:59:42,248 IT HAS ALSO HAD AN INFLUENCE ON 2359 01:59:42,248 --> 01:59:43,716 THE WORKFORCE PROGRAM AT THE 2360 01:59:43,716 --> 01:59:46,152 BRAIN CENTER WE HAVE FROM HIGH 2361 01:59:46,152 --> 01:59:49,422 SCHOOL TO POSTDOC FELLOWS AND 2362 01:59:49,422 --> 01:59:53,960 WE'RE THANKFUL FOR AN R25 WE 2363 01:59:53,960 --> 01:59:55,428 HAVE THE INSTITUTE AND THIS IS 2364 01:59:55,428 --> 01:59:58,230 SOMETHING WE'RE STARTING A NEW 2365 01:59:58,230 --> 02:00:01,601 TRAINING GRANT WITH THE FDA 2366 02:00:01,601 --> 02:00:04,003 BECAUSE THERE'S A LACK OF 2367 02:00:04,003 --> 02:00:08,040 EXPERTISE IN DEVELOPING 2368 02:00:08,040 --> 02:00:14,246 REGULATORY TOOLS TO REVIEW THESE 2369 02:00:14,246 --> 02:00:20,720 MEDICAL ADVISORS. 2370 02:00:20,720 --> 02:00:25,625 WE WANT TO START WITH THEM IN 2371 02:00:25,625 --> 02:00:29,762 HOUSTON AND GO TO MARYLAND TO 2372 02:00:29,762 --> 02:00:35,301 SPENT TIME WITH THE FDA AND THAT 2373 02:00:35,301 --> 02:00:37,703 WILL STRENGTHEN EVERYBODY AND 2374 02:00:37,703 --> 02:00:39,071 ADDRESS ISSUES WE MENTIONED 2375 02:00:39,071 --> 02:00:39,305 BEFORE. 2376 02:00:39,305 --> 02:00:49,815 IN TERMS OF MY MENTORING YOUR 2377 02:00:51,851 --> 02:00:56,956 CAREERS ARE NON-LINEAR. 2378 02:00:56,956 --> 02:00:58,958 I HAD AN OPPORTUNITY IN MY 2379 02:00:58,958 --> 02:01:00,726 SENIOR YEAR IN MEXICO TO SPEND A 2380 02:01:00,726 --> 02:01:04,030 YEAR DOING RESEARCH. 2381 02:01:04,030 --> 02:01:08,367 I THINK THAT WAS ANOTHER ONE. 2382 02:01:08,367 --> 02:01:14,540 I CAN STILL REMEMBER I WAS 2383 02:01:14,540 --> 02:01:20,980 WORKING ON A PROJECT ASSIGNING 2384 02:01:20,980 --> 02:01:23,049 MANY HOURS THERE WORKING ONE MY 2385 02:01:23,049 --> 02:01:25,051 TEAMS AND MY FIRST TIME WORKING 2386 02:01:25,051 --> 02:01:28,554 ON A TEAM IN A REAL WORLD 2387 02:01:28,554 --> 02:01:28,788 PROJECT. 2388 02:01:28,788 --> 02:01:32,024 AND SO I HOPE WE CAN CONTINUE 2389 02:01:32,024 --> 02:01:32,658 PROVIDING THE OPPORTUNITIES TO 2390 02:01:32,658 --> 02:01:38,230 OUR STUDENTS. 2391 02:01:38,230 --> 02:01:39,465 IT'S NEVER TOO EARLY. 2392 02:01:39,465 --> 02:01:41,367 IF YOU GO BACK TO HIGH SCHOOL 2393 02:01:41,367 --> 02:01:46,238 BECAUSE THAT'S A REALLY 2394 02:01:46,238 --> 02:01:50,276 IMPORTANT TIME FOR THEM TO 2395 02:01:50,276 --> 02:01:53,345 ESTABLISH WHERE TO GO AND 2396 02:01:53,345 --> 02:01:57,216 INCREASE THE REVIEW OF THE 2397 02:01:57,216 --> 02:02:02,621 IMPACT ON WHAT THEY'RE DOING IN 2398 02:02:02,621 --> 02:02:10,529 SOCIETY. 2399 02:02:10,529 --> 02:02:12,298 AND WE HAVE TO SPENT MORE TIME 2400 02:02:12,298 --> 02:02:22,842 AND THE WAY I LIKE TO DO IT IS 2401 02:02:23,109 --> 02:02:27,480 LOOK AT THE UNITED NATIONS 2402 02:02:27,480 --> 02:02:28,147 ISSUES. 2403 02:02:28,147 --> 02:02:29,381 THERE'S MANY WAYS TO OPEN 2404 02:02:29,381 --> 02:02:38,324 HORIZONS AND TALK ABOUT THAT. 2405 02:02:38,324 --> 02:02:45,831 THIS IS HOW YOU SEE MY MISSION 2406 02:02:45,831 --> 02:02:48,100 AND TO CONCLUDE WITH TEAM 2407 02:02:48,100 --> 02:02:53,172 SCIENCE WE COME FROM DIFFERENT 2408 02:02:53,172 --> 02:03:03,716 BACKGROUNDS HERE AN FACILITATE 2409 02:03:04,717 --> 02:03:05,184 CROSS TALK. 2410 02:03:05,184 --> 02:03:12,725 I'M PART OF TWO NETWORKS ONE 2411 02:03:12,725 --> 02:03:14,827 FOCUSSED ON MUSIC AND DEMENTIA 2412 02:03:14,827 --> 02:03:20,566 AND DELIVERING THE INTERVENTION. 2413 02:03:20,566 --> 02:03:25,671 AND WE FOCUSSED ON THAT. 2414 02:03:25,671 --> 02:03:31,510 AND NOW I DIDN'T WORK MORE 2415 02:03:31,510 --> 02:03:34,246 RECENTLY ON INTERNATIONAL 2416 02:03:34,246 --> 02:03:41,854 NETWORKS. 2417 02:03:41,854 --> 02:03:45,791 THIS INCLUDES THE EUROPEANS AND 2418 02:03:45,791 --> 02:03:51,564 THE OUTCOME OF THE HUMAN BRAIN 2419 02:03:51,564 --> 02:03:54,633 PROJECT IN EUROPE AND OUR GOAL 2420 02:03:54,633 --> 02:03:55,668 IS TO USE THE INFRASTRUCTURE 2421 02:03:55,668 --> 02:04:01,006 AVAILABLE IN OUR CENTERS IN 2422 02:04:01,006 --> 02:04:03,776 TERMS OF TECHNOLOGY AND 2423 02:04:03,776 --> 02:04:09,515 EXPERTISE AND DATA STRUCTURES 2424 02:04:09,515 --> 02:04:17,923 AND PLATFORMS TO BRING MUSIC AND 2425 02:04:17,923 --> 02:04:26,065 DANCE AS A WAY TO PROMOTE BRAIN 2426 02:04:26,065 --> 02:04:26,365 HEALTH. 2427 02:04:26,365 --> 02:04:32,204 THIS IS UNDER STUDIED AND UNDER 2428 02:04:32,204 --> 02:04:34,240 FUND 2429 02:04:34,240 --> 02:04:40,112 FUNDED AREA AND WHEN YOU ARE 2430 02:04:40,112 --> 02:04:45,718 CREATING SOMETHING AND SO WE 2431 02:04:45,718 --> 02:04:47,052 NEED TECHNOLOGY THAT PEOPLE WANT 2432 02:04:47,052 --> 02:04:52,091 TO USE SO YOU NEED TO PROVIDE 2433 02:04:52,091 --> 02:04:53,759 AND EMPOWER THE PARTICIPANTS TO 2434 02:04:53,759 --> 02:04:58,397 GET THE DATA THEY WANT WHENEVER 2435 02:04:58,397 --> 02:05:01,267 THEY WANT IT AND SO I'M REALLY 2436 02:05:01,267 --> 02:05:05,804 HOPEFUL WE CAN DO MORE 2437 02:05:05,804 --> 02:05:08,507 COLLABORATION WITH OTHER FEDERAL 2438 02:05:08,507 --> 02:05:10,042 AGENCIES AN BRAIN INITIATIVE IS 2439 02:05:10,042 --> 02:05:11,744 AN EXAMPLE BUT AN OPPORTUNITY TO 2440 02:05:11,744 --> 02:05:16,015 WORK NOT ONLY WITH THE NAD BUT 2441 02:05:16,015 --> 02:05:16,949 MSS AND INDUSTRY. 2442 02:05:16,949 --> 02:05:26,492 I THINK WE NEED TO DO MORE. 2443 02:05:26,492 --> 02:05:27,426 THERE'S A LOT OF INVESTMENT WITH 2444 02:05:27,426 --> 02:05:30,095 BRAIN INTERFACES AND ANOTHER 2445 02:05:30,095 --> 02:05:34,767 BILLION DOLLAR MARKET. 2446 02:05:34,767 --> 02:05:35,834 THERE'S MANY CHALLENGES AND 2447 02:05:35,834 --> 02:05:37,770 WE'RE TRYING TO CATCH UP WITH 2448 02:05:37,770 --> 02:05:40,806 SOME OF THOSE CHALLENGES. 2449 02:05:40,806 --> 02:05:41,674 ANYWAY, I APPRECIATE THE TIME 2450 02:05:41,674 --> 02:05:45,744 AND WHOEVER IS GOING TO TAKE MY 2451 02:05:45,744 --> 02:05:48,547 PLACE YOU'RE LUCKY. 2452 02:05:48,547 --> 02:05:54,486 AGAIN, I THINK SOMETHING I DO IS 2453 02:05:54,486 --> 02:05:56,522 I TELL MY COLLEAGUES MAKE SURE 2454 02:05:56,522 --> 02:05:58,457 YOU ATTEND ONE OF THESE OPEN 2455 02:05:58,457 --> 02:05:59,091 MEETINGS. 2456 02:05:59,091 --> 02:06:03,896 THE INSTITUTE HAVE THEM I 2457 02:06:03,896 --> 02:06:11,203 BELIEVE AND LEARN ABOUT WHAT THE 2458 02:06:11,203 --> 02:06:12,071 PRIORITIES ARE AND THINK ABOUT 2459 02:06:12,071 --> 02:06:12,938 THE RESEARCH, THANK YOU. 2460 02:06:12,938 --> 02:06:15,674 >> I WANT TO EXTEND FOR THOSE 2461 02:06:15,674 --> 02:06:20,813 THAT DON'T KNOW THE NICHD 2462 02:06:20,813 --> 02:06:23,449 ADVISORY COUNCIL IS A SECOND 2463 02:06:23,449 --> 02:06:29,355 LEVEL REVIEW AND A MIXTURE OF 2464 02:06:29,355 --> 02:06:33,125 NECESSARY BUSINESS AND OVERVIEW 2465 02:06:33,125 --> 02:06:36,061 OF THE BROADEST OF INSTITUTES 2466 02:06:36,061 --> 02:06:38,230 AND PEPE WAS CHOSEN FOR THE ROLE 2467 02:06:38,230 --> 02:06:40,299 BECAUSE OF HIS BACKGROUND IN 2468 02:06:40,299 --> 02:06:42,668 ENGINEERING AND REHAB AND AS HE 2469 02:06:42,668 --> 02:06:44,136 EXPRESSED THE HUMANITY HE BRINGS 2470 02:06:44,136 --> 02:06:45,671 TO THE ROLE AS WELL. 2471 02:06:45,671 --> 02:06:47,206 HE ALSO MENTIONED THE VOICE OF 2472 02:06:47,206 --> 02:06:48,173 THE PARTICIPANT WHICH IS 2473 02:06:48,173 --> 02:06:50,275 SOMETHING WE HAVE TO GIVE 2474 02:06:50,275 --> 02:06:53,345 DR. BIANCHI CREDIT FOR BECAUSE 2475 02:06:53,345 --> 02:06:57,950 THE ADVISORY COUNCIL CAN USUALLY 2476 02:06:57,950 --> 02:07:01,153 BE A LITTLE BIT MIND NUMBING. 2477 02:07:01,153 --> 02:07:04,056 AND SHE'S ADDED THIS FEATURE OF 2478 02:07:04,056 --> 02:07:05,057 HIGHLIGHTS A PARTICULAR AREA OF 2479 02:07:05,057 --> 02:07:07,092 RESEARCH NOT ONLY HAVING THE 2480 02:07:07,092 --> 02:07:10,863 RESEARCHER THERE BUT ANOTHER, A 2481 02:07:10,863 --> 02:07:13,966 FATHER, A FAMILY OF SOMETHING 2482 02:07:13,966 --> 02:07:15,601 AFFECTED AND BRINGS HOME TO THE 2483 02:07:15,601 --> 02:07:18,037 FACT WHAT WE DO AS RESEARCHERS 2484 02:07:18,037 --> 02:07:19,338 HAS CHANGED PEOPLE'S LIVES. 2485 02:07:19,338 --> 02:07:22,241 WE HAVE TO GIVE HER CREDIT FOR 2486 02:07:22,241 --> 02:07:25,310 THAT TOO. 2487 02:07:25,310 --> 02:07:27,679 PART BEING THE ADVISORY COUNCIL 2488 02:07:27,679 --> 02:07:29,214 IS IT'S STRESSFUL. 2489 02:07:29,214 --> 02:07:30,883 FUNDING IS VERY TIGHT AS YOU 2490 02:07:30,883 --> 02:07:33,685 KNOW IT'S A VERY GETTIVE PROCESS 2491 02:07:33,685 --> 02:07:37,756 AND THERE ARE COMPETING 2492 02:07:37,756 --> 02:07:38,490 INTERESTS AND ALSO SYNERGY. 2493 02:07:38,490 --> 02:07:41,693 I LIKE YOU HIGHLIGHTED THE 2494 02:07:41,693 --> 02:07:43,829 POTENTIAL SYNERGY AMONG THOSE 2495 02:07:43,829 --> 02:07:44,029 TOO. 2496 02:07:44,029 --> 02:07:46,765 IF ANYBODY HAS ADDITIONAL 2497 02:07:46,765 --> 02:07:50,402 QUESTIONS FOR THE NICHD ADVISORY 2498 02:07:50,402 --> 02:07:52,771 COUNCIL EXPERIENCE WHAT PEPE'S 2499 02:07:52,771 --> 02:07:54,206 BEEN THROUGH, LET'S OPEN IT UP 2500 02:07:54,206 --> 02:07:54,706 FOR THAT. 2501 02:07:54,706 --> 02:07:55,207 ANY DISCUSSION. 2502 02:07:55,207 --> 02:07:57,543 >> YOU GET TO REVIEW SOME 2503 02:07:57,543 --> 02:08:03,015 PROPOSALS AND PROVIDE YOUR INPUT 2504 02:08:03,015 --> 02:08:05,117 AND YOU CANNOT VOTE BUT CAN 2505 02:08:05,117 --> 02:08:05,751 PARTICIPATE IN THE DISCUSSION SO 2506 02:08:05,751 --> 02:08:15,961 THAT'S GOOD. 2507 02:08:16,662 --> 02:08:21,500 >> NOW WE'RE COMING TO THE LUNCH 2508 02:08:21,500 --> 02:08:21,700 BREAK. 2509 02:08:21,700 --> 02:08:23,735 WE'LL BE TAKING A BREAK TO 1:00 2510 02:08:23,735 --> 02:08:25,290 P.M. EASTERN STANDARD TIME. 2511 02:08:25,290 --> 02:08:25,657 >> OKAY. 2512 02:08:25,657 --> 02:08:29,160 I THINK WE'LL GET STARTED WITH 2513 02:08:29,160 --> 02:08:31,062 THE AFTERNOON SESSION. 2514 02:08:31,062 --> 02:08:31,863 WELCOME BACK, EVERYONE. 2515 02:08:31,863 --> 02:08:36,167 WE'LL START WITH PRESENTATIONS 2516 02:08:36,167 --> 02:08:41,239 BY DR. MICHEL JOHNSON AN 2517 02:08:41,239 --> 02:08:43,174 ASSOCIATE PROFESSOR AT THE 2518 02:08:43,174 --> 02:08:44,342 UNIVERSITY OF PENNSYLVANIA 2519 02:08:44,342 --> 02:08:48,580 DIRECTING THE REHABILITATION 2520 02:08:48,580 --> 02:08:49,247 ROBOTICS LAB. 2521 02:08:49,247 --> 02:08:57,589 IT'S ALL YOURS. 2522 02:08:57,589 --> 02:08:59,224 >> THANK YOU, VERY MUCH, 2523 02:08:59,224 --> 02:08:59,457 BARBARA. 2524 02:08:59,457 --> 02:09:04,195 TODAY I WANTED TO PRESENT 2525 02:09:04,195 --> 02:09:08,199 AFFORDABLE NEUROREHABILITATION 2526 02:09:08,199 --> 02:09:11,402 WITH FUNCTION AFTER TRAUMATIC 2527 02:09:11,402 --> 02:09:11,736 BRAIN INJURY. 2528 02:09:11,736 --> 02:09:14,539 A FEW HOUSEKEEPING. 2529 02:09:14,539 --> 02:09:16,808 SOME FINANCIAL DISCLOSURE SOME 2530 02:09:16,808 --> 02:09:19,744 THINGS I'LL REFERENCE IS PATENT 2531 02:09:19,744 --> 02:09:23,715 AND HAVE A SPINOFF OUT OF PENN. 2532 02:09:23,715 --> 02:09:26,751 FROM A BIG PICTURE WHAT I'M 2533 02:09:26,751 --> 02:09:29,621 CALLING IN GENERAL NON-TRAUMATIC 2534 02:09:29,621 --> 02:09:33,158 BRAIN INJURY, NON-COMMUNICABLE 2535 02:09:33,158 --> 02:09:34,292 DISEASES SUCH AS HEART DISEASE 2536 02:09:34,292 --> 02:09:39,130 AND STROKE, ESPECIALLY STROKE 2537 02:09:39,130 --> 02:09:42,000 THAT OFTEN RESULT IN BRAIN 2538 02:09:42,000 --> 02:09:45,236 INJURY AS A RESULT OF ISCHEMIC 2539 02:09:45,236 --> 02:09:49,941 OR HEMORRHAGIC INFARCTS. 2540 02:09:49,941 --> 02:09:52,677 SO A HIGH NUMBER OF LOCATED IN 2541 02:09:52,677 --> 02:09:53,945 LOW AND MIDDLE INCOME COUNTRIES. 2542 02:09:53,945 --> 02:09:55,780 I STRESS THAT BECAUSE A PART OF 2543 02:09:55,780 --> 02:09:58,049 MY RESEARCH HAVE BEEN THINKING 2544 02:09:58,049 --> 02:10:00,585 ABOUT LOW RESOURCE SETTINGS 2545 02:10:00,585 --> 02:10:01,886 WITHIN THE COMMUNITY IN HIGH 2546 02:10:01,886 --> 02:10:03,254 INCOME COUNTRIES AND THINKING 2547 02:10:03,254 --> 02:10:07,625 ABOUT IT IN A GLOBAL DEVELOPING 2548 02:10:07,625 --> 02:10:07,825 SPACE. 2549 02:10:07,825 --> 02:10:10,728 ANOTHER GROUP THAT'S OFTEN NOT 2550 02:10:10,728 --> 02:10:13,765 THOUGHT ABOUT BUT NON-TRAUMATIC 2551 02:10:13,765 --> 02:10:18,570 BRAIN INJURY DOES HAPPEN IN HIV. 2552 02:10:18,570 --> 02:10:21,606 THEY CALL IT INE HIV-ASSOCIATED 2553 02:10:21,606 --> 02:10:24,108 NEUROLOGICAL DISORDERS. 2554 02:10:24,108 --> 02:10:28,379 I'VE BEEN WORKING WITH THAT 2555 02:10:28,379 --> 02:10:30,615 GROUP AND CEREBRAL PALSY 2556 02:10:30,615 --> 02:10:32,116 CHILDHOOD OR MEDICAL CONDITIONS 2557 02:10:32,116 --> 02:10:33,251 THAT END UP RESULTING IN BRAIN 2558 02:10:33,251 --> 02:10:43,394 INJURY. 2559 02:11:02,714 --> 02:11:07,085 WE INCREASING FACE CHALLENGES TO 2560 02:11:07,085 --> 02:11:09,921 TREAT FOR AND RESULTING IN A GAP 2561 02:11:09,921 --> 02:11:11,289 IN CARE. 2562 02:11:11,289 --> 02:11:14,993 I'M TRAINED AS AN ENGINEER AND 2563 02:11:14,993 --> 02:11:17,695 SO MY BIAS IS TECHNOLOGY CAN 2564 02:11:17,695 --> 02:11:18,930 HELP BRIDGE THIS GAP. 2565 02:11:18,930 --> 02:11:20,798 THE TYPE OF TECHNOLOGY THAT I'LL 2566 02:11:20,798 --> 02:11:24,602 BE TALKING ABOUT IS THERAPY AND 2567 02:11:24,602 --> 02:11:25,236 ASSISTIVE ROBOTICS AND MEGA 2568 02:11:25,236 --> 02:11:25,837 TONIC SYSTEMS. 2569 02:11:25,837 --> 02:11:29,240 WHEN I THINK OF THERAPY ROBOTS 2570 02:11:29,240 --> 02:11:32,510 I'LL BE REFERRING TO SYSTEMS 2571 02:11:32,510 --> 02:11:34,679 THAT ARE FOCUSSED ON HELPING 2572 02:11:34,679 --> 02:11:36,648 WITH REMEDIATION BUT HAVE 2573 02:11:36,648 --> 02:11:43,321 ASSESSMENT CAPABILITIES FOR 2574 02:11:43,321 --> 02:11:45,556 IMPAIRMENT AND DESIGN TO DELIVER 2575 02:11:45,556 --> 02:11:48,126 AUTONOMOUS OR SEMI AUTONOMOUS 2576 02:11:48,126 --> 02:11:48,626 THERAPY. 2577 02:11:48,626 --> 02:11:50,595 AND THOSE I'M TALKING ABOUT ARE 2578 02:11:50,595 --> 02:11:53,097 THE ONES I'LL FOCUS ON STROKE, 2579 02:11:53,097 --> 02:11:57,001 HIV AND CEREBRAL PALSY. 2580 02:11:57,001 --> 02:11:59,203 I'LL MENTION ASSISTIVE ROBOT 2581 02:11:59,203 --> 02:11:59,437 SYSTEMS. 2582 02:11:59,437 --> 02:12:00,238 WHEN I TALK ABOUT THOSE SYSTEMS 2583 02:12:00,238 --> 02:12:02,974 WE'RE TALKING ABOUT SYSTEMS THAT 2584 02:12:02,974 --> 02:12:06,110 ARE OFTEN NOT ALWAYS IN DIRECT 2585 02:12:06,110 --> 02:12:08,680 CONTACT WITH THE PATIENT. 2586 02:12:08,680 --> 02:12:10,515 THESE MIGHT BE MEGA TRONIC 2587 02:12:10,515 --> 02:12:11,716 SYSTEMS, SOCIAL ROBOTS IN THE 2588 02:12:11,716 --> 02:12:13,084 FORM OF TOYS, ETCETERA. 2589 02:12:13,084 --> 02:12:16,254 THESE ARE TWO EXAMPLES HERE THAT 2590 02:12:16,254 --> 02:12:22,894 MAY BE OBSERVING, MONITORING, 2591 02:12:22,894 --> 02:12:33,571 DEMONSTRATING OR TRYING TO HE 2592 02:12:35,807 --> 02:12:36,641 WILL -- ELICIT BEHAVIOR. 2593 02:12:36,641 --> 02:12:39,444 PEOPLE SAY ARE YOUR ROBOTS 2594 02:12:39,444 --> 02:12:40,411 TRYING TO TAKE MY JOB. 2595 02:12:40,411 --> 02:12:41,279 THE ANSWER IS NO. 2596 02:12:41,279 --> 02:12:44,449 I'M NOT TRYING TO TAKE YOUR JOB. 2597 02:12:44,449 --> 02:12:45,683 MY PHILOSOPHY IS OUR SYSTEMS ARE 2598 02:12:45,683 --> 02:12:47,352 MEGA TRONIC AND TECHNOLOGY 2599 02:12:47,352 --> 02:12:49,787 SYSTEMS SHOULD COME ALONG SIDE 2600 02:12:49,787 --> 02:12:51,289 THE CLINICIAN AND BE A PART OF 2601 02:12:51,289 --> 02:12:52,557 THE THERAPEUTIC PROCESS. 2602 02:12:52,557 --> 02:12:55,159 AS CLINICIANS MIGHT DEMONSTRATE 2603 02:12:55,159 --> 02:12:57,662 FOR A PATIENT TO DO SOMETHING, 2604 02:12:57,662 --> 02:12:59,731 MAYBE THE ROBOT IS A 2605 02:12:59,731 --> 02:13:01,265 CO-DEMONSTRATOR OR CO-COLLECTOR 2606 02:13:01,265 --> 02:13:04,135 OF INFORMATION OR CO-OBSERVER, 2607 02:13:04,135 --> 02:13:04,402 CO-HELPER. 2608 02:13:04,402 --> 02:13:12,643 THAT I ALWAYS PUT OUT THERE IS 2609 02:13:12,643 --> 02:13:18,149 MY DREAM IN ASSISTIVE 2610 02:13:18,149 --> 02:13:18,950 TECHNOLOGIES AND THE EXERCISE 2611 02:13:18,950 --> 02:13:21,953 ROBOT IS ONE OF THE FIRST 2612 02:13:21,953 --> 02:13:24,622 SYSTEMS I PUT TOGETHER TO 2613 02:13:24,622 --> 02:13:27,225 SUPPORT UPPER EXTREMITY WITH 2614 02:13:27,225 --> 02:13:28,292 STROKE SURVIVORS. 2615 02:13:28,292 --> 02:13:31,028 THE ROBOT WAS ATTACHED TO THE 2616 02:13:31,028 --> 02:13:35,566 IMPAIRED ARM AND PROGRAMMED IT 2617 02:13:35,566 --> 02:13:37,935 TO DO A VARIETY OF MOVEMENTS FOR 2618 02:13:37,935 --> 02:13:38,536 DAILY LIVING. 2619 02:13:38,536 --> 02:13:41,973 AND THERE'S THE BAXTER A 2620 02:13:41,973 --> 02:13:43,541 HUMANOID ROBOT DESIGN TO WORK 2621 02:13:43,541 --> 02:13:45,143 CLOSELY WITH PEOPLE. 2622 02:13:45,143 --> 02:13:50,214 WE'VE DESIGN GAMES AROUND BA 2623 02:13:50,214 --> 02:13:52,950 BAXTER, INTERACTIVE SYSTEMS TO 2624 02:13:52,950 --> 02:13:55,686 LOOK AT USING THIS SYSTEM FOR 2625 02:13:55,686 --> 02:13:57,054 ELDERLY EXERCISE WITH PEOPLE 2626 02:13:57,054 --> 02:13:59,157 WITH AND WITHOUT STROKE. 2627 02:13:59,157 --> 02:14:00,625 WE'VE ALSO THOUGHT ABOUT USING 2628 02:14:00,625 --> 02:14:02,527 IT TO KIND OF TRANSITION BETWEEN 2629 02:14:02,527 --> 02:14:03,761 OBSERVING AND HELPING ROLES. 2630 02:14:03,761 --> 02:14:09,834 WE LHAD A PILOT STUDY LOOKING A 2631 02:14:09,834 --> 02:14:10,601 MONITORING WEARABLE TECHNOLOGY, 2632 02:14:10,601 --> 02:14:16,507 WHAT THE ARM IS DOING AND THEN 2633 02:14:16,507 --> 02:14:18,609 DECIDE HOW AND WHEN TO 2634 02:14:18,609 --> 02:14:24,415 INTERVENE. 2635 02:14:24,415 --> 02:14:25,016 REHABILITATION ROBOTICS HAVE 2636 02:14:25,016 --> 02:14:25,983 BEEN AROUND FOR A WHILE. 2637 02:14:25,983 --> 02:14:28,219 AS A Ph.D. STUDENT I WENT TO THE 2638 02:14:28,219 --> 02:14:30,054 SECOND ICOR CONFERENCE AND THE 2639 02:14:30,054 --> 02:14:32,790 SECOND AT THE UNIVERSITY OF 2640 02:14:32,790 --> 02:14:34,659 DELAWARE AND THAT WAS -- AT THE 2641 02:14:34,659 --> 02:14:41,232 TIME THERE MAY HAVE BEEN ONLY 2642 02:14:41,232 --> 02:14:45,236 TWO LABS ACTIVELY WORK ON 2643 02:14:45,236 --> 02:14:45,770 REHABILITATION WORKSHOPS. 2644 02:14:45,770 --> 02:14:46,938 SINCE THAT TIME THERE'S BEEN 2645 02:14:46,938 --> 02:14:49,240 TONS OF REVIEW AND LITERATURE 2646 02:14:49,240 --> 02:14:52,910 THAT SHOW AN INCREASED INTEREST 2647 02:14:52,910 --> 02:14:58,416 IN THIS AREA AND EVIDENCE THERE 2648 02:14:58,416 --> 02:15:00,117 MAY BE UTILITY HERE AND SOME OF 2649 02:15:00,117 --> 02:15:02,753 THE PROS HAVE BEEN ESTABLISHED. 2650 02:15:02,753 --> 02:15:05,957 IT CAN ENABLE SEMI AUTONOMOUS 2651 02:15:05,957 --> 02:15:07,158 TRAINING AND PROVIDES CONSISTENT 2652 02:15:07,158 --> 02:15:09,227 REPEATABLE AND INTENSIVE 2653 02:15:09,227 --> 02:15:11,996 TRAINING THAT'S A GOOD THING AND 2654 02:15:11,996 --> 02:15:14,065 A PLUS IS IT APPLIES OBJECTIVE 2655 02:15:14,065 --> 02:15:15,867 MEASURES OF RECOVERY. 2656 02:15:15,867 --> 02:15:18,636 THERE'S PROS AND CONS IN TERMS 2657 02:15:18,636 --> 02:15:23,674 OF HOW WELL DO WE SEE TRANSFER 2658 02:15:23,674 --> 02:15:25,243 TO REACTIVITIES OF DAILY LIVING 2659 02:15:25,243 --> 02:15:26,911 AND THOSE ARE SOME ISSUES I'VE 2660 02:15:26,911 --> 02:15:28,279 ALSO BEEN WORKING ON. 2661 02:15:28,279 --> 02:15:29,547 ONE OF THE THINGS WE WANTED TO 2662 02:15:29,547 --> 02:15:31,048 DO AND I'M BIASSED BECAUSE I WAS 2663 02:15:31,048 --> 02:15:35,987 BORN IN JAMAICA AND EVERY TIME I 2664 02:15:35,987 --> 02:15:36,721 THINK OF BEING IN THE UNITED 2665 02:15:36,721 --> 02:15:39,156 STATES AND TAKING ADVANTAGE OF 2666 02:15:39,156 --> 02:15:40,658 THE GREAT REHABILITATION 2667 02:15:40,658 --> 02:15:42,126 STRUCTURE HERE I ALWAYS THINK 2668 02:15:42,126 --> 02:15:46,731 BACK TO MY RELATIVES IN JAMAICA 2669 02:15:46,731 --> 02:15:50,501 AND THINK THEY DON'T HAVE ACCESS 2670 02:15:50,501 --> 02:15:54,639 AND DRIVES MY INTEREST ABOUT 2671 02:15:54,639 --> 02:15:56,407 ROBOTS IN NOT JUST HIGH INCOME 2672 02:15:56,407 --> 02:15:58,276 PLACES BUT LOW AND MIDDLE INCOME 2673 02:15:58,276 --> 02:15:59,810 AND COMMUNITY AND RURAL SETTINGS 2674 02:15:59,810 --> 02:16:04,415 LOW RESOURCE SETTINGS WITHIN THE 2675 02:16:04,415 --> 02:16:08,619 HIGH-INCOME COUNTRIES. 2676 02:16:08,619 --> 02:16:12,123 MYSELF AND AN OCCUPATIONAL 2677 02:16:12,123 --> 02:16:12,790 COLLEGIATE COLUMBIA UNIVERSITY 2678 02:16:12,790 --> 02:16:14,191 WE DID A QUICK LOOK AROUND THE 2679 02:16:14,191 --> 02:16:15,793 WORLD TRYING TO UNDERSTAND THE 2680 02:16:15,793 --> 02:16:18,195 IMPACT OF REHABILITATION 2681 02:16:18,195 --> 02:16:18,462 ROBOTICS. 2682 02:16:18,462 --> 02:16:19,964 ONE OF THE QUICK THINGS WE DID 2683 02:16:19,964 --> 02:16:22,867 WAS LOOK AT COMPANIES THAT HAVE 2684 02:16:22,867 --> 02:16:24,702 BEEN SPAWNED OUT OF 2685 02:16:24,702 --> 02:16:29,540 UNIVERSITIES, ETCETERA AND WHERE 2686 02:16:29,540 --> 02:16:40,017 THAT ACTIVITY WAS OCCURRING 2687 02:16:40,985 --> 02:16:42,486 THESE ARE SOME SO IF I'M MISSING 2688 02:16:42,486 --> 02:16:48,559 SOME DON'T COME AT ME BUT 23% IN 2689 02:16:48,559 --> 02:16:52,863 THE NORTH AMERICA AND 24% IN 2690 02:16:52,863 --> 02:16:57,902 ASIA AND 24% IN EUROPE AND 34% 2691 02:16:57,902 --> 02:17:02,006 OR 35% IN JAPANESE AND FEW IN 2692 02:17:02,006 --> 02:17:03,608 THE AFRICAN AND SOUTH AMERICA 2693 02:17:03,608 --> 02:17:03,841 AREA. 2694 02:17:03,841 --> 02:17:07,478 SO IE, THE CONCLUSION IS THAT 2695 02:17:07,478 --> 02:17:10,047 WHILE THIS REHABILITATION 2696 02:17:10,047 --> 02:17:12,483 ROBOTICS AND ASSISTIVE 2697 02:17:12,483 --> 02:17:13,484 TECHNOLOGY IS RAPIDLY GROWING 2698 02:17:13,484 --> 02:17:15,786 LIKE A BILLION DOLLAR BUSINESS 2699 02:17:15,786 --> 02:17:17,221 THE IMPACT AND REACH OF THE 2700 02:17:17,221 --> 02:17:19,991 SYSTEMS ARE NOT INTO 2701 02:17:19,991 --> 02:17:20,658 LOW-RESOURCE SETTING. 2702 02:17:20,658 --> 02:17:22,827 AND WITHIN THE HIGH-INCOME 2703 02:17:22,827 --> 02:17:24,028 COUNTRIES YOU RARELY GO TO A 2704 02:17:24,028 --> 02:17:25,997 RURAL SPACE AND SEE A 2705 02:17:25,997 --> 02:17:26,464 REHABILITATION ROBOT. 2706 02:17:26,464 --> 02:17:27,898 YOU DON'T SEE THE PENETRATION WE 2707 02:17:27,898 --> 02:17:29,667 WOULD HOPE TO SEE FOR A SYSTEM 2708 02:17:29,667 --> 02:17:36,474 THAT THE EVIDENCE IS BUILDING UP 2709 02:17:36,474 --> 02:17:37,575 THAT THERE IS SOMETHING GOOD 2710 02:17:37,575 --> 02:17:37,775 THERE. 2711 02:17:37,775 --> 02:17:39,410 SOME OF THE PROBLEMS WITH THE 2712 02:17:39,410 --> 02:17:41,912 CURRENT SYSTEMS IS THEY'RE 2713 02:17:41,912 --> 02:17:42,813 MECHANICALLY COMPLEX HUGE SIZES 2714 02:17:42,813 --> 02:17:45,516 AND MASSIVE HIGH COST. 2715 02:17:45,516 --> 02:17:48,285 THE CHALLENGE IF YOU'RE TRYING 2716 02:17:48,285 --> 02:17:50,021 TO IMPACT LOW RESOURCE SETTINGS 2717 02:17:50,021 --> 02:17:53,557 IS THEY OFTEN ARE DEALING WITH 2718 02:17:53,557 --> 02:17:54,892 LACK OF SPACE, LACK OF 2719 02:17:54,892 --> 02:17:57,762 PHYSICIANS AND LACK OF MONEY. 2720 02:17:57,762 --> 02:18:01,565 SO THE THINGS THAT BASICALLY 2721 02:18:01,565 --> 02:18:06,704 PROHIBIT THE EASE OF USE. 2722 02:18:06,704 --> 02:18:11,042 I HAD A COLLEAGUE TO WRITE A 2723 02:18:11,042 --> 02:18:11,976 SYSTEMATIC REVIEW AND TALKED 2724 02:18:11,976 --> 02:18:13,244 ABOUT RECOGNIZING THE POTENTIAL 2725 02:18:13,244 --> 02:18:15,846 UTILITY OF THE ROBOTS AND 2726 02:18:15,846 --> 02:18:17,214 REHABILITATION SYSTEMS AND THE 2727 02:18:17,214 --> 02:18:21,652 TECHNOLOGY SYSTEMS. 2728 02:18:21,652 --> 02:18:25,289 THAT THEY ARE CAN SUPPORT BE THE 2729 02:18:25,289 --> 02:18:26,691 MAPPING THAT ALLOW A CLINICIAN 2730 02:18:26,691 --> 02:18:33,230 TO REACH MULTIPLE AND MANY 2731 02:18:33,230 --> 02:18:34,999 PEOPLE BUT NOT AFFORDABLE FOR 2732 02:18:34,999 --> 02:18:36,267 THE SETTINGS HE WAS THINKING 2733 02:18:36,267 --> 02:18:37,868 ABOUT WHICH ECHOS WHAT I'VE SEEN 2734 02:18:37,868 --> 02:18:40,271 AND WHAT WE'VE STUDIED. 2735 02:18:40,271 --> 02:18:45,376 SO THIS CONCEPT OF AFFORDABLE 2736 02:18:45,376 --> 02:18:47,912 NEURAL REHABILITATION AND 2737 02:18:47,912 --> 02:18:50,548 AFFORDABLE ROBOTICS 2738 02:18:50,548 --> 02:18:51,215 REHABILITATION OR TECHNOLOGY IS 2739 02:18:51,215 --> 02:19:01,425 VERY TO ME. 2740 02:19:02,727 --> 02:19:06,197 THERE'S COLLEAGUES TRYING TO LOW 2741 02:19:06,197 --> 02:19:07,465 THE TECHNOLOGIES AND THERAPEUTIC 2742 02:19:07,465 --> 02:19:12,069 SYSTEMS GETTING AT THE COST 2743 02:19:12,069 --> 02:19:14,371 LEVEL THAT MAKE THEM MORE 2744 02:19:14,371 --> 02:19:17,208 PRACTICAL TO REACH HOME AND 2745 02:19:17,208 --> 02:19:27,017 COMMUNITY BASED ENVIRONMENTS. 2746 02:19:27,017 --> 02:19:29,587 WING OUT THE OF POTENTIAL WAYS 2747 02:19:29,587 --> 02:19:34,792 TO GET TO AFFORDABLE TECHNOLOGY 2748 02:19:34,792 --> 02:19:41,365 REHAB. 2749 02:19:41,365 --> 02:19:44,535 USING LOW-COST UNITS, SIMPLE 2750 02:19:44,535 --> 02:19:46,737 ROBOTIC UNITS BUT STRINGING THEM 2751 02:19:46,737 --> 02:19:50,574 TOGETHER IN CREATIVE WAYS AND 2752 02:19:50,574 --> 02:19:53,377 CIRCUIT TRAINING WAYS AND 2753 02:19:53,377 --> 02:19:55,613 RECONFIGUREABLE WAYS USING 2754 02:19:55,613 --> 02:19:57,214 CHEAPER MATERIALS, 3-D PRINTING 2755 02:19:57,214 --> 02:20:07,591 AND ROBOTS, ETCETERA. 2756 02:20:08,826 --> 02:20:12,630 AND USING CHEAPER MATERIALS, TO 2757 02:20:12,630 --> 02:20:18,536 DEVELOP A SOCIAL ROBOT AND PUT 2758 02:20:18,536 --> 02:20:20,571 IT ON THE WEB AND ALLOW OTHER 2759 02:20:20,571 --> 02:20:21,872 UNIVERSITIES TO PICK IT UP AND 2760 02:20:21,872 --> 02:20:23,040 DEVELOP A NETWORK OF TRAINING. 2761 02:20:23,040 --> 02:20:33,217 I THOUGHT THAT WAS A GOOD IDEA 2762 02:20:33,217 --> 02:20:38,055 I'LL TALK THROUGH CASE STUDIES 2763 02:20:38,055 --> 02:20:41,292 WE'VE DONE IN OUR LAB I'LL FOCUS 2764 02:20:41,292 --> 02:20:47,398 ON WORK WITH STROKE AND HIT HIV 2765 02:20:47,398 --> 02:20:53,571 STROKE AND CT. 2766 02:20:53,571 --> 02:20:54,839 THERE'S 3,000 STROKES PER YEAR 2767 02:20:54,839 --> 02:21:05,382 IN THE U.S. AND MORE WORLDWIDE. 2768 02:21:13,357 --> 02:21:16,727 AND 85% ARE NOT INDEPENDENT IN 2769 02:21:16,727 --> 02:21:17,494 THEIR HOME ENVIRONMENT AND 2770 02:21:17,494 --> 02:21:20,297 THERE'S IMPARENTS THAT PERSIST, 2771 02:21:20,297 --> 02:21:25,236 COGNITIVE IMPAIRMENTS, 41% TO 2772 02:21:25,236 --> 02:21:25,436 61%. 2773 02:21:25,436 --> 02:21:27,271 MOTOR DYSFUNCTION AND 2774 02:21:27,271 --> 02:21:28,439 PLASTICITY, PAIN, PSYCHOSOCIAL 2775 02:21:28,439 --> 02:21:29,707 ISSUES, PAIN, ETCETERA. 2776 02:21:29,707 --> 02:21:33,010 AND ACTIVITIES OF DAILY LIVING. 2777 02:21:33,010 --> 02:21:36,847 I WOULD SAY OUR ROBOTS FALL DOWN 2778 02:21:36,847 --> 02:21:40,584 THEY FALL DOWN IN TRANSFER OF 2779 02:21:40,584 --> 02:21:46,390 ANY GAINS THE ACTIVITIES OF 2780 02:21:46,390 --> 02:21:57,001 DAILY LIVING SPACES AND THE 2781 02:21:58,135 --> 02:21:58,802 FOLKS WITH COMPLEX SITUATIONS 2782 02:21:58,802 --> 02:22:01,238 AND TRY TO LOOK AT THE UTILITY 2783 02:22:01,238 --> 02:22:03,941 IN THE MOTOR DYSFUNCTION. 2784 02:22:03,941 --> 02:22:05,576 MY ARGUMENT THIS IS POSSIBLY THE 2785 02:22:05,576 --> 02:22:09,079 REASON WE'RE NOT SEEING ENOUGH 2786 02:22:09,079 --> 02:22:09,346 TRANSFER. 2787 02:22:09,346 --> 02:22:10,681 STROKE SURVIVORS ARE IN THE 2788 02:22:10,681 --> 02:22:13,217 CLINIC AND JUST FOCUSSED ON 2789 02:22:13,217 --> 02:22:15,719 MOTOR YOUR CONTROLLING THE 2790 02:22:15,719 --> 02:22:16,921 COGNITIVE ENVIRONMENT. 2791 02:22:16,921 --> 02:22:20,591 WHEN YOU TAKE THEM HOME THEY NOW 2792 02:22:20,591 --> 02:22:21,659 HAVE TO DO THIS WHILE THEIR 2793 02:22:21,659 --> 02:22:23,560 LOVED ONE'S TALKING TO THEM. 2794 02:22:23,560 --> 02:22:24,995 HAVE YOU TRIED EATING WHILE 2795 02:22:24,995 --> 02:22:26,230 TALKING OR DRIVING WHILE TALKING 2796 02:22:26,230 --> 02:22:30,768 I HAVE DIFFICULTY. 2797 02:22:30,768 --> 02:22:37,207 THE INCREASED DEMAND AND 2798 02:22:37,207 --> 02:22:37,875 STARTING TO CONSIDER MOTOR AND 2799 02:22:37,875 --> 02:22:42,346 COGNITIVE ISSUES TOGETHER. 2800 02:22:42,346 --> 02:22:44,648 WHEN I FIRST STARTED I'LL START 2801 02:22:44,648 --> 02:22:46,517 WITH THE IDEA OF AFFORDABILITY. 2802 02:22:46,517 --> 02:22:48,719 I STARTED WORKING WITH 2803 02:22:48,719 --> 02:22:52,489 COLLEAGUES IN MEXICO IN 2804 02:22:52,489 --> 02:22:55,993 CHIHUAHUA AND ITESM. 2805 02:22:55,993 --> 02:22:58,629 THERE WAS A CAMPUS THERE AND MY 2806 02:22:58,629 --> 02:22:59,663 COLLEAGUE LAD CONTACTS ESSENTIAL 2807 02:22:59,663 --> 02:23:00,898 FOR REHABILITATION THERE IN 2808 02:23:00,898 --> 02:23:09,373 CHIHUAHUA. 2809 02:23:09,373 --> 02:23:11,742 AND THIS LAND IN THE 2015, 2016 2810 02:23:11,742 --> 02:23:12,743 TIME LINE. 2811 02:23:12,743 --> 02:23:14,812 WE STARTED LET'S GOING CHEAP AND 2812 02:23:14,812 --> 02:23:18,282 SAID OKAY, FORCE FEED THE WHEELS 2813 02:23:18,282 --> 02:23:22,720 COMING OUT AND LOTS OF GAMING. 2814 02:23:22,720 --> 02:23:30,194 I AT MY LAB IB MRARQUETTE LOOKE 2815 02:23:30,194 --> 02:23:31,729 AT THE LOW COST SYSTEMS AND 2816 02:23:31,729 --> 02:23:33,130 WHETHER THEY ARE HAD UTILITY. 2817 02:23:33,130 --> 02:23:36,166 WE PUT TOGETHER THE FIRST DRIVE 2818 02:23:36,166 --> 02:23:38,302 OF THE DRIVE SYSTEM ALONG WITH A 2819 02:23:38,302 --> 02:23:45,709 GRANT FROM MEXICO AND IT WAS A 2820 02:23:45,709 --> 02:23:48,012 $30,000 GRANT WHICH DOESN'T SEEM 2821 02:23:48,012 --> 02:23:49,947 LIKE A LOT BUT WAS A LOT FOR 2822 02:23:49,947 --> 02:23:51,648 MEXICO AND SAID CAN WE PUT IN A 2823 02:23:51,648 --> 02:23:53,917 SUITE OF ROBOTIC GYM THAT DOES 2824 02:23:53,917 --> 02:23:54,918 CIRCUIT TRAINING THAT WOULD 2825 02:23:54,918 --> 02:23:57,087 ALLOW STROKE SURVIVORS TO GO 2826 02:23:57,087 --> 02:23:58,822 FROM PLACE TO PLACE TO PLACE AND 2827 02:23:58,822 --> 02:24:02,026 IT WOULD TREAT THEIR ENTIRE 2828 02:24:02,026 --> 02:24:07,231 WHOLE BODY. 2829 02:24:07,231 --> 02:24:09,233 SO WE RAN AND PUBLISHED A STUDY 2830 02:24:09,233 --> 02:24:12,069 LOOKING AT 20 STROKE SURVIVORS 2831 02:24:12,069 --> 02:24:13,337 RANDOMIZED TO CONTROL GROUP WAS 2832 02:24:13,337 --> 02:24:14,805 THEM ONE-ON-ONE IN THE STANDARD 2833 02:24:14,805 --> 02:24:17,141 OF CARE THAT WAS IN MEXICO AND 2834 02:24:17,141 --> 02:24:23,213 THEN THOSE THAT WENT TO THE 2835 02:24:23,213 --> 02:24:24,815 ROBOTIC GROUP. 2836 02:24:24,815 --> 02:24:27,284 WE DIDN'T LOOK AT COGNITIVE 2837 02:24:27,284 --> 02:24:28,952 IMPAIRMENT JUST LOOKED AT MOTOR 2838 02:24:28,952 --> 02:24:30,087 AS STANDARD OF WHAT EVERYONE 2839 02:24:30,087 --> 02:24:30,721 ELSE WAS DOING. 2840 02:24:30,721 --> 02:24:31,822 WE HAD GOOD OUTCOMES. 2841 02:24:31,822 --> 02:24:35,659 THE ROBOTIC GROUP WAS ABLE TO 2842 02:24:35,659 --> 02:24:37,227 RESULT IN FUNCTIONAL IMPROV 2843 02:24:37,227 --> 02:24:38,729 IMPROVEMIMPROVE 2844 02:24:38,729 --> 02:24:41,265 IMPROVEMENTS JUST AS THE CONTROL 2845 02:24:41,265 --> 02:24:42,833 GROUP AND THE STROKE SURVIVORS 2846 02:24:42,833 --> 02:24:44,968 DID NOT FEEL LIKE THEY WERE 2847 02:24:44,968 --> 02:24:47,204 MISSING OUT ON HUMAN INTERACTION 2848 02:24:47,204 --> 02:24:50,040 BECAUSE IN THE ROBOTIC GROUP WE 2849 02:24:50,040 --> 02:24:55,712 HAD ONE THERAPIST OVERSEEING SIX 2850 02:24:55,712 --> 02:24:58,615 STATIONS WITH A TECHNOLOGIST 2851 02:24:58,615 --> 02:25:01,618 IT'S NOT THEY WEREN'T GETTING 2852 02:25:01,618 --> 02:25:02,619 HUMAN SUPPORT. 2853 02:25:02,619 --> 02:25:04,922 WE DID A COST MINIMIZATION 2854 02:25:04,922 --> 02:25:05,189 ANALYSIS. 2855 02:25:05,189 --> 02:25:07,024 THIS REVIEW WAS DONE BY A 2856 02:25:07,024 --> 02:25:16,200 COLLEAGUE AND INCLUDED OUR STUDY 2857 02:25:16,200 --> 02:25:19,503 AND IN THE CONTROL GROUP THE 2858 02:25:19,503 --> 02:25:21,105 COST PER PATIENT WAS ABOUT 2859 02:25:21,105 --> 02:25:22,639 $20,000 TO TREAT THE PERSON 2860 02:25:22,639 --> 02:25:24,141 BECAUSE OF THE ROBOTIC GROUP AND 2861 02:25:24,141 --> 02:25:26,110 THE FACT ONE THERAPIST WAS 2862 02:25:26,110 --> 02:25:28,178 OVERSEEING SIX PATIENTS WE WERE 2863 02:25:28,178 --> 02:25:30,347 ABLE TO GET THE COST TO $7. 2864 02:25:30,347 --> 02:25:34,918 THE SUGGESTION IS IT COULD BE A 2865 02:25:34,918 --> 02:25:37,788 COST EFFECTIVE WAY OF BEING ABLE 2866 02:25:37,788 --> 02:25:42,793 TO THEN THE ONE THERAPIST MEET 2867 02:25:42,793 --> 02:25:44,461 THE THERAPIST AND THE DEMAND IN 2868 02:25:44,461 --> 02:25:44,828 THE ENVIRONMENT. 2869 02:25:44,828 --> 02:25:49,900 ONE OF THE THINGS WE LEARNED IS 2870 02:25:49,900 --> 02:25:52,169 HAPTIC WHEELS WERE NICE BUT NOT 2871 02:25:52,169 --> 02:25:59,810 REALLY EFFECTIVE FOR STROKE 2872 02:25:59,810 --> 02:26:00,077 SURVIVORS. 2873 02:26:00,077 --> 02:26:02,346 WE THOUGHT HOW TO DEVELOP A 2874 02:26:02,346 --> 02:26:04,348 SIMPLER ROBOTIC SYSTEM, ONE 2875 02:26:04,348 --> 02:26:10,621 DEGREE OF FREEDOM BECAUSE THE 2876 02:26:10,621 --> 02:26:12,789 COST INCREASES WITH ACTUATOR IN 2877 02:26:12,789 --> 02:26:15,092 THE MOTOR AND WANTED TO SIMPLIFY 2878 02:26:15,092 --> 02:26:17,694 ONE ACTUATOR AND CREATE A SAFE 2879 02:26:17,694 --> 02:26:17,928 SYSTEM. 2880 02:26:17,928 --> 02:26:24,501 WE CREATED THIS HAPTIC THERA 2881 02:26:24,501 --> 02:26:27,404 DRIVE THAT IF SOMEONE WITH 2882 02:26:27,404 --> 02:26:28,572 SEVERE IMPAIRMENT RELAXED AND 2883 02:26:28,572 --> 02:26:31,742 DIDN'T MOVE WITH HELP THE SYSTEM 2884 02:26:31,742 --> 02:26:34,745 COULD ROTATOR SUPPORT THE 2885 02:26:34,745 --> 02:26:40,884 MOVEMENT OF THEIR RARM 2886 02:26:40,884 --> 02:26:42,819 DETERMINE WITH ASSISTIVE 2887 02:26:42,819 --> 02:26:44,421 FEEDBACK SIMILAR TO MORE COMPLEX 2888 02:26:44,421 --> 02:26:46,690 SYSTEMS. 2889 02:26:46,690 --> 02:26:49,459 WE WANTED THAT CONFIGURABILITY 2890 02:26:49,459 --> 02:26:50,827 IDEA SO IT COULD NOT JUST BE 2891 02:26:50,827 --> 02:26:53,263 FOCUSSED ON MOVING THE UPPER 2892 02:26:53,263 --> 02:26:56,600 SHOULDER OR THE ELBOW BUT THAT 2893 02:26:56,600 --> 02:27:02,306 YOU COULD ALSO LOOK AT IN THE 2894 02:27:02,306 --> 02:27:02,973 PLAIN TYPE MOVEMENT AND WORKED 2895 02:27:02,973 --> 02:27:05,042 ON CONNECTING IT BACK TO THE 2896 02:27:05,042 --> 02:27:05,242 GAME. 2897 02:27:05,242 --> 02:27:06,877 WE THOUGHT ABOUT JUST LIKE THE 2898 02:27:06,877 --> 02:27:09,213 CIRCUIT TRAINING IDEA COULD WE 2899 02:27:09,213 --> 02:27:11,248 MAKE A SYSTEM THAT WAS 2900 02:27:11,248 --> 02:27:16,086 AFFORDABLE THAT WOULD LEVERAGE 2901 02:27:16,086 --> 02:27:21,258 OF THESE TYPES AND TARGET THE 2902 02:27:21,258 --> 02:27:22,993 PATENT ABOUT HOW CAN WE 2903 02:27:22,993 --> 02:27:24,094 INTERCONNECT THE SYSTEMS AND 2904 02:27:24,094 --> 02:27:25,762 CREATE A STRUCTURE SIMILAR TO 2905 02:27:25,762 --> 02:27:27,231 WHAT WE DID IN MEXICO. 2906 02:27:27,231 --> 02:27:30,067 AND THAT KIND OF WAS THE BIRTH 2907 02:27:30,067 --> 02:27:33,237 OF THE REHAB CURES GYM. 2908 02:27:33,237 --> 02:27:35,372 I MADE THE POINT THAT WE STARTED 2909 02:27:35,372 --> 02:27:37,207 OUT WHERE EVERYONE ELSE WITH 2910 02:27:37,207 --> 02:27:47,117 LOOKING AT MOTOR FUNCTION IGNORE 2911 02:27:47,117 --> 02:27:50,387 COGNITIVE IMPAIRMENT AND WHEN WE 2912 02:27:50,387 --> 02:27:56,994 MADE THE HAPTIC THERADRIVE AND 2913 02:27:56,994 --> 02:28:00,864 SAID NOW LET'S FOCUS ON 2914 02:28:00,864 --> 02:28:11,375 COGNITIVE IMPAIRMENT AS WELL. 2915 02:28:11,842 --> 02:28:13,543 AND THIS LED TO A PUBLICATION 2916 02:28:13,543 --> 02:28:15,212 WHERE WE REPORTED ON HOW WHEN 2917 02:28:15,212 --> 02:28:17,214 YOU THINK ABOUT COGNITIVE 2918 02:28:17,214 --> 02:28:19,249 IMPAIRMENT IT DID IMPACT WHAT 2919 02:28:19,249 --> 02:28:21,285 PEOPLE WERE ABLE TO DO IN TERMS 2920 02:28:21,285 --> 02:28:23,553 OF METER ASSESSMENT AND EVEN 2921 02:28:23,553 --> 02:28:24,221 THEIR PERFORMANCE. 2922 02:28:24,221 --> 02:28:26,790 WE DID THE CLINICAL ASSESSMENTS 2923 02:28:26,790 --> 02:28:28,225 THAT WE DID. 2924 02:28:28,225 --> 02:28:32,329 WE HAD TRAINED THERAPIST DO 2925 02:28:32,329 --> 02:28:35,065 BASICALLY A MOTOR CONTROL 2926 02:28:35,065 --> 02:28:35,799 ASSESSMENT. 2927 02:28:35,799 --> 02:28:38,568 WE DID THE BOX AND BLOCK GROSS 2928 02:28:38,568 --> 02:28:43,340 ACTIVITY AND GRIP STRENGTH AND 2929 02:28:43,340 --> 02:28:47,911 THE MONTREAL COGNITIVE 2930 02:28:47,911 --> 02:28:51,114 ASSESSMENT FOR DETECTING MILD 2931 02:28:51,114 --> 02:28:53,216 IMPAIRMENT AND DETECT MODERATE 2932 02:28:53,216 --> 02:28:53,784 AND SEVERE. 2933 02:28:53,784 --> 02:28:57,888 WE ALSO DESIGN IN A SIMPLE TASK 2934 02:28:57,888 --> 02:29:00,557 THAT WAS PRIMARILY A MOTOR TASK. 2935 02:29:00,557 --> 02:29:02,392 WE TAUGHT THE PERSON HOW TO DO 2936 02:29:02,392 --> 02:29:03,927 THIS TRACKING TASK. 2937 02:29:03,927 --> 02:29:05,429 IT WAS ESSENTIALLY MOSTLY MOVING 2938 02:29:05,429 --> 02:29:10,067 OF THE LIMB AND WE WEREN'T 2939 02:29:10,067 --> 02:29:14,671 REALLY TAXING THEM COGNITIVIVELY 2940 02:29:14,671 --> 02:29:17,174 AND WE WERE TAXING THEM 2941 02:29:17,174 --> 02:29:18,709 COGNITIVELY BUT NOTE GREATLY AND 2942 02:29:18,709 --> 02:29:20,811 THEN PLAYED AROUND LOOKING AT 2943 02:29:20,811 --> 02:29:23,246 GROUPS THAT HAD DIFFERENT 2944 02:29:23,246 --> 02:29:28,318 RELATIONSHIPS TO MOTOR AND COG 2945 02:29:28,318 --> 02:29:38,595 IN OUR EFFORTS. 2946 02:29:41,431 --> 02:29:48,305 WE LOOKED AT HIGH MORTAR -- 2947 02:29:48,305 --> 02:29:50,240 MOTOR FUNCTION AND THE PEOPLE WE 2948 02:29:50,240 --> 02:29:52,509 TRAIN WHERE THEY HAVE LOW MOTOR 2949 02:29:52,509 --> 02:29:54,878 IMPAIRMENT OR NO MOTOR 2950 02:29:54,878 --> 02:29:57,814 IMPAIRMENT AND MODERATE TO 2951 02:29:57,814 --> 02:29:59,316 SEVERE MOTOR FUNCTION. 2952 02:29:59,316 --> 02:30:03,420 THEN WE NEVER REALLY LOOKED AT 2953 02:30:03,420 --> 02:30:06,590 THIS GROUP THAT HAD BOTH VERY 2954 02:30:06,590 --> 02:30:08,458 MODERATE MOTOR IMPROVEMENT AND 2955 02:30:08,458 --> 02:30:13,130 MODERATE COGNITIVE IMPAIRMENT OR 2956 02:30:13,130 --> 02:30:15,065 THIS GROUP THAT HAD MILD MOTOR 2957 02:30:15,065 --> 02:30:16,066 IMPAIRMENT. 2958 02:30:16,066 --> 02:30:18,268 THIS GROUP USUALLY GETS FUNNELED 2959 02:30:18,268 --> 02:30:24,875 INTO COGNITIVE REHAB AND THIS 2960 02:30:24,875 --> 02:30:27,544 GROUP ENDS UP IN NURSING HOME 2961 02:30:27,544 --> 02:30:28,812 BECAUSE THEY'RE A CHALLENGING 2962 02:30:28,812 --> 02:30:34,584 GROUP TO PAY ATTENTION TO. 2963 02:30:34,584 --> 02:30:38,955 WE STRATIFIED THE GROUP THEN WE 2964 02:30:38,955 --> 02:30:43,260 HAD THEM DO THE TRACKING TASK. 2965 02:30:43,260 --> 02:30:45,195 IF YOU'RE TRACKING WHAT WE'RE 2966 02:30:45,195 --> 02:30:46,630 LOOKING FOR IS PERFORMANCE ERROR 2967 02:30:46,630 --> 02:30:48,565 AND LOOKING AT YOUR ABILITY TO 2968 02:30:48,565 --> 02:30:54,471 ADEQUATELY TRACK THE LINE, TO 2969 02:30:54,471 --> 02:30:56,039 MAINTAIN MAXIMUM RANGE OF MOTION 2970 02:30:56,039 --> 02:30:57,507 AT A REASONABLE SPEED. 2971 02:30:57,507 --> 02:30:59,776 THE FOLKS WITH LOW MOTOR IN THE 2972 02:30:59,776 --> 02:31:06,483 GREEN QUADRANT, LOW COG WERE 2973 02:31:06,483 --> 02:31:07,651 MINIMAL PERFORMANCE WERE ABLE TO 2974 02:31:07,651 --> 02:31:10,987 HAVE HIGHER SPEEDS AND WERE ABLE 2975 02:31:10,987 --> 02:31:12,289 TO MAINTAIN LARGE RANGE OF 2976 02:31:12,289 --> 02:31:12,689 MOTION. 2977 02:31:12,689 --> 02:31:16,126 THEN YOU START AND ON THE 2978 02:31:16,126 --> 02:31:20,964 OPPOSITE HAND THE PEOPLE WITH 2979 02:31:20,964 --> 02:31:21,565 MODERATE IMPAIRMENT WERE A 2980 02:31:21,565 --> 02:31:28,538 LITTLE ALL OVER THE PLACE AND 2981 02:31:28,538 --> 02:31:29,439 LOWER RANGE OF MOTION AND HIGHER 2982 02:31:29,439 --> 02:31:34,578 ERRORS. 2983 02:31:34,578 --> 02:31:35,812 IN BETWEEN THE GROUP WE NORMALLY 2984 02:31:35,812 --> 02:31:38,181 DON'T PAY ATTENTION, THIS IS WHY 2985 02:31:38,181 --> 02:31:39,783 THEY'RE TOUGH TO GET A HANDLE ON 2986 02:31:39,783 --> 02:31:50,260 THEY'RE ALL OVER THE PLACE. 2987 02:31:55,699 --> 02:31:56,433 AND MODERATE IMPAIRMENT AND LOW 2988 02:31:56,433 --> 02:32:06,510 COG. 2989 02:32:06,910 --> 02:32:08,478 AND LOOKED AT THE GROUP IN THE 2990 02:32:08,478 --> 02:32:09,212 MIDDLE. 2991 02:32:09,212 --> 02:32:10,680 I APOLOGIZE I DIDN'T REALIZE HOW 2992 02:32:10,680 --> 02:32:12,883 LARD THIS WAS TO READ EVEN WHEN 2993 02:32:12,883 --> 02:32:13,984 I BLEW IT UP. 2994 02:32:13,984 --> 02:32:15,485 IT'S EASY BECAUSE WE'RE USUALLY 2995 02:32:15,485 --> 02:32:21,258 LOOKING AT THIS GROUP OVER HERE 2996 02:32:21,258 --> 02:32:27,964 AND THE GROUP THAT HAD THIS LOW 2997 02:32:27,964 --> 02:32:33,503 MOTOR FUNCTION, MODERATE MOTOR 2998 02:32:33,503 --> 02:32:35,805 FUNCTION, LOW MOTOR LOW COG AND 2999 02:32:35,805 --> 02:32:39,743 THE TWO GROUP WE'RE WORKING WITH 3000 02:32:39,743 --> 02:32:42,145 IN THE REALM OF ROBOTIC THERAPY 3001 02:32:42,145 --> 02:32:45,415 BUT WE'RE USUALLY NOT ABLE TO 3002 02:32:45,415 --> 02:32:46,550 DISTINGUISH THESE TWO GROUPS 3003 02:32:46,550 --> 02:32:48,552 OVER HERE. 3004 02:32:48,552 --> 02:32:59,095 THIS WAS OUR FIRST EFFORT TO SAY 3005 02:33:00,497 --> 02:33:05,068 COGNITIVE IMPAIRMENT CAUSE 3006 02:33:05,068 --> 02:33:06,903 AFFECTS AND CAN WE UNDERSTAND A 3007 02:33:06,903 --> 02:33:13,476 LITTLE BIT OF THIS INTERPLAY. 3008 02:33:13,476 --> 02:33:15,812 WE ALSO REMEMBERED THE CIRCUIT 3009 02:33:15,812 --> 02:33:17,213 TRAINING, GROUP TRAINING IN THE 3010 02:33:17,213 --> 02:33:19,783 CONCEPT OF I HAVE A Ph.D. 3011 02:33:19,783 --> 02:33:22,252 STUDENT THINKING ABOUT THIS IDEA 3012 02:33:22,252 --> 02:33:26,656 OF 34E8DING THE -- MELDING THE 3013 02:33:26,656 --> 02:33:31,194 NEAT FOR MOTOR AND COGNITIVE 3014 02:33:31,194 --> 02:33:32,362 IMPAIRMENT FOR MULTIPLAYER 3015 02:33:32,362 --> 02:33:34,798 GAMING AND THE USE OF HAPTIC 3016 02:33:34,798 --> 02:33:39,436 CONNECTIONS AS WAYS OF DEFINING 3017 02:33:39,436 --> 02:33:40,370 IMPLICIT COMMUNICATION BETWEEN 3018 02:33:40,370 --> 02:33:42,238 TWO PATIENTS BECAUSE WHAT WE 3019 02:33:42,238 --> 02:33:43,607 ARGUED IS IF YOU HAD HIGHER 3020 02:33:43,607 --> 02:33:47,043 COGNITIVE IMPAIRMENT, MAYBE 3021 02:33:47,043 --> 02:33:47,844 GIVING INFORMATION THROUGH YOUR 3022 02:33:47,844 --> 02:33:50,981 HAPTIC CHANNELS, SENSORIMOTOR 3023 02:33:50,981 --> 02:33:51,514 CONNECTIONS MAY BE MORE 3024 02:33:51,514 --> 02:33:51,881 EFFECTIVE. 3025 02:33:51,881 --> 02:33:56,586 I HAVE A STUDENT LOOKING AT THE 3026 02:33:56,586 --> 02:33:58,288 EFFECTIVENESS OF HAPTIC 3027 02:33:58,288 --> 02:33:59,656 TRAINING, COMMUNITY ENGAGEMENT 3028 02:33:59,656 --> 02:34:02,592 COMBINED WITH OUR AFFORDABLE AND 3029 02:34:02,592 --> 02:34:03,827 ACCESSIBLE THERADRIVE SYSTEMS. 3030 02:34:03,827 --> 02:34:11,401 THIS IS THE SET UP OF WHAT IS 3031 02:34:11,401 --> 02:34:12,836 TWO REVISED ROBOTS AND MUCH 3032 02:34:12,836 --> 02:34:13,069 SMALLER. 3033 02:34:13,069 --> 02:34:17,440 ONE CONDITION CONTROLLER, TWO 3034 02:34:17,440 --> 02:34:18,541 MONITORS AND THERE'S A 3035 02:34:18,541 --> 02:34:20,644 SEPARATION SCREEN IN A COUPLE 3036 02:34:20,644 --> 02:34:21,244 STUDY SHE'S DOING. 3037 02:34:21,244 --> 02:34:22,879 YOU MAY NOT BE AWARE THE OTHER 3038 02:34:22,879 --> 02:34:23,346 PERSON IS THERE. 3039 02:34:23,346 --> 02:34:24,314 YOU CAN'T LOOK AT THEM AND SEE 3040 02:34:24,314 --> 02:34:32,989 WHAT THEY'RE DOING. 3041 02:34:32,989 --> 02:34:38,228 THEY'RE USING LOOKING AT ONE 3042 02:34:38,228 --> 02:34:40,563 TASK THE INFORMATION THEY'RE 3043 02:34:40,563 --> 02:34:42,432 FORCES FROM ONE PERSON 3044 02:34:42,432 --> 02:34:44,501 INTERFERES WITH ANOTHER OR VICE 3045 02:34:44,501 --> 02:34:44,868 VERSA. 3046 02:34:44,868 --> 02:34:47,370 THEY'RE NOW KIND OF LIKE TRYING 3047 02:34:47,370 --> 02:34:50,607 TO BE SUCCESSFUL EACH AT THE 3048 02:34:50,607 --> 02:34:53,243 TASK AND BEING IMPACTED BY THE 3049 02:34:53,243 --> 02:34:58,448 OTHER PERSON. 3050 02:34:58,448 --> 02:35:01,217 IS THE HAPTIC CONNECTION GOING 3051 02:35:01,217 --> 02:35:05,221 TO HELP YOU ONE, MOTOR LEARN AND 3052 02:35:05,221 --> 02:35:08,224 WHAT IT'S EFFECT ON THE 3053 02:35:08,224 --> 02:35:12,962 INTERSECTION OF MOTOR AND 3054 02:35:12,962 --> 02:35:16,099 COGNITIVE IMPAIRMENT. 3055 02:35:16,099 --> 02:35:18,735 PARTICIPANTS LEARNED TO PLAY THE 3056 02:35:18,735 --> 02:35:20,770 PURSUIT GAME AND THERE WAS A 3057 02:35:20,770 --> 02:35:22,605 HAPTIC CONNECTION THAT LOOKED 3058 02:35:22,605 --> 02:35:24,941 LIKE RAY VIRTUAL AND ADAPTIVE 3059 02:35:24,941 --> 02:35:26,409 SPRING AND ASSESSED THEIR 3060 02:35:26,409 --> 02:35:29,212 PERFORMS OF PERFORMANCE WITH A 3061 02:35:29,212 --> 02:35:30,580 TRACKING TASK AND LOOKING ARE 3062 02:35:30,580 --> 02:35:38,121 THEY ABLE TO MAINTAIN ACCURACY. 3063 02:35:38,121 --> 02:35:41,257 WE HAD PEOPLE STRATIFIED IN THE 3064 02:35:41,257 --> 02:35:41,524 QUADRANT. 3065 02:35:41,524 --> 02:35:48,965 THIS TIME WE DIDN'T HAVE ANYONE 3066 02:35:48,965 --> 02:35:51,167 IN THE YUM PARMENT GROUM AND HAD 3067 02:35:51,167 --> 02:35:56,106 AN OLDER ADULT AND -- IMPAIRMENT 3068 02:35:56,106 --> 02:36:00,343 GROUP AND WANTED TO SEE IF YOU 3069 02:36:00,343 --> 02:36:02,278 WERE MATCHED WITH SOMEONE WITH 3070 02:36:02,278 --> 02:36:04,547 THE SAME TASK AND ABILITY WILL 3071 02:36:04,547 --> 02:36:09,219 YOU DO WELL OR WORSE OR IF 3072 02:36:09,219 --> 02:36:12,956 YOU'RE MATCHED WITH SOMEONE 3073 02:36:12,956 --> 02:36:17,227 WORSE WILL IT AFFECT YOUR 3074 02:36:17,227 --> 02:36:24,234 ABILITY TO LEARN, ETCETERA. 3075 02:36:24,234 --> 02:36:30,240 >> SO THE CURSER OR WHATEVER IS 3076 02:36:30,240 --> 02:36:31,508 THE MOVEMENT OF POSSESSION ARE 3077 02:36:31,508 --> 02:36:32,475 DETERMINED BY BOTH PEOPLE? 3078 02:36:32,475 --> 02:36:33,209 >> YES. 3079 02:36:33,209 --> 02:36:33,543 >> THANK YOU. 3080 02:36:33,543 --> 02:36:41,451 SORRY. 3081 02:36:41,451 --> 02:36:44,154 >> WE HAD PEOPLE FIRST DO THE 3082 02:36:44,154 --> 02:36:44,821 TRIAL. 3083 02:36:44,821 --> 02:36:46,122 IN THIS PARTICULAR SCENARIO THEY 3084 02:36:46,122 --> 02:36:49,859 ARE DID THE ACTIVE SOLO AND 3085 02:36:49,859 --> 02:36:52,195 TRAINED IN THE DIAD AND ASSESS 3086 02:36:52,195 --> 02:36:53,229 THEM AND TRY TO UNDERSTAND WHAT 3087 02:36:53,229 --> 02:36:53,963 WAS HAPPENING. 3088 02:36:53,963 --> 02:36:57,167 WE LOOKED AT WHETHER THEY ARE 3089 02:36:57,167 --> 02:37:00,069 WERE ABLE TO LEARN BY HOW THEIR 3090 02:37:00,069 --> 02:37:01,571 ERROR CHANGED. 3091 02:37:01,571 --> 02:37:04,307 WE COLLECTED THE BASELINE AND 3092 02:37:04,307 --> 02:37:05,208 SAW THAT SOMEONE WITH STROKE 3093 02:37:05,208 --> 02:37:08,211 WHICH WE FIGURED WOULD HAVE MORE 3094 02:37:08,211 --> 02:37:14,117 ERRORS THAN SOMEONE OR ADULT 3095 02:37:14,117 --> 02:37:15,351 WITHOUT STROKE. 3096 02:37:15,351 --> 02:37:18,021 AND THERE WERE NO CHANGES AFTER 3097 02:37:18,021 --> 02:37:20,690 THEY ARE TRAINED TOGETHER. 3098 02:37:20,690 --> 02:37:24,460 WE DID NOT SEE -- WE DIDN'T SEE 3099 02:37:24,460 --> 02:37:26,229 A MASSIVE ERROR DIFFERENCE FROM 3100 02:37:26,229 --> 02:37:28,331 THE STROKE SURVIVOR AND OA AFTER 3101 02:37:28,331 --> 02:37:29,566 THE HAPTIC TRAINING IN THAT 3102 02:37:29,566 --> 02:37:31,868 SENSE BUT WHAT WE WERE ABLE TO 3103 02:37:31,868 --> 02:37:34,871 SEE THOUGH IS THAT ALL 3104 02:37:34,871 --> 02:37:36,606 PARTICIPANTS WERE ABLE TO LEARN 3105 02:37:36,606 --> 02:37:38,641 EXCEPT THE OA, THE PERSON THE 3106 02:37:38,641 --> 02:37:41,211 OLDER ADULT PAIRED WITH THE 3107 02:37:41,211 --> 02:37:44,614 STROKE SURVIVOR DID NOT LEARN 3108 02:37:44,614 --> 02:37:46,115 VERY WELL. 3109 02:37:46,115 --> 02:37:48,952 HAD A HARD TIME LEARNING AND BUT 3110 02:37:48,952 --> 02:37:54,123 THE STROKE SURVIVOR DID WELL 3111 02:37:54,123 --> 02:37:56,759 WHEN THEY WERE PAIRED WITH THEO 3112 02:37:56,759 --> 02:37:58,428 A AND WERE ABLE TO LEARN FROM 3113 02:37:58,428 --> 02:38:00,096 THE MORE ADVANCED PARTNER BUT 3114 02:38:00,096 --> 02:38:05,235 THE ADVANCED PARTNER HAD A HARD 3115 02:38:05,235 --> 02:38:13,376 TIME PROCESSING. 3116 02:38:13,376 --> 02:38:16,346 A BETTER PARTNER AND WORSE 3117 02:38:16,346 --> 02:38:17,480 PARTNER AFFECTS AND WE PUBLISHED 3118 02:38:17,480 --> 02:38:19,983 A SYSTEMATIC REVIEW AROUND THE 3119 02:38:19,983 --> 02:38:25,054 USE OF THE HAPTIC DIADS AND 3120 02:38:25,054 --> 02:38:25,922 EXPLORING THEIR USE IN THE 3121 02:38:25,922 --> 02:38:28,725 COMPLEX POPULATION WHERE PEOPLE 3122 02:38:28,725 --> 02:38:30,960 STRUGGLE WITH BOTH MOTOR AND 3123 02:38:30,960 --> 02:38:31,461 COGNITIVE ISSUES. 3124 02:38:31,461 --> 02:38:33,162 OUR WORK IS UNIQUE IN THAT MOST 3125 02:38:33,162 --> 02:38:40,670 PEOPLE WHO DO THE HAPTIC DIADS 3126 02:38:40,670 --> 02:38:42,972 DO IT WITH HEALTHY YOUNG PEOPLE 3127 02:38:42,972 --> 02:38:45,475 AND NICHD JUST FUNDED BY STUDENT 3128 02:38:45,475 --> 02:38:50,580 WITH THE F31, THANK YOU, TO 3129 02:38:50,580 --> 02:38:52,515 CONTINUE TO DO THE WORK AND 3130 02:38:52,515 --> 02:38:53,950 CONTINUED THE F31 TO CONTINUE 3131 02:38:53,950 --> 02:38:54,250 THE WORK. 3132 02:38:54,250 --> 02:38:57,220 >> DID YOU LOOK AT THE DATA AT 3133 02:38:57,220 --> 02:39:00,556 ALL FOR WHETHER THE PERSON THAT 3134 02:39:00,556 --> 02:39:01,758 WAS WORSE ROSE UP TO THE LEVEL 3135 02:39:01,758 --> 02:39:03,693 OF THE PERSON THAT WAS BETTER 3136 02:39:03,693 --> 02:39:05,762 BUT THAT PERSON THE PARTNER THAT 3137 02:39:05,762 --> 02:39:08,865 WAS BETTER DIDN'T REALLY GAIN 3138 02:39:08,865 --> 02:39:09,098 BENEFIT. 3139 02:39:09,098 --> 02:39:10,166 DO YOU UNDERSTAND WHAT I'M 3140 02:39:10,166 --> 02:39:10,400 ASKING? 3141 02:39:10,400 --> 02:39:12,468 >> THE PARTNER THAT WAS BETTER 3142 02:39:12,468 --> 02:39:16,172 DID NOT GAIN BENEFIT AND THE 3143 02:39:16,172 --> 02:39:17,407 PERSON THAT WAS WORSE DID 3144 02:39:17,407 --> 02:39:18,908 >> THAT'S WHAT WE FOUND TOO. 3145 02:39:18,908 --> 02:39:21,010 IT'S NOT REALLY MOTIVATING FOR 3146 02:39:21,010 --> 02:39:22,278 THE PERSON THAT'S BETTER BUT I 3147 02:39:22,278 --> 02:39:23,579 DON'T KNOW HOW TO ADDRESS IT. 3148 02:39:23,579 --> 02:39:27,617 >> ONE OF THE THINGS WE'RE DOING 3149 02:39:27,617 --> 02:39:30,954 IN THIS STUDY IS THE F31 IS AND 3150 02:39:30,954 --> 02:39:33,222 I DIDN'T PRESENT IT HERE IS 3151 02:39:33,222 --> 02:39:35,458 GOING TO LOOK AT ONE YOU, TRYING 3152 02:39:35,458 --> 02:39:37,093 TO HAVE A LARGER POPULATION AND 3153 02:39:37,093 --> 02:39:40,496 LOOK AT THE OLDER, OLDER ADULTS 3154 02:39:40,496 --> 02:39:42,765 SO WE CAN HAVE SOME INFORMATION 3155 02:39:42,765 --> 02:39:43,800 ABOUT OLDER PEOPLE DOING THESE 3156 02:39:43,800 --> 02:39:45,768 TYPES OF TASKS AND THEN THE 3157 02:39:45,768 --> 02:39:47,804 OLDER ADULTS WITH STROKE 3158 02:39:47,804 --> 02:39:48,071 SURVIVORS. 3159 02:39:48,071 --> 02:39:58,614 THEN WE'RE GOING TO PLAY AROUND 3160 02:39:59,482 --> 02:40:00,817 AND MAKING ONE ACTIVITY STIFFER 3161 02:40:00,817 --> 02:40:06,022 AND TRYING TO PLAY WITH WAYS WE 3162 02:40:06,022 --> 02:40:09,225 CAN UNE TUNE THE RELATIONSHIP. 3163 02:40:09,225 --> 02:40:09,959 IT'S A QUESTION. 3164 02:40:09,959 --> 02:40:12,996 DON'T KNOW THE ANSWER YET BUT 3165 02:40:12,996 --> 02:40:15,965 WE'RE WORKING ON THAT PART OF 3166 02:40:15,965 --> 02:40:17,834 THE F31. 3167 02:40:17,834 --> 02:40:20,169 >> SO THESE PEOPLE ARE WORKING 3168 02:40:20,169 --> 02:40:21,771 AGAINST EACH OTHER. 3169 02:40:21,771 --> 02:40:26,009 WHY COULDN'T YOU SET IT UP TO 3170 02:40:26,009 --> 02:40:27,510 WORK COOPERATIVELY? 3171 02:40:27,510 --> 02:40:29,145 >> YOU CAN DO BOTH. 3172 02:40:29,145 --> 02:40:36,986 PEOPLE IN MANY OF THESE STUDIES 3173 02:40:36,986 --> 02:40:47,530 HAVE AND SOME STUDY HAVE LOOKED 3174 02:40:53,269 --> 02:40:54,037 AT COLLABORATIVE TYPE WORK. 3175 02:40:54,037 --> 02:40:57,540 ONE OF THE THINGS WE WERE TRYING 3176 02:40:57,540 --> 02:40:59,008 AND THE INTERESTING THING ABOUT 3177 02:40:59,008 --> 02:41:00,977 MOTOR LEAKER AND WHETHER THE 3178 02:41:00,977 --> 02:41:11,320 PARTNERS IN A COMPETITIVE WAY 3179 02:41:11,320 --> 02:41:12,989 WITH COLLABORATION ARE GOOD 3180 02:41:12,989 --> 02:41:16,793 QUESTIONS AND PEOPLE HAVE LOOKED 3181 02:41:16,793 --> 02:41:18,294 AT THE HAPTIC DIAD BUT THE 3182 02:41:18,294 --> 02:41:19,228 COMPETITION IS SOMETHING WHERE 3183 02:41:19,228 --> 02:41:21,297 SOME PEOPLE GO OH, THAT'S COOL 3184 02:41:21,297 --> 02:41:31,641 OR HAS ITS BENEFIT. 3185 02:41:42,618 --> 02:41:43,419 WE CAN DO BOTH. 3186 02:41:43,419 --> 02:41:45,721 THIS IS THE MAJORITY OF THE 3187 02:41:45,721 --> 02:41:49,659 LITERATURE DOES IT THIS WAY. 3188 02:41:49,659 --> 02:41:52,595 BUT THERE IS SOME LITERATURE 3189 02:41:52,595 --> 02:41:55,498 THAT SUGGESTS A COLLABORATIVE 3190 02:41:55,498 --> 02:41:56,766 METHODOLOGY AND SOME WILL BE 3191 02:41:56,766 --> 02:41:58,601 EXPLORED IN THE F31. 3192 02:41:58,601 --> 02:42:02,805 SO ONE OF THE THINGS WE'VE DONE 3193 02:42:02,805 --> 02:42:06,976 IS WE GOT AN STTR GRANT TO TAKE 3194 02:42:06,976 --> 02:42:09,679 WHAT WE HAVE BEEN DOING WITH 3195 02:42:09,679 --> 02:42:11,747 HAPTIC DRIVE INTO THE COMMUNITY 3196 02:42:11,747 --> 02:42:15,318 AND DEVELOP A SYSTEM THAT COULD 3197 02:42:15,318 --> 02:42:18,387 BE USED IN A LOW-RESOURCE 3198 02:42:18,387 --> 02:42:18,621 SETTING. 3199 02:42:18,621 --> 02:42:20,923 THIS WAS THE VERSION OF THE 3200 02:42:20,923 --> 02:42:21,424 ROBOT. 3201 02:42:21,424 --> 02:42:23,059 IT'S IN THE LOW RESOURCE 3202 02:42:23,059 --> 02:42:23,292 SETTING. 3203 02:42:23,292 --> 02:42:24,927 WE ARE COLLECTING DATA RIGHT 3204 02:42:24,927 --> 02:42:25,128 NOW. 3205 02:42:25,128 --> 02:42:28,931 WE'RE IN A COMMUNITY-BASED 3206 02:42:28,931 --> 02:42:29,732 REHABILITATION CENTER. 3207 02:42:29,732 --> 02:42:32,435 THE ROBOT IS THERE AND SET UP A 3208 02:42:32,435 --> 02:42:37,373 SCENARIO SIMILAR TO MEXICO WHERE 3209 02:42:37,373 --> 02:42:39,375 WE HAVE A GROUP MAPPED INTO THE 3210 02:42:39,375 --> 02:42:45,181 CONTROL OKAY OPERACCUPATIONAL T. 3211 02:42:45,181 --> 02:42:47,483 THIS IS A PREVIEW OF THE 3212 02:42:47,483 --> 02:42:48,985 COMMERCIAL VERSION OR SOME OF 3213 02:42:48,985 --> 02:42:51,320 OUR SERVICE STAGES OF A BETA 3214 02:42:51,320 --> 02:42:52,255 VERSION OF WHAT THIS SYSTEM 3215 02:42:52,255 --> 02:42:53,222 COULD LOOK LIKE. 3216 02:42:53,222 --> 02:42:54,824 YOU NOTICE WE SEPARATED THE 3217 02:42:54,824 --> 02:42:55,057 SYSTEM. 3218 02:42:55,057 --> 02:42:59,762 THE IDEA IS YOU COULD THE 3219 02:42:59,762 --> 02:43:01,063 CONCEPT HERE IS COMMERCIALLY YOU 3220 02:43:01,063 --> 02:43:02,765 COULD HAVE THE SMALL ROBOT 3221 02:43:02,765 --> 02:43:04,600 SYSTEM WOULD THE MOBILE BASE OR 3222 02:43:04,600 --> 02:43:06,769 THE ROBOT SYSTEM COULD BE ON A 3223 02:43:06,769 --> 02:43:09,038 MOBILE BASE AND COULD BE 3224 02:43:09,038 --> 02:43:10,239 MULTIPLE OF THESE SYSTEMS WITHIN 3225 02:43:10,239 --> 02:43:12,074 A GYM. 3226 02:43:12,074 --> 02:43:13,943 THAT'S WHERE WE'RE GOING HERE 3227 02:43:13,943 --> 02:43:18,581 IT'S ONE OF THE FIRST LOOKS OF 3228 02:43:18,581 --> 02:43:19,682 THE SYSTEM HERE. 3229 02:43:19,682 --> 02:43:22,451 SO, A LOT OF PEOPLE ALWAYS ASK 3230 02:43:22,451 --> 02:43:24,420 ME HOW DID YOU END UP WITH HIV 3231 02:43:24,420 --> 02:43:25,121 AND STROKE. 3232 02:43:25,121 --> 02:43:26,923 I'LL TELL YOU. 3233 02:43:26,923 --> 02:43:28,357 WHEN WE WERE BECAUSE OF OUR WORK 3234 02:43:28,357 --> 02:43:30,626 WITH MEXICO, WE STARTED 3235 02:43:30,626 --> 02:43:33,529 WANTING -- I WANTED A PARADIGM 3236 02:43:33,529 --> 02:43:36,732 FOR A GLOBAL SPACE THAT WAS IN A 3237 02:43:36,732 --> 02:43:38,734 DEVELOPING COUNTRY TO EXAMINE 3238 02:43:38,734 --> 02:43:40,970 THE ROBOTIC ISSUES. 3239 02:43:40,970 --> 02:43:44,340 PENN WAS WORKING IN BOTSWANA AND 3240 02:43:44,340 --> 02:43:45,708 A NEUROLOGIST COLLEAGUE OF MINE 3241 02:43:45,708 --> 02:43:53,883 WAS WORKING IN BOTSWANA AND 3242 02:43:53,883 --> 02:43:57,220 SHARED THERE'S A LOT OF ARE 3243 02:43:57,220 --> 02:44:00,289 WORK 3244 02:44:00,289 --> 02:44:01,490 WORKERS BOTSWANA AND A THIRD 3245 02:44:01,490 --> 02:44:02,925 HAVE HIV OR STROKE AND THEY ARE 3246 02:44:02,925 --> 02:44:03,826 CAN INFLUENCE EACH OTHER IN 3247 02:44:03,826 --> 02:44:04,694 TERMS OF RECOVERY. 3248 02:44:04,694 --> 02:44:08,030 AND THERE WAS WORK OUT OF SOUTH 3249 02:44:08,030 --> 02:44:10,466 AFRICA SAYING THOSE WITH HIV AND 3250 02:44:10,466 --> 02:44:13,002 STROKE ARE ACTUALLY TARGETED IN 3251 02:44:13,002 --> 02:44:23,412 TERMS OF THEIR OUTCOMES. 3252 02:44:25,181 --> 02:44:29,085 AND PENN IS VERY ACTIVE AND THEN 3253 02:44:29,085 --> 02:44:31,621 GOT A GRANT FROM CENTER FROM 3254 02:44:31,621 --> 02:44:35,925 AIDS RESEARCH FROM UNIVERSITY OF 3255 02:44:35,925 --> 02:44:37,159 PENNSYLVANIA AND I GOT A FULL 3256 02:44:37,159 --> 02:44:41,230 BRITE TO DO SOME WORK AND WANTED 3257 02:44:41,230 --> 02:44:45,668 TO PROTOTYPE THE UTILITY OF 3258 02:44:45,668 --> 02:44:48,638 THERA DRIVE SYSTEM IN BOTSWANA. 3259 02:44:48,638 --> 02:44:51,274 AND WE DON'T REALLY KNOW HOW HIV 3260 02:44:51,274 --> 02:44:52,708 AND STROKE IS INTERACTING. 3261 02:44:52,708 --> 02:44:55,144 WE STARTED -- I HAD A Ph.D. 3262 02:44:55,144 --> 02:44:58,447 STUDENT JUST TO LOOK AT THAT 3263 02:44:58,447 --> 02:44:59,215 INTERSECTION FIRST IN THE 3264 02:44:59,215 --> 02:45:01,017 U.S. AND THEN START TO LOOK AT 3265 02:45:01,017 --> 02:45:04,920 IT THERE IN BOTSWANA. 3266 02:45:04,920 --> 02:45:08,658 MY Ph.D. STUDENT WAS THE ONE 3267 02:45:08,658 --> 02:45:10,459 LOOKING AT COGNITIVE IMPAIRMENT 3268 02:45:10,459 --> 02:45:11,794 AND SAID LET'S TAKE WHAT WE'VE 3269 02:45:11,794 --> 02:45:15,064 DONE WITH STROKE AND LET'S MAP 3270 02:45:15,064 --> 02:45:17,967 UP TO HIV RELATED MOTOR AND 3271 02:45:17,967 --> 02:45:21,170 COGNITIVE IMPAIRMENT AND SEE 3272 02:45:21,170 --> 02:45:23,739 WHAT WE LEARNED AND DID PUBLISH. 3273 02:45:23,739 --> 02:45:24,273 WHY HIV? 3274 02:45:24,273 --> 02:45:25,541 ONE THING WE LEARNED WHEN WE 3275 02:45:25,541 --> 02:45:27,243 CAME BACK TO AMERICA AND DID OUR 3276 02:45:27,243 --> 02:45:31,480 RESEARCH, HIV IS ACTUALLY A 3277 02:45:31,480 --> 02:45:33,983 REALLY ISSUE HERE IN AMERICA AS 3278 02:45:33,983 --> 02:45:34,750 WELL. 3279 02:45:34,750 --> 02:45:36,952 WE HAVE 1.2 PEOPLE LIVING WITH 3280 02:45:36,952 --> 02:45:38,087 HIV IN AMERICA. 3281 02:45:38,087 --> 02:45:39,221 IT SHIFTED TO A CHRONIC 3282 02:45:39,221 --> 02:45:39,622 CONDITION. 3283 02:45:39,622 --> 02:45:42,325 HALF THE PEOPLE WITH HIV ARE 3284 02:45:42,325 --> 02:45:44,593 OVER 50 YEARS OLD AND THEIR LIFE 3285 02:45:44,593 --> 02:45:47,797 EXPECTANCY IS ABOUT 73, 76 AND 3286 02:45:47,797 --> 02:45:53,202 BECAUSE OF CO-INFECTION AND 3287 02:45:53,202 --> 02:45:57,206 VIRUSES CROSSING THE BLOOD BRAIN 3288 02:45:57,206 --> 02:45:59,308 BARRIER HAVE A NEUROLOGICAL 3289 02:45:59,308 --> 02:46:02,812 CONDITION WELL KNOWN BUT HARD TO 3290 02:46:02,812 --> 02:46:03,045 DEFINE. 3291 02:46:03,045 --> 02:46:09,385 IN TERMS OF AND DEFINE BY LIKE A 3292 02:46:09,385 --> 02:46:09,652 CRITERIA. 3293 02:46:09,652 --> 02:46:12,221 SO WE THOUGHT WELL, CAN OUR 3294 02:46:12,221 --> 02:46:13,556 TECHNOLOGY, ONE, HELP US 3295 02:46:13,556 --> 02:46:17,326 UNDERSTAND THE POPULATION BETTER 3296 02:46:17,326 --> 02:46:21,797 BUT ALSO MAYBE DISAMBIGUATE 3297 02:46:21,797 --> 02:46:23,232 BETWEEN HIV AND STROKE. 3298 02:46:23,232 --> 02:46:25,000 THEY HAVE MEMORY ATTENTION 3299 02:46:25,000 --> 02:46:26,902 EXECUTIVE FUNCTION SIMILAR TO 3300 02:46:26,902 --> 02:46:27,136 STROKE. 3301 02:46:27,136 --> 02:46:30,206 THEY HAVE MOTOR DYSFUNCTION 3302 02:46:30,206 --> 02:46:32,975 BECAUSE THE VIRUS GETS ACROSS 3303 02:46:32,975 --> 02:46:33,909 THE BLOOD BRAIN BARRIER AND DO 3304 02:46:33,909 --> 02:46:35,544 REPORT INSTRUMENTAL ADL ISSUES. 3305 02:46:35,544 --> 02:46:40,483 SO WE THOUGHT THIS IS ACTUALLY A 3306 02:46:40,483 --> 02:46:41,684 GREAT POPULATION TO TAKE AND MAP 3307 02:46:41,684 --> 02:46:45,388 OUR WORK IN STROKE TOO. 3308 02:46:45,388 --> 02:46:47,656 THIS WAS IN U.S. 3309 02:46:47,656 --> 02:46:49,692 TURNS OUT NOW EVERYONE IS SAYING 3310 02:46:49,692 --> 02:46:53,062 HIV IS A STROKE RISK FACTOR. 3311 02:46:53,062 --> 02:46:54,997 AND THERE'S SOME STUDIES THAT 3312 02:46:54,997 --> 02:46:58,701 SHOW HIV POPULATIONS HAVE A 1.5 3313 02:46:58,701 --> 02:47:00,803 TIMES INCIDENT RATE OF STROKE 3314 02:47:00,803 --> 02:47:02,671 MORE SO THAN THOSE WITHOUT HIV. 3315 02:47:02,671 --> 02:47:05,274 AND THIS IS IN THE UNITED 3316 02:47:05,274 --> 02:47:05,508 STATES. 3317 02:47:05,508 --> 02:47:07,376 AND REMEMBER WE THEN STARTED OUR 3318 02:47:07,376 --> 02:47:09,211 STUDY IN THE UNITED STATES WITH 3319 02:47:09,211 --> 02:47:10,613 THE HOPES OF THEM MAPPING TO 3320 02:47:10,613 --> 02:47:16,118 WHAT WE'LL DO IN BOTSWANA. 3321 02:47:16,118 --> 02:47:18,053 SO MY STUDENT DEVELOPED TWO 3322 02:47:18,053 --> 02:47:22,191 OTHER ANOTHER ROBOTIC TASK. 3323 02:47:22,191 --> 02:47:24,727 WE CALL IT THE SPATIAL SPAN TASK 3324 02:47:24,727 --> 02:47:26,395 BASED ON PSYCHOLOGY TESTING 3325 02:47:26,395 --> 02:47:28,264 WHERE YOU HAVE TO OBSERVE A 3326 02:47:28,264 --> 02:47:29,532 PATTERN, MEMORIZE THE PATTERN 3327 02:47:29,532 --> 02:47:31,767 AND REPEAT THE PATTERN IN THE 3328 02:47:31,767 --> 02:47:33,335 ORDER THAT YOU NOTICE. 3329 02:47:33,335 --> 02:47:36,372 THE TWIST YOU ADDED WAS WE HAVE 3330 02:47:36,372 --> 02:47:38,240 TO OBSERVE THE PATTERN, MEMORIZE 3331 02:47:38,240 --> 02:47:40,276 IT AND MOVE THE ROBOT TO ACQUIRE 3332 02:47:40,276 --> 02:47:42,077 THE PATTERN. 3333 02:47:42,077 --> 02:47:44,180 SO WE CREATED A SYSTEM THAT 3334 02:47:44,180 --> 02:47:46,582 WOULD ALLOW US TO TEST THESE 3335 02:47:46,582 --> 02:47:49,185 MULTIPLE ASSESSMENT TASKS 3336 02:47:49,185 --> 02:47:50,753 TOGETHER AND THEN NOW UP TERMS 3337 02:47:50,753 --> 02:47:53,689 OF PROCESSING HERE WE'RE GOING 3338 02:47:53,689 --> 02:47:56,091 THE ROOT MEAN SQUARE AND HERE IN 3339 02:47:56,091 --> 02:47:59,428 THE SPATIAL SPAN TASK WE'RE 3340 02:47:59,428 --> 02:48:03,132 LOOKING AT MEAN SEQUENCE LENGTH 3341 02:48:03,132 --> 02:48:05,201 HOW MANY SEQUENCES COULD YOU 3342 02:48:05,201 --> 02:48:10,873 KEEP IN MEMORY AND MAP. 3343 02:48:10,873 --> 02:48:13,008 REPEAT THE PROCESS WE DID 3344 02:48:13,008 --> 02:48:14,710 CLINICAL ASSESSMENTS NOW WE 3345 02:48:14,710 --> 02:48:18,981 INCLUDE HIV SPECIFIC TYPE OF 3346 02:48:18,981 --> 02:48:20,649 ASSESSMENTS LIKE COLOR TRAILS 3347 02:48:20,649 --> 02:48:28,657 HIV DIM EN -- DEMENTIA AND 3348 02:48:28,657 --> 02:48:30,993 ADDED VISUAL AND SPATIAL 3349 02:48:30,993 --> 02:48:33,229 TRACKING ACTIVITIES AND THE 3350 02:48:33,229 --> 02:48:37,366 DIGITAL SYMBOL CODING IS A TASK. 3351 02:48:37,366 --> 02:48:39,301 THESE WERE SPECIFIC THINGS 3352 02:48:39,301 --> 02:48:42,571 PEOPLE HAD WITH THE HIV 3353 02:48:42,571 --> 02:48:44,540 POPULATION BEFORE BUT WERE NOT 3354 02:48:44,540 --> 02:48:46,041 EXCLUSIVE TO HIV AND THE SCALE 3355 02:48:46,041 --> 02:48:51,046 IS EXCLUSIVE TOE -- TO THAT 3356 02:48:51,046 --> 02:48:52,548 POPULATION AND WANTED TO LOOK AT 3357 02:48:52,548 --> 02:49:00,389 THOSE WITH HIV AND STROKE. 3358 02:49:00,389 --> 02:49:05,227 WE DID THE TEST AND USED ROOT 3359 02:49:05,227 --> 02:49:06,495 MEAN SQUARE AND ACCURACY AS THE 3360 02:49:06,495 --> 02:49:16,305 PERFORMANCE MEASURE. 3361 02:49:16,305 --> 02:49:20,342 AND TO CALL YOUR ATTENTION TO 3362 02:49:20,342 --> 02:49:22,111 THIS GRAPH, IF THE POPULATION 3363 02:49:22,111 --> 02:49:23,779 THIS WAS DONE IN THE U.S. AND 3364 02:49:23,779 --> 02:49:25,014 PUBLISHED IN THE PAPER IS THE 3365 02:49:25,014 --> 02:49:27,616 POPULATION THAT HAD LIMITED 3366 02:49:27,616 --> 02:49:28,384 IMPAIRMENT HERE. 3367 02:49:28,384 --> 02:49:32,721 YOU CAN SEE OVER TIME WITH DO 15 3368 02:49:32,721 --> 02:49:32,955 TRIALS. 3369 02:49:32,955 --> 02:49:35,257 THEIR ABILITY TO REMEMBER 3370 02:49:35,257 --> 02:49:38,027 SEQUENCES REALLY GO UP TO AS 3371 02:49:38,027 --> 02:49:39,795 MUCH AS SIX BUT THEN GET A BIT 3372 02:49:39,795 --> 02:49:42,131 FATIGUED AND START DROPPING OFF. 3373 02:49:42,131 --> 02:49:45,200 THE POPULATION WITH LOW MOTOR 3374 02:49:45,200 --> 02:49:47,036 FUNCTION AND LOW COGNITIVE 3375 02:49:47,036 --> 02:49:48,571 FUNCTION DON'T DO VERY WELL IN 3376 02:49:48,571 --> 02:49:52,708 TERMS OF MEMORIZING OR DOING 3377 02:49:52,708 --> 02:49:53,809 SEQUENCE LENS. 3378 02:49:53,809 --> 02:49:57,079 THEY STAY PRETTY LOW BUT THE 3379 02:49:57,079 --> 02:50:00,115 POPULATION THAT HAD BOTH MOTOR 3380 02:50:00,115 --> 02:50:05,220 COG OR IMPAIRMENT OR COG ARE BUT 3381 02:50:05,220 --> 02:50:10,092 CONSIDER RELATIVELY NOT IMPAIRED 3382 02:50:10,092 --> 02:50:12,127 MOTORICALLY AND WE COULDN'T 3383 02:50:12,127 --> 02:50:14,496 SEPARATE THE TWO HERE AND THEIR 3384 02:50:14,496 --> 02:50:15,898 COGNITIVE FUNCTION THOUGH 3385 02:50:15,898 --> 02:50:24,373 SOMEONE WAS REPORTING WITH AN 3386 02:50:24,373 --> 02:50:24,773 FUG 3387 02:50:24,773 --> 02:50:25,174 FUG 3388 02:50:25,174 --> 02:50:26,475 FUGL-MEYER THAT WAS PRETTY HIGH 3389 02:50:26,475 --> 02:50:27,810 THEY WERE FUNCTIONING LOW THE 3390 02:50:27,810 --> 02:50:31,046 COGNITIVE IMPAIRMENT WAS MASKING 3391 02:50:31,046 --> 02:50:41,156 THEIR MOTOR PERFORMANCE. 3392 02:50:41,156 --> 02:50:43,826 WE HAD 21 SUBJECTS WITH HIV. 3393 02:50:43,826 --> 02:50:45,928 SIX HAD HIV AND STROKE. 3394 02:50:45,928 --> 02:50:49,098 WE WERE TRYING TO SEE IF WE 3395 02:50:49,098 --> 02:50:50,799 COULD SEPARATE OUT WA WAS 3396 02:50:50,799 --> 02:50:51,066 HAPPENING. 3397 02:50:51,066 --> 02:50:52,401 IT'S HARD TO SEPARATE OUT THE 3398 02:50:52,401 --> 02:50:53,702 HIV AND STROKE HERE. 3399 02:50:53,702 --> 02:50:57,506 AND MORE STUDIES WERE NEEDED BUT 3400 02:50:57,506 --> 02:51:01,043 IN TERMS OF MAPPING WHAT WE SAW 3401 02:51:01,043 --> 02:51:03,078 IN THE POPULATION TO OUR ROBOT 3402 02:51:03,078 --> 02:51:05,147 SCALES USING OUR ROBOTIC SCALES 3403 02:51:05,147 --> 02:51:07,850 WE COULD PREDICT THE CLINICAL 3404 02:51:07,850 --> 02:51:08,217 SCALES. 3405 02:51:08,217 --> 02:51:11,253 THIS WAS IMPORTANT FOR US 3406 02:51:11,253 --> 02:51:12,688 BECAUSE IF WE COULD USE OUR 3407 02:51:12,688 --> 02:51:15,257 ROBOT AS A DROP IN FOR CLINICAL 3408 02:51:15,257 --> 02:51:17,593 SCALES IT COULD THEN BE 3409 02:51:17,593 --> 02:51:18,694 BENEFICIAL IN LOW-RESOURCE 3410 02:51:18,694 --> 02:51:19,028 SETTINGS. 3411 02:51:19,028 --> 02:51:22,798 WE IT TURNED OUT THAT OUR R 3412 02:51:22,798 --> 02:51:28,704 SQUARED WERE PRETTY DECENT IN 3413 02:51:28,704 --> 02:51:34,443 TERMS OF R SQUARES BEING ABLE TO 3414 02:51:34,443 --> 02:51:37,046 PREDICT THE CLINICAL SCALE AND 3415 02:51:37,046 --> 02:51:40,482 EXECUTIVE FUNCTION ON THE MOCA 3416 02:51:40,482 --> 02:51:43,185 AND ALSO SAW WE COULD WITH OUR 3417 02:51:43,185 --> 02:51:45,120 ROBOTIC SCALES PREDICT BOX AND 3418 02:51:45,120 --> 02:51:49,191 BLOCK PRETTY WELL WITH STRONG R 3419 02:51:49,191 --> 02:51:50,059 SQUARED ASSESSMENT. 3420 02:51:50,059 --> 02:51:53,562 SO ONE OF OUR IDEAS WAS THAT IN 3421 02:51:53,562 --> 02:51:55,297 A SITUATION WHERE YOU DON'T HAVE 3422 02:51:55,297 --> 02:51:58,233 A CLINICAL PSYCHOLOGIST, YOU 3423 02:51:58,233 --> 02:52:00,402 DON'T HAVE THE TYPE OF TRAINING 3424 02:52:00,402 --> 02:52:03,272 TO DO ALL THE BATTERY OF 3425 02:52:03,272 --> 02:52:05,941 CLINICAL ASSESSMENT, COULD OUR 3426 02:52:05,941 --> 02:52:08,777 ROBOTIC SYSTEM BE A MEASURE OR 3427 02:52:08,777 --> 02:52:11,914 BE A TOOL FOR MEASURING MOTOR 3428 02:52:11,914 --> 02:52:13,248 AND COGNITIVE IMPAIRMENT? 3429 02:52:13,248 --> 02:52:15,050 WE PROVED IT WAS. 3430 02:52:15,050 --> 02:52:19,054 ONCE WE PUBLISHED IN THE U.S. WE 3431 02:52:19,054 --> 02:52:21,256 USE THE FUNDS TO START A LAB IN 3432 02:52:21,256 --> 02:52:21,523 BOTSWANA. 3433 02:52:21,523 --> 02:52:30,065 WE HAVE A LAB THERE AND 3434 02:52:30,065 --> 02:52:31,400 RECRUITED AND GOT PERMISSION FOR 3435 02:52:31,400 --> 02:52:32,835 HIV AND STROKE SUBJECTS. 3436 02:52:32,835 --> 02:52:36,338 WE GOT PEOPLE WE RECRUITED, 19 3437 02:52:36,338 --> 02:52:39,208 HIV ONLY, 14 WITH HIV AND 3438 02:52:39,208 --> 02:52:39,441 STROKE. 3439 02:52:39,441 --> 02:52:41,810 AND WE BASICALLY HAVE BEEN 3440 02:52:41,810 --> 02:52:43,679 LOOKING, ONE, WE DO THE CLINICAL 3441 02:52:43,679 --> 02:52:45,214 ASSESSMENT AND ALSO DID THE 3442 02:52:45,214 --> 02:52:47,616 ROBOTIC ASSESSMENT. 3443 02:52:47,616 --> 02:52:48,951 LOOKING AT THE CLINICAL 3444 02:52:48,951 --> 02:52:50,252 ASSESSMENT, ONE OF THE THINGS 3445 02:52:50,252 --> 02:52:51,820 THAT WAS INTERESTING IS WE DON'T 3446 02:52:51,820 --> 02:52:53,789 SEE AND I WANT TO THROW THIS 3447 02:52:53,789 --> 02:52:56,658 OUT, WE DON'T SEE A DIFFERENCE 3448 02:52:56,658 --> 02:52:57,826 BETWEEN THE HIV AND STROKE 3449 02:52:57,826 --> 02:53:00,529 POPULATION IN TERMS OF ANIMAL 3450 02:53:00,529 --> 02:53:00,829 INFLUENCES. 3451 02:53:00,829 --> 02:53:03,899 THEIR LANGUAGE IN TERMS OF 3452 02:53:03,899 --> 02:53:04,466 VISUAL SPATIAL HERE. 3453 02:53:04,466 --> 02:53:07,369 IF YOU LOOK AT THE GRAY BAR, THE 3454 02:53:07,369 --> 02:53:09,304 GRAY BAR IS WHAT IS CONSIDERED 3455 02:53:09,304 --> 02:53:18,413 WITHIN NORMAL LIMITS. 3456 02:53:18,413 --> 02:53:23,552 EVERYONE WHOSE DOTS ARE BELOW 3457 02:53:23,552 --> 02:53:26,021 MINUS ARE MODERATE TO MILDLY 3458 02:53:26,021 --> 02:53:26,288 IMPAIRED. 3459 02:53:26,288 --> 02:53:27,456 WHAT IS INTERESTING IS PEOPLE 3460 02:53:27,456 --> 02:53:31,026 DON'T THINK OF HIV THE AVERAGE 3461 02:53:31,026 --> 02:53:33,195 HIV PERSON AS HAVING MAJOR 3462 02:53:33,195 --> 02:53:38,133 COGNITIVE IMPAIRMENT BUT WE'RE 3463 02:53:38,133 --> 02:53:43,972 SEEING THAT FROM THIS STUDY HALF 3464 02:53:43,972 --> 02:53:45,007 HAD COGNITIVE IMPAIRMENTS ALONG 3465 02:53:45,007 --> 02:53:50,612 WITH HIV AND STROKE AND WE SAW 3466 02:53:50,612 --> 02:53:52,714 MINOR DIFFERENCE IN INFORMATION 3467 02:53:52,714 --> 02:53:53,515 PROCESSING ON PEOPLE WITH HIV 3468 02:53:53,515 --> 02:53:53,916 AND STROKE. 3469 02:53:53,916 --> 02:53:57,252 THEN WE LOOKED AT THE CLINICAL 3470 02:53:57,252 --> 02:54:00,355 ASSESSMENTS FOR MOTOR FUNCTION. 3471 02:54:00,355 --> 02:54:02,157 AND MOTOR FUNCTION AND THE 3472 02:54:02,157 --> 02:54:04,626 MAJORITY OF THE TIME WITH THE 3473 02:54:04,626 --> 02:54:05,694 HIV POPULATION PEOPLE ONLY THINK 3474 02:54:05,694 --> 02:54:07,062 OF FINE MOTOR. 3475 02:54:07,062 --> 02:54:10,199 WHAT WE WERE SURPRISED TO SEE 3476 02:54:10,199 --> 02:54:12,301 WAS THAT THE HIV POPULATION, IF 3477 02:54:12,301 --> 02:54:14,236 YOU LOOK AT THE GRAY BAR AGAIN 3478 02:54:14,236 --> 02:54:16,972 THE GRAY BARS ARE WITHIN NORMAL 3479 02:54:16,972 --> 02:54:19,775 LIMITS AND THIS IS GROSS MOTOR 3480 02:54:19,775 --> 02:54:20,742 FUNCTION. 3481 02:54:20,742 --> 02:54:23,812 A LOT OF THE HIV POPULATION LAD 3482 02:54:23,812 --> 02:54:27,115 GROSS MOTOR ISSUES AND IT WAS 3483 02:54:27,115 --> 02:54:28,483 SIGNIFICANTLY DIFFERENT WITH THE 3484 02:54:28,483 --> 02:54:29,451 STROKE POPULATION. 3485 02:54:29,451 --> 02:54:32,921 THOSE THAT ALSO HAD STROKE. 3486 02:54:32,921 --> 02:54:35,057 EVEN ON THE DOMINANT -- SO THE 3487 02:54:35,057 --> 02:54:36,358 DOMINANT HAND WERE DIFFERENCES 3488 02:54:36,358 --> 02:54:41,029 IN BOTH DOMINANT AND 3489 02:54:41,029 --> 02:54:42,564 NON-DOMINANT HAND FOR GROSS 3490 02:54:42,564 --> 02:54:44,466 MOTOR FUNCTION AND SAW 3491 02:54:44,466 --> 02:54:46,568 DIFFERENCES IN GRIP STRENGTH FOR 3492 02:54:46,568 --> 02:54:48,937 THE NON-DOMINANT HAND BUT YOU'RE 3493 02:54:48,937 --> 02:54:50,005 NOTICING THE HIV POPULATION 3494 02:54:50,005 --> 02:54:51,607 WHETHER THEY HAD STROKE OR NOT 3495 02:54:51,607 --> 02:54:52,207 WAS FALLING BELOW THE COMBRA 3496 02:54:52,207 --> 02:54:54,509 LINE. 3497 02:54:54,509 --> 02:54:57,746 -- BELOW THE GRAY LINE. 3498 02:54:57,746 --> 02:55:01,149 THE QUESTION IS HOW DO WE HELP 3499 02:55:07,623 --> 02:55:08,023 REMEDIATE THAT. 3500 02:55:08,023 --> 02:55:09,925 LET ME MOVE A LITTLE FASTER 3501 02:55:09,925 --> 02:55:12,794 BECAUSE OF TIME. 3502 02:55:12,794 --> 02:55:17,199 WE ALSO DEVELOPED THE HAPTIC 3503 02:55:17,199 --> 02:55:22,104 THERADRIVE AND MAPPED IT TO 3504 02:55:22,104 --> 02:55:23,672 BOTSWANA AND COLLECTED DATA ON 3505 02:55:23,672 --> 02:55:27,643 THE SUBJECT YOU SAW WE'RE IN THE 3506 02:55:27,643 --> 02:55:29,211 PROCESS OF PROCESSING THE 3507 02:55:29,211 --> 02:55:30,279 ROBOTIC DATA THERE AS WELL. 3508 02:55:30,279 --> 02:55:33,215 I'M GOING TO SWITCH TO THE LAST 3509 02:55:33,215 --> 02:55:35,317 SEGMENT QUICKLY THINKING HOW 3510 02:55:35,317 --> 02:55:37,786 WE'VE BEEN LOOKING AT CEREBRAL 3511 02:55:37,786 --> 02:55:40,355 PALSY BUT IN INFANTS. 3512 02:55:40,355 --> 02:55:43,058 WE'RE WORKING WITH THE 3513 02:55:43,058 --> 02:55:44,226 CHILDREN'S HOSPITAL OF 3514 02:55:44,226 --> 02:55:45,127 PHILADELPHIA. 3515 02:55:45,127 --> 02:55:48,063 WE HAVE AN RO1 LOOKING AT HOW WE 3516 02:55:48,063 --> 02:55:49,965 CAN DO AUTOMATED ASSESSMENT OR 3517 02:55:49,965 --> 02:55:54,136 EARLY DETECTION OF KIDS WITH CP. 3518 02:55:54,136 --> 02:55:57,039 THIS IS JUST SOME OF THE 3519 02:55:57,039 --> 02:56:00,075 BACKGROUND IN TERMS OF WHAT'S 3520 02:56:00,075 --> 02:56:04,913 HAPPENING WITH KIDS WITH CP AND 3521 02:56:04,913 --> 02:56:07,082 THE GROSS MOTOR ASSESSMENT IS 3522 02:56:07,082 --> 02:56:08,784 THE STANDARDIZED TOOL BUT 3523 02:56:08,784 --> 02:56:10,285 REQUIRES A LOT OF TRAINING AND 3524 02:56:10,285 --> 02:56:12,554 AGAIN THE TRAINING IS NOT ALWAYS 3525 02:56:12,554 --> 02:56:16,692 ACCESSIBLE IN LOW AND MIDDLE 3526 02:56:16,692 --> 02:56:17,392 INCOME COUNTRIES. 3527 02:56:17,392 --> 02:56:18,794 AND THE GROSS MOTOR ASSESSMENT 3528 02:56:18,794 --> 02:56:22,831 IS DONE AT THREE MONTHS AND FOUR 3529 02:56:22,831 --> 02:56:24,633 MONTHS BUT WHAT WE'RE STILL NOT 3530 02:56:24,633 --> 02:56:28,370 ABLE TO FIGURE OUT IF A KID HAS 3531 02:56:28,370 --> 02:56:34,476 DP UNTIL 18 MONTHS TO TWO -- 2 3532 02:56:34,476 --> 02:56:37,813 YEARS CAN YOU USE A.I. AND LOW 3533 02:56:37,813 --> 02:56:40,015 COST INSTRUMENTED SYSTEMS TO 3534 02:56:40,015 --> 02:56:40,782 DETECT CP EARLIER. 3535 02:56:40,782 --> 02:56:42,084 WE HAVE DONE WORK IN THIS. 3536 02:56:42,084 --> 02:56:48,623 WE WANTED TO IDENTIFY METRICS 3537 02:56:48,623 --> 02:56:49,524 ABLE TO DISTINGUISH BETWEEN 3538 02:56:49,524 --> 02:56:53,161 TYPICALLY DEVELOPING KIDS AND 3539 02:56:53,161 --> 02:56:55,364 THOSE THAT WEREN'T AND DEVELOP 3540 02:56:55,364 --> 02:56:57,032 SMART TOYS TO BE USED WITH THE 3541 02:56:57,032 --> 02:56:57,466 POPULATION AS WELL. 3542 02:56:57,466 --> 02:57:02,971 OUR FIRST ATTEMPT YOU SEE THE 3543 02:57:02,971 --> 02:57:05,474 LARGE SYSTEM WAS OUR FIRST PLAY 3544 02:57:05,474 --> 02:57:09,945 AT THE NEURODEVELOPMENT SYSTEM 3545 02:57:09,945 --> 02:57:12,147 AND BABIES USING COMPUTER VISION 3546 02:57:12,147 --> 02:57:15,450 AND PROCESS VIDEOS OF BABIES 3547 02:57:15,450 --> 02:57:18,253 PLAYING ALONE OR WITH THE TOY TO 3548 02:57:18,253 --> 02:57:20,722 TRY TO UNDERSTAND WHICH FACTORS 3549 02:57:20,722 --> 02:57:22,391 COULD BE SENSITIVE TO BABIES 3550 02:57:22,391 --> 02:57:23,125 WITH DISABILITY. 3551 02:57:23,125 --> 02:57:27,896 WE PUBLISHED THIS WORK AND 3552 02:57:27,896 --> 02:57:29,131 SHOWED WE DIDN'T USE MACHINE 3553 02:57:29,131 --> 02:57:30,999 LEARNING IN THIS SPACE. 3554 02:57:30,999 --> 02:57:34,136 WE USE NAIVE PATIENT SURPRISE 3555 02:57:34,136 --> 02:57:36,705 METRIC TO SEE IF WE COULD 3556 02:57:36,705 --> 02:57:38,507 SEPARATE THE KIDS LOW RISK, 3557 02:57:38,507 --> 02:57:43,078 MODERATE RISK OR HIGH RISK FROM 3558 02:57:43,078 --> 02:57:48,083 A POPULATION WE LABELLED HEALTHY 3559 02:57:48,083 --> 02:57:52,254 AND SHOWED WE WERE ABLE TO DO 3560 02:57:52,254 --> 02:57:54,289 THAT AND THE SECOND ATTEMPT WAS 3561 02:57:54,289 --> 02:57:55,023 USING MACHINE LEARNING AND 3562 02:57:55,023 --> 02:57:57,492 TRYING TO SEE IF WE CAN DEVELOP 3563 02:57:57,492 --> 02:58:01,063 A MACHINE LEARNING PRAYER DI 3564 02:58:01,063 --> 02:58:03,799 DIME -- PARADIGM TO DEVELOP LOW 3565 02:58:03,799 --> 02:58:04,433 MOTOR ASSESSMENT SCORES. 3566 02:58:04,433 --> 02:58:06,568 SCORES YOU GET ON BABIES AT 3 3567 02:58:06,568 --> 02:58:07,803 AND 4 MONTHS. 3568 02:58:07,803 --> 02:58:09,571 WHAT WAS NICE ABOUT THIS WORKING 3569 02:58:09,571 --> 02:58:12,474 WITH CHOC WE GOT ACCESS TO A 3570 02:58:12,474 --> 02:58:16,812 THOUSAND VIDEOS OR MORE OF 3571 02:58:16,812 --> 02:58:17,412 BABIES. 3572 02:58:17,412 --> 02:58:23,585 1060 INFANTS AND RETROSPECTIVELY 3573 02:58:23,585 --> 02:58:24,252 COMB 3574 02:58:24,252 --> 02:58:28,457 GRABBED THE DATA AND DEVELOP AN 3575 02:58:28,457 --> 02:58:34,529 M.L. TOOL AN ALGORITHM TO 3576 02:58:34,529 --> 02:58:41,203 COLLECT AND EXTRACT KINEMATICS 3577 02:58:41,203 --> 02:58:46,074 AND BUILD AND LEARN AN ALGORITHM 3578 02:58:46,074 --> 02:58:48,310 FOR PREDICTING THE SCORES. 3579 02:58:48,310 --> 02:58:49,444 WE DID GOOD. 3580 02:58:49,444 --> 02:58:52,481 WE FOLLOWED THE PARADIGM OF 3581 02:58:52,481 --> 02:58:55,083 HAVING A LOCK BOX SYSTEM WHERE 3582 02:58:55,083 --> 02:59:00,388 YOU DID NOT TRAIN ON 187 BABIES. 3583 02:59:00,388 --> 02:59:05,660 AND WE WERE ABLE TO SHOW WITH 3584 02:59:05,660 --> 02:59:09,030 OUR MACHINE LEARNING ALGORITHM 3585 02:59:09,030 --> 02:59:10,132 WE WERE ABLE TO SEPARATE MANY 3586 02:59:10,132 --> 02:59:13,034 THE -- WE WERE ABLE TO SEPARATE 3587 02:59:13,034 --> 02:59:17,205 THE TYPICAL DEVELOPING BABIES 3588 02:59:17,205 --> 02:59:18,840 RELATIVELY ACCURATELY. 3589 02:59:18,840 --> 02:59:22,777 WE HAD POSITIVE PREDICTIVE VALUE 3590 02:59:22,777 --> 02:59:25,080 OF 64.7. 3591 02:59:25,080 --> 02:59:27,949 OUR LAST ATTEMPT WAS THIS ONE. 3592 02:59:27,949 --> 02:59:34,556 THIS IS OUR MOST CURRENT SYSTEM 3593 02:59:34,556 --> 02:59:36,591 HERE. 3594 02:59:36,591 --> 02:59:38,693 WE'RE IN THE PROCESS OF 3595 02:59:38,693 --> 02:59:41,329 COLLECTING OVER 300 SESSIONS AND 3596 02:59:41,329 --> 02:59:47,702 HAVE EVALUATED THEM AND WE ARE 3597 02:59:47,702 --> 02:59:50,071 PROVING THAT VIDEO PLUS PRESSURE 3598 02:59:50,071 --> 02:59:52,040 DATA IMPROVES PREDICTION NOT 3599 02:59:52,040 --> 02:59:52,607 JUST VIDEO ALONE. 3600 02:59:52,607 --> 02:59:55,143 THAT LED US TO THINK ABOUT CAN 3601 02:59:55,143 --> 02:59:57,345 WE GET DATA EARLIER AND PREDICT 3602 02:59:57,345 --> 02:59:57,679 EARLIER. 3603 02:59:57,679 --> 03:00:03,018 I HAVE A Ph.D. STUDENT TRYING TO 3604 03:00:03,018 --> 03:00:06,488 UNDERSTAND THE USE OF COPD AND 3605 03:00:06,488 --> 03:00:09,591 DEALING WITH THE CHALLENGES THAT 3606 03:00:09,591 --> 03:00:11,293 COMES WITH A.I. USE AND DEALING 3607 03:00:11,293 --> 03:00:13,662 ONE THE CHALLENGES OF TRYING TO 3608 03:00:13,662 --> 03:00:16,031 UNDERSTAND HOW BABIES INTERACT 3609 03:00:16,031 --> 03:00:17,165 WITH TOYS. 3610 03:00:17,165 --> 03:00:25,140 THIS HAS BEEN KIND OF COOL IN 3611 03:00:25,140 --> 03:00:29,344 THAT WE'RE THINKING OF MACHINE 3612 03:00:29,344 --> 03:00:31,680 LEARNING AND SOME SENSORS WE 3613 03:00:31,680 --> 03:00:34,049 DEVELOPED TO HAVE TOYS ACTUALLY 3614 03:00:34,049 --> 03:00:35,550 PREDICT THE INTERACTION WITH 3615 03:00:35,550 --> 03:00:35,984 THEMSELVES. 3616 03:00:35,984 --> 03:00:38,386 I'M GOING TO STOP THERE SINCE 3617 03:00:38,386 --> 03:00:41,089 YOU CAN READ THE TAKEAWAYS BUT I 3618 03:00:41,089 --> 03:00:41,356 APOLOGIZE. 3619 03:00:41,356 --> 03:00:43,191 I KNEW I'D TALK MORE THAN I 3620 03:00:43,191 --> 03:00:43,425 SHOULD. 3621 03:00:43,425 --> 03:00:48,930 I'M ALWAYS EXCITED ABOUT THE 3622 03:00:48,930 --> 03:00:52,000 WORK THAT WE'RE DOING THANK YOU 3623 03:00:52,000 --> 03:00:53,034 FOR LISTENING. 3624 03:00:53,034 --> 03:00:55,637 THANKS TO THE FUNDING FROM NICHD 3625 03:00:55,637 --> 03:00:58,039 FOR A LOT OF THE WORK WE'VE BEEN 3626 03:00:58,039 --> 03:01:03,011 DOING AS WELL THE CENTER FOR 3627 03:01:03,011 --> 03:01:04,913 AIDS RESEARCH. 3628 03:01:04,913 --> 03:01:06,281 AND 3629 03:01:06,281 --> 03:01:09,217 >> THANK YOU, WE HAVE TIME FOR 3630 03:01:09,217 --> 03:01:19,594 ONE OR TWO QUESTIONS. 3631 03:01:23,698 --> 03:01:27,435 >> WE'VE BEEN USING THE EEG ON 3632 03:01:27,435 --> 03:01:29,204 SOME OF OUR SOCIAL ROBOT WORK 3633 03:01:29,204 --> 03:01:35,610 AND HAVE BEEN COLLECTING AT EEG 3634 03:01:35,610 --> 03:01:37,612 DATA AND LOOKING AT THE RESPONSE 3635 03:01:37,612 --> 03:01:41,216 OF BRAIN ACTIVITY RESPONSE TO 3636 03:01:41,216 --> 03:01:43,918 OBSERVE ROBOTS DOING TASK AND 3637 03:01:43,918 --> 03:01:44,686 STARTING THERE WITH THE GOAL OF 3638 03:01:44,686 --> 03:01:47,455 USING EEG IN OTHER WORK WE'RE 3639 03:01:47,455 --> 03:01:49,924 DOING BUT WE'RE STARTING WITH AN 3640 03:01:49,924 --> 03:01:52,994 AFFORDABLE ROBOT TYPE PARADIGM 3641 03:01:52,994 --> 03:01:55,397 THINKING ABOUT WHAT DOES EEG ADD 3642 03:01:55,397 --> 03:01:58,033 IF YOU'RE LOOKING AT ROBOTS 3643 03:01:58,033 --> 03:02:00,568 DOING TASKS VERSUS NOT ROBOTS 3644 03:02:00,568 --> 03:02:03,538 DOING TASK BUT THOUGHT OF DOS 3645 03:02:03,538 --> 03:02:04,739 THIS WITH THE STROKE THERAPY 3646 03:02:04,739 --> 03:02:09,411 SYSTEMS AS WELL. 3647 03:02:09,411 --> 03:02:11,680 >> CAN YOU HEAR ME OKAY? 3648 03:02:11,680 --> 03:02:13,915 >> YES, I CAN. 3649 03:02:13,915 --> 03:02:15,917 >> SUCH A PLEASURE TO SEE ALL 3650 03:02:15,917 --> 03:02:18,653 THE GOOD STUFF YOU'RE DOING. 3651 03:02:18,653 --> 03:02:20,889 SO, I LIKE THE BREADTH AND DEPTH 3652 03:02:20,889 --> 03:02:21,456 OF IT. 3653 03:02:21,456 --> 03:02:25,160 LET ME COME BACK TO SOMETHING WE 3654 03:02:25,160 --> 03:02:29,197 WERE TALKING ABOUT BEFORE WHICH 3655 03:02:29,197 --> 03:02:33,635 WAS IN THIS ENVIRONMENT YOU'VE 3656 03:02:33,635 --> 03:02:37,138 SHOWN ROBOTIC THERAPY CAN BE 3657 03:02:37,138 --> 03:02:42,277 PRACTICALLY USED, ETCETERA. 3658 03:02:42,277 --> 03:02:47,382 HOW DO YOU SEE USING ROBOT 3659 03:02:47,382 --> 03:02:49,150 MONITORING WHICH IS SOMETHING 3660 03:02:49,150 --> 03:02:50,018 COVID-19 ONE OF THE UNINTENDED 3661 03:02:50,018 --> 03:03:00,261 CONSEQUENCES. 3662 03:03:01,496 --> 03:03:11,072 IT'S NOW REIMBURSE ABLE AND 3663 03:03:11,072 --> 03:03:14,109 ACCEPTABLE DO YOU SEE THIS AS 3664 03:03:14,109 --> 03:03:17,212 DEPLOYABLE AT HOME TECHNOLOGIES? 3665 03:03:17,212 --> 03:03:18,146 >> ABSOLUTELY. 3666 03:03:18,146 --> 03:03:20,348 WE PLAY AROUND WITH A SOCIAL ROB 3667 03:03:20,348 --> 03:03:22,784 BOUGHT I DIDN'T PRESENT HERE 3668 03:03:22,784 --> 03:03:25,620 BECAUSE IT WAS A LITTLE BIT OFF 3669 03:03:25,620 --> 03:03:30,525 TOPIC AND BEING ABLE TO MONITOR 3670 03:03:30,525 --> 03:03:32,927 BABIES IN THEIR HOMES IS TO THE 3671 03:03:32,927 --> 03:03:35,730 WAY TO GO USING PEOPLE'S REGULAR 3672 03:03:35,730 --> 03:03:38,433 CAMERAS AND FIGURING OUT HOW YOU 3673 03:03:38,433 --> 03:03:39,601 CAN COLLECT THAT DATA. 3674 03:03:39,601 --> 03:03:41,202 BEING ABLE TO PLACE THE 3675 03:03:41,202 --> 03:03:42,170 AFFORDABLE TECHNOLOGIES LIKE THE 3676 03:03:42,170 --> 03:03:44,539 ROBOTS IN PEOPLE'S HOMES OR IN 3677 03:03:44,539 --> 03:03:45,740 THE COMMUNITY SETTING. 3678 03:03:45,740 --> 03:03:48,176 ONE OF THE THINGS I'VE NOTICED 3679 03:03:48,176 --> 03:03:50,044 IS THINKING ABOUT HOME VERSUS 3680 03:03:50,044 --> 03:03:50,979 COMMUNITY. 3681 03:03:50,979 --> 03:03:54,182 I'VE HAD TO DO A LITTLE BIT OF 3682 03:03:54,182 --> 03:03:54,949 MAPPING. 3683 03:03:54,949 --> 03:03:56,651 IN THE U.S. IT'S EASIER TO THINK 3684 03:03:56,651 --> 03:03:58,686 OF PUTTING A ROBOT IN PEOPLE'S 3685 03:03:58,686 --> 03:04:03,258 HOME BECAUSE PEOPLE HAVE ACCESS 3686 03:04:03,258 --> 03:04:04,325 TO ELECTRICITY BUT WHERE I'VE 3687 03:04:04,325 --> 03:04:06,027 WORKED IN OTHER COUNTRIES I 3688 03:04:06,027 --> 03:04:08,430 REALIZE I HAVE TO THINK NOT JUST 3689 03:04:08,430 --> 03:04:10,131 HOME BUT IN THE COMMUNITY 3690 03:04:10,131 --> 03:04:11,733 BECAUSE TAKING THE ROBOT TO 3691 03:04:11,733 --> 03:04:14,402 SOMEONE'S HOME MIGHT BE A MAJOR 3692 03:04:14,402 --> 03:04:14,636 LUXURY. 3693 03:04:14,636 --> 03:04:17,105 BUT THERE MAY BE PRIMARY CARE 3694 03:04:17,105 --> 03:04:18,873 CENTERS WHERE YOU COULD SET UP 3695 03:04:18,873 --> 03:04:20,408 SOME SYSTEMS SO PEOPLE HAVE 3696 03:04:20,408 --> 03:04:22,577 ACCESS WITHIN THE COMMUNITY. 3697 03:04:22,577 --> 03:04:25,146 I'LL USE THE WORD COMMUNITY AND 3698 03:04:25,146 --> 03:04:28,917 HOME INTERCHANGEABLY BUT IT'S 3699 03:04:28,917 --> 03:04:31,486 IMPORTANT TO THINK OF TELEREHAB 3700 03:04:31,486 --> 03:04:39,494 ALIGNED WITH THE DEPLOYMENTS. 3701 03:04:39,494 --> 03:04:45,166 >> FASCINATING SET OF WORK. 3702 03:04:45,166 --> 03:04:48,403 I'M WONDERING -- ROBOTICS HAS SO 3703 03:04:48,403 --> 03:04:50,138 MUCH PROMISE. 3704 03:04:50,138 --> 03:04:55,143 WE'LL HAVE DEVELOPED ROBOTS FOR 3705 03:04:55,143 --> 03:04:56,578 THERAPY FOCUSSING ON DIFFERENT 3706 03:04:56,578 --> 03:04:58,980 ELEMENTS OF THERAPY BUT I THINK 3707 03:04:58,980 --> 03:05:02,083 ONE OF THE THINGS THAT 3708 03:05:02,083 --> 03:05:04,085 INTERFERES WITH THERAPISTS 3709 03:05:04,085 --> 03:05:06,254 ACCEPTANCE AND EMBRACING ROBOTS 3710 03:05:06,254 --> 03:05:09,524 IS THAT IT TAKES A CONTROL AWAY 3711 03:05:09,524 --> 03:05:10,191 FROM THE THERAPIST. 3712 03:05:10,191 --> 03:05:17,198 WHAT I MEAN IS THE ABILITY TO 3713 03:05:17,198 --> 03:05:22,770 MANAGE AND DO THEIR OWN THERAPY 3714 03:05:22,770 --> 03:05:25,440 IN THE WAY GRADING THE REQUIRED 3715 03:05:25,440 --> 03:05:27,909 MOVEMENTS AND THE WAY THEY 3716 03:05:27,909 --> 03:05:28,243 WOULDN'T. 3717 03:05:28,243 --> 03:05:29,811 I HAVE THOUGHT ABOUT THAT AND DO 3718 03:05:29,811 --> 03:05:33,214 YOUR ROBOTS HAVE LIKE A 3719 03:05:33,214 --> 03:05:35,483 THERAPIST INTERFACE TO DIAL UP 3720 03:05:35,483 --> 03:05:37,151 WHAT THEY ARE WANT TO GET OUT OF 3721 03:05:37,151 --> 03:05:41,523 THE PATIENTS? 3722 03:05:41,523 --> 03:05:45,760 >> YES. 3723 03:05:45,760 --> 03:05:48,930 THE ONE DEGREE SYSTEM HAS AN 3724 03:05:48,930 --> 03:05:49,197 INTERFACE. 3725 03:05:49,197 --> 03:05:51,733 THEY CAN CONTROL THE GAMES AND 3726 03:05:51,733 --> 03:05:54,669 MODIFY THE SYSTEM THE WAY THEY 3727 03:05:54,669 --> 03:05:54,969 WANT. 3728 03:05:54,969 --> 03:05:57,138 WE'VE ALSO EXPLORED ALMOST LIKE 3729 03:05:57,138 --> 03:05:58,940 A WIZARD OF OZ ROBOTIC SYSTEM. 3730 03:05:58,940 --> 03:06:02,777 I DIDN'T PRESENT THAT IN A 3731 03:06:02,777 --> 03:06:06,981 SOCIAL ROBOT WHERE THE THERAPIST 3732 03:06:06,981 --> 03:06:10,318 DRIVES THE ROBOT IN THE ROOM AND 3733 03:06:10,318 --> 03:06:13,154 MOVES THE HUMANOID ROBOT. 3734 03:06:13,154 --> 03:06:14,956 WE EXPLORE THAT AS WELL. 3735 03:06:14,956 --> 03:06:18,893 WE EXPLORED -- SO ONE THING I 3736 03:06:18,893 --> 03:06:21,963 FIND IS WHEN I GO TO WHEN YOU'RE 3737 03:06:21,963 --> 03:06:24,499 IN BOTSWANA THERE'S SO FEW 3738 03:06:24,499 --> 03:06:26,267 THERAPISTS THE ISSUE OF THE 3739 03:06:26,267 --> 03:06:28,236 THERAPIST WANTING THE FULL 3740 03:06:28,236 --> 03:06:30,071 CONTROL IS NOT THERE BECAUSE IN 3741 03:06:30,071 --> 03:06:31,606 THE U.S. THERE'S A LOT OF MORE 3742 03:06:31,606 --> 03:06:33,207 THERAPISTS, MORE ACCESS AND SO 3743 03:06:33,207 --> 03:06:38,146 THERE'S ONE-ON-ONE CARE IS 3744 03:06:38,146 --> 03:06:38,580 PROFOUND. 3745 03:06:38,580 --> 03:06:40,448 IN WHEN WE THINK OF BOTSWANA THE 3746 03:06:40,448 --> 03:06:42,517 PEOPLE DON'T GET ONE-ON-ONE. 3747 03:06:42,517 --> 03:06:46,854 THEY DON'T GET CARE SO THE 3748 03:06:46,854 --> 03:06:48,523 THERAPIST IS LIKE GET ME 3749 03:06:48,523 --> 03:06:49,891 SOMETHING I CAN TAKE CARE OF MY 3750 03:06:49,891 --> 03:06:51,159 PATIENTS WITH SO THE ISSUES ARE 3751 03:06:51,159 --> 03:06:51,426 DIFFERENT. 3752 03:06:51,426 --> 03:06:53,227 BUT HERE IN THE U.S. I'M 3753 03:06:53,227 --> 03:06:55,396 THINKING ABOUT ALLOWING THE 3754 03:06:55,396 --> 03:06:57,198 THERAPIST TO SET THE THRESHOLD 3755 03:06:57,198 --> 03:06:59,500 TO SET THE THRESHOLD OF 3756 03:06:59,500 --> 03:06:59,801 COMPLEXITY. 3757 03:06:59,801 --> 03:07:02,036 AND YOU'RE RIGHT, IN LOTS OF THE 3758 03:07:02,036 --> 03:07:03,271 SYSTEMS THEY ARE HAVE FALLEN 3759 03:07:03,271 --> 03:07:05,039 SHORT BECAUSE IT'S BEEN SO 3760 03:07:05,039 --> 03:07:07,575 COMPLEX TO SET THEM UP, 3761 03:07:07,575 --> 03:07:08,042 ETCETERA. 3762 03:07:08,042 --> 03:07:09,811 WE HAVE SIMPLER SYSTEMS THAT 3763 03:07:09,811 --> 03:07:12,113 EASIER TO SET UP THAT GIVES THE 3764 03:07:12,113 --> 03:07:17,218 THERAPIST THE CONTROL OVER WHAT 3765 03:07:17,218 --> 03:07:20,588 THEY ARE WANT TO DO AND I THINK 3766 03:07:20,588 --> 03:07:23,157 THAT'S THE PHILOSOPHY AS 3767 03:07:23,157 --> 03:07:24,225 ROBOTICISTS WE SHOULD BE MOVING 3768 03:07:24,225 --> 03:07:25,360 TOWARDS. 3769 03:07:25,360 --> 03:07:30,665 >> TWO QUICK QUESTIONS AND SHORT 3770 03:07:30,665 --> 03:07:30,898 ANSWERS. 3771 03:07:30,898 --> 03:07:32,734 >> THIS IS SUPER QUICK BECAUSE 3772 03:07:32,734 --> 03:07:34,636 IT'S A TEASER. 3773 03:07:34,636 --> 03:07:37,171 WE THINK OF COGNITIVE AFFECT ON 3774 03:07:37,171 --> 03:07:41,209 MOTOR SENTIMENTS AND DO REMOTE 3775 03:07:41,209 --> 03:07:42,176 ASSESSMENTS AND TELEHEALTH. 3776 03:07:42,176 --> 03:07:43,911 LET'S SIT NEXT TO EACH OTHER AT 3777 03:07:43,911 --> 03:07:44,145 DINNER. 3778 03:07:44,145 --> 03:07:44,846 >> OKAY. 3779 03:07:44,846 --> 03:07:45,313 >> INTERESTING WORK. 3780 03:07:45,313 --> 03:07:48,282 I'M WONDERING IF YOU HAVE TALKED 3781 03:07:48,282 --> 03:07:51,552 WITH THE FAMILIES THAT USE THIS 3782 03:07:51,552 --> 03:07:54,222 AND THE USABILITY FROM THEIR 3783 03:07:54,222 --> 03:07:55,757 PERSPECTIVE AND DO THEY MIND NOT 3784 03:07:55,757 --> 03:07:57,458 INTERACTING WITH THE PERSON 3785 03:07:57,458 --> 03:07:58,559 ESPECIALLY IN BOTSWANA. 3786 03:07:58,559 --> 03:08:00,595 IS THAT AN ISSUE? 3787 03:08:00,595 --> 03:08:03,398 >> DO THEY MIND? 3788 03:08:03,398 --> 03:08:07,135 >> ARE THEY OPEN TO THE USE OF 3789 03:08:07,135 --> 03:08:17,679 THIS AND IS THAT USABILITY AND 3790 03:08:19,213 --> 03:08:23,551 DID THE STUDY AND IN A RURAL 3791 03:08:23,551 --> 03:08:26,587 AREA WITH A RELATIVELY YOUNGER 3792 03:08:26,587 --> 03:08:29,190 CLOUD AND OLDER LESS EDUCATED 3793 03:08:29,190 --> 03:08:33,761 CROWD AND THEY WEREN'T REALLY 3794 03:08:33,761 --> 03:08:34,495 ENGLISH. 3795 03:08:34,495 --> 03:08:39,701 WE FIND THIS IS ACCEPTABLE AND 3796 03:08:39,701 --> 03:08:43,071 EXCITED WITH THE MAJORITY OF 3797 03:08:43,071 --> 03:08:53,214 PEOPLE SPOKE ENGLISH AND IT AND 3798 03:08:53,214 --> 03:09:03,725 RESISTANT THEY SAID THEY WERE 3799 03:09:20,374 --> 03:09:25,113 EXCITED IS THE ENGAGEMENT SCALE 3800 03:09:25,113 --> 03:09:26,814 AND DO YOU THINK YOU CAN RUN THE 3801 03:09:26,814 --> 03:09:29,784 SYSTEM AND THEY'RE LIKE, NO, WE 3802 03:09:29,784 --> 03:09:31,919 DON'T THINK WE COULD. 3803 03:09:31,919 --> 03:09:36,591 WE'RE TRYING TO TEASE OUT THE 3804 03:09:36,591 --> 03:09:38,059 PROS AND CONS. 3805 03:09:38,059 --> 03:09:40,895 I SEE ACCEPTABILITY IN BOTSWANA. 3806 03:09:40,895 --> 03:09:46,667 HOW DO WE GET IT THERE AND HOW 3807 03:09:46,667 --> 03:09:52,373 DO WE EXTEND IT. 3808 03:09:52,373 --> 03:09:52,974 BUILDING CONFIDENCE IN THE 3809 03:09:52,974 --> 03:09:53,574 SYSTEM. 3810 03:09:53,574 --> 03:09:53,875 INTERESTING. 3811 03:09:53,875 --> 03:09:58,746 >> THANKS FOR BRING US TO AN 3812 03:09:58,746 --> 03:10:02,583 INTERESTING DISCUSSION ABOUT 3813 03:10:02,583 --> 03:10:02,917 ACCESSIBILITY. 3814 03:10:02,917 --> 03:10:04,519 AND THIS UPDATE IS FROM PREVIOUS 3815 03:10:04,519 --> 03:10:09,657 DISCUSSIONS FROM THE BOARD ABOUT 3816 03:10:09,657 --> 03:10:16,464 THIS COORDINATING COMMITTEE AND 3817 03:10:16,464 --> 03:10:21,502 WE HAVE TARA SCHWETZ AN 3818 03:10:21,502 --> 03:10:22,737 EX-OFFICIO. 3819 03:10:22,737 --> 03:10:26,741 TARA IS THE NIH DIRECTOR FOR 3820 03:10:26,741 --> 03:10:28,676 PROGRAM COORDINATION, PLANNING 3821 03:10:28,676 --> 03:10:29,510 AND STRATEGIC INITIATIVE. 3822 03:10:29,510 --> 03:10:31,679 SHE HAS SERVED MANY ROLES AT THE 3823 03:10:31,679 --> 03:10:34,282 NIH INCLUDING THE NIH ACTING 3824 03:10:34,282 --> 03:10:40,555 PRINCIPAL DEPUTY AND ACTING OF 3825 03:10:40,555 --> 03:10:41,556 THE NATIONAL INSTITUTE OF 3826 03:10:41,556 --> 03:10:43,157 NURSING RESEARCH AND WAS 3827 03:10:43,157 --> 03:10:46,994 DETAILED TO THE OFFICE OF 3828 03:10:46,994 --> 03:10:48,329 TECHNOLOGY AND POLICY AND 3829 03:10:48,329 --> 03:10:51,799 DIRECTOR OF BIOMEDICAL SCIENCE 3830 03:10:51,799 --> 03:10:53,167 INITIATIVES STANDING UP EFFORTS 3831 03:10:53,167 --> 03:10:55,336 TO START UP THE ADVANCED 3832 03:10:55,336 --> 03:11:01,108 RESEARCH PROJECTS AGENCY FOR 3833 03:11:01,108 --> 03:11:10,251 HEALTH, ARPA-H AND ADAM POLITIS 3834 03:11:10,251 --> 03:11:12,653 IS IN THE DIVISION OF DIVISION 3835 03:11:12,653 --> 03:11:13,521 OF PROGRAM COORDINATION PLANNING 3836 03:11:13,521 --> 03:11:15,556 AND PROGRAM INITIATIVES IN THE 3837 03:11:15,556 --> 03:11:19,260 OFFICE OF THE DIRECTOR FOR THE 3838 03:11:19,260 --> 03:11:20,294 NATIONAL INSTITUTE OF HEALTH AND 3839 03:11:20,294 --> 03:11:24,699 CURRENTLY A PART TIME DETAILED 3840 03:11:24,699 --> 03:11:26,634 TO TO THE WHITE HOUSE OVERS 3841 03:11:26,634 --> 03:11:29,203 TECHNOLOGY POLICY SERVING AS 3842 03:11:29,203 --> 03:11:30,571 ADVISER FOR DISABILITY AND 3843 03:11:30,571 --> 03:11:32,506 EQUITY BEFORE JOINING THE NIH HE 3844 03:11:32,506 --> 03:11:35,509 WORKED EXTENSIVELY WITH PEOPLE 3845 03:11:35,509 --> 03:11:37,178 WITH DISABILITIES IN A VARIETY 3846 03:11:37,178 --> 03:11:42,283 OF CLINICAL ROLES IN HEALTH CARE 3847 03:11:42,283 --> 03:11:52,526 AND ACADEMIA. 3848 03:12:10,177 --> 03:12:13,481 >> I THINK YOU'RE MUTED. 3849 03:12:13,481 --> 03:12:14,081 >> THANK YOU ALL. 3850 03:12:14,081 --> 03:12:17,218 THANKS FOR THAT KIND 3851 03:12:17,218 --> 03:12:20,354 INTRODUCTION. 3852 03:12:20,354 --> 03:12:21,622 I'M ONLY GOING TO STAY 30 3853 03:12:21,622 --> 03:12:24,492 SECONDS OR A MINUTE OF OPENING 3854 03:12:24,492 --> 03:12:28,329 REMARKS AND PASS IT TO ADAM BUT 3855 03:12:28,329 --> 03:12:31,198 TO SET THE STAGE A LITTLE BIT, I 3856 03:12:31,198 --> 03:12:33,200 THINK YOU ALL CAN APPRECIATE NIH 3857 03:12:33,200 --> 03:12:34,835 IS COMMITTED TO IMPROVING THE 3858 03:12:34,835 --> 03:12:36,170 HEALTH AND WELL BEING OF PEOPLE 3859 03:12:36,170 --> 03:12:36,604 WITH DISABILITIES. 3860 03:12:36,604 --> 03:12:39,640 WE HAVE A LONG HISTORY OF 3861 03:12:39,640 --> 03:12:41,208 SUPPORTING DISABILITY RESEARCH 3862 03:12:41,208 --> 03:12:43,144 BUT RECOGNIZE MUCH WORK REMAINS 3863 03:12:43,144 --> 03:12:45,346 TO FULLY UNDERSTAND HEALTH AND 3864 03:12:45,346 --> 03:12:46,914 HEALTH CARE DISABILITIES THAT 3865 03:12:46,914 --> 03:12:52,420 AFFECT PEOPLE WITH DISABILITIES. 3866 03:12:52,420 --> 03:12:55,656 BACK IN DECEMBER OF 2022 OUR 3867 03:12:55,656 --> 03:12:57,191 ADVISORY COMMITTEE TO THE NIH 3868 03:12:57,191 --> 03:12:58,659 DIRECTOR WORKING GROUP ON 3869 03:12:58,659 --> 03:13:00,094 DIVERSITY HAD A SUB GROUP ON 3870 03:13:00,094 --> 03:13:02,663 INDIVIDUALS WITH DISABILITIES 3871 03:13:02,663 --> 03:13:06,033 AND THEY PROVIDED A BUNCH OF 3872 03:13:06,033 --> 03:13:07,168 RECOMMENDATIONS HOW NIH CAN 3873 03:13:07,168 --> 03:13:09,337 FURTHER DISABILITY RESEARCH AND 3874 03:13:09,337 --> 03:13:13,140 PROMOTE DISABILITY INCLUSION. 3875 03:13:13,140 --> 03:13:23,017 THEN WE ESTABLISHED AN INTERNAL 3876 03:13:23,017 --> 03:13:27,154 DISABILITY SUBCOMMITTEE AND 3877 03:13:27,154 --> 03:13:28,322 TYING INTO THIS LAST SEPTEMBER 3878 03:13:28,322 --> 03:13:29,991 THE DIRECTOR OF MINORITY HEALTH 3879 03:13:29,991 --> 03:13:31,826 AND HEALTH DISPARITIES 3880 03:13:31,826 --> 03:13:33,561 DESIGNATED PEOPLE WITH 3881 03:13:33,561 --> 03:13:36,097 DISABILITIES AS A HEALTH 3882 03:13:36,097 --> 03:13:36,964 DISPARITIES POPULATION ELEVATING 3883 03:13:36,964 --> 03:13:38,432 THE NEED FOR RESEARCH TO BETTER 3884 03:13:38,432 --> 03:13:39,200 UNDERSTAND THE COMPLEXITIES 3885 03:13:39,200 --> 03:13:40,267 LEADING TO DIFFERENT HEALTH 3886 03:13:40,267 --> 03:13:41,202 OUTCOMES FOR PEOPLE WITH 3887 03:13:41,202 --> 03:13:44,105 DISABILITIES. 3888 03:13:44,105 --> 03:13:47,041 SO, JUST TO MENTION THOSE TO SET 3889 03:13:47,041 --> 03:13:50,211 THE STAGE OF THE BACKGROUND 3890 03:13:50,211 --> 03:13:51,178 BECAUSE THIS EMPHASIZES THE 3891 03:13:51,178 --> 03:13:52,513 SUCCESS OF THESE EFFORTS AND 3892 03:13:52,513 --> 03:13:54,515 MANY MORE WE HEARD TODAY AND 3893 03:13:54,515 --> 03:13:57,051 APPRECIATED THE TEASER THIS 3894 03:13:57,051 --> 03:14:00,254 MORNING FROM THERESA BUT ALL 3895 03:14:00,254 --> 03:14:02,723 THESE WILL REQUIRE A WELL 3896 03:14:02,723 --> 03:14:03,524 COORDINATED APPROACH ACROSS ALL 3897 03:14:03,524 --> 03:14:05,693 OF NIH AND THAT INCLUDES INPUT 3898 03:14:05,693 --> 03:14:09,196 FROM NOT JUST NIH BUT THE BROAD 3899 03:14:09,196 --> 03:14:10,998 SPECTRUM OF THE COMMUNITY. 3900 03:14:10,998 --> 03:14:13,667 AND SO WE PULLED TOGETHER A TEAM 3901 03:14:13,667 --> 03:14:16,237 OF DISABILITY RESEARCH AND 3902 03:14:16,237 --> 03:14:18,406 POLICY EXPERTS INCLUDING THOSE 3903 03:14:18,406 --> 03:14:19,840 WITH LIVED EXPERIENCE AND THEY 3904 03:14:19,840 --> 03:14:23,511 ARE ARE SPEARHEADING SOME NIH 3905 03:14:23,511 --> 03:14:24,612 WIDE DISCUSSION ON DISABILITY 3906 03:14:24,612 --> 03:14:26,981 RESEARCH TO DEVELOP AN 3907 03:14:26,981 --> 03:14:27,782 AGENCY-WIDE STRATEGIC PLAN FOR 3908 03:14:27,782 --> 03:14:28,249 DISABILITY RESEARCH. 3909 03:14:28,249 --> 03:14:31,619 AND A LOT OF THIS WORK IS BEING 3910 03:14:31,619 --> 03:14:33,521 DONE BY THE DISABILITY RESEARCH 3911 03:14:33,521 --> 03:14:40,628 COORDINATING COMMITTEE. 3912 03:14:40,628 --> 03:14:51,138 AND UPDATE ON WORK BEING DONE. 3913 03:15:00,014 --> 03:15:03,417 >> AS TARA MENTIONED OUR 3914 03:15:03,417 --> 03:15:04,218 DISABILITY RESEARCH COORDINATION 3915 03:15:04,218 --> 03:15:05,019 TEAM WAS FORMED. 3916 03:15:05,019 --> 03:15:06,620 WE FORMED IN THE SUMMER. 3917 03:15:06,620 --> 03:15:08,556 WE'VE BEEN DOING VARIOUS 3918 03:15:08,556 --> 03:15:10,057 ACTIVITIES WORKING HARD TO GET 3919 03:15:10,057 --> 03:15:11,325 THINGS GOING TO DEVELOP THE 3920 03:15:11,325 --> 03:15:12,193 STRATEGIC PLAN. 3921 03:15:12,193 --> 03:15:14,595 IN SEPTEMBER WE ESTABLISHED THE 3922 03:15:14,595 --> 03:15:16,797 DISABILITY RESEARCH COORDINATING 3923 03:15:16,797 --> 03:15:22,036 COMMITTEE OR DRCC FOR SHORT. 3924 03:15:22,036 --> 03:15:24,572 THE CHARGE OF THE COMMITTEE IS 3925 03:15:24,572 --> 03:15:29,310 TO PROVIDE NIH-WIDE FORUM FOR 3926 03:15:29,310 --> 03:15:31,011 DISCUSSING THE DIVERSE 3927 03:15:31,011 --> 03:15:32,713 COMMUNITIES AND HOW NIH CAN HELP 3928 03:15:32,713 --> 03:15:35,316 ADDRESS THE NEEDS AND SERVE AS A 3929 03:15:35,316 --> 03:15:36,717 CATALYST FOR TRAINING AND CAREER 3930 03:15:36,717 --> 03:15:37,384 DEVELOPMENT RESEARCH FOR PEOPLE 3931 03:15:37,384 --> 03:15:39,987 WITH DISABILITIES. 3932 03:15:39,987 --> 03:15:42,022 AND MORE SPECIFICALLY ONE OF OUR 3933 03:15:42,022 --> 03:15:44,525 FIRST MAJOR TASKS IS DEVELOPING 3934 03:15:44,525 --> 03:15:46,627 THE NIH STRATEGIC PLAN FOR 3935 03:15:46,627 --> 03:15:49,029 DISABILITY RESEARCH THEN 3936 03:15:49,029 --> 03:15:50,998 IMPLEMENTING IT AND EVALUATING 3937 03:15:50,998 --> 03:15:54,001 IT ON A REGULAR BASIS AND 3938 03:15:54,001 --> 03:15:54,902 SERVING THE COORDINATION 3939 03:15:54,902 --> 03:15:55,936 FUNCTION TO FACILITATE 3940 03:15:55,936 --> 03:15:58,839 PARTNERSHIPS AND COLLABORATIONS 3941 03:15:58,839 --> 03:16:01,609 ACROSS NIH AT OUR INSTITUTE AND 3942 03:16:01,609 --> 03:16:03,244 OFFICES WITH REGARDS TO 3943 03:16:03,244 --> 03:16:05,212 DISABILITY RESEARCH RELATED 3944 03:16:05,212 --> 03:16:06,914 ACTIVITIES AND FEDERAL AGENCIES 3945 03:16:06,914 --> 03:16:08,415 AND DEVELOP RESEARCH AND 3946 03:16:08,415 --> 03:16:13,154 TRAINING ACTIVITIES FOR 3947 03:16:13,154 --> 03:16:14,388 LEADERSHIP TO CONSIDER. 3948 03:16:14,388 --> 03:16:25,099 SO THE CO-CHAIRS INCLUDE THERESA 3949 03:16:25,099 --> 03:16:35,543 CRUZ AND LARISSA AVILES-SANTA 3950 03:16:36,777 --> 03:16:38,879 AND YOU SEE THE NUMBER OF 3951 03:16:38,879 --> 03:16:43,150 MEMBERS AND INSTITUTES AND 3952 03:16:43,150 --> 03:16:49,623 CENTERS AND DPCPSI AND ASPECTS 3953 03:16:49,623 --> 03:16:51,258 OF DISABILITY RESEARCH AND MANY 3954 03:16:51,258 --> 03:16:55,963 INDIVIDUALS WITH LIVED RESEARCH 3955 03:16:55,963 --> 03:16:57,398 AND DISABILITY. 3956 03:16:57,398 --> 03:17:01,335 AND THE PURVIEW OF CERTAIN 3957 03:17:01,335 --> 03:17:04,171 INSTITUTES, THESE THREE OR SIX 3958 03:17:04,171 --> 03:17:05,606 AND COMING FROM THE ANGLE IS 3959 03:17:05,606 --> 03:17:07,341 THIS IS RESEARCH FOR PEOPLE WITH 3960 03:17:07,341 --> 03:17:08,642 DISABILITIES AND EVERY CENTER 3961 03:17:08,642 --> 03:17:09,777 HAS EQUITIES HERE. 3962 03:17:09,777 --> 03:17:11,278 WHETHER YOU'RE A PERSON WITH 3963 03:17:11,278 --> 03:17:12,746 DISABILITY WHO WANTS TO RECEIVE 3964 03:17:12,746 --> 03:17:15,182 CANCER CARE OR DIABETES CARE 3965 03:17:15,182 --> 03:17:15,749 THERE'S A LOT OF PERTINENT 3966 03:17:15,749 --> 03:17:26,227 CONCERNS WE NEED TO ADDRESS. 3967 03:17:26,961 --> 03:17:29,163 THIS INCLUDES A WIDE RANGE OF 3968 03:17:29,163 --> 03:17:31,799 INDIVIDUALS THAT NIH SERVES. 3969 03:17:31,799 --> 03:17:33,100 THE DEVELOPMENT PROCESS HAS 3970 03:17:33,100 --> 03:17:34,835 KICKED OFF IN DECEMBER WHEN THE 3971 03:17:34,835 --> 03:17:36,170 DRCC WAS FORMED. 3972 03:17:36,170 --> 03:17:39,440 IN OCTOBER WE CREATED A DRAFT 3973 03:17:39,440 --> 03:17:40,541 FRAMEWORK FOR THE STRATEGIC PLAN 3974 03:17:40,541 --> 03:17:42,343 ON DISABILITY RESEARCH AND 3975 03:17:42,343 --> 03:17:44,245 THAT'S BEEN INFORMED BY INPUT IN 3976 03:17:44,245 --> 03:17:46,580 A SERIES OF ROUNDTABLE S HELD IN 3977 03:17:46,580 --> 03:17:48,449 OCTOBER AND NOVEMBER. 3978 03:17:48,449 --> 03:17:54,622 THIS MONTH WILL HOST A TOWN HALL 3979 03:17:54,622 --> 03:17:57,024 AND ISSUE A REQUEST 3980 03:17:57,024 --> 03:17:59,526 FOREINFORMATION OR RFI TO OB 3981 03:17:59,526 --> 03:18:01,161 TINE INPUT ON THE STRATEGIC PLAN 3982 03:18:01,161 --> 03:18:07,735 FRAMEWORK. 3983 03:18:07,735 --> 03:18:10,771 AND MORE DETAILED INPUT AND 3984 03:18:10,771 --> 03:18:12,539 ANALYZE THE INPUT AND RFI AND 3985 03:18:12,539 --> 03:18:14,508 USE THAT TO INFORM THE WRITING 3986 03:18:14,508 --> 03:18:16,010 OF THE FULL STRATEGIC PLAN WHICH 3987 03:18:16,010 --> 03:18:17,811 WILL TAKE PLACE THIS WINTER AND 3988 03:18:17,811 --> 03:18:18,479 SPRING. 3989 03:18:18,479 --> 03:18:21,415 ULTIMATELY WE PLAN TO RELEASE 3990 03:18:21,415 --> 03:18:23,684 THE FINAL STRATEGIC PLAN TO THE 3991 03:18:23,684 --> 03:18:25,152 PUBLIC AND PLAN TO KEEP THE 3992 03:18:25,152 --> 03:18:28,589 PUBLIC UPDATED VIA WEBSITE AND 3993 03:18:28,589 --> 03:18:29,223 COMMUNITY ENGAGEMENT EVENTS 3994 03:18:29,223 --> 03:18:34,361 WE'LL BE HOSTING. 3995 03:18:34,361 --> 03:18:36,096 SO, AS YOU CAN IMAGINE COMMUNITY 3996 03:18:36,096 --> 03:18:38,432 ENGAGEMENT IS KEY TO YOUR 3997 03:18:38,432 --> 03:18:38,666 EFFORTS. 3998 03:18:38,666 --> 03:18:40,067 WE'D LIKE TO DISCUSS THE PLANS 3999 03:18:40,067 --> 03:18:41,135 TO DATE AND PROVIDE INFORMATION 4000 03:18:41,135 --> 03:18:43,170 ON THE UPCOMING TOWN HALL AND 4001 03:18:43,170 --> 03:18:46,373 RFI. 4002 03:18:46,373 --> 03:18:49,610 SO WHEN WE SAT DOWN, COMMUNITY 4003 03:18:49,610 --> 03:18:50,477 ENGAGEMENT CAN MEAN A LOT OF 4004 03:18:50,477 --> 03:18:51,712 THINGS TO A LOT OF PEOPLE. 4005 03:18:51,712 --> 03:18:54,248 SOME PEOPLE REALLY WORRY ABOUT 4006 03:18:54,248 --> 03:18:55,749 IT BEING A CHECK BOX EXERCISE 4007 03:18:55,749 --> 03:18:57,117 WHERE WE DO ONE EVENT OR A 4008 03:18:57,117 --> 03:18:59,019 COUPLE AND THEN DONE. 4009 03:18:59,019 --> 03:19:01,155 WE VIEW COMMUNITY ENGAGEMENT AS 4010 03:19:01,155 --> 03:19:02,189 A PROCESS. 4011 03:19:02,189 --> 03:19:04,291 THE GOALS OF OUR COMMUNITY 4012 03:19:04,291 --> 03:19:06,727 ENGAGEMENT ARE TO BUILD TRUST 4013 03:19:06,727 --> 03:19:08,962 AND SUPPORT AND HAVE THAT OPEN 4014 03:19:08,962 --> 03:19:10,097 DIALOGUE BETWEEN VARIOUS 4015 03:19:10,097 --> 03:19:13,033 DISABILITY COMMUNITIES AND NIH. 4016 03:19:13,033 --> 03:19:14,802 WE WANT TO UNDERSTAND THEIR 4017 03:19:14,802 --> 03:19:17,071 HEALTH AND RESEARCH CONCERNS AND 4018 03:19:17,071 --> 03:19:21,675 UNIQUE NEEDS AND PRESENCES 4019 03:19:21,675 --> 03:19:22,910 WEATHER RELATED TO OTHER FACTORS 4020 03:19:22,910 --> 03:19:25,112 AND RAISE AWARENESS AND PROMOTE 4021 03:19:25,112 --> 03:19:25,979 PARTICIPATION IN OUR STRATEGIC 4022 03:19:25,979 --> 03:19:26,380 PLANNING PROCESS. 4023 03:19:26,380 --> 03:19:29,049 WE DON'T WANT TO DO THIS SOLO. 4024 03:19:29,049 --> 03:19:30,851 WE'RE HERE TO PARTNER WITH THE 4025 03:19:30,851 --> 03:19:32,319 COMMUNITY AND GET THEIR INPUT 4026 03:19:32,319 --> 03:19:34,321 AND THE LAST BULLET POINT WE 4027 03:19:34,321 --> 03:19:38,292 WANT THE WIDE RANGE OF INPUT 4028 03:19:38,292 --> 03:19:39,893 BECAUSE AS YOU ALL KNOW THE 4029 03:19:39,893 --> 03:19:40,561 DISABILITY COMMUNITY DOESN'T DO 4030 03:19:40,561 --> 03:19:41,328 IT JUSTICE. 4031 03:19:41,328 --> 03:19:45,966 WE'RE NOT A MONOLITH AND IF YOU 4032 03:19:45,966 --> 03:19:48,102 MET ONE PERSON YOU MET ONE 4033 03:19:48,102 --> 03:19:53,207 PERSON AND GETTING THAT FEEDBACK 4034 03:19:53,207 --> 03:19:53,674 IS ESSENTIAL FOR US. 4035 03:19:53,674 --> 03:19:56,710 OUR FIRST WERE A SERIES OF SIX 4036 03:19:56,710 --> 03:19:58,345 COMMUNITY ROUNDTABLE 4037 03:19:58,345 --> 03:19:58,645 DISCUSSIONS. 4038 03:19:58,645 --> 03:20:01,081 THESE ROUNDTABLE DISCUSSION 4039 03:20:01,081 --> 03:20:01,749 INCLUDED REMARKS IN SUBSEQUENT 4040 03:20:01,749 --> 03:20:02,983 DISCUSSION BY PANELISTS AND THEY 4041 03:20:02,983 --> 03:20:05,953 WERE OPEN TO THE PUBLIC FOR 4042 03:20:05,953 --> 03:20:06,820 VIEWING WITH A PUBLIC Q&A 4043 03:20:06,820 --> 03:20:08,322 SESSION AT THE END. 4044 03:20:08,322 --> 03:20:09,590 PANELISTS INCLUDED PEOPLE WITH 4045 03:20:09,590 --> 03:20:10,257 LIVED EXPERIENCE WITH 4046 03:20:10,257 --> 03:20:14,661 DISABILITY, RESEARCHERS, 4047 03:20:14,661 --> 03:20:17,197 CLINICIANS AND RESEARCHERS FROM 4048 03:20:17,197 --> 03:20:18,799 ADVOCACY ORGANIZATIONS AND 4049 03:20:18,799 --> 03:20:20,300 PROFESSIONAL ORGANIZATIONS. 4050 03:20:20,300 --> 03:20:24,605 WHAT WE COVERED AT THE 4051 03:20:24,605 --> 03:20:26,907 ROUNDTABLES WE PROVIDED 4052 03:20:26,907 --> 03:20:27,975 QUESTIONS IN ADVANCE AND 4053 03:20:27,975 --> 03:20:29,076 PROVIDED REMARKS AND DISCUSSION. 4054 03:20:29,076 --> 03:20:31,545 THESE ARE KEY THINGS WE'RE 4055 03:20:31,545 --> 03:20:32,379 INTERESTED IN. 4056 03:20:32,379 --> 03:20:34,248 FIRST WHAT ARE THE PRIMARY 4057 03:20:34,248 --> 03:20:35,182 SCIENTIFIC OPPORTUNITIES AND 4058 03:20:35,182 --> 03:20:36,383 CHALLENGES IN DISABILITY 4059 03:20:36,383 --> 03:20:37,951 RESEARCH THAT SHOULD BE 4060 03:20:37,951 --> 03:20:39,753 ADDRESSED BY NIH? 4061 03:20:39,753 --> 03:20:42,423 HOW COULD THE MISSION STATEMENT 4062 03:20:42,423 --> 03:20:44,958 ACCURATELY REFLECT THE 4063 03:20:44,958 --> 03:20:46,693 PRIORITIES AND HOW COULD NIH 4064 03:20:46,693 --> 03:20:48,929 ENCOURAGE THE NEW FIELD OF 4065 03:20:48,929 --> 03:20:50,297 DISABILITY RESEARCH AND SUPPORT 4066 03:20:50,297 --> 03:20:51,465 EXISTING RESEARCHERS AND IN 4067 03:20:51,465 --> 03:20:54,134 GENERAL PROMOTE DISABILITY AND 4068 03:20:54,134 --> 03:20:55,602 INCLUSION IN THE SCIENTIFIC 4069 03:20:55,602 --> 03:21:00,107 WORKFORCE AND HOW COULD NIH 4070 03:21:00,107 --> 03:21:01,208 IMPROVE INCLUSION IN CLINICAL 4071 03:21:01,208 --> 03:21:03,277 TRIALS AT THE EARLY STAGE OF 4072 03:21:03,277 --> 03:21:06,914 RESEARCH TOPICS AS WELL AS 4073 03:21:06,914 --> 03:21:07,881 FOSTER COLLABORATION WITH 4074 03:21:07,881 --> 03:21:09,616 ADVOCACY GROUPS AND PROFESSIONAL 4075 03:21:09,616 --> 03:21:09,950 ASSOCIATIONS. 4076 03:21:09,950 --> 03:21:11,785 VERY INFORM SESSIONS. 4077 03:21:11,785 --> 03:21:15,823 WE RECEIVED RESPONSES FROM 4078 03:21:15,823 --> 03:21:16,089 PANELISTS. 4079 03:21:16,089 --> 03:21:18,826 FOR THOSE INTERESTED WRITTEN 4080 03:21:18,826 --> 03:21:19,860 SUMMARY WILL BE AVAILABLE ON OUR 4081 03:21:19,860 --> 03:21:22,796 RESEARCH EVENTS BOOK PAGE AND 4082 03:21:22,796 --> 03:21:28,569 WE'LL PROVIDE THAT ONE TO YOU. 4083 03:21:28,569 --> 03:21:30,337 OUR NEXT EVENT IS NIH TOWN HALL 4084 03:21:30,337 --> 03:21:32,239 AND DISABILITY RESEARCH AND 4085 03:21:32,239 --> 03:21:33,240 TAKING PLACE TOMORROW. 4086 03:21:33,240 --> 03:21:36,577 IF YOU'RE NOT AWARE YOU CAN 4087 03:21:36,577 --> 03:21:39,346 REGISTER AT THE LINK BELOW OR 4088 03:21:39,346 --> 03:21:41,081 GOOGLE NIH DISABILITY RESEARCH 4089 03:21:41,081 --> 03:21:44,585 AND DPCPSI AND IT WILL COME UP. 4090 03:21:44,585 --> 03:21:47,421 TOMORROW WE'RE FORTUNATE TO HAVE 4091 03:21:47,421 --> 03:21:53,460 MULTIPLE LEADERS PROVIDING 4092 03:21:53,460 --> 03:21:57,598 REMARKS. 4093 03:21:57,598 --> 03:21:58,966 SO DR. SCHWETZ AND THEN 4094 03:21:58,966 --> 03:22:01,201 DR. BERTAGNOLLI AND THE 4095 03:22:01,201 --> 03:22:04,037 INSTITUTE PERSPECTIVE AND FIRST 4096 03:22:04,037 --> 03:22:08,742 IS FROM NIMHD, DR. ELISO 4097 03:22:08,742 --> 03:22:13,981 PEREZ-STABLE AND DR. CERNICH AND 4098 03:22:13,981 --> 03:22:16,049 I'LL PROVIDE AN OVERVIEW SIMILAR 4099 03:22:16,049 --> 03:22:19,453 TO WHAT WE'VE DONE HERE AND GIVE 4100 03:22:19,453 --> 03:22:21,054 ADDITIONAL INFORMATION REGARDING 4101 03:22:21,054 --> 03:22:28,896 THE MANY FRAMEWORK AND HAVE 4102 03:22:28,896 --> 03:22:30,831 AMPLE TIME FOR Q&A AND GET INPUT 4103 03:22:30,831 --> 03:22:31,865 ON THE STRATEGIC PLAN FRAMEWORK. 4104 03:22:31,865 --> 03:22:34,401 SOME PEOPLE HAVE QUESTIONS ABOUT 4105 03:22:34,401 --> 03:22:35,936 WHAT WE HAVE BEEN DOING THE PAST 4106 03:22:35,936 --> 03:22:38,171 FEW MONTHS, WHAT'S THE PLAN FOR 4107 03:22:38,171 --> 03:22:39,840 THE NEXT YEAR AND HOW IS THEIR 4108 03:22:39,840 --> 03:22:41,141 INPUT GOING TO BE INCORPORATED. 4109 03:22:41,141 --> 03:22:43,210 THAT'S WHAT WE'RE LOOKING TO 4110 03:22:43,210 --> 03:22:53,353 TACKLE. 4111 03:22:55,188 --> 03:22:58,091 WE PLAN TO ARE AN RFI AND WANTED 4112 03:22:58,091 --> 03:23:01,595 TO SEND IT HIT OUT EARLY TO GET 4113 03:23:01,595 --> 03:23:03,530 FEEDBACK TO HELP INFORMED IT. 4114 03:23:03,530 --> 03:23:08,268 ONE CROSS-CUTTING THEMES IN 4115 03:23:08,268 --> 03:23:09,469 STRATEGIC PLANS AND HAVE FOUR 4116 03:23:09,469 --> 03:23:13,206 STRATEGIC GOES AND UNDER THOSE 4117 03:23:13,206 --> 03:23:14,308 POTENTIAL OPPORTUNITIES. 4118 03:23:14,308 --> 03:23:16,076 NOT AN EXHAUSTIVE LIST BUT 4119 03:23:16,076 --> 03:23:16,343 EXAMPLES. 4120 03:23:16,343 --> 03:23:18,345 WE'RE INTERESTED IN THE PUBLIC'S 4121 03:23:18,345 --> 03:23:19,947 FEEDBACK FOR THE THEMES, GOALS 4122 03:23:19,947 --> 03:23:21,615 AND OPPORTUNITIES AND 4123 03:23:21,615 --> 03:23:22,516 COMPREHENSIVENESS AND THINGS 4124 03:23:22,516 --> 03:23:26,119 WE'RE MISSING, OTHER THINGS TO 4125 03:23:26,119 --> 03:23:26,653 CONSIDER. 4126 03:23:26,653 --> 03:23:29,189 ALSO SUGGESTS FOR METRICS OR 4127 03:23:29,189 --> 03:23:30,657 INDICATORS TO MEASURE PROGRESS 4128 03:23:30,657 --> 03:23:32,426 IN THE DRAFT STRATEGIC GOALS AND 4129 03:23:32,426 --> 03:23:35,562 WAYS WE CAN SHARE OUR STRATEGIC 4130 03:23:35,562 --> 03:23:37,197 PLAN AND COMMUNICATE PROGRESS, 4131 03:23:37,197 --> 03:23:38,665 SUCCESS AND IMPACT. 4132 03:23:38,665 --> 03:23:41,568 THAT IS ANTICIPATED TO GO LIVE 4133 03:23:41,568 --> 03:23:44,371 DECEMBER 12. 4134 03:23:44,371 --> 03:23:48,675 WHEN IT HAPPENS WE'LL SHARE WITH 4135 03:23:48,675 --> 03:23:49,109 THE PUBLIC AS WELL. 4136 03:23:49,109 --> 03:23:52,980 SO WE MENTIONED SOME OF BUT 4137 03:23:52,980 --> 03:23:53,614 OTHER DECEMBER ACTIVITIES AND 4138 03:23:53,614 --> 03:23:55,649 THANK YOU FOR THE INVITATION. 4139 03:23:55,649 --> 03:23:57,718 THE TOWN HALL IS TOMORROW. 4140 03:23:57,718 --> 03:24:01,188 WE'LL ALSO BE PRESENTING AT THE 4141 03:24:01,188 --> 03:24:03,924 NIH ADVISORY MEETING FOR THE 4142 03:24:03,924 --> 03:24:08,996 DIRECTOR DECEMBER 12 AND THE 4143 03:24:08,996 --> 03:24:10,430 STEERING GROUP WILL PRESENT ON 4144 03:24:10,430 --> 03:24:12,466 DISABILITY AND INCLUSION EFFORTS 4145 03:24:12,466 --> 03:24:13,800 AND THEN DISCUSSING OUR 4146 03:24:13,800 --> 03:24:14,401 DISABILITY RESEARCH EFFORTS. 4147 03:24:14,401 --> 03:24:16,370 FEEL FREE TO TUNE IN IF YOU'RE 4148 03:24:16,370 --> 03:24:17,904 AVAILABLE AND WE HOPE TO HAVE 4149 03:24:17,904 --> 03:24:18,905 THE REQUEST FOR INFORMATION 4150 03:24:18,905 --> 03:24:20,807 ISSUED ON THE SAME DAY AND IT 4151 03:24:20,807 --> 03:24:23,677 WILL BE OPEN FOR 90 DAYS IS THE 4152 03:24:23,677 --> 03:24:25,846 PLAN, SO PEOPLE WILL HAVE UNTIL 4153 03:24:25,846 --> 03:24:27,447 MARCH 12th FOR FEEDBACK. 4154 03:24:27,447 --> 03:24:31,818 AND ONE THING I HAVEN'T 4155 03:24:31,818 --> 03:24:32,552 MENTIONED IS WITHIN DPCPSI WE 4156 03:24:32,552 --> 03:24:35,088 DR. THE COUNCIL OF COUNCILS AND 4157 03:24:35,088 --> 03:24:37,557 WE'LL -- WE HAVE THE COUNCIL OF 4158 03:24:37,557 --> 03:24:38,959 COUNCILS AND HAVE A DISABILITY 4159 03:24:38,959 --> 03:24:40,994 WORKING GROUP THERE AND WE HAVE 4160 03:24:40,994 --> 03:24:42,629 A PROPOSED ROSTER AND HOPE TO 4161 03:24:42,629 --> 03:24:44,364 GET THAT UP AND RUNNING AS SOON 4162 03:24:44,364 --> 03:24:45,432 AS POSSIBLE POTENTIALLY HAVING A 4163 03:24:45,432 --> 03:24:47,934 MEETING JANUARY OR FEBRUARY AND 4164 03:24:47,934 --> 03:24:50,737 GET THE EXTERNAL INPUT FROM 4165 03:24:50,737 --> 03:24:52,205 EXPERTS ON THE STRATEGIC PLAN 4166 03:24:52,205 --> 03:24:55,208 AND WRITING IT IN THE WINTER AND 4167 03:24:55,208 --> 03:24:58,745 SPRING. 4168 03:24:58,745 --> 03:25:00,614 I WANTED TO LEAVE AMPLE TIME FOR 4169 03:25:00,614 --> 03:25:01,214 QUESTIONS SO FEEL FREE. 4170 03:25:01,214 --> 03:25:07,421 THANK YOU ALL. 4171 03:25:07,421 --> 03:25:08,088 >> THANK YOU. 4172 03:25:08,088 --> 03:25:18,632 THE FLOOR IS OPEN FOR QUESTIONS 4173 03:25:26,239 --> 03:25:26,306 . 4174 03:25:26,306 --> 03:25:28,108 >> COULD YOU TALK ABOUT THE 4175 03:25:28,108 --> 03:25:32,879 COUNCIL OF COUNCILS? 4176 03:25:32,879 --> 03:25:35,615 >> IT'S AN ADVISORY COUNCIL AND 4177 03:25:35,615 --> 03:25:39,986 MORE BROADLY TO THE NIH 4178 03:25:39,986 --> 03:25:40,253 DIRECTOR. 4179 03:25:40,253 --> 03:25:41,621 WE HAVE REPRESENTATIVES THAT 4180 03:25:41,621 --> 03:25:43,190 BRING TOGETHER A BROAD SPECTRUM 4181 03:25:43,190 --> 03:25:45,192 OF INDIVIDUALS AND BACKGROUNDS 4182 03:25:45,192 --> 03:25:47,728 FROM ACROSS THE VARIOUS TOPIC 4183 03:25:47,728 --> 03:25:48,261 AREAS ACROSS NIH. 4184 03:25:48,261 --> 03:25:53,433 MANY OF THE FOLKS ON OUR COUNCIL 4185 03:25:53,433 --> 03:25:54,868 HAVE BEEN AT OTHER INSTITUTES OR 4186 03:25:54,868 --> 03:25:56,303 CENTERS OR HAVE BEEN ENGAGED 4187 03:25:56,303 --> 03:26:00,040 WITH THE INSTITUTES AND CENTERS 4188 03:26:00,040 --> 03:26:05,212 AND EACH NOMINATES A PERSON OR A 4189 03:26:05,212 --> 03:26:10,183 NUMBER OF THOSE POB BE PUT 4190 03:26:10,183 --> 03:26:10,884 FORWARD. 4191 03:26:10,884 --> 03:26:13,186 COLLABORATIVE CROSS-CUTTING 4192 03:26:13,186 --> 03:26:23,463 ADVISORY GROUP. 4193 03:26:23,663 --> 03:26:28,535 >> WHEN YOU'RE DEFINING 4194 03:26:28,535 --> 03:26:32,906 DISABILITY BECAUSE ARE YOU ALSO 4195 03:26:32,906 --> 03:26:34,040 THINKING ABOUT ACQUIRED 4196 03:26:34,040 --> 03:26:34,775 DISABILITY DUE TO A STROKE AND 4197 03:26:34,775 --> 03:26:43,583 DISEASE AS WELL? 4198 03:26:43,583 --> 03:26:45,418 >> WE'RE THE ADA DEFINITION 4199 03:26:45,418 --> 03:26:49,089 INCLUDING THE GROUPS YOU 4200 03:26:49,089 --> 03:26:49,356 MENTIONED. 4201 03:26:49,356 --> 03:26:52,192 ALSO TOO AS WE DEVELOPED A PLAN 4202 03:26:52,192 --> 03:26:53,927 FURTHER THE ISSUES OF DEFINING 4203 03:26:53,927 --> 03:26:55,328 WHAT IS DISABILITY RESEARCH OR 4204 03:26:55,328 --> 03:26:56,530 WHAT IS DISABILITY HEALTH 4205 03:26:56,530 --> 03:26:56,797 RESEARCH. 4206 03:26:56,797 --> 03:26:59,032 THESE ARE THINGS WE'RE TACKLING 4207 03:26:59,032 --> 03:27:00,333 AS WELL BECAUSE THOSE WHO HAVE 4208 03:27:00,333 --> 03:27:02,536 BEEN IN THE REHAB FIELD AND HAVE 4209 03:27:02,536 --> 03:27:04,638 A CONCEPTION WHAT DISABILITY IS 4210 03:27:04,638 --> 03:27:05,906 BUT WANT TO BE SPECIFIC AND 4211 03:27:05,906 --> 03:27:08,775 CLEAR ABOUT WHAT WE'RE COVERING. 4212 03:27:08,775 --> 03:27:10,510 SO VIEWING THIS BROADLY THE PLAN 4213 03:27:10,510 --> 03:27:12,045 IS TO ADVANCE RESEARCH THAT 4214 03:27:12,045 --> 03:27:13,046 PROMOTE THE HEALTH AND WELL 4215 03:27:13,046 --> 03:27:16,249 BEING OF PEOPLE WITH 4216 03:27:16,249 --> 03:27:16,583 DISABILITIES. 4217 03:27:16,583 --> 03:27:18,318 THAT COULD BE TRADITIONAL OR 4218 03:27:18,318 --> 03:27:20,320 HEALTH DISPARITIES RESEARCH WITH 4219 03:27:20,320 --> 03:27:20,921 DISABILITIES. 4220 03:27:20,921 --> 03:27:31,364 WE'RE GOING AT IT BROADLY. 4221 03:27:37,270 --> 03:27:41,208 >> THIS IS A RANDOM QUESTION 4222 03:27:41,208 --> 03:27:44,277 MORE MORE THERESA. 4223 03:27:44,277 --> 03:27:46,046 WHEN YOU TALKED ABOUT THIS YOU 4224 03:27:46,046 --> 03:27:49,182 ALSO A SPECIFIC PHOTO UP AND 4225 03:27:49,182 --> 03:27:50,517 WONDERING WHERE THAT CAME FROM 4226 03:27:50,517 --> 03:27:50,951 AND WHY. 4227 03:27:50,951 --> 03:27:54,521 >> THE PHOTO I HAD UP WAS A 4228 03:27:54,521 --> 03:27:59,793 PERSON IN A WHEELCHAIR PLAYING 4229 03:27:59,793 --> 03:28:01,194 TENNIS. 4230 03:28:01,194 --> 03:28:06,299 WE GENERALLY HAVE SOMEONE DOING 4231 03:28:06,299 --> 03:28:09,202 SOMETHING ACTIVE. 4232 03:28:09,202 --> 03:28:15,342 BUT DISABILITY IS MUCH BROADER. 4233 03:28:15,342 --> 03:28:19,212 WE HAVE REPRESENTATION FROM 18 4234 03:28:19,212 --> 03:28:21,715 OFFICES AND WE HAVE BEEN GETS 4235 03:28:21,715 --> 03:28:23,083 LOTS OF INPUT WHICH HAS BEEN 4236 03:28:23,083 --> 03:28:25,051 VERY EYE OPENING. 4237 03:28:25,051 --> 03:28:26,152 WE'LL PUT SOMETHING OUT AND 4238 03:28:26,152 --> 03:28:27,087 SOMEONE WILL SAY IN MY COMMUNITY 4239 03:28:27,087 --> 03:28:31,992 THIS IS HOW WE WOULD READ THAT 4240 03:28:31,992 --> 03:28:35,562 AND WE'LL SAY THAT'S NOT WHAT WE 4241 03:28:35,562 --> 03:28:35,762 MEANT. 4242 03:28:35,762 --> 03:28:39,733 IT'S BEEN VERY EYE OPENING TO 4243 03:28:39,733 --> 03:28:41,334 COMPARE HOW DIFFERENT DISABILITY 4244 03:28:41,334 --> 03:28:42,702 POPULATIONS WILL READ THINGS AND 4245 03:28:42,702 --> 03:28:44,771 HOW WE HAVE TO BE REALLY SURE 4246 03:28:44,771 --> 03:28:49,209 WE'RE USING THE RIGHT WORDS AND 4247 03:28:49,209 --> 03:28:54,080 APPARENTLY PICTURES TOO. 4248 03:28:54,080 --> 03:28:55,782 >> YOU SAID ONE PERSON AND I'LL 4249 03:28:55,782 --> 03:28:56,950 SAY WITH A DISABILITY. 4250 03:28:56,950 --> 03:29:03,490 I PICKED UP ON THAT ONE BECAUSE 4251 03:29:03,490 --> 03:29:07,227 I'M EYE HUGE ADVOCATE AND THERE 4252 03:29:07,227 --> 03:29:09,996 ISN'T ENOUGH SUPPORT FOR PARIS 4253 03:29:09,996 --> 03:29:14,234 SPORT AND AS MICHELLE WAS 4254 03:29:14,234 --> 03:29:16,303 PRESENTING OFTEN TIMES WE USE 4255 03:29:16,303 --> 03:29:17,570 GAMES AND SPORTS WITHIN A 4256 03:29:17,570 --> 03:29:19,706 THERAPEUTIC FRAMEWORK FOR DOING 4257 03:29:19,706 --> 03:29:21,308 THINGS IN REHAB AND THAT DOESN'T 4258 03:29:21,308 --> 03:29:27,013 TRANS LIT TO THE PERSON'S 4259 03:29:27,013 --> 03:29:36,756 ABILITY TO AND THAT I PIQUED MY 4260 03:29:36,756 --> 03:29:38,258 INTEREST AND I'M ON THE COUNCIL 4261 03:29:38,258 --> 03:29:40,527 FOR SPORTS AND MAKING SURE ALL 4262 03:29:40,527 --> 03:29:42,729 AMERICANS HAVE ACTIVITY AND 4263 03:29:42,729 --> 03:29:45,198 SUPPORT IS SOMETHING I'M 4264 03:29:45,198 --> 03:29:47,233 PASSIONATE ABOUT. 4265 03:29:47,233 --> 03:29:50,437 >> WE'VE DONE QUITE A BIT TO 4266 03:29:50,437 --> 03:29:53,206 SUPPORT PHYSICAL ACTIVITY IN 4267 03:29:53,206 --> 03:29:55,442 WHEEL CHAIR USERS AND WE DID A 4268 03:29:55,442 --> 03:30:00,914 TARGETED FUNDING OPPORTUNITY 4269 03:30:00,914 --> 03:30:10,190 ANNOUNCEMENT AND HAVE A COUPLE 4270 03:30:10,190 --> 03:30:17,364 GRANTS AND THE CHALLENGE. 4271 03:30:17,364 --> 03:30:19,132 WE HAVE A LOT OF APPLICATIONS IF 4272 03:30:19,132 --> 03:30:29,642 PEOPLE DOING ADAPTIVE SPORTS. 4273 03:30:32,345 --> 03:30:34,381 >> I HAVE A PROVOCATIVE THOUGHT 4274 03:30:34,381 --> 03:30:36,549 AND IT GOT ME THINKING ABOUT THE 4275 03:30:36,549 --> 03:30:37,183 WORD REHABILITATION AND FOR 4276 03:30:37,183 --> 03:30:39,519 THOSE OF US WHO HAVE 4277 03:30:39,519 --> 03:30:40,887 DISABILITIES LIKE I'M GOING TO 4278 03:30:40,887 --> 03:30:42,088 NEED REHABILITATION FOR THE REST 4279 03:30:42,088 --> 03:30:43,223 OF MY LIFE. 4280 03:30:43,223 --> 03:30:44,657 BUT THE WAY THE HEALTH CARE 4281 03:30:44,657 --> 03:30:47,494 SYSTEM VIEWS REHABILITATION FOR 4282 03:30:47,494 --> 03:30:50,530 ME IS THE FOUR MONTHS AFTER MY 4283 03:30:50,530 --> 03:30:51,097 INJURY. 4284 03:30:51,097 --> 03:30:52,899 SO I THINK -- AND WE WERE 4285 03:30:52,899 --> 03:30:55,201 TALKING AT LUX ABOUT MY OWN 4286 03:30:55,201 --> 03:30:57,203 WELLNESS JOURNEY COMING BACK 4287 03:30:57,203 --> 03:30:59,139 INTO PHYSICAL ACTIVITY AND 4288 03:30:59,139 --> 03:30:59,906 DETERMINING WHAT WELLNESS LOOKED 4289 03:30:59,906 --> 03:31:02,509 LIKE FOR ME HAD TO HAPPEN 4290 03:31:02,509 --> 03:31:05,178 OUTSIDE OF A REHABILITATION 4291 03:31:05,178 --> 03:31:08,181 ENVIRONMENT BECAUSE PHYSICAL 4292 03:31:08,181 --> 03:31:09,849 THERAPY FOR ME IS BEING ACTIVE 4293 03:31:09,849 --> 03:31:15,188 THE REST OF MANY I LIFE AND 4294 03:31:15,188 --> 03:31:17,357 NEEDS TO BE A BROADENING IN HOW 4295 03:31:17,357 --> 03:31:26,599 WE THINK ABOUT REHABILITATION 4296 03:31:26,599 --> 03:31:29,202 AND FOR THE DECEMBER 3 MEETING 4297 03:31:29,202 --> 03:31:31,538 WHO IS YOUR TARGET AUDIENCE? 4298 03:31:31,538 --> 03:31:34,407 >> WE'RE TRYING TO GET AS MANY 4299 03:31:34,407 --> 03:31:35,775 PEOPLE OF THE PUBLIC AS POSSIBLE 4300 03:31:35,775 --> 03:31:39,045 AND WE TARGETED RESEARCHERS AND 4301 03:31:39,045 --> 03:31:40,580 THAT SPREAD TO THE COMMUNITY AND 4302 03:31:40,580 --> 03:31:41,915 CLINICIANS AND SUCH. 4303 03:31:41,915 --> 03:31:43,616 THIS IS AS BROAD AS WE CAN GET 4304 03:31:43,616 --> 03:31:44,918 IT. 4305 03:31:44,918 --> 03:31:46,820 AT THIS POINT WE HAVE OVER 600 4306 03:31:46,820 --> 03:31:47,520 PEOPLE REGISTERED AND IT'S STILL 4307 03:31:47,520 --> 03:31:48,221 GOING UP. 4308 03:31:48,221 --> 03:31:49,189 WE'RE TRYING TO TOUCH AS MANY 4309 03:31:49,189 --> 03:31:51,991 PEOPLE AS POSSIBLE. 4310 03:31:51,991 --> 03:31:54,227 >> WHEN YOU SAY MEMBERS OF THE 4311 03:31:54,227 --> 03:31:55,628 PUBLIC ARE LOOKING FOR DISABLED 4312 03:31:55,628 --> 03:31:57,197 PEOPLE OR ACADEMICS? 4313 03:31:57,197 --> 03:32:07,607 I'M NOT QUITE SURE WHO. 4314 03:32:09,676 --> 03:32:12,045 ONE, WE NEED TO INVOLVE THOSE 4315 03:32:12,045 --> 03:32:15,715 AND TWO WE NEED PEOPLE NOT 4316 03:32:15,715 --> 03:32:17,183 INVOLVED TO BE EXPOSED TO THE 4317 03:32:17,183 --> 03:32:18,618 IDEAS AND LEAVING IT BROAD SO WE 4318 03:32:18,618 --> 03:32:20,787 HAVE DISSEMINATED IT THROUGH 4319 03:32:20,787 --> 03:32:21,754 DIFFERENT CHANNELS AND NETWORKS 4320 03:32:21,754 --> 03:32:23,690 TO TRY TO REACH AS MANY FOLKS 4321 03:32:23,690 --> 03:32:32,699 WITH DISABILITIES AS POSSIBLE. 4322 03:32:32,699 --> 03:32:33,233 >> THANK YOU. 4323 03:32:33,233 --> 03:32:34,334 FIRST THANK YOU FOR WHAT YOU'RE 4324 03:32:34,334 --> 03:32:34,834 DOING IN THE WORK. 4325 03:32:34,834 --> 03:32:37,437 I THINK IT'S REALLY IMPORTANT. 4326 03:32:37,437 --> 03:32:40,240 I WAS PRIVILEGED TO BE PART OF 4327 03:32:40,240 --> 03:32:42,575 THE ONE OF THE ROUNDTABLES YOU 4328 03:32:42,575 --> 03:32:44,277 GUYS HELD AS A PERSON WITH LIVED 4329 03:32:44,277 --> 03:32:47,013 EXPERIENCE AND WAS APPRECIATIVE 4330 03:32:47,013 --> 03:32:49,015 OF THE OPPORTUNITY TO SHARE 4331 03:32:49,015 --> 03:32:50,183 THOUGHTS AND WON'T GET TO 4332 03:32:50,183 --> 03:32:51,251 REITERATING WHAT I SAID IN THE 4333 03:32:51,251 --> 03:32:51,484 MOMENT. 4334 03:32:51,484 --> 03:32:52,886 ONE THING THAT CAME DO MY 4335 03:32:52,886 --> 03:32:55,188 ATTENTION AND THIS GOES TO WHAT 4336 03:32:55,188 --> 03:32:56,322 YOU WERE TALKING ABOUT WAS THERE 4337 03:32:56,322 --> 03:33:03,196 WERE FOLKS THAT WERE TRYING TO 4338 03:33:03,196 --> 03:33:04,464 ASK QUESTIONS BUT IT'S CLEAR 4339 03:33:04,464 --> 03:33:05,431 THEY ARE WANTED MORE OF A VOICE 4340 03:33:05,431 --> 03:33:07,333 AND REALIZE THEY'RE LIMITED ON 4341 03:33:07,333 --> 03:33:09,235 HOW MANY PEOPLE YOU CAN HAVE 4342 03:33:09,235 --> 03:33:10,336 SPEAK IN THOSE AND ALL THAT KIND 4343 03:33:10,336 --> 03:33:11,437 OF STUFF. 4344 03:33:11,437 --> 03:33:14,440 THE QUESTION IS BEYOND THE 4345 03:33:14,440 --> 03:33:16,376 ROUNDTABLES AND EVEN IN THE TOWN 4346 03:33:16,376 --> 03:33:17,210 HALL TOMORROW WHICH 4347 03:33:17,210 --> 03:33:18,511 UNFORTUNATELY IS SCHEDULED FOR 4348 03:33:18,511 --> 03:33:20,713 THE SAME DAY AS THIS MEETING BUT 4349 03:33:20,713 --> 03:33:21,915 THAT'S ANOTHER POINT. 4350 03:33:21,915 --> 03:33:23,816 >> IT STARTS AT 2:30. 4351 03:33:23,816 --> 03:33:25,218 WE'RE DONE AT 2:00. 4352 03:33:25,218 --> 03:33:34,360 >> WE TRIED. 4353 03:33:34,360 --> 03:33:36,129 >> THE QUESTION I REALLY WANT TO 4354 03:33:36,129 --> 03:33:38,565 ASK IS BECAUSE THOSE ARE LIMITED 4355 03:33:38,565 --> 03:33:40,733 TIMES AND ALSO THERE'S SOME 4356 03:33:40,733 --> 03:33:43,670 FOLKS THAT JUST NEED DIFFERENT 4357 03:33:43,670 --> 03:33:45,738 WAYS TO ENGAGE WHETHER ENGAGED 4358 03:33:45,738 --> 03:33:47,207 TO DISABILITY OR COMBINATIONS 4359 03:33:47,207 --> 03:33:49,776 THEY NEED, CAN YOU TALK ABOUT 4360 03:33:49,776 --> 03:33:51,844 THE THINGS YOU'RE GOING TO 4361 03:33:51,844 --> 03:33:53,079 ENGAGE THE WHOLE COMMUNITY FOR 4362 03:33:53,079 --> 03:33:55,248 EVERYONE THAT WANTS TO BE HEARD 4363 03:33:55,248 --> 03:34:04,958 IS HEARD THROUGH THE PROCESS. 4364 03:34:04,958 --> 03:34:06,893 >> YOU HAVE THE STYLE OF THE 4365 03:34:06,893 --> 03:34:08,161 EVENTS AND THE OPPORTUNITY BUT 4366 03:34:08,161 --> 03:34:13,199 WE DON'T SEE THAT AS THE ONLY 4367 03:34:13,199 --> 03:34:14,801 VEHICLE WE HAVE A DISABILITY 4368 03:34:14,801 --> 03:34:16,369 RESEARCH E-MAIL ADDRESS AND 4369 03:34:16,369 --> 03:34:17,503 ENCOURAGED PEOPLE TO REACH OUT 4370 03:34:17,503 --> 03:34:18,638 AND PEOPLE HAVE REACHED OUT AND 4371 03:34:18,638 --> 03:34:20,573 SET UP ONE TO ONE MEETINGS OR 4372 03:34:20,573 --> 03:34:22,141 MEETINGS WITH OUR TEAM. 4373 03:34:22,141 --> 03:34:23,810 SO PEOPLE REALLY CAN AT ANY TIME 4374 03:34:23,810 --> 03:34:25,511 REACH OUT TO PROVIDE INPUT AND 4375 03:34:25,511 --> 03:34:29,182 WE'RE HAPPY TO CLASS WITH THEM. 4376 03:34:29,182 --> 03:34:30,817 WE'RE ALSO THINKING ABOUT 4377 03:34:30,817 --> 03:34:33,219 DIFFERENT TYPE OF EVENTS AND 4378 03:34:33,219 --> 03:34:42,996 THINGS THAT ARE MORE REGULAR AND 4379 03:34:42,996 --> 03:34:43,930 THERE'S DIFFERENT CONSIDERATIONS 4380 03:34:43,930 --> 03:34:49,636 THAT ZOOM MAY NOT BE BEST FOR 4381 03:34:49,636 --> 03:34:52,872 AND WE WANT TO DO THAT IN 4382 03:34:52,872 --> 03:34:54,340 CONJUNCTION WITH COMMUNITY 4383 03:34:54,340 --> 03:34:56,342 PARTNERS, ONE, WE CAN CO-PRODUCE 4384 03:34:56,342 --> 03:34:57,777 THE EVENT BUT THAT CAN ESTABLISH 4385 03:34:57,777 --> 03:35:00,680 THE RELATIONSHIPS AND GET THEM 4386 03:35:00,680 --> 03:35:03,216 CONNECTED TO US AND THEIR 4387 03:35:03,216 --> 03:35:05,051 CONSTITUENTS OR MEMBERS AS WELL. 4388 03:35:05,051 --> 03:35:07,320 THE EVENTS WE'RE TRYING TO REACH 4389 03:35:07,320 --> 03:35:11,124 AS MANY PEOPLE AS POSSIBLE FOR 4390 03:35:11,124 --> 03:35:13,092 PEOPLE TO CONTACT US. 4391 03:35:13,092 --> 03:35:18,231 THE RFI'S ANOTHER WAY PEOPLE CAN 4392 03:35:18,231 --> 03:35:19,232 RESPOND. 4393 03:35:19,232 --> 03:35:25,038 THIS TRULY HAS TO BE A DIALOGUE 4394 03:35:25,038 --> 03:35:26,639 AND PEOPLE REACH OUT AND RESPOND 4395 03:35:26,639 --> 03:35:28,541 AND THE QUESTION'S MORE 4396 03:35:28,541 --> 03:35:29,776 APPROPRIATE FOR SOMEBODY AT A 4397 03:35:29,776 --> 03:35:31,411 DIFFERENT INSTITUTE AT NIH AND I 4398 03:35:31,411 --> 03:35:32,645 DIRECT THEM ON TO THERE AND THEY 4399 03:35:32,645 --> 03:35:33,946 HAVE A GOOD DISCUSSION. 4400 03:35:33,946 --> 03:35:37,016 WE'RE TRYING TO HELP CREATE THE 4401 03:35:37,016 --> 03:35:39,218 ECO SYSTEM AND SERVE THE 4402 03:35:39,218 --> 03:35:39,886 COORDINATED CONNECTIVE FUNCTION. 4403 03:35:39,886 --> 03:35:41,087 >> IT'S JUST THE BEGINNING. 4404 03:35:41,087 --> 03:35:43,389 THAT'S HOW I WOULD FRAME IT. 4405 03:35:43,389 --> 03:35:46,392 PART OF WHAT WE WANT TO HEAR IS 4406 03:35:46,392 --> 03:35:47,460 HOW WE CAN WORK WITH AND ENGAGE 4407 03:35:47,460 --> 03:35:55,768 WITH THE COMMUNITY. 4408 03:35:55,768 --> 03:35:56,969 >> STEVE. 4409 03:35:56,969 --> 03:36:01,274 >> I'LL CONTINUE WITH WHAT 4410 03:36:01,274 --> 03:36:04,110 TIFFANY SAID. 4411 03:36:04,110 --> 03:36:06,913 REHABILITATION COMES THE LATIN 4412 03:36:06,913 --> 03:36:08,047 WORD TO BE ABLE TO MAYBE 4413 03:36:08,047 --> 03:36:08,548 SOMEBODY ABLE AGAIN. 4414 03:36:08,548 --> 03:36:12,585 I HAVE A VISION FOR STROKE ONE 4415 03:36:12,585 --> 03:36:15,288 DAY WHEN I HAVE TIME TO WRITE AN 4416 03:36:15,288 --> 03:36:17,190 EDITORIAL IT'S A CHRONIC DISEASE 4417 03:36:17,190 --> 03:36:19,058 TO BE MANAGED LIKE DIABETES OR 4418 03:36:19,058 --> 03:36:22,028 EPILEPSY BUT TEND TO TREAT IT AS 4419 03:36:22,028 --> 03:36:25,264 A SINGLE EVENT IN TIME AS A 4420 03:36:25,264 --> 03:36:27,233 SINGLE RELAB RESPONSE AND 4421 03:36:27,233 --> 03:36:29,135 THERE'S AMPLE DATA PEOPLE SLIDE 4422 03:36:29,135 --> 03:36:32,372 IN TIME ABOUT A YEAR AND 4423 03:36:32,372 --> 03:36:34,807 COGNITIVE DISABILITY ACCRUES, SO 4424 03:36:34,807 --> 03:36:35,007 FORTH. 4425 03:36:35,007 --> 03:36:38,277 IT MAY BE A SMALL POINT BUT 4426 03:36:38,277 --> 03:36:40,913 RIFFING OFF WHAT YOU SAID TO 4427 03:36:40,913 --> 03:36:42,281 CONSIDER THAT FOR SOME PEOPLE 4428 03:36:42,281 --> 03:36:45,184 LIFE LONG REHABILITATION IS THE 4429 03:36:45,184 --> 03:36:47,453 ONLY WAY TO MAINTAIN TRUE 4430 03:36:47,453 --> 03:36:47,820 REHABILITATION. 4431 03:36:47,820 --> 03:36:57,697 JUST THROWING IT OUT THERE. 4432 03:36:57,697 --> 03:36:58,331 >> MICHELLE. 4433 03:36:58,331 --> 03:37:03,302 >> HE STOLE MY THUNDER. 4434 03:37:03,302 --> 03:37:04,537 SINCE HE'S A NEUROLOGIST IT 4435 03:37:04,537 --> 03:37:14,680 SOUNDED BETTER COMING FROM HIM. 4436 03:37:14,680 --> 03:37:17,917 >> CMS RECENTLY DESCRIBED TBI AS 4437 03:37:17,917 --> 03:37:18,551 A CHRONIC DISEASE. 4438 03:37:18,551 --> 03:37:20,052 IT'S POSSIBLE TO GET THE CHANGES 4439 03:37:20,052 --> 03:37:20,953 OUT THERE. 4440 03:37:20,953 --> 03:37:25,191 WE CAN DO IT FOR OTHER DISEASES 4441 03:37:25,191 --> 03:37:29,328 AND SEE, STEVE'S LAUGHING AT ME 4442 03:37:29,328 --> 03:37:29,529 AGAIN. 4443 03:37:29,529 --> 03:37:31,130 >> YOU'RE SO SWEET. 4444 03:37:31,130 --> 03:37:32,398 THAT MAY HAVE COME OUT WRONG. 4445 03:37:32,398 --> 03:37:38,471 YOU'RE SO KIND HEARTED. 4446 03:37:38,471 --> 03:37:45,211 DOES THIS MEAN CMS WILL FUND 4447 03:37:45,211 --> 03:37:50,283 MORE CENTERS TO RECOVER FROM A 4448 03:37:50,283 --> 03:37:50,683 STROKE? 4449 03:37:50,683 --> 03:37:51,918 >> BABY STEPS. 4450 03:37:51,918 --> 03:37:54,086 WE'RE WORKING ON IT. 4451 03:37:54,086 --> 03:37:57,990 >> IN TERMS OF PREVENTION AND 4452 03:37:57,990 --> 03:37:58,925 HAVING LEGISLATION THAT SUPPORTS 4453 03:37:58,925 --> 03:38:00,827 THIS IS WHAT YOU WERE GETTING 4454 03:38:00,827 --> 03:38:00,993 AT. 4455 03:38:00,993 --> 03:38:03,029 SO PEOPLE CAN AFFORD IT BUT I 4456 03:38:03,029 --> 03:38:04,464 THINK THAT COMES FROM THE 4457 03:38:04,464 --> 03:38:07,066 RESEARCH THAT WE DO TO SHOW THE 4458 03:38:07,066 --> 03:38:08,468 EVIDENCE THAT IT'S NECESSARY. 4459 03:38:08,468 --> 03:38:12,038 I FEEL WE'RE GOING IN THE RIGHT 4460 03:38:12,038 --> 03:38:12,305 DIRECTION. 4461 03:38:12,305 --> 03:38:18,110 WE'RE PUTTING IT ALL TOGETHER. 4462 03:38:18,110 --> 03:38:26,252 >> A COMMENT I HAVEN'T HEARD US 4463 03:38:26,252 --> 03:38:27,453 SAY AND SURE WHEN I READ THE 4464 03:38:27,453 --> 03:38:28,321 BOOK IT WILL COME THROUGH IN 4465 03:38:28,321 --> 03:38:28,521 THIS. 4466 03:38:28,521 --> 03:38:30,923 WE HAVE AN OPPORTUNITY IN THE 4467 03:38:30,923 --> 03:38:32,959 GROUP TO ELUCIDATE THE FACT THAT 4468 03:38:32,959 --> 03:38:35,962 NOT EVERYONE IS TRYING TO BE 4469 03:38:35,962 --> 03:38:37,330 FIXED OR CURED AND WHEN WE'RE 4470 03:38:37,330 --> 03:38:39,165 TALKING ABOUT THE COMMUNITY, WE 4471 03:38:39,165 --> 03:38:40,933 ALSO TALK ABOUT PREVENTION 4472 03:38:40,933 --> 03:38:42,468 THERE'S NOTHING WRONG WITH 4473 03:38:42,468 --> 03:38:44,403 PREVENTION BUT I THINK WE NEED 4474 03:38:44,403 --> 03:38:46,606 TO ALSO RECOGNIZE THAT WHEN WE 4475 03:38:46,606 --> 03:38:47,340 DISCUSS PREVENTION WHAT WE FEEL 4476 03:38:47,340 --> 03:38:48,608 SOME COMMUNITIES FEEL LIKE WE'RE 4477 03:38:48,608 --> 03:38:52,078 SAYING AND WE WANT TO ERADICATE 4478 03:38:52,078 --> 03:38:52,512 YOU. 4479 03:38:52,512 --> 03:38:53,646 YOUR LIVED EXPERIENCE IS ONE WE 4480 03:38:53,646 --> 03:38:55,214 DON'T WANT PEOPLE TO HAVE AND I 4481 03:38:55,214 --> 03:38:57,316 THINK IT'S A VERY NUANCED 4482 03:38:57,316 --> 03:38:58,417 CONVERSATION BECAUSE THE MEDICAL 4483 03:38:58,417 --> 03:39:01,120 MODEL OF DISABILITY IS ONE THAT 4484 03:39:01,120 --> 03:39:02,321 PATHOLOGIZES IT AND MAKES IT 4485 03:39:02,321 --> 03:39:03,623 SOMETHING THAT NEEDS TO BE 4486 03:39:03,623 --> 03:39:04,957 FIXED, ERADICATED OR CURED OR 4487 03:39:04,957 --> 03:39:05,391 PREVENTED. 4488 03:39:05,391 --> 03:39:08,628 HOW DO WE JUXTAPOSE THAT NEED 4489 03:39:08,628 --> 03:39:10,997 AND THE DESIRE TO HAVE 4490 03:39:10,997 --> 03:39:12,398 TECHNOLOGIES AND THERAPIES AND 4491 03:39:12,398 --> 03:39:12,932 REHABILITATION WITH THE 4492 03:39:12,932 --> 03:39:14,700 COMMUNITY THAT WE'RE TALKING 4493 03:39:14,700 --> 03:39:16,502 ABOUT THAT SAYS WE ARE HERE AND 4494 03:39:16,502 --> 03:39:18,938 WANT TO BE SEEN AND THERE'S 4495 03:39:18,938 --> 03:39:19,739 NOTHING WRONG WITH US. 4496 03:39:19,739 --> 03:39:23,175 IT'S THE LACK OF ACCESSIBILITY 4497 03:39:23,175 --> 03:39:26,812 IN OUR COMMUNITY THAT IS 4498 03:39:26,812 --> 03:39:27,446 DISABLING. 4499 03:39:27,446 --> 03:39:29,048 THAT'S THE HARD CONVERSATION 4500 03:39:29,048 --> 03:39:30,216 BECAUSE AS A PHYSICIAN WITH A 4501 03:39:30,216 --> 03:39:36,289 DISABILITY IT'S A COMPLICATED 4502 03:39:36,289 --> 03:39:39,759 SITUATION ON ONE HAND IT'S OKAY 4503 03:39:39,759 --> 03:39:41,527 TO WANT A CURE AND WANT 4504 03:39:41,527 --> 03:39:44,096 PREVENTION BUT YOU HAVE TO MAKE 4505 03:39:44,096 --> 03:39:47,033 SURE WHILE YOU'RE DOG THAT YOU 4506 03:39:47,033 --> 03:39:50,136 ARE RECOGNIZING THE PEOPLE THAT 4507 03:39:50,136 --> 03:39:51,771 EXIST IN THE INTERMEDIATE SPACE 4508 03:39:51,771 --> 03:39:53,573 WHERE THEY'RE TOO LATE FOR 4509 03:39:53,573 --> 03:39:55,174 PREVENTION AND HOW DO YOU CREATE 4510 03:39:55,174 --> 03:39:56,876 A WORLD WHERE THEY HAVE ACCESS. 4511 03:39:56,876 --> 03:39:57,810 THAT'S SOMETHING TO ME THAT IS 4512 03:39:57,810 --> 03:39:58,711 VERY IMPORTANT. 4513 03:39:58,711 --> 03:40:01,013 I THINK IT'S MISSED SOMETIMES IN 4514 03:40:01,013 --> 03:40:03,482 THESE CONVERSATIONS BECAUSE WE 4515 03:40:03,482 --> 03:40:04,483 THEN DON'T PATCH EACH OTHER. 4516 03:40:04,483 --> 03:40:06,185 IT'S EITHER ALL ABOUT PREVENTION 4517 03:40:06,185 --> 03:40:09,188 AND CURE OR IT'S ABOUT THE 4518 03:40:09,188 --> 03:40:10,156 MEDICAL MODEL IS TERRIBLE AND 4519 03:40:10,156 --> 03:40:12,692 THEN HAVE TO FIND A HEAVY MEDIUM 4520 03:40:12,692 --> 03:40:15,328 AND FOR ME IN PARTICULAR THERE'S 4521 03:40:15,328 --> 03:40:17,096 AN AMAZING SPACE TO DISCUSS IT 4522 03:40:17,096 --> 03:40:18,698 BECAUSE REHAB IS GOING TO BE 4523 03:40:18,698 --> 03:40:18,931 ONGOING. 4524 03:40:18,931 --> 03:40:20,266 WE NEED TO MAKE SURE EVERYONE 4525 03:40:20,266 --> 03:40:23,436 HAS ACCESS TO BE ABLE TO DO 4526 03:40:23,436 --> 03:40:24,470 WHATEVER IT IS THEY CAN DO 4527 03:40:24,470 --> 03:40:25,838 WITHOUT FORCING THEM TO FEEL 4528 03:40:25,838 --> 03:40:27,173 LIKE THEY ARE SHOULD WANT TO 4529 03:40:27,173 --> 03:40:32,144 THEN GET UP AND WALK IF THEY'RE 4530 03:40:32,144 --> 03:40:34,347 PERFECTLY FINE NAVIGATING THE 4531 03:40:34,347 --> 03:40:35,414 WORLD AS A WHEELCHAIR USER. 4532 03:40:35,414 --> 03:40:37,149 THAT'S THE DIFFICULT PART OF THE 4533 03:40:37,149 --> 03:40:43,222 CONVERSATION I DON'T THINK WE'VE 4534 03:40:43,222 --> 03:40:45,691 HAD AND THE LAST POINT IN THAT 4535 03:40:45,691 --> 03:40:47,727 THE COMMUNITY IS UNIQUE WHEN YOU 4536 03:40:47,727 --> 03:40:49,028 LIST THE STAKEHOLDERS THERE'S 4537 03:40:49,028 --> 03:40:50,329 SOMETIMES AN ASSUMPTION THE 4538 03:40:50,329 --> 03:40:52,231 COMMUNITY IS NOT THERE IN THOSE 4539 03:40:52,231 --> 03:40:52,765 FIRST FEW. 4540 03:40:52,765 --> 03:40:56,335 AND THE COMMUNITY IS ONLY THE 4541 03:40:56,335 --> 03:40:58,337 NON-ACADEMICS, THE 4542 03:40:58,337 --> 03:41:01,307 NON-CLINICIANS AND 4543 03:41:01,307 --> 03:41:03,843 NON-RESEARCHERS AND PEOPLE WITH 4544 03:41:03,843 --> 03:41:05,745 LIVED EXPERIENCE INCLUDED IN THE 4545 03:41:05,745 --> 03:41:08,447 OTHER STAKEHOLDER GROUPS AND 4546 03:41:08,447 --> 03:41:09,115 BOTH SIDES OF THE CONVERSATION 4547 03:41:09,115 --> 03:41:19,492 NEED TO REMEMBER THAT. 4548 03:41:21,460 --> 03:41:23,629 >> YOU'RE VERY AWARE OF THE WORK 4549 03:41:23,629 --> 03:41:29,035 BEING DONE IN THE HAD CENSUS 4550 03:41:29,035 --> 03:41:35,574 BUREAU AND AND THERE WAS A WHOLE 4551 03:41:35,574 --> 03:41:40,413 DICHOTOMY WHEN YOU TRAUK ABOUT 4552 03:41:40,413 --> 03:41:44,750 DISABILITY IS IT DEFINED BY 4553 03:41:44,750 --> 03:41:46,485 AFUNCTIONAL OR A LIMITATION AND 4554 03:41:46,485 --> 03:41:48,220 GETS TO WHAT YOU'RE SAYING IN 4555 03:41:48,220 --> 03:41:51,824 SOMEONE HAS THE IDENTITY AND 4556 03:41:51,824 --> 03:41:57,363 REFLECT AND REZ FLATE WITH THE 4557 03:41:57,363 --> 03:42:03,436 DISABILITY EXPERIENCE -- 4558 03:42:03,436 --> 03:42:04,236 RESONATE AND DISABILITY 4559 03:42:04,236 --> 03:42:07,440 EXPERIENCE AND DEFINED BUT THE 4560 03:42:07,440 --> 03:42:13,112 ADA BUT THEY THEMSELVES DON'T 4561 03:42:13,112 --> 03:42:14,647 IDENTIFY AS A PERSON WITH A 4562 03:42:14,647 --> 03:42:16,248 DISABILITY AND HAVING THAT 4563 03:42:16,248 --> 03:42:18,584 RESPECT IS IMPORTANT AND 4564 03:42:18,584 --> 03:42:19,852 SOMETHING WE HAVE TO ALWAYS KEEP 4565 03:42:19,852 --> 03:42:30,296 IN THE BACK OF OUR MINDS. 4566 03:42:32,331 --> 03:42:35,468 >> WE CALL THIS GETTING BEYOND 4567 03:42:35,468 --> 03:42:37,169 THE PLATEAU AND THE PERCEPTION 4568 03:42:37,169 --> 03:42:40,206 OF REHABILITATION CARE BEING 4569 03:42:40,206 --> 03:42:43,008 APPROACHING A PLATEAU AND THEN 4570 03:42:43,008 --> 03:42:43,509 YOU'RE OKAY. 4571 03:42:43,509 --> 03:42:47,713 I THINK WHAT CAME OUT OF THAT IS 4572 03:42:47,713 --> 03:42:50,950 THAT LIFE'S NOT LIKE THAT. 4573 03:42:50,950 --> 03:42:54,353 THERE'S A LOT OF THINGS THAT CAN 4574 03:42:54,353 --> 03:42:56,555 HAPPEN AND THOSE OFF RAMPS ARE 4575 03:42:56,555 --> 03:42:57,189 CALLING PEOPLE WITH NOT JUST 4576 03:42:57,189 --> 03:42:58,124 PEOPLE WITH DISABILITIES ABOUT 4577 03:42:58,124 --> 03:43:01,093 OUT THE OFF RAMPS CAN HAPPEN FOR 4578 03:43:01,093 --> 03:43:02,828 ANY OF US. 4579 03:43:02,828 --> 03:43:05,131 THAT PERSPECTIVE THAT WE NEED 4580 03:43:05,131 --> 03:43:08,801 THE CONSTANT SUPPORT AT A LOT OF 4581 03:43:08,801 --> 03:43:10,102 LEVELS WE ALL NEED THAT AND HAVE 4582 03:43:10,102 --> 03:43:17,309 TO BE PROACTIVE ABOUT IT. 4583 03:43:17,309 --> 03:43:20,246 >> IT'S LIKE THEY'VE BEEN LISTEN 4584 03:43:20,246 --> 03:43:21,547 TO OUR CONVERSATIONS. 4585 03:43:21,547 --> 03:43:26,118 >> I APPRECIATE ALL THE 4586 03:43:26,118 --> 03:43:27,853 COMMENTS. 4587 03:43:27,853 --> 03:43:29,188 LIKE THERESE IS NOTING AND THE 4588 03:43:29,188 --> 03:43:31,290 THEMES AND WE'VE INCORPORATED 4589 03:43:31,290 --> 03:43:31,524 ASPECTS. 4590 03:43:31,524 --> 03:43:33,259 MANY OF OUR COMMITTEE MEMBERS 4591 03:43:33,259 --> 03:43:35,227 HAVE RAISED THESE AS WELL AND 4592 03:43:35,227 --> 03:43:37,463 FEEL THE SAME WAY. 4593 03:43:37,463 --> 03:43:39,165 IT'S LETTING PEOPLE KNOW IT'S 4594 03:43:39,165 --> 03:43:40,699 NOT AS SIMPLE IF THEY'RE COMING 4595 03:43:40,699 --> 03:43:44,270 AT IT FROM DIFFERENT ANGLES BUT 4596 03:43:44,270 --> 03:43:45,171 THERE ARE GROUPS WE WOULD 4597 03:43:45,171 --> 03:43:45,938 CONSIDER HAVING DISABILITIES BUT 4598 03:43:45,938 --> 03:43:47,339 THEY DON'T VIEW IT THAT WAY. 4599 03:43:47,339 --> 03:43:57,149 OLDER ADULTS MAY HAVE 4600 03:43:57,149 --> 03:43:59,251 DISABILITIES AND OTHER 4601 03:43:59,251 --> 03:44:01,187 POPULATIONS LIKE FOLKS WHO ARE 4602 03:44:01,187 --> 03:44:03,722 NEURODIVERGENT MAY NOT CONSIDER 4603 03:44:03,722 --> 03:44:05,191 THEMSELVES DISABLED BUT SOME IN 4604 03:44:05,191 --> 03:44:07,860 THAT LARGER BUCKET PLAY AND THIS 4605 03:44:07,860 --> 03:44:09,862 IS WHY YOU ENGAGE WITH A WIDE 4606 03:44:09,862 --> 03:44:13,199 RANGE OF COMMUNITY AND 4607 03:44:13,199 --> 03:44:14,433 INDIVIDUALS TO LEARN THESE. 4608 03:44:14,433 --> 03:44:16,268 YOU HAVE TO ACTUALLY PUT IN THE 4609 03:44:16,268 --> 03:44:18,571 WORK AND GET TO KNOW ALL THESE 4610 03:44:18,571 --> 03:44:19,238 ISSUES AND CONCERNS FROM 4611 03:44:19,238 --> 03:44:28,247 EVERYONE. 4612 03:44:28,247 --> 03:44:34,253 >> BACK TO ME THAT PEOPLE THAT 4613 03:44:34,253 --> 03:44:37,289 DON'T ADHERE AND WE'RE TALKING 4614 03:44:37,289 --> 03:44:42,895 ABOUT ADVISORS THEY ARE WERE 4615 03:44:42,895 --> 03:44:46,398 THINKING AUGMENTATION AND THEN 4616 03:44:46,398 --> 03:44:48,334 THAT BRINGS ALSO HOW WE LOOK AT 4617 03:44:48,334 --> 03:44:49,935 SAFETY AND MANAGEMENT AND THEN 4618 03:44:49,935 --> 03:44:53,005 TALK ABOUT ORIENTATION. 4619 03:44:53,005 --> 03:44:54,506 SO THERE'S A DISCUSSION THAT 4620 03:44:54,506 --> 03:44:57,176 NEEDS TO BE MADE IN TERMS OF HOW 4621 03:44:57,176 --> 03:45:00,946 THE DEVICES ARE GOOD IN SOCIETY. 4622 03:45:00,946 --> 03:45:04,650 THERE'S BEEN SOME DISCUSSION 4623 03:45:04,650 --> 03:45:05,751 ABOUT WHETHER -- HOW THEY ARE 4624 03:45:05,751 --> 03:45:11,423 WOULD REGULATE IN THAT WAY. 4625 03:45:11,423 --> 03:45:18,430 IT'S SOMETHING TO CONSIDER. 4626 03:45:18,430 --> 03:45:19,598 >> OKAY. 4627 03:45:19,598 --> 03:45:20,666 THANKS FOR THE AFTERNOON 4628 03:45:20,666 --> 03:45:20,966 DISCUSSION. 4629 03:45:20,966 --> 03:45:23,202 WE'RE GOING TO TAKE A VERY BRIEF 4630 03:45:23,202 --> 03:45:23,869 BREAK AND STILL HAVE A LITTLE 4631 03:45:23,869 --> 03:45:26,772 BIT MORE COMING ON FOR THE REST 4632 03:45:26,772 --> 03:45:28,007 OF THE AFTERNOON. 4633 03:45:28,007 --> 03:45:31,877 IT'S COMING UP ON 2:45 AND TAKE 4634 03:45:31,877 --> 03:45:35,581 A BREAK AND TRY TO RECONVENE 4635 03:45:35,581 --> 03:45:37,182 JUST BEFORE 3:00 P.M. EASTERN 4636 03:45:37,182 --> 03:45:47,726 STANDARD TIME TO HEAR ABOUT BOB 4637 03:45:52,498 --> 03:45:54,233 SAINBERG AND THE CONVERSATIONS 4638 03:45:54,233 --> 03:45:55,734 ON THE CONFERENCE AND NOME 4639 03:45:55,734 --> 03:45:56,669 NATIONS FOR THE CHAIR. 4640 03:45:56,669 --> 03:45:57,903 SEE YOU AT 3:00 P.M. 4641 03:45:57,903 --> 03:45:59,855 BYE. 4642 03:45:59,855 --> 03:46:05,060 I JUST WANT TO THANK BOB 4643 03:46:05,060 --> 03:46:11,667 SAINBURG THE DOROTHY F AND L.J.F 4644 03:46:11,667 --> 03:46:13,902 CHAIR FOR MOVEMENT SCIENCE AND 4645 03:46:13,902 --> 03:46:15,337 TECHNOLOGY AND PROFESSOR OF 4646 03:46:15,337 --> 03:46:17,139 KINESIOLOGY AND NEUROLOGY AT 4647 03:46:17,139 --> 03:46:17,906 PENN STATE. 4648 03:46:17,906 --> 03:46:21,276 BOB, IT'S ALL YOURS. 4649 03:46:21,276 --> 03:46:29,284 >> IT USED TO BE THE LLOYD AND 4650 03:46:29,284 --> 03:46:37,259 DOROTHY F. BUT NO ONE WANTED TO 4651 03:46:37,259 --> 03:46:40,329 STAY IT. 4652 03:46:40,329 --> 03:46:42,431 WHAT I HAVE IS A TRANSLATIONAL 4653 03:46:42,431 --> 03:46:47,536 STORY AND IT'S ALL I GOT. 4654 03:46:47,536 --> 03:46:50,205 I'LL END WITH THE REASON TO 4655 03:46:50,205 --> 03:46:51,473 TREAT HAND IN STROKE. 4656 03:46:51,473 --> 03:46:57,513 THE STORY WILL HAVE THIS KIND OF 4657 03:46:57,513 --> 03:47:04,586 DISTRIBUTION OF INFORMATION MOST 4658 03:47:04,586 --> 03:47:06,422 WORK THAT GETS DONE IN THE 4659 03:47:06,422 --> 03:47:08,590 MECHANISMS IS ANIMALS AND HUMANS 4660 03:47:08,590 --> 03:47:10,726 BASIC WORK AND THEN WORK ON 4661 03:47:10,726 --> 03:47:13,095 PATHOLOGY BASED ON THAT AND THEN 4662 03:47:13,095 --> 03:47:17,499 ULTIMATELY AT THE PEAK OF THE 4663 03:47:17,499 --> 03:47:19,568 PYRAMID THE TIP OF THE ICEBERG 4664 03:47:19,568 --> 03:47:22,071 IS CLINICAL INTERVENTION 4665 03:47:22,071 --> 03:47:24,406 INSPIRED BY MECHANISM AND WHAT 4666 03:47:24,406 --> 03:47:28,877 I'M HOPING TO DESCRIBE TO YOU. 4667 03:47:28,877 --> 03:47:30,779 I'LL TALK ABOUT MOTOR 4668 03:47:30,779 --> 03:47:36,218 LATERALIZATION A TEB DAN -- 4669 03:47:36,218 --> 03:47:38,120 TENDENCY TO HAVE ONE SIDE FEEL 4670 03:47:38,120 --> 03:47:39,755 AND COORDINATE DIFFERENT THAN 4671 03:47:39,755 --> 03:47:42,157 THE OTHER SIDE AND LOOK AT THE 4672 03:47:42,157 --> 03:47:43,759 MECHANISMS THAT UNDER LIE IT AND 4673 03:47:43,759 --> 03:47:49,932 SINCE STROKE TENDS TO IMPAIR OR 4674 03:47:49,932 --> 03:47:51,467 DISRUPT BLOOD SUPPLY AND THERE 4675 03:47:51,467 --> 03:47:53,936 BE IMPAIR ONE SIDE OF BRAIN AND 4676 03:47:53,936 --> 03:47:56,171 LEAVE THE OTHER IN FACT MOTOR 4677 03:47:56,171 --> 03:47:57,272 LATERALIZATION BECOMES IMPORTANT 4678 03:47:57,272 --> 03:48:02,177 IN UNDERSTANDING STROKE. 4679 03:48:02,177 --> 03:48:04,046 TALKING ABOUT MECHANISM OF MOTOR 4680 03:48:04,046 --> 03:48:07,883 LATERALIZATION AND WHAT BRAIN 4681 03:48:07,883 --> 03:48:09,251 LESIONS REVEAL ABOUT 4682 03:48:09,251 --> 03:48:10,319 LATERALIZATION OF MOTOR CONTROL 4683 03:48:10,319 --> 03:48:11,720 AND HOW WE TRIED TO APPLY THIS 4684 03:48:11,720 --> 03:48:19,228 TO TREATMENT AND STROKE. 4685 03:48:19,228 --> 03:48:20,896 BASIC MECHANISMS AND WE KNEW 4686 03:48:20,896 --> 03:48:22,998 HUMANS WERE THE ONLY ONES 4687 03:48:22,998 --> 03:48:24,800 LATERALIZED AND FOR ANYONE WHO 4688 03:48:24,800 --> 03:48:26,769 HAS BACKGROUND IN NEURAL 4689 03:48:26,769 --> 03:48:28,937 PSYCHOLOGY YOU'RE AWARE OF BRAIN 4690 03:48:28,937 --> 03:48:31,607 LATERALIZATION AND PEOPLE IN 4691 03:48:31,607 --> 03:48:34,977 MOTOR CONTROL THOUGH AS CRAZY AS 4692 03:48:34,977 --> 03:48:43,585 THAT IS WE DON'T FOCUS ON IT. 4693 03:48:43,585 --> 03:48:47,589 AND IT GOES AS FAR BACK AS THE 4694 03:48:47,589 --> 03:48:51,260 ADVENT OF VERTEBRATES 500 4695 03:48:51,260 --> 03:48:54,930 MILLION YEARS AGO AND NOT NEW IN 4696 03:48:54,930 --> 03:48:55,564 EVOLUTION. 4697 03:48:55,564 --> 03:48:59,501 THE THINGS SYMMETRICAL ARE WIRED 4698 03:48:59,501 --> 03:49:02,004 TO THE PERIPHERY. 4699 03:49:02,004 --> 03:49:06,542 AND PRIMARY MOTOR CORTICES AND 4700 03:49:06,542 --> 03:49:08,510 NOT EVERYTHING HAS TO BE WIRED 4701 03:49:08,510 --> 03:49:11,346 AND THE PART OF THE BRAIN WE 4702 03:49:11,346 --> 03:49:14,483 THINK AND RECEIVE WITH IS NO 4703 03:49:14,483 --> 03:49:18,987 REASON TO BE LATERALIZED. 4704 03:49:18,987 --> 03:49:24,226 AND IT'S A WASTE OF NEURONS AND 4705 03:49:24,226 --> 03:49:25,160 PROCESSING. 4706 03:49:25,160 --> 03:49:29,097 SO IT'S NOT STRANGE AND THE IDEA 4707 03:49:29,097 --> 03:49:32,334 FROM TONS AND TONS OF RESEARCH 4708 03:49:32,334 --> 03:49:33,735 ACROSS THE SPECTRUM THE ANIMAL 4709 03:49:33,735 --> 03:49:36,438 SPECTRUM YOU CAN THINK OF IT AS 4710 03:49:36,438 --> 03:49:41,276 AN EVOLUTIONARY SPECTRUM THAT 4711 03:49:41,276 --> 03:49:43,745 HAS REVEALED THAT IN ANIMALS ONE 4712 03:49:43,745 --> 03:49:46,849 SIDE SEEMS TO BE ADAPTED FOR 4713 03:49:46,849 --> 03:49:49,017 DEALING WITH REGULAR AND 4714 03:49:49,017 --> 03:49:51,119 PREDICTABLE STUFF AND THE OTHER 4715 03:49:51,119 --> 03:49:58,227 SIDE FOR SUDDEN CHANGES IN THE 4716 03:49:58,227 --> 03:50:01,597 ENVIRONMENT INTERNAL OR 4717 03:50:01,597 --> 03:50:01,864 EXTERNAL. 4718 03:50:01,864 --> 03:50:02,965 THE EFFICIENT CONTROL YOU CAN 4719 03:50:02,965 --> 03:50:05,133 THINK OF PREDICTIVE OR OPTIMAL 4720 03:50:05,133 --> 03:50:06,768 CONTROL AND ROBUST CONTROL. 4721 03:50:06,768 --> 03:50:09,271 THINK OF THAT AS IMPEDENCE 4722 03:50:09,271 --> 03:50:19,414 CONTROL. 4723 03:50:21,083 --> 03:50:23,318 ONE SIDE OF THE BRAIN OR BODY IS 4724 03:50:23,318 --> 03:50:24,786 GOOD AND THE OTHER SIDE ISN'T 4725 03:50:24,786 --> 03:50:24,953 GO. 4726 03:50:24,953 --> 03:50:26,655 I'LL DO AWAY WITH THAT AND 4727 03:50:26,655 --> 03:50:29,258 PRESENT WHAT WE NOW CALL 4728 03:50:29,258 --> 03:50:31,960 COMPLIMENTARY DOMINANCE WHERE 4729 03:50:31,960 --> 03:50:37,399 EACH HEMISPHERE IS FUNNELED BUT 4730 03:50:37,399 --> 03:50:38,901 FOR DIFFERENT ARMS AND WHAT I 4731 03:50:38,901 --> 03:50:41,169 WANT TO OUT IN OUT IN ADVANCE 4732 03:50:41,169 --> 03:50:43,705 THE HEMISPHERES ARE DOING 4733 03:50:43,705 --> 03:50:44,806 DIFFERENT THINGS BUT EACH ARM IS 4734 03:50:44,806 --> 03:50:46,108 DOING THE SAME THING JUST 4735 03:50:46,108 --> 03:50:50,612 RELYING ON TO THE CONTRALATERAL 4736 03:50:50,612 --> 03:50:52,114 HEMISPHERE MORE AND I'LL 4737 03:50:52,114 --> 03:50:52,347 EXPLAIN. 4738 03:50:52,347 --> 03:50:54,650 I LIKE IT USE THE WORD EFFICIENT 4739 03:50:54,650 --> 03:50:57,753 AND ROBUST TO THINK OF EFFICIENT 4740 03:50:57,753 --> 03:50:59,988 AS THE TABLE DESIGNED 4741 03:50:59,988 --> 03:51:00,956 EFFICIENTLY AND NOT A LOT OF 4742 03:51:00,956 --> 03:51:03,392 MATERIALS AND WORKS WELL AND YOU 4743 03:51:03,392 --> 03:51:08,196 PUT A 2 YEAR OLD AT IT AND IS 4744 03:51:08,196 --> 03:51:09,564 THE TABLE WILL TOPPLE OVER. 4745 03:51:09,564 --> 03:51:13,302 IT CAN HANDLE UNEXPECTED 4746 03:51:13,302 --> 03:51:16,805 PERTURBATIONS PRETTY WELL. 4747 03:51:16,805 --> 03:51:22,377 OUR FIRST EVIDENCE FOR DOMINANT 4748 03:51:22,377 --> 03:51:24,012 ARM EFFICIENT PERFORMANCE THIS 4749 03:51:24,012 --> 03:51:26,381 COMES FROM WORK IN THE SILLY 4750 03:51:26,381 --> 03:51:32,487 SYSTEM AND DESIGN TO RECORD 4751 03:51:32,487 --> 03:51:35,090 MOVEMENT WHILE PEOPLE MOVE TO 4752 03:51:35,090 --> 03:51:35,724 SIMPLIFIED TASKS. 4753 03:51:35,724 --> 03:51:40,329 OVER 20 YEARS AGO WE FOUND THE 4754 03:51:40,329 --> 03:51:41,930 NON-DOMINANT ARM AND IF YOU HAD 4755 03:51:41,930 --> 03:51:44,766 SO MOVE FAST TO TARGETS, 4756 03:51:44,766 --> 03:51:47,336 NON-DOMINANT ARM WOULD MAKE IT 4757 03:51:47,336 --> 03:51:49,871 AND MAKE CURVATURES IN THE HAND 4758 03:51:49,871 --> 03:51:53,041 AND THE DOMINANT WOULD MAKE LESS 4759 03:51:53,041 --> 03:51:54,443 CURVATURES AND MOVE AT THE SAME 4760 03:51:54,443 --> 03:51:55,877 SPEED AND DISTANCE BECAUSE 4761 03:51:55,877 --> 03:52:01,249 THAT'S THE WAY WE PROGRAM THE 4762 03:52:01,249 --> 03:52:05,887 TASK BUT THE ACCURACY WAS NOT 4763 03:52:05,887 --> 03:52:10,993 DIFFERENT BETWEEN THE ARMS AND 4764 03:52:10,993 --> 03:52:21,536 IF WE LOOK AT THE DOMINANT ARM 4765 03:52:26,675 --> 03:52:28,243 AND GOING HERE TO HERE FAST YOU 4766 03:52:28,243 --> 03:52:29,611 HAVE TO ACCELERATE YOUR WHOLE 4767 03:52:29,611 --> 03:52:30,145 ARM. 4768 03:52:30,145 --> 03:52:33,015 IF YOU PULL YOUR ELBOW IN A 4769 03:52:33,015 --> 03:52:34,383 LITTLE BIT YOU HAVE LESS 4770 03:52:34,383 --> 03:52:35,884 INERTIA. 4771 03:52:35,884 --> 03:52:43,258 IF YOU ALLOW YOUR ELBOW TO FLY 4772 03:52:43,258 --> 03:52:53,268 OUT IT'S MORE EFFICIENT AND THE 4773 03:52:53,268 --> 03:52:54,936 ADVANTAGE IS IF I ASK YOU TO GO 4774 03:52:54,936 --> 03:52:57,272 TO THE WHITE BOARD AND DRAW A 4775 03:52:57,272 --> 03:53:00,909 CIRCLE WITH THE DOMINANT AND 4776 03:53:00,909 --> 03:53:04,279 NON-DOMINANT ARM THE 4777 03:53:04,279 --> 03:53:09,251 NON-DOMINANT WILL LOOK MORE LIKE 4778 03:53:09,251 --> 03:53:15,924 AN OVAL AND WHAT YOU HAVE DOWN 4779 03:53:15,924 --> 03:53:17,292 HERE IS THE HAND PATH CURVATURES 4780 03:53:17,292 --> 03:53:24,132 AS A FUNCTION OF INTERACTION 4781 03:53:24,132 --> 03:53:26,902 BETWEEN THE SEGMENTS THE OTHER 4782 03:53:26,902 --> 03:53:29,471 IN BLUE IS ENSLAVED TO THE 4783 03:53:29,471 --> 03:53:31,940 NON-DOMINANT ACTIONS AND CAN 4784 03:53:31,940 --> 03:53:32,607 MOVE INDEPENDENTLY. 4785 03:53:32,607 --> 03:53:35,343 THAT WAS OR FIRST FORAY INTO 4786 03:53:35,343 --> 03:53:45,587 THIS GARBAGE. 4787 03:53:52,727 --> 03:53:57,265 AND GO FROM THE VIEW OF A GOOD 4788 03:53:57,265 --> 03:54:01,470 AND BAD HEMISPHERE IN THE LEFT 4789 03:54:01,470 --> 03:54:06,141 IN MOST PEOPLE IS WHERE YOU 4790 03:54:06,141 --> 03:54:11,346 STORE AND USE TO DEAL WITH WORDS 4791 03:54:11,346 --> 03:54:18,086 AND SYNTAX AND THE RIGHT 4792 03:54:18,086 --> 03:54:21,223 HEMISPHERE IN THE POSTERIOR 4793 03:54:21,223 --> 03:54:30,132 CORTEX YOU USE FOR INKNOWNATION 4794 03:54:30,132 --> 03:54:34,469 BEING -- INTONATION AND THE 4795 03:54:34,469 --> 03:54:36,738 RIGHT IS DOMINANT FOR OTHER 4796 03:54:36,738 --> 03:54:37,439 THINGS. 4797 03:54:37,439 --> 03:54:40,041 WE WENT ON A SEARCH FOR AND 4798 03:54:40,041 --> 03:54:41,243 THOUGHT THE NON-DOMINANT ARM IS 4799 03:54:41,243 --> 03:54:43,078 GOOD AT ROBUST CONTROL. 4800 03:54:43,078 --> 03:54:45,313 IN THIS PARTICULAR STUDY WE USED 4801 03:54:45,313 --> 03:54:49,084 A ROBOT ARM AND GAVE FORCES WERE 4802 03:54:49,084 --> 03:54:54,756 EITHER PREDICTABLE, A LITTLE 4803 03:54:54,756 --> 03:55:00,929 MORE COMPLEX OR VERY PREDICT AND 4804 03:55:00,929 --> 03:55:03,532 AND WE FOUND AN INTERACTION 4805 03:55:03,532 --> 03:55:07,002 BETWEEN ARM AND FORCE FIELD. 4806 03:55:07,002 --> 03:55:11,373 THE NON-DOMINANT DID BETTER THAN 4807 03:55:11,373 --> 03:55:14,142 THE DOMINANT IN THE NON 4808 03:55:14,142 --> 03:55:14,543 PREDICTABLE FIELD. 4809 03:55:14,543 --> 03:55:16,244 THE DOMINANT CONTROLLER KEPT 4810 03:55:16,244 --> 03:55:17,245 TRYING TO PREDICT AND WHY IT DID 4811 03:55:17,245 --> 03:55:27,355 WORSE. 4812 03:55:27,722 --> 03:55:29,024 THE IT LOOKED BETTER AT 4813 03:55:29,024 --> 03:55:30,926 STABILIZING STUFF IF YOU THINK 4814 03:55:30,926 --> 03:55:33,261 ABOUT IT IN EVERY DAY TERMS AND 4815 03:55:33,261 --> 03:55:34,262 MOVING STUFF. 4816 03:55:34,262 --> 03:55:41,269 SO WE DID THIS BILATERAL TEST 4817 03:55:41,269 --> 03:55:51,012 WITH AND TRYING TO IMPLEMENT A 4818 03:55:51,012 --> 03:55:56,151 REASONABLY DESIGN TASK TO 4819 03:55:56,151 --> 03:56:03,291 QUANTIFY THINGS COULD WE DO THAT 4820 03:56:03,291 --> 03:56:06,628 AND ATTACHED THE SPRING INSIDE 4821 03:56:06,628 --> 03:56:08,163 THE ARMS AND HELD THE SPRING WIN 4822 03:56:08,163 --> 03:56:09,397 ONE HAND AND MOVED TO TARGETS 4823 03:56:09,397 --> 03:56:19,741 WITH THE OTHER HAND. 4824 03:56:21,977 --> 03:56:26,348 WHEN THE LEFT ARM REACH IT 4825 03:56:26,348 --> 03:56:27,315 DOESN'T REACH AS WELL STRAIGHT 4826 03:56:27,315 --> 03:56:29,351 AND SMOOTH AS WHEN THE RIGHT ARM 4827 03:56:29,351 --> 03:56:30,885 REACHED ON THE RIGHT BUT WHEN 4828 03:56:30,885 --> 03:56:32,787 THE RIGHT ARM STABILIZED IT 4829 03:56:32,787 --> 03:56:34,456 DIDN'T DO NEARLY AS WELL AS WHEN 4830 03:56:34,456 --> 03:56:40,161 THE LEFT ARM STABILIZED. 4831 03:56:40,161 --> 03:56:42,430 AND ROBUST CONTROL FOR STABILITY 4832 03:56:42,430 --> 03:56:44,165 AND THE OTHER ONE FOR PREDICTIVE 4833 03:56:44,165 --> 03:56:47,369 CONTROL OR DYNAMICS WASN'T SO 4834 03:56:47,369 --> 03:56:57,646 CRAZY IT SEEMED. 4835 03:56:59,347 --> 03:57:01,182 AND CONTRIBUTING A UNIQUE 4836 03:57:01,182 --> 03:57:04,619 PROCESS TO EACH ARM WHICH SHOULD 4837 03:57:04,619 --> 03:57:06,354 BE ABLE TO MODEL THIS AND THE 4838 03:57:06,354 --> 03:57:09,257 MODEL SHOULD BE GIVING EACH ARM 4839 03:57:09,257 --> 03:57:15,697 THE SAME CONTROLLERS AND 4840 03:57:15,697 --> 03:57:21,269 CHANGING THE DISTRIBUTION OF 4841 03:57:21,269 --> 03:57:30,011 THAT CONTROL AND WE HAD AND AND 4842 03:57:30,011 --> 03:57:33,248 CONTROLLER THAT SPECIFIES A 4843 03:57:33,248 --> 03:57:35,984 STIFFNESS AND COMBINE THESE 4844 03:57:35,984 --> 03:57:40,522 THINGS AND OUR OPTIMAL 4845 03:57:40,522 --> 03:57:41,389 CONTROLLER CARED ABOUT ENERGY, 4846 03:57:41,389 --> 03:57:44,392 POSITION AND HOW ACCURATELY IT 4847 03:57:44,392 --> 03:57:45,393 GOT SOMEWHERE AND HAD TO STOP AT 4848 03:57:45,393 --> 03:57:55,470 THE END. 4849 03:57:55,470 --> 03:58:00,375 AND WE ADDED THESE TOGETHER IN 4850 03:58:00,375 --> 03:58:03,845 SEQUENCE AND FIT THEM TO REAL 4851 03:58:03,845 --> 03:58:04,112 MOVEMENT. 4852 03:58:04,112 --> 03:58:06,081 UP RED YOU SEE THE THING THAT 4853 03:58:06,081 --> 03:58:09,017 CAN PREDICT AND THIS SIMPLE 4854 03:58:09,017 --> 03:58:10,885 IMPEDENCE CONTROLLER IN YELLOW 4855 03:58:10,885 --> 03:58:14,055 AND THE MOVEMENTS START WITH NO 4856 03:58:14,055 --> 03:58:15,190 IMPEDANCE AND OPTIMAL CONTROL 4857 03:58:15,190 --> 03:58:16,758 BECAUSE THE OPTIMAL CONTROLLER 4858 03:58:16,758 --> 03:58:17,158 IS PREDICTIVE. 4859 03:58:17,158 --> 03:58:18,960 YOU CAN START MOVEMENTS OUT WITH 4860 03:58:18,960 --> 03:58:19,160 IT. 4861 03:58:19,160 --> 03:58:21,196 THE IMPEDANCE CONTROLLER YOU 4862 03:58:21,196 --> 03:58:31,639 HAVE TO SPECIFY THE END POINT. 4863 03:58:31,639 --> 03:58:34,275 YOU HAVE A TRAJECTORY THAT LOOKS 4864 03:58:34,275 --> 03:58:36,978 MORE CURVED TO ONE STRAIGHTER 4865 03:58:36,978 --> 03:58:42,484 AND IF WE FIT THESE TO REAL 4866 03:58:42,484 --> 03:58:45,620 MOVEMENT AND THE DOMINANT ARM 4867 03:58:45,620 --> 03:58:47,355 FITS THE CONTROLLER THAT RELIED 4868 03:58:47,355 --> 03:58:53,395 ON PREDICTIVE CONTROL THE WHOLE 4869 03:58:53,395 --> 03:58:54,095 TIME. 4870 03:58:54,095 --> 03:59:01,269 AND FOUND IT'S NOT THE CRAZIEST 4871 03:59:01,269 --> 03:59:08,576 THING YOU AND HAD PREDICTIVE AND 4872 03:59:08,576 --> 03:59:12,847 OPTIMAL IMPEDANCE CONTROL WITH 4873 03:59:12,847 --> 03:59:13,181 FEED CONTROL. 4874 03:59:13,181 --> 03:59:20,054 I'VE DONE A BUNCH OF WORK WITH 4875 03:59:20,054 --> 03:59:23,024 POST DISORDER VIRALLY PEOPLE END 4876 03:59:23,024 --> 03:59:26,528 UP WITH LARGE OF LOSS DIAMETER 4877 03:59:26,528 --> 03:59:30,098 SENSORY FIBERS CALLED 4878 03:59:30,098 --> 03:59:32,167 DEAFFERENTATION AND YOU CAN'T 4879 03:59:32,167 --> 03:59:41,075 FEEL WHERE YOUR ARMS BUT DON'T 4880 03:59:41,075 --> 03:59:42,610 HAVE PROPRIOCEPTIVE PERCEPTION. 4881 03:59:42,610 --> 03:59:44,612 WE LOOKED AT THE LARGE FIBER 4882 03:59:44,612 --> 03:59:48,082 SENSORY NEUROPATHY AND LOOKED AT 4883 03:59:48,082 --> 03:59:49,250 DIFFERENCES BETWEEN THE WAY IS 4884 03:59:49,250 --> 03:59:51,386 THE CONTROLLED HER LEFT AND 4885 03:59:51,386 --> 03:59:51,686 RIGHT ARM. 4886 03:59:51,686 --> 03:59:54,956 TO SHOW YOU WHAT AT THE TIME IN 4887 03:59:54,956 --> 03:59:58,092 THOSE DAYS CONTROL LABELLED 4888 03:59:58,092 --> 04:00:05,266 NORMAL HERE HAS A BIG 4889 04:00:05,266 --> 04:00:07,268 DISTRIBUTION OF LARGE FIBERS 4890 04:00:07,268 --> 04:00:09,404 JANET DOES NOT AND VERIFIED LOSS 4891 04:00:09,404 --> 04:00:11,005 OF SENSATION THROUGHOUT HER ARMS 4892 04:00:11,005 --> 04:00:15,844 AND MUSCULAR BODY AND THIS IS 4893 04:00:15,844 --> 04:00:17,512 PER PERFORMING -- I KNOW IT'S A 4894 04:00:17,512 --> 04:00:19,447 TERRIBLE TO DO BUT SHE WAS 4895 04:00:19,447 --> 04:00:19,714 GREAT. 4896 04:00:19,714 --> 04:00:22,083 SHE'S TRYING TO DO A SLIDED PEG 4897 04:00:22,083 --> 04:00:22,517 BOARD. 4898 04:00:22,517 --> 04:00:25,253 YOU CAN SEE SHE LOOKED AT THIS 4899 04:00:25,253 --> 04:00:33,261 AND DYSFUNCTION AND THIS 4900 04:00:33,261 --> 04:00:42,470 INFORMATION FROM LARGE FIBERS 4901 04:00:42,470 --> 04:00:44,506 AND ARE THE DIFFERENCES EXIST 4902 04:00:44,506 --> 04:00:46,875 WITH A FEED FORWARD SYSTEM? 4903 04:00:46,875 --> 04:00:48,576 IF WE DON'T LET HER SEE WHAT 4904 04:00:48,576 --> 04:00:50,044 SHE'S DOING SHE GETS NO FEEDBACK 4905 04:00:50,044 --> 04:00:52,113 FROM HER ARMS AND DOESN'T KNOW 4906 04:00:52,113 --> 04:00:53,181 WHERE THEY ARE. 4907 04:00:53,181 --> 04:00:56,918 EVERYTHING WE SEE HAS TO BE FEED 4908 04:00:56,918 --> 04:01:07,061 FORWARD. 4909 04:01:16,538 --> 04:01:18,573 PHILADELPHIA MAKES FANTASTIC 4910 04:01:18,573 --> 04:01:21,276 BEER THE MOST FAN TRAFTIC OF MY 4911 04:01:21,276 --> 04:01:31,452 TRAINEES. 4912 04:01:33,688 --> 04:01:35,623 AND A WHAT SHE DID WITH THE 4913 04:01:35,623 --> 04:01:37,258 DOMINANT ARM IS MOVE STRAIGHTER 4914 04:01:37,258 --> 04:01:39,661 TO THE TARGET NOT GREAT BUT THEN 4915 04:01:39,661 --> 04:01:41,996 JUST DRIFT AS THOUGH SHE DOESN'T 4916 04:01:41,996 --> 04:01:43,464 HAVE A SPRING AT THE END. 4917 04:01:43,464 --> 04:01:50,038 THAT BLEW US AWAY. 4918 04:01:50,038 --> 04:01:52,540 YOU COME UP WITH THE HYPOTHESIS 4919 04:01:52,540 --> 04:01:53,875 TO EXPLAIN IT AND THE DON'T 4920 04:01:53,875 --> 04:01:56,611 REALLY BELIEVE IT AND THEN GET A 4921 04:01:56,611 --> 04:01:58,279 FINDING LIKE THIS. 4922 04:01:58,279 --> 04:02:00,548 MAYBE WE'RE NOT TOTALLY WRONG WE 4923 04:02:00,548 --> 04:02:02,784 COULDN'T HAVE PREDICTED IT AND 4924 04:02:02,784 --> 04:02:09,257 OUR FRIEND DID A SIMULATION TO 4925 04:02:09,257 --> 04:02:12,260 SEE CONSTANCE FROM THE PREVIOUS 4926 04:02:12,260 --> 04:02:13,695 MODEL TO THE INDIVIDUAL AND WHAT 4927 04:02:13,695 --> 04:02:19,100 WE WOULD END UP WITH AND INDEED 4928 04:02:19,100 --> 04:02:21,803 DID A GOOD OF JOB OF PREDICTING 4929 04:02:21,803 --> 04:02:27,642 THE TYPE OF DEFICITS SHE HAD 4930 04:02:27,642 --> 04:02:38,119 WITH HER LEFT AND RIGHT ARM. 4931 04:02:39,220 --> 04:02:42,123 HOW IS THIS REFLECTED BY BRAIN 4932 04:02:42,123 --> 04:02:43,458 PROCESSES OR DETERMINED BY BRAIN 4933 04:02:43,458 --> 04:02:43,825 PROCESSES. 4934 04:02:43,825 --> 04:02:49,263 THE NEXT THING WE ASK IS IF 4935 04:02:49,263 --> 04:02:51,165 WE'RE RIGHT ABOUT ONE HEMISPHERE 4936 04:02:51,165 --> 04:02:51,866 DOING SOMETHING DIFFERENT IN 4937 04:02:51,866 --> 04:02:53,368 ANOTHER HEMISPHERE AND THIS IS 4938 04:02:53,368 --> 04:02:56,838 THE IMPORTANT THING. 4939 04:02:56,838 --> 04:02:57,805 OUR MODEL IS THAT YOU'RE RIGHT 4940 04:02:57,805 --> 04:03:00,241 HAND IF YOU'RE A RIGHT HANDER 4941 04:03:00,241 --> 04:03:04,078 AND I'LL USE THAT EXAMPLE IS 4942 04:03:04,078 --> 04:03:09,250 DRAWING ON BOTH HEMISPHERE BUT 4943 04:03:09,250 --> 04:03:11,386 BY THE CONTRALATERAL HEMISPHERE 4944 04:03:11,386 --> 04:03:15,590 MORE I DON'T KNOW WHY BUT I CAN 4945 04:03:15,590 --> 04:03:19,961 SPECULATE AND THE NON-DOMINANT 4946 04:03:19,961 --> 04:03:23,798 HAND IS RELYING ON ITS 4947 04:03:23,798 --> 04:03:25,233 CONTRALATERAL HEMISPHERE MORE. 4948 04:03:25,233 --> 04:03:32,106 SO THE RIGHT IS DOING IMPEDENCE 4949 04:03:32,106 --> 04:03:33,741 CONTROL AND WHEN YOU HAVE A 4950 04:03:33,741 --> 04:03:37,178 STROKE OF THE MIDDLE CEREBRAL 4951 04:03:37,178 --> 04:03:43,985 ARTERY YOUR EUPHEMISTICALLY LOSE 4952 04:03:43,985 --> 04:03:47,355 ONE HEMISPHERE AND THE PREDICT 4953 04:03:47,355 --> 04:03:48,756 IS HAVING DEFICIT IN BOTH ARMS 4954 04:03:48,756 --> 04:03:53,127 NOT JUST BOTH BUT IN TERMS OF 4955 04:03:53,127 --> 04:03:59,901 SPECIFICITY AND ABNORMAL 4956 04:03:59,901 --> 04:04:02,370 SYNERGIES BUT THE IPSO REGIONAL 4957 04:04:02,370 --> 04:04:03,938 ARM SHOULD HAVE DEFICITS. 4958 04:04:03,938 --> 04:04:05,807 I USED TO BE AN OCCUPATIONAL 4959 04:04:05,807 --> 04:04:06,074 THERAPIST. 4960 04:04:06,074 --> 04:04:07,608 ANYBODY WHO WORKED IN REHAB 4961 04:04:07,608 --> 04:04:16,451 KNOWS THIS IS NOT A CRAZY IDEA 4962 04:04:16,451 --> 04:04:17,018 BECA 4963 04:04:17,018 --> 04:04:21,289 BECAUSE AND IT'S USUALLY 4964 04:04:21,289 --> 04:04:23,391 ATTRIBUTED TO COGNITIVE 4965 04:04:23,391 --> 04:04:24,992 PERCEPTUAL POSTURAL OR OTHER 4966 04:04:24,992 --> 04:04:35,303 TYPE OF DEFICITS. 4967 04:04:41,442 --> 04:04:45,046 I WAS WORKING WITH KATHY HOLLAND 4968 04:04:45,046 --> 04:04:52,653 A RENOWN NEURAL PSYCHOLOGIST AND 4969 04:04:52,653 --> 04:04:59,360 ONE OF MY FIRST STUDENTS IN 4970 04:04:59,360 --> 04:05:07,368 ARIZ 4971 04:05:07,368 --> 04:05:09,270 ARIZONA THESE PEOPLE WERE SIX 4972 04:05:09,270 --> 04:05:11,906 MONTHS TO 10 YEARS POST STROKE 4973 04:05:11,906 --> 04:05:15,943 AND KEEP IN MIND THEY HAD BEEN 4974 04:05:15,943 --> 04:05:19,881 USING AND THESE ARE PEOPLE WITH 4975 04:05:19,881 --> 04:05:23,251 MODERATE TO SEVERE PHORESIS AND 4976 04:05:23,251 --> 04:05:24,752 USING THEIR DOMINANT HAND TO 4977 04:05:24,752 --> 04:05:26,254 CARRY OUT ACTIVITIES FOR MONTHS 4978 04:05:26,254 --> 04:05:31,459 TO YEARS AND THEY ARE HAD 4979 04:05:31,459 --> 04:05:36,297 IDENTIFIABLE DEFICITS AND THE 4980 04:05:36,297 --> 04:05:39,467 LEFT HEMS HEMISPHERE DAMAGED 4981 04:05:39,467 --> 04:05:45,273 PATIENT SHOWED THE WILDLY LARGE 4982 04:05:45,273 --> 04:05:47,141 CURVATU 4983 04:05:47,141 --> 04:05:48,576 CURVATURES AND THEY HAD TROUBLE 4984 04:05:48,576 --> 04:05:52,079 STOMP THAT'S IMPEDANCE CONTROL. 4985 04:05:52,079 --> 04:05:56,117 AT THE BOTTOM YOU CAN SEE LESS 4986 04:05:56,117 --> 04:05:56,717 HEMISPHERE DAMAGE THE DOTS 4987 04:05:56,717 --> 04:05:59,053 REPRESENT THE POSITION OR THE 4988 04:05:59,053 --> 04:06:02,323 VARIABILITY THE SIDES OF THE 4989 04:06:02,323 --> 04:06:06,327 ELLIPSES THE VARIABILITY STOP 4990 04:06:06,327 --> 04:06:11,732 BUT THEY STOPPED PRETTY WELL. 4991 04:06:11,732 --> 04:06:15,236 ON THE RIGHT SIDE THIS IS WITH 4992 04:06:15,236 --> 04:06:16,971 THE LEFT SIDE -- SORRY, THE 4993 04:06:16,971 --> 04:06:17,839 RIGHT SIDE. 4994 04:06:17,839 --> 04:06:19,307 LET ME START OVER AGAIN. 4995 04:06:19,307 --> 04:06:24,612 THIS SIDE OF THE PICTURE LEFT 4996 04:06:24,612 --> 04:06:26,480 HEMISPHERE DAMAGE HAD TROUBLE 4997 04:06:26,480 --> 04:06:27,782 STARTING BUT STOPPED WELL AND 4998 04:06:27,782 --> 04:06:29,717 RIGHT HEMISPHERE DAMAGE THEY 4999 04:06:29,717 --> 04:06:32,787 STARTED WELL BUT HAD TROUBLE 5000 04:06:32,787 --> 04:06:33,120 STOPPING. 5001 04:06:33,120 --> 04:06:35,823 IT FITS THE SCHEME OF IMPEDANCE 5002 04:06:35,823 --> 04:06:37,558 VERSUS PREDICTIVE CONTROL. 5003 04:06:37,558 --> 04:06:39,193 NEXT THING IS WHAT PARTS OF THE 5004 04:06:39,193 --> 04:06:41,796 BRAIN MAY BE SPECIALIZED FOR 5005 04:06:41,796 --> 04:06:42,163 THIS. 5006 04:06:42,163 --> 04:06:48,002 SINCE WE HAVE A RENOWN 5007 04:06:48,002 --> 04:06:51,639 NEUROLOGIST HERE I'LL GIVE YOU 5008 04:06:51,639 --> 04:06:59,380 WOE HAD WE HAVE A FRONT, BACK, 5009 04:06:59,380 --> 04:07:09,724 LEFT AND RIGHT SIDE. 5010 04:07:10,324 --> 04:07:16,430 WE HAVE A HANDFUL OF PATIENTS 5011 04:07:16,430 --> 04:07:19,767 WITH RIGHT FRONTAL OR RIGHT OR 5012 04:07:19,767 --> 04:07:22,069 LEFT PARIETAL. 5013 04:07:22,069 --> 04:07:23,604 WE COMPARED THEM IN THE TASK 5014 04:07:23,604 --> 04:07:26,140 WHERE THE CURSER GOES LIKE IT 5015 04:07:26,140 --> 04:07:27,341 GOES IN A DIFFERENT DIRECTION 5016 04:07:27,341 --> 04:07:28,743 THAN YOUR HAND AND YOU 5017 04:07:28,743 --> 04:07:33,247 EVENTUALLY AFTER HUNDREDS OF 5018 04:07:33,247 --> 04:07:35,283 MOVEMENTS AND ADAPT FOR IT IT'S 5019 04:07:35,283 --> 04:07:36,717 CALLED A VISUAL MOTOR ROTATION. 5020 04:07:36,717 --> 04:07:39,220 IT'S BEEN STUDIED UNTIL THE COWS 5021 04:07:39,220 --> 04:07:41,255 COME HOME AS WE SAW IN 5022 04:07:41,255 --> 04:07:51,499 PENNSYLVANIA. 5023 04:07:58,973 --> 04:08:01,275 IF YOU HAVE PARIETAL DAMAGE YOU 5024 04:08:01,275 --> 04:08:09,650 DON'T ADAPT. 5025 04:08:09,650 --> 04:08:12,887 SOW NOT ONLY ARE YOU WORSE AT 5026 04:08:12,887 --> 04:08:14,722 DOING A THING OF THE HEMISPHERE 5027 04:08:14,722 --> 04:08:17,258 BUT BETTER AT DOING WHAT THE 5028 04:08:17,258 --> 04:08:19,026 OTHER HEMISPHERE DOES. 5029 04:08:19,026 --> 04:08:22,763 LIKE A COMPETITION THING BETWEEN 5030 04:08:22,763 --> 04:08:27,435 THE HEMISPHERE AND IF YOU HAVE 5031 04:08:27,435 --> 04:08:29,070 FRONTAL YOU LOOK LIKE THE 5032 04:08:29,070 --> 04:08:31,339 PARTICIPANTS IF YOU HAVE RIGHT 5033 04:08:31,339 --> 04:08:32,506 PARIETAL DAMAGE YOU HAVE 5034 04:08:32,506 --> 04:08:37,845 PROBLEMS GETTING TO THE TARGET 5035 04:08:37,845 --> 04:08:46,387 STOPPING ON THE TARGET AND HAVE 5036 04:08:46,387 --> 04:08:47,621 A DOUBLE ASSOCIATION BETWEEN THE 5037 04:08:47,621 --> 04:08:49,056 HEMISPHERE AND TYPE OF DEFICIT 5038 04:08:49,056 --> 04:08:53,260 YOU HAVE WHICH IS PRETTY GOOD 5039 04:08:53,260 --> 04:08:56,464 EVIDENCE WE'RE NOT FAR OFF. 5040 04:08:56,464 --> 04:09:06,974 NOW, CLINICAL TRANSLATION ONE 5041 04:09:08,676 --> 04:09:11,912 HEMISPHERE IS GOOD AT PREDICTING 5042 04:09:11,912 --> 04:09:13,848 AND DOING AN OPTIMAL ALGORITHM 5043 04:09:13,848 --> 04:09:15,983 AND THE OTHER SIDE GOOD AT 5044 04:09:15,983 --> 04:09:19,453 STABILIZING AND YOUR CUTTING 5045 04:09:19,453 --> 04:09:21,722 YOUR BAGGETTE AND IT'S NOT 5046 04:09:21,722 --> 04:09:23,758 MOVING AND SWITCH YOUR HANDS. 5047 04:09:23,758 --> 04:09:27,795 WE DID STUDY WITH PATIENTS WHO 5048 04:09:27,795 --> 04:09:32,400 HAD HAD A STROKE, STROKE SURVIVE 5049 04:09:32,400 --> 04:09:35,936 AND MANY HAD SEVERE DEFICITS IN 5050 04:09:35,936 --> 04:09:37,471 THE CONTRALATERAL ARM. 5051 04:09:37,471 --> 04:09:40,274 WHAT'S THAT MEAN? 5052 04:09:40,274 --> 04:09:43,477 IT MEANS THE IPSO LESIONAL ARM 5053 04:09:43,477 --> 04:09:44,979 THE ONE THAT'S SUPPOSED TO BE 5054 04:09:44,979 --> 04:09:46,280 GOOD WE IDENTIFIED DEFICITS. 5055 04:09:46,280 --> 04:09:52,486 FOR THEM THROUGH THEIR DAY 5056 04:09:52,486 --> 04:09:53,621 THAT'S THE RARM THEY'RE RELYING 5057 04:09:53,621 --> 04:09:57,058 ON. 5058 04:09:57,058 --> 04:09:57,625 -- ARM. 5059 04:09:57,625 --> 04:09:59,660 THEY'RE SIGNIFICANT IN TERMS OF 5060 04:09:59,660 --> 04:10:06,767 BEING ABLE TO MOVE EFFICIENCILY. 5061 04:10:06,767 --> 04:10:08,335 IF YOU CAN'T POUR A GLASS OF 5062 04:10:08,335 --> 04:10:11,372 JUICE YOU WON'T DO IT YOURSELF. 5063 04:10:11,372 --> 04:10:15,576 IF YOU CAN'T PUT EFFICIENTLY PUT 5064 04:10:15,576 --> 04:10:20,147 TOOTHPASTE ON THE TOOTH BRUSH 5065 04:10:20,147 --> 04:10:22,917 YOU WON'T DO IT SO THAT GOT US 5066 04:10:22,917 --> 04:10:25,119 INTERESTED IN STUDYING THIS 5067 04:10:25,119 --> 04:10:35,329 PHENOMENON. 5068 04:10:48,142 --> 04:10:49,977 AND THERE'S A THIRD STUDY I'LL 5069 04:10:49,977 --> 04:10:50,611 DESCRIBE QUICKLY. 5070 04:10:50,611 --> 04:10:55,249 THIS IS CANDY WHO IS BEEN A LAB 5071 04:10:55,249 --> 04:10:57,251 DIRECTOR WITH ME FOR A LONG TIME 5072 04:10:57,251 --> 04:11:00,488 AND DAVID GOOD OVER THERE WHO 5073 04:11:00,488 --> 04:11:06,560 RETIRED AND DAVID WEGSTAFF NOT 5074 04:11:06,560 --> 04:11:11,999 ONLY A STATISTICIAN BUT PERSON 5075 04:11:11,999 --> 04:11:15,269 WITH LIVED EXPERIENCE AND I SAY 5076 04:11:15,269 --> 04:11:20,508 WAS BECAUSE UNFORTUNATELY HE 5077 04:11:20,508 --> 04:11:28,315 PASSED AWAY. 5078 04:11:28,315 --> 04:11:31,152 IF WE TOOK STROKE SURVIVE AND 5079 04:11:31,152 --> 04:11:35,322 CATEGORIZED THEM AS MODERATE OR 5080 04:11:35,322 --> 04:11:37,291 MILD OR SEVERE BASED ON THE 5081 04:11:37,291 --> 04:11:39,627 FUGL-MEYER SCORE AND SEVERE WAS 5082 04:11:39,627 --> 04:11:42,296 UNDER 29 AND THE FUGL-MEYER 5083 04:11:42,296 --> 04:11:45,199 MEANS YOU CAN'T OPEN AND CLOSE 5084 04:11:45,199 --> 04:11:46,967 YOUR HANDS VOLUNTARILY AMONG 5085 04:11:46,967 --> 04:11:47,935 OTHER THINGS. 5086 04:11:47,935 --> 04:11:51,038 WE LOOKED AT THIS CLINICAL TEST 5087 04:11:51,038 --> 04:11:53,073 AND THAT'S A TEST WHERE YOU JUST 5088 04:11:53,073 --> 04:11:55,609 MANIPULATE A BUNCH OF EVERY DAY 5089 04:11:55,609 --> 04:11:55,843 OBJECTS. 5090 04:11:55,843 --> 04:11:59,380 I LOVE IT BECAUSE IT'S SOMETHING 5091 04:11:59,380 --> 04:12:04,952 BETWEEN A CLINICAL TEST AND ADF, 5092 04:12:04,952 --> 04:12:07,655 ACTIVITIES OF DAILY LIVING AND 5093 04:12:07,655 --> 04:12:09,089 PICKING UP SMALL ITEMS AND ALL 5094 04:12:09,089 --> 04:12:10,224 WE'RE DOING IS TIMING IT. 5095 04:12:10,224 --> 04:12:12,426 YOU'RE NOTE GOING TO GET A GOOD 5096 04:12:12,426 --> 04:12:13,093 TIME IF YOU'RE INTERESTING 5097 04:12:13,093 --> 04:12:14,728 TROUBLE DOING IT. 5098 04:12:14,728 --> 04:12:17,264 ANYHOW, I HAPPEN TO LOVE THIS 5099 04:12:17,264 --> 04:12:27,708 TEST FOR A QUICK TEST OF 5100 04:12:29,143 --> 04:12:29,376 DEXTERITY. 5101 04:12:29,376 --> 04:12:33,480 THE WORSE YOUR CONTRALATERAL 5102 04:12:33,480 --> 04:12:35,216 HAND IS THE WORSE YOUR IPSO 5103 04:12:35,216 --> 04:12:36,817 LATERAL HAND IS. 5104 04:12:36,817 --> 04:12:38,919 THE WORSE YOUR CONTRALATERAL 5105 04:12:38,919 --> 04:12:40,788 HAND IS THE MORE YOU HAVE TO USE 5106 04:12:40,788 --> 04:12:43,190 YOUR IPSO LATERAL HAND AS YOUR 5107 04:12:43,190 --> 04:12:43,591 SUPER CONTROLLER. 5108 04:12:43,591 --> 04:12:49,063 ALL THE THINGS WE NORMALLY DO 5109 04:12:49,063 --> 04:12:51,432 BILATERALLY THEY HAD TO DO 5110 04:12:51,432 --> 04:12:51,765 UNILATERALLY. 5111 04:12:51,765 --> 04:12:52,833 IT COMPOUNDS THE PROBLEM. 5112 04:12:52,833 --> 04:12:55,169 CAN WE DO ANYTHING TO IMPROVE 5113 04:12:55,169 --> 04:12:55,402 IT? 5114 04:12:55,402 --> 04:12:59,940 WE DESIGNED A TASK TO DO VIRTUAL 5115 04:12:59,940 --> 04:13:04,411 REALITY STUFF WE THOUGHT 5116 04:13:04,411 --> 04:13:09,350 FOCUSSED ON EITHER RIGHT OR LEFT 5117 04:13:09,350 --> 04:13:10,918 HEMISPHERIC DEFICIT AND DID 5118 04:13:10,918 --> 04:13:16,924 DEXTERITY TESTS. 5119 04:13:16,924 --> 04:13:22,496 WE DID THIS IN RIGHT AND LEFT 5120 04:13:22,496 --> 04:13:24,231 HEMISPHERE STROKE SURVIVE. 5121 04:13:24,231 --> 04:13:26,267 WE TOOK TWO BASELINE TESTS AND 5122 04:13:26,267 --> 04:13:27,901 DID THREE WEEKS OF TRAINING IN 5123 04:13:27,901 --> 04:13:31,939 THE PILOT STUDY ONLY 13 STROKE 5124 04:13:31,939 --> 04:13:34,074 SURVIVORS AND DID A TRAINING 5125 04:13:34,074 --> 04:13:36,043 PERIOD THAT IS SUPPOSED TO BE A 5126 04:13:36,043 --> 04:13:38,178 CROSSOVER STUDY DIDN'T MATTER 5127 04:13:38,178 --> 04:13:39,847 BECAUSE COVID HAPPENED AND WE 5128 04:13:39,847 --> 04:13:41,248 COULDN'T DO THE WHOLE THING. 5129 04:13:41,248 --> 04:13:44,551 I'M ENDING UP SHOWING YOU ONE 5130 04:13:44,551 --> 04:13:47,354 ARM AND BASELINE TRAINING AND 5131 04:13:47,354 --> 04:13:48,088 RETENTION. 5132 04:13:48,088 --> 04:13:58,632 WHAT WE GOT WAS THE NON- ARM GOT 5133 04:13:59,333 --> 04:14:08,075 BETTER AND FUNCTIONAL 5134 04:14:08,075 --> 04:14:09,310 SELF-REPORT MEASURE THE 5135 04:14:09,310 --> 04:14:12,146 RESOLUTION IS TERRIBLE AND 5136 04:14:12,146 --> 04:14:13,347 YOU'RE BASICALLY ASKING DO YOU 5137 04:14:13,347 --> 04:14:16,984 NEED HELP WITH A, B OR C. 5138 04:14:16,984 --> 04:14:18,686 TOILETING AND FEEDING, ALL THESE 5139 04:14:18,686 --> 04:14:18,919 THINGS. 5140 04:14:18,919 --> 04:14:20,587 THEY ACTUALLY REPORTED THEY GOT 5141 04:14:20,587 --> 04:14:23,090 BETTER WITH THAT. 5142 04:14:23,090 --> 04:14:23,490 THAT WAS EXCITING. 5143 04:14:23,490 --> 04:14:26,694 AND THE FUGL-MEYER AND IT SHOWED 5144 04:14:26,694 --> 04:14:27,961 A LITTLE BIT OF IMPROVEMENT. 5145 04:14:27,961 --> 04:14:30,898 NOT CLINICALLY SIGNIFICANT BUT 5146 04:14:30,898 --> 04:14:32,533 THE GOOD THING IS IT DIDN'T GET 5147 04:14:32,533 --> 04:14:33,534 WORSE. 5148 04:14:33,534 --> 04:14:37,971 IF YOU LOOK AT THE IDEA BEHIND 5149 04:14:37,971 --> 04:14:41,842 CIMT CONSTRAINT INDUCED MOTOR 5150 04:14:41,842 --> 04:14:44,211 THERAPY THAT STEVE WOLF WAS AN 5151 04:14:44,211 --> 04:14:47,047 ORIGINATOR AND PROPONENT OF YOU 5152 04:14:47,047 --> 04:14:49,316 COULD SAY IF WE'RE TREATING THE 5153 04:14:49,316 --> 04:14:51,852 WRONG ARM MAYBE THE 5154 04:14:51,852 --> 04:14:53,654 CONTRALESIONAL ARM WILL GET 5155 04:14:53,654 --> 04:14:54,088 WORSE. 5156 04:14:54,088 --> 04:14:55,823 IT DIDN'T, IT GET BETTER 5157 04:14:55,823 --> 04:14:56,423 PROBABLY BECAUSE PEOPLE WERE 5158 04:14:56,423 --> 04:14:59,360 GETTING UP AND DOING MORE. 5159 04:14:59,360 --> 04:15:04,331 THEN WE GOT FROM FROM THIS 5160 04:15:04,331 --> 04:15:09,269 WONDERFUL AGENCY THE RESOURCES 5161 04:15:09,269 --> 04:15:11,939 TO BE ABLE TO DO MORE SYSTEMATIC 5162 04:15:11,939 --> 04:15:14,375 STUDY WITH MORE PEOPLE WITH A 5163 04:15:14,375 --> 04:15:17,010 BASELINE PERIOD AND FIVE-WEEK 5164 04:15:17,010 --> 04:15:24,184 TRAINING PERIOD AND HAD THREE 5165 04:15:24,184 --> 04:15:25,152 WEEKS LATER SHORT TERM AND THEN 5166 04:15:25,152 --> 04:15:26,053 LONG-TERM RETENTION. 5167 04:15:26,053 --> 04:15:27,988 THIS IS THE MAJORITY OF OUR 5168 04:15:27,988 --> 04:15:28,322 TEAM. 5169 04:15:28,322 --> 04:15:29,690 PEOPLE CAME AND WENT. 5170 04:15:29,690 --> 04:15:32,993 THESE ARE OUR GENERAL RESULTS. 5171 04:15:32,993 --> 04:15:36,797 WE GOT AN IMMEDIATE IMPROVEMENT 5172 04:15:36,797 --> 04:15:40,601 ON THE TAYLOR HAND FUNCTION AND 5173 04:15:40,601 --> 04:15:44,805 GOT THE IPSO ARM MORE COORDINATE 5174 04:15:44,805 --> 04:15:47,374 IN 15 SESSIONS OF TREATMENT. 5175 04:15:47,374 --> 04:15:53,247 THE FUGL-MEYER DIDN'T GET WORSE 5176 04:15:53,247 --> 04:15:55,649 BUT NEITHER THE INDEPENDENCE 5177 04:15:55,649 --> 04:15:59,086 MEASURE GOT BETTER WE GOT THIS 5178 04:15:59,086 --> 04:16:02,489 ONE GOOD ARM MORE COORDINATED 5179 04:16:02,489 --> 04:16:05,392 BUT IT DIDN'T AUTOMATICALLY WE 5180 04:16:05,392 --> 04:16:07,594 INTENTIONALLY DID NOT HAVE A 5181 04:16:07,594 --> 04:16:08,662 TRANSFER PART OF THERAPY. 5182 04:16:08,662 --> 04:16:11,865 WE DIDN'T HAVE PEOPLE WORKING ON 5183 04:16:11,865 --> 04:16:12,866 ADLs AFTER THIS. 5184 04:16:12,866 --> 04:16:15,002 IT WASN'T A MISTAKE BECAUSE WE 5185 04:16:15,002 --> 04:16:16,403 GOT INFORMATION FROM THIS AND 5186 04:16:16,403 --> 04:16:19,573 THIS TELLS US YOU'RE NOT GOING 5187 04:16:19,573 --> 04:16:21,241 TO AUTOMATICALLY GET BETTER AT 5188 04:16:21,241 --> 04:16:23,143 THE LEVEL THE TESTS CAN TEST. 5189 04:16:23,143 --> 04:16:25,245 YOU'RE NOT AUTOMATICALLY GOING 5190 04:16:25,245 --> 04:16:26,180 TO GET BETTER. 5191 04:16:26,180 --> 04:16:30,250 BY THE WAY, OUR CONTROL GROUP 5192 04:16:30,250 --> 04:16:32,886 WAS TRADITIONAL TREATMENT OF THE 5193 04:16:32,886 --> 04:16:34,721 CONTRALESIONAL ARM BY OTs. 5194 04:16:34,721 --> 04:16:36,490 AND THAT MEANT BASICALLY 5195 04:16:36,490 --> 04:16:36,857 REACHING. 5196 04:16:36,857 --> 04:16:40,527 WE INSTRUCTED THEM NOT TO DO ADL 5197 04:16:40,527 --> 04:16:45,265 WHICH IS REALLY HARD TO TELL AN 5198 04:16:45,265 --> 04:16:50,437 OT TO NOT DO. 5199 04:16:50,437 --> 04:16:54,341 WHEN WE LOOK AT OUR TIME, THE 5200 04:16:54,341 --> 04:16:55,876 CONTROL GROUP DIDN'T GET 5201 04:16:55,876 --> 04:17:00,747 SIGNIFICANTLY BETTER OR WORSE. 5202 04:17:00,747 --> 04:17:03,684 THERE'S A POST TEST AND THE 5203 04:17:03,684 --> 04:17:04,985 ONE-MONTH POST TEST. 5204 04:17:04,985 --> 04:17:07,454 IT WASN'T SIGNIFICANT. 5205 04:17:07,454 --> 04:17:15,529 THE IMPROVEMENTS IN THE IPSO 5206 04:17:15,529 --> 04:17:18,098 LATERAL ARM LASTED MONTHS AND 5207 04:17:18,098 --> 04:17:19,800 COVID INTERVENED WITH A BUNCH OF 5208 04:17:19,800 --> 04:17:21,935 OUR PARTICIPANTS. 5209 04:17:21,935 --> 04:17:25,606 SO WE SEE THIS AS STRONG 5210 04:17:25,606 --> 04:17:28,075 FINDINGS EVEN THOUGH PEOPLE HAVE 5211 04:17:28,075 --> 04:17:31,144 LOST THE ABILITY TO GRASP AND 5212 04:17:31,144 --> 04:17:33,881 RELEASE FUNCTIONALLY WITH THE 5213 04:17:33,881 --> 04:17:35,048 CONTRALESIONAL ARM AND EVEN 5214 04:17:35,048 --> 04:17:36,817 THOUGH THEY'VE BEEN DOING THEIR 5215 04:17:36,817 --> 04:17:42,956 ADLs AND DAILY STUFF THEY DO 5216 04:17:42,956 --> 04:17:53,634 WITH THEIR IPSO -- IPSILESIONAL 5217 04:18:14,288 --> 04:18:22,529 ARM AND THE TRANSFER PACKAGE. 5218 04:18:22,529 --> 04:18:23,697 AND TAKE THE NEW FOUND SKILLS 5219 04:18:23,697 --> 04:18:26,600 AND GET PEOPLE TO DO ADLs WITH 5220 04:18:26,600 --> 04:18:36,710 THEM. 5221 04:18:37,244 --> 04:18:39,146 AND THE REASON THIS IS HERE IS 5222 04:18:39,146 --> 04:18:41,915 IT'S THE WRONG PEN AND THE WRONG 5223 04:18:41,915 --> 04:18:42,182 TROUSERS. 5224 04:18:42,182 --> 04:18:44,685 VERY FEW KNOW WHAT I'M TALKING 5225 04:18:44,685 --> 04:18:46,620 ABOUT BUT I USED TO START OUT 5226 04:18:46,620 --> 04:18:49,890 WITH A SLIDE SAYING IT'S THE 5227 04:18:49,890 --> 04:18:51,758 WRONG ARM, BOB. 5228 04:18:51,758 --> 04:18:53,961 YOU'RE LOOKING AT THE WRONG ARM. 5229 04:18:53,961 --> 04:18:55,462 IT'S NOT FAR FETCHED TO IMAGINE 5230 04:18:55,462 --> 04:18:58,332 WITH OUR RESULTS THAT SHOW 5231 04:18:58,332 --> 04:19:00,100 SIGNIFICANT CHANGES IN 5232 04:19:00,100 --> 04:19:01,802 COORDINATION OF THE IPSILESIONAL 5233 04:19:01,802 --> 04:19:07,841 ARM IN PATIENTS WITH SEVERE 5234 04:19:07,841 --> 04:19:09,576 PHORESIS WE CAN FOCUS ON ADL AND 5235 04:19:09,576 --> 04:19:12,512 PEOPLE WOULD BE ABLE TO 5236 04:19:12,512 --> 04:19:13,547 INCORPORATE THESE IN TO THEIR 5237 04:19:13,547 --> 04:19:14,414 LIVES AND BECOME MORE 5238 04:19:14,414 --> 04:19:14,715 FUNCTIONAL. 5239 04:19:14,715 --> 04:19:18,785 I WANT TO TELL A QUICK STORY 5240 04:19:18,785 --> 04:19:20,687 ABOUT THE FIRST PILOT STUDY WE 5241 04:19:20,687 --> 04:19:21,054 DID. 5242 04:19:21,054 --> 04:19:22,789 WE WOULD ASK AN OPEN ENDED 5243 04:19:22,789 --> 04:19:23,957 QUESTION WHICH WE SHOULD HAVE 5244 04:19:23,957 --> 04:19:26,727 DONE BUT WE NEGLECTED TO PUT 5245 04:19:26,727 --> 04:19:28,228 INTO THE LARGER STUDY WHICH WAS 5246 04:19:28,228 --> 04:19:30,163 IS THERE ANYTHING YOU CAN DO NOW 5247 04:19:30,163 --> 04:19:33,900 YOU COULDN'T DO BEFORE? 5248 04:19:33,900 --> 04:19:38,171 AND SO THERE WAS A PATIENT AND 5249 04:19:38,171 --> 04:19:41,074 HIS PARTNER WIFE HIS CARETAKER 5250 04:19:41,074 --> 04:19:46,179 OR HIS HELPER AND SOON AS I 5251 04:19:46,179 --> 04:19:47,381 ASKED THAT QUESTION THE WIFE 5252 04:19:47,381 --> 04:19:48,215 WENT LIKE THIS? 5253 04:19:48,215 --> 04:19:52,919 I DON'T HAVE TO GO IN THE 5254 04:19:52,919 --> 04:19:53,320 BATHROOM ANYMORE. 5255 04:19:53,320 --> 04:19:55,355 LITTLE TINY CHANGES IN 5256 04:19:55,355 --> 04:19:58,358 COORDINATION CAN LEAD TO MASSIVE 5257 04:19:58,358 --> 04:19:59,426 QUALITY OF LIFE CHANGES FOR 5258 04:19:59,426 --> 04:20:05,399 INDIVIDUALS. 5259 04:20:05,399 --> 04:20:10,871 I ENDED EARLY. 5260 04:20:10,871 --> 04:20:17,411 THAT'S GOOD. 5261 04:20:17,411 --> 04:20:18,378 ANY QUESTIONS? 5262 04:20:18,378 --> 04:20:20,280 >> STEVE. 5263 04:20:20,280 --> 04:20:22,315 YOU'RE THE VERY LAST COMMENT 5264 04:20:22,315 --> 04:20:24,251 ANTICIPATE THE QUESTION I HAVE 5265 04:20:24,251 --> 04:20:30,657 WHICH IS WHICH ADLs OR JEPSON 5266 04:20:30,657 --> 04:20:35,462 TAYLOR SUB TEST ARE MOST ED BY 5267 04:20:35,462 --> 04:20:45,772 THE LAND DEFICIT. 5268 04:20:55,415 --> 04:20:56,083 5269 04:20:56,083 --> 04:20:58,118 >> RETROSPECTIVE WOULD BE GREAT. 5270 04:20:58,118 --> 04:20:59,853 IN THE STUDY WE'RE SIFTING 5271 04:20:59,853 --> 04:21:02,022 THROUGH AND SEEMS LIKE THE 5272 04:21:02,022 --> 04:21:04,191 CHECKER STACKING, THAT MATTERS. 5273 04:21:04,191 --> 04:21:08,228 THE LATENT HAD HEAVY OBJECT 5274 04:21:08,228 --> 04:21:09,629 MATTERS AND THE CARD TURNING 5275 04:21:09,629 --> 04:21:10,731 MATTERS. 5276 04:21:10,731 --> 04:21:16,236 SURPRISINGLY TO US THE SIMULATOR 5277 04:21:16,236 --> 04:21:18,405 FEEDING WHERE YOU MOVE A BEAN ON 5278 04:21:18,405 --> 04:21:21,875 A SPOON DOESN'T SEEM TO MATTER 5279 04:21:21,875 --> 04:21:22,576 AS MUCH. 5280 04:21:22,576 --> 04:21:23,410 FOR WHATEVER REASON THERE ARE 5281 04:21:23,410 --> 04:21:29,249 SOME THAT DO AND SOME THAT DON'T 5282 04:21:29,249 --> 04:21:30,851 MATTER AS MUCH. 5283 04:21:30,851 --> 04:21:41,261 >> KATHLEEN AND THEN MICHELLE. 5284 04:21:41,261 --> 04:21:47,067 >> COMING FROM THE MS 5285 04:21:47,067 --> 04:21:49,503 PERSPECTIVE DOES THIS 5286 04:21:49,503 --> 04:21:54,207 COMPLIMENTARY CHANGE? 5287 04:21:54,207 --> 04:21:55,909 GOOD THE VIEW IS THAT THERE ARE 5288 04:21:55,909 --> 04:21:57,477 TWO IMPORTANT ASPECTS. 5289 04:21:57,477 --> 04:22:00,313 AND BY THE WAY, LOTS OF PEOPLE 5290 04:22:00,313 --> 04:22:02,582 WHO HAVE DONE BASIC MOTOR 5291 04:22:02,582 --> 04:22:04,217 CONTROL WORK HAVE DISTINGUISHED 5292 04:22:04,217 --> 04:22:06,787 PREDICTIVE AND OPTIMAL CONTROL 5293 04:22:06,787 --> 04:22:07,721 FROM IMPEDANCE CONTROL. 5294 04:22:07,721 --> 04:22:09,256 SOME HYPOTHESIZED ALL WE DO IS 5295 04:22:09,256 --> 04:22:11,424 ONE OR THE OTHER BUT THE TWO 5296 04:22:11,424 --> 04:22:12,692 KEEP COMING UP IN MOTOR CONTROL 5297 04:22:12,692 --> 04:22:14,995 AND IF YOU DO ROBOTIC 5298 04:22:14,995 --> 04:22:16,363 PROGRAMMING YOU TYPICALLY DO A 5299 04:22:16,363 --> 04:22:19,866 COMBINATION OF THESE THINGS. 5300 04:22:19,866 --> 04:22:22,736 YOU WANT TO STOP NOT WITH 5301 04:22:22,736 --> 04:22:28,842 SPECIFIC FORCE CONTROL BUT 5302 04:22:28,842 --> 04:22:29,109 IMPEDENCE. 5303 04:22:29,109 --> 04:22:31,711 IT'S THESE ARE ALGORITHMS TO 5304 04:22:31,711 --> 04:22:38,718 HANDLE THE IF YOU PHYSICS OF 5305 04:22:38,718 --> 04:22:43,957 MOVEMENTS AND CATEGORIZED IN 5306 04:22:43,957 --> 04:22:46,159 DIFFERENT HEMISPHERE 5307 04:22:46,159 --> 04:22:47,127 EVOLUTIONARY -- TO ME WHATEVER 5308 04:22:47,127 --> 04:22:55,936 LED TO IT WHICH IS PROBABLY SOME 5309 04:22:55,936 --> 04:22:58,371 GENETIC TWEAK EARLY ON TO 5310 04:22:58,371 --> 04:23:00,607 DISTINGUISH THE DEVELOP THE 5311 04:23:00,607 --> 04:23:06,813 ALGORITHM IN OF ONE HEMISPHERE 5312 04:23:06,813 --> 04:23:07,914 THE INTERHEMISPHERIC 5313 04:23:07,914 --> 04:23:09,482 CONNECTIVELY WITH MOTOR SYSTEMS 5314 04:23:09,482 --> 04:23:10,150 AND OTHER SENSORY SYSTEMS IS THE 5315 04:23:10,150 --> 04:23:19,659 SAME. 5316 04:23:19,659 --> 04:23:23,363 IT TOOK TWO HEMISPHERES THAT 5317 04:23:23,363 --> 04:23:23,797 BECOME SPECIALIZED. 5318 04:23:23,797 --> 04:23:28,768 THE LESION YOU GET WILL DEPEND 5319 04:23:28,768 --> 04:23:31,004 ON WHERE YOU LESION THE NEW 5320 04:23:31,004 --> 04:23:31,304 HEMISPHERE. 5321 04:23:31,304 --> 04:23:35,108 WE DON'T HAVE THE DATA. 5322 04:23:35,108 --> 04:23:45,652 WE SUSPECT LEFT HANDERS HAVE A 5323 04:23:46,887 --> 04:23:49,656 ONE AND IF ONE HAS A 5324 04:23:49,656 --> 04:23:50,724 PROGRESSIONIVE DISORDER IT WOULD 5325 04:23:50,724 --> 04:24:00,267 ALL DEMAND ON WHERE IF YOU HAVE 5326 04:24:00,267 --> 04:24:03,003 TROUBLE WITH MOTOR SKILLS AND 5327 04:24:03,003 --> 04:24:05,805 PREDICTIVE CONTROLS. 5328 04:24:05,805 --> 04:24:11,177 WE'RE AMID STUDY USING 5329 04:24:11,177 --> 04:24:14,547 NON-INVASIVE BRAIN STIMULATION 5330 04:24:14,547 --> 04:24:16,650 TO EKE OUT WHAT THE MECHANISMS 5331 04:24:16,650 --> 04:24:17,851 ARE AND SOMETHING LIKE MS WHERE 5332 04:24:17,851 --> 04:24:20,053 YOU DON'T KNOW WHERE IT'S GOING 5333 04:24:20,053 --> 04:24:22,756 TO HIT I THINK IT'S NOT GOOD 5334 04:24:22,756 --> 04:24:23,823 ENOUGH TO SAY WHAT HEMISPHERE 5335 04:24:23,823 --> 04:24:26,126 BECAUSE IT DEPENDS ON WHERE IN 5336 04:24:26,126 --> 04:24:34,134 THE HEMISPHERE AND IT'S LIKE 5337 04:24:34,134 --> 04:24:37,237 INFERIOR LOBULE CLOSE TO THE 5338 04:24:37,237 --> 04:24:41,241 ANTERIOR PART OF THE 5339 04:24:41,241 --> 04:24:42,976 INTERPARIETAL LOCUS YOU'LL END 5340 04:24:42,976 --> 04:24:43,343 UP -- 5341 04:24:43,343 --> 04:24:48,014 >> AND THE OTHER QUESTION I HAVE 5342 04:24:48,014 --> 04:24:49,282 DID YOU CONTROL FOR CHANGES IN 5343 04:24:49,282 --> 04:24:55,288 STRENGTH OVER TIME. 5344 04:24:55,288 --> 04:25:00,660 DID IT HAVE TO DO WITH CHANGES 5345 04:25:00,660 --> 04:25:01,695 IN STRENGTH? 5346 04:25:01,695 --> 04:25:07,100 >> WE DID NOT. 5347 04:25:07,100 --> 04:25:13,306 WE ASSUME WHETHER IT'S IN THE 5348 04:25:13,306 --> 04:25:16,209 FIRST STUDY WE DID MEASURE 5349 04:25:16,209 --> 04:25:21,247 STRENGTH AND THE IMPROVEMENTS 5350 04:25:21,247 --> 04:25:26,453 WENT TO OVER ALL STRENGTH AND 5351 04:25:26,453 --> 04:25:28,922 ASSUMED THE ABILITY TO SUS STAUN 5352 04:25:28,922 --> 04:25:30,156 THE CHANGES -- IT'S SIX MONTHS 5353 04:25:30,156 --> 04:25:30,857 OR LONGER. 5354 04:25:30,857 --> 04:25:34,260 PROBABLY HAD TO DO WITH USING 5355 04:25:34,260 --> 04:25:37,263 THAT AND THE FACT IT DIDN'T 5356 04:25:37,263 --> 04:25:39,699 IMPACT BARTEL PROBABLY DIDN'T 5357 04:25:39,699 --> 04:25:42,736 CHANGE IT PEOPLE'S PERCEPTIONS 5358 04:25:42,736 --> 04:25:43,670 OF THEIR INDEPENDENCE OR DIDN'T 5359 04:25:43,670 --> 04:25:49,242 JUMP THEM A CATEGORY BECAUSE 5360 04:25:49,242 --> 04:25:59,586 THEY'RE -- MICHELLE. 5361 04:26:05,325 --> 04:26:13,700 >> WOULD YOU THEN RECOMMEND BY 5362 04:26:13,700 --> 04:26:17,470 MANUAL -- 5363 04:26:17,470 --> 04:26:19,105 >> NOT OVER. 5364 04:26:19,105 --> 04:26:24,444 PEOPLE USE THE TERM PACKAGE. 5365 04:26:24,444 --> 04:26:25,779 I DON'T USE IT BECAUSE IT SOUNDS 5366 04:26:25,779 --> 04:26:26,746 LIKE COOKBOOK. 5367 04:26:26,746 --> 04:26:30,250 THE WAY WE DO A STUDY I WOULD 5368 04:26:30,250 --> 04:26:31,785 NEVER SAY JUST TREAT THE LESION 5369 04:26:31,785 --> 04:26:34,988 ARM AND NEVER SAY DON'T DO ADLs. 5370 04:26:34,988 --> 04:26:37,223 WE JUST WANTED TO FIND OUT WHAT 5371 04:26:37,223 --> 04:26:39,292 WOULD HAPPEN. 5372 04:26:39,292 --> 04:26:40,794 I THINK IN ACTUAL PRACTICE THAT 5373 04:26:40,794 --> 04:26:45,265 THIS INDICATES IT'S A GOOD IDEA 5374 04:26:45,265 --> 04:26:49,035 TO TEST THE IPSILESIONAL ARM 5375 04:26:49,035 --> 04:26:50,804 ESPECIAL WITH PEOPLE WITH 5376 04:26:50,804 --> 04:26:51,071 DEFICITS. 5377 04:26:51,071 --> 04:26:57,544 IF YOU CAN USE YOUR CON 5378 04:26:57,544 --> 04:26:59,145 CONTRALESIONAL ARM USE USE THAT 5379 04:26:59,145 --> 04:27:09,589 WITH THE TRANSFER PACKAGE. 5380 04:27:11,491 --> 04:27:16,196 THE REASON I WOULDN'T SAY JUST 5381 04:27:16,196 --> 04:27:20,533 DO BILATERAL BECAUSE LOGICALLY 5382 04:27:20,533 --> 04:27:22,902 AND BECAUSE OF RESEARCH 5383 04:27:22,902 --> 04:27:24,804 PUBLISHED WE KNOW WHEN YOU DO 5384 04:27:24,804 --> 04:27:30,577 BILATERAL TASKS WITH BOTH ARMS 5385 04:27:30,577 --> 04:27:33,580 THE GOOD ARM IS NOT CHALLENGED 5386 04:27:33,580 --> 04:27:34,881 IN THE SYMMETRIC MOVE. 5387 04:27:34,881 --> 04:27:38,485 YOU HAVE TO DO BOTH UNILATERAL 5388 04:27:38,485 --> 04:27:40,720 TRAINING INDEPENDENTLY TO SOME 5389 04:27:40,720 --> 04:27:43,490 DEGREE AND THEN REAL 5390 04:27:43,490 --> 04:27:45,925 BILATERAL -- YOU COULD DO 5391 04:27:45,925 --> 04:27:47,160 BILATERAL ADL TRAINING AND ALL 5392 04:27:47,160 --> 04:27:48,094 THAT WITHIN A SESSION. 5393 04:27:48,094 --> 04:27:49,395 I DON'T THINK WE'RE TALKING 5394 04:27:49,395 --> 04:27:51,731 ABOUT GROSSLY CHANGING THE TIME 5395 04:27:51,731 --> 04:27:54,200 THAT YOU A LOT TO 5396 04:27:54,200 --> 04:27:54,567 REHABILITATION. 5397 04:27:54,567 --> 04:27:56,202 IT'S JUST THAT I THINK YOU NEED 5398 04:27:56,202 --> 04:27:58,671 TO DO -- A LOT OF THE STUFF WE 5399 04:27:58,671 --> 04:27:59,973 DID PEOPLE HAVE TOLD US THEY ARE 5400 04:27:59,973 --> 04:28:04,911 WERE PRACTICING AT HOME. 5401 04:28:04,911 --> 04:28:08,848 WHEN IT'S THE IPSILESIONAL ARM 5402 04:28:08,848 --> 04:28:10,416 IT'S LESS FRUSTRATING THAN DO 5403 04:28:10,416 --> 04:28:15,755 SOMETHING TO TAKE HOME AND 5404 04:28:15,755 --> 04:28:16,189 INCORPORATE THAT. 5405 04:28:16,189 --> 04:28:17,924 >> 5406 04:28:17,924 --> 04:28:19,359 >> WHAT IS THE ROLE OF THE 5407 04:28:19,359 --> 04:28:22,328 COMPLEXITY OF THE ACTIVITIES OF 5408 04:28:22,328 --> 04:28:24,164 DAILY LIVING YOU'RE DOING WHERE 5409 04:28:24,164 --> 04:28:26,699 THEY VARIED OR IN TERMS OF 5410 04:28:26,699 --> 04:28:31,037 COGNITIVE INTENSITY WHERE ALL 5411 04:28:31,037 --> 04:28:31,871 YOUR PATIENTS -- THAT YOU 5412 04:28:31,871 --> 04:28:33,139 WHETHER OR NOT SCREENED. 5413 04:28:33,139 --> 04:28:39,145 THEY JUST HAD TO FOLLOW 5414 04:28:39,145 --> 04:28:41,247 INSTRUCTIONS AND WERE TAKING 5415 04:28:41,247 --> 04:28:51,824 PATIENTS WITH SEVERE PARESIS 5416 04:29:17,317 --> 04:29:27,660 AND IT WAS CHALLENGING. 5417 04:29:30,463 --> 04:29:31,631 THEY DIDN'T INVOLVE MULTIPLE 5418 04:29:31,631 --> 04:29:33,032 POINTS IN A SEQUENCE. 5419 04:29:33,032 --> 04:29:36,402 IT DIDN'T INVOLVE THAT. 5420 04:29:36,402 --> 04:29:39,172 THEY WERE PROBABLY COGNITIVELY 5421 04:29:39,172 --> 04:29:39,505 PRETTY EASY. 5422 04:29:39,505 --> 04:29:42,909 PUT CLOTHES PINS ON A RULER OR 5423 04:29:42,909 --> 04:29:45,245 STACK SOME THINGS OR THROW OR 5424 04:29:45,245 --> 04:29:48,648 CATCH A BALL. 5425 04:29:48,648 --> 04:29:55,188 >> YOU HAD 150? 5426 04:29:55,188 --> 04:29:55,555 >> NO. 5427 04:29:55,555 --> 04:29:59,125 THE FIRST PART WAS 120 ASSESSING 5428 04:29:59,125 --> 04:30:03,096 THE FUSION THE IPSILESIONAL ARM 5429 04:30:03,096 --> 04:30:09,002 AND IN THIS WE WANTED 120 AND 5430 04:30:09,002 --> 04:30:12,538 THEN COVID HIT. 5431 04:30:12,538 --> 04:30:23,082 AND WE ENDED UP -- AND WE THINK 5432 04:30:24,017 --> 04:30:27,520 WE CAN STILL HAVE POWER AND WE 5433 04:30:27,520 --> 04:30:31,758 ENDED UP GETTING HALF THE 5434 04:30:31,758 --> 04:30:32,025 PATIENTS. 5435 04:30:32,025 --> 04:30:33,259 >> I DON'T KNOW IF YOU'RE ABLE 5436 04:30:33,259 --> 04:30:35,461 TO ANSWER THE QUESTION BECAUSE 5437 04:30:35,461 --> 04:30:39,098 YOU'RE FIRST STUDY SHOWS WHEN 5438 04:30:39,098 --> 04:30:45,538 THE LESION WAS IN A CERTAIN SIDE 5439 04:30:45,538 --> 04:30:48,341 THAT IMPACTED THE EFFICIENT SIDE 5440 04:30:48,341 --> 04:30:51,477 VERSUS THE ROBUST SIDE. 5441 04:30:51,477 --> 04:30:53,346 WERE YOU ABLE TO SEPARATE YOUR 5442 04:30:53,346 --> 04:30:57,450 60 PATIENTS? 5443 04:30:57,450 --> 04:31:05,258 >> OUR PATIENTS HAD MIDDLE 5444 04:31:05,258 --> 04:31:06,959 CEREBRAL ARTERY INFARCTION AND 5445 04:31:06,959 --> 04:31:08,995 LESIONS AND WE WERE ABLE TO 5446 04:31:08,995 --> 04:31:11,964 SEPARATE THEM BY LEFT OR RIGHT 5447 04:31:11,964 --> 04:31:14,734 HEMISPHERE BUT THEIR RESPONSE TO 5448 04:31:14,734 --> 04:31:16,736 THERAPY DIDN'T RESPOND ON 5449 04:31:16,736 --> 04:31:17,036 HEMISPHERE. 5450 04:31:17,036 --> 04:31:19,906 OUR VIRTUAL REALITY TRAINING WE 5451 04:31:19,906 --> 04:31:22,108 DID WITH RIGHT HEMISPHERE 5452 04:31:22,108 --> 04:31:24,310 PATIENTS WE DID A TRACING TEST 5453 04:31:24,310 --> 04:31:25,545 WHERE THOUGHT IT INVOLVED A LOT 5454 04:31:25,545 --> 04:31:30,683 OF SPATIAL CORRECTIONS AND 5455 04:31:30,683 --> 04:31:31,818 PROBABLY TAXES THE RIGHT 5456 04:31:31,818 --> 04:31:32,585 HEMISPHERE BASED ON OUR MODEL 5457 04:31:32,585 --> 04:31:36,789 MORE. 5458 04:31:36,789 --> 04:31:38,591 YOU DON'T HAVE TO DO -- YOU HAVE 5459 04:31:38,591 --> 04:31:40,026 TO DO PREDICTION AND CORRECTION 5460 04:31:40,026 --> 04:31:41,961 AND GETTING BACK TO A POINT IN 5461 04:31:41,961 --> 04:31:45,231 SPACE AND THEN WE DID A VIRTUAL 5462 04:31:45,231 --> 04:31:46,866 SHUFFLEBOARD TEST OR THINK OF IT 5463 04:31:46,866 --> 04:31:51,337 AS AIR HOCKEY TEST FOR LEFT 5464 04:31:51,337 --> 04:31:52,472 HEMISPHERIC PATIENTS WHERE THEY 5465 04:31:52,472 --> 04:31:56,909 DO BALLASTIC MOVEMENTS AND TRY 5466 04:31:56,909 --> 04:32:03,649 TO GET MORE ACCURATE. 5467 04:32:03,649 --> 04:32:05,118 -- BALLISTIC MOVEMENT. 5468 04:32:05,118 --> 04:32:09,255 AS WE FIGURE OUT OUR ANALYSIS 5469 04:32:09,255 --> 04:32:13,259 THE LOOKS LIKE THAT COMPONENT 5470 04:32:13,259 --> 04:32:20,166 AND THE KINEMATICS AND HOW THEY 5471 04:32:20,166 --> 04:32:22,268 CORRELATE TO THE TREATMENT AND 5472 04:32:22,268 --> 04:32:25,238 IT LOOKS LIKE IT WORKED WELL AND 5473 04:32:25,238 --> 04:32:31,944 THE COMPONENT WORKED WITH RIGHT 5474 04:32:31,944 --> 04:32:35,448 HEMISPHERIC PATIENTS BUT NOT AS 5475 04:32:35,448 --> 04:32:38,584 WELL WITH LEFT THOUGH BOTH GOT 5476 04:32:38,584 --> 04:32:40,453 JUST AS MUCH BETTER FOR WHATEVER 5477 04:32:40,453 --> 04:32:40,787 THAT'S WORK. 5478 04:32:40,787 --> 04:32:44,190 >> THANK YOU FOR TAKING US 5479 04:32:44,190 --> 04:32:53,266 THROUGH THE NEURAL AFLAT -- 5480 04:32:53,266 --> 04:32:53,699 AFLA 5481 04:32:53,699 --> 04:32:58,037 FLAT NAT MY -- ANATOMY AND 5482 04:32:58,037 --> 04:33:00,573 DIDN'T GET INTO THE CEREBELLUM 5483 04:33:00,573 --> 04:33:02,408 AND DO YOU DRAW NEURAL 5484 04:33:02,408 --> 04:33:04,410 PLASTICITY OR DO YOU THINK 5485 04:33:04,410 --> 04:33:10,383 YOU'RE REPURPOSING LIGHTENED 5486 04:33:10,383 --> 04:33:18,224 PATHWAYS A LA JOHN KRAKOW. 5487 04:33:18,224 --> 04:33:20,059 >> I'M SURE THE CEREBELLUM IS 5488 04:33:20,059 --> 04:33:26,566 BEING USED ESPECIALLY FOR THE 5489 04:33:26,566 --> 04:33:37,043 PREDICTIVE CONTROL WE HAVE A 5490 04:33:37,043 --> 04:33:38,644 MODEL OF THE PREDICTIVE IDEA AND 5491 04:33:38,644 --> 04:33:40,146 USED FOR DIFFERENT TYPE OF 5492 04:33:40,146 --> 04:33:49,222 LEARNING WE'RE TESTING THAT NOW. 5493 04:33:49,222 --> 04:33:55,661 THE CEREBELLUM IS FEEDING ERRORS 5494 04:33:55,661 --> 04:34:00,099 AND THE PARIETAL CORTEX IS 5495 04:34:00,099 --> 04:34:05,238 CORRECTING THE MODEL OF CONTROL. 5496 04:34:05,238 --> 04:34:08,574 THE NEUROPLASTICITY AND ANY 5497 04:34:08,574 --> 04:34:10,209 BEHAVIORAL PLASTICITY IS 5498 04:34:10,209 --> 04:34:11,177 ASSOCIATED WITH SOME PLASTICITY 5499 04:34:11,177 --> 04:34:11,811 BECAUSE EVERYTHING WE DO IS THE 5500 04:34:11,811 --> 04:34:21,921 BRAIN. 5501 04:34:27,193 --> 04:34:32,698 I'M SURE IT'S ASSOCIATED WITH 5502 04:34:32,698 --> 04:34:38,371 DIFFERENCES IN SYNAPTIC 5503 04:34:38,371 --> 04:34:40,773 EFFICIENCY AND RECRUITING SMALL 5504 04:34:40,773 --> 04:34:45,845 CHANGES AND SYNAPSES BUT I DOUBT 5505 04:34:45,845 --> 04:34:47,246 YOU'LL SEE ANYTHING GROSS IN THE 5506 04:34:47,246 --> 04:34:48,014 CHRONIC PATIENTS OVER THE SIX 5507 04:34:48,014 --> 04:34:58,157 MONTHS. 5508 04:35:03,462 --> 04:35:05,231 >> DO YOU SPECT TO SEE SOMETHING 5509 04:35:05,231 --> 04:35:06,132 IN THE LOWER? 5510 04:35:06,132 --> 04:35:07,800 >> THAT'S TOUGH. 5511 04:35:07,800 --> 04:35:13,606 WE HAVE LATERALIZATION BUT MOST 5512 04:35:13,606 --> 04:35:16,042 STUDY THAT HAVE SHOWN 5513 04:35:16,042 --> 04:35:17,243 LATERALIZATION HAVE ASKS THE 5514 04:35:17,243 --> 04:35:18,878 LEGS TO DO ARM TESTS. 5515 04:35:18,878 --> 04:35:20,079 LIKE WRITING IN THE SAND. 5516 04:35:20,079 --> 04:35:30,323 IT'S KIND OF UNFAIR. 5517 04:35:30,323 --> 04:35:32,692 WE TALKED ABOUT LOOKING AT 5518 04:35:32,692 --> 04:35:37,964 IMPEDENCE VERSUS PREDICTIVE 5519 04:35:37,964 --> 04:35:47,073 CONTROL IN A SORT OF STANCE TASK 5520 04:35:47,073 --> 04:35:56,282 WITH A UNILEG SUBSTANTIATE 5521 04:35:56,282 --> 04:35:57,049 WIGGLING AROUND THINKING THAT'S 5522 04:35:57,049 --> 04:36:00,753 A WAY TO DIFFERENTIATE IT AND 5523 04:36:00,753 --> 04:36:04,857 THE LITERATURE IS VERY CONFUSING 5524 04:36:04,857 --> 04:36:07,793 WITH REGARD TO LEG OR TRUNK 5525 04:36:07,793 --> 04:36:08,160 LATERALIZATION. 5526 04:36:08,160 --> 04:36:11,297 ALSO THE TYPES OF TESTS WE DO 5527 04:36:11,297 --> 04:36:13,799 ARE HANDLED -- YOU LOOK AT THE 5528 04:36:13,799 --> 04:36:15,935 CORTICAL AREAS AND HANDLED LESS 5529 04:36:15,935 --> 04:36:17,737 BY THE LEGS BY THE CORE TEXT 5530 04:36:17,737 --> 04:36:18,237 THAN THE HANDS. 5531 04:36:18,237 --> 04:36:20,906 I DON'T KNOW AND I DON'T KNOW IF 5532 04:36:20,906 --> 04:36:25,244 LATERALIZATION IS PURELY A 5533 04:36:25,244 --> 04:36:35,588 FUNCTION OF CORTEX. 5534 04:36:36,055 --> 04:36:37,556 >> ARE YOU USING THIS TO MAP 5535 04:36:37,556 --> 04:36:37,790 THIS. 5536 04:36:37,790 --> 04:36:41,360 >> TURNS OUT WE DON'T USE THE 5537 04:36:41,360 --> 04:36:41,661 CEREBELLUM. 5538 04:36:41,661 --> 04:36:43,562 THEY'RE LIKE THE APPENDIX. 5539 04:36:43,562 --> 04:36:45,498 NO, WE HAVEN'T DONE ANYTHING 5540 04:36:45,498 --> 04:36:49,835 LIKE THAT. 5541 04:36:49,835 --> 04:36:53,105 ALSO THE CEREBELLUM IS 5542 04:36:53,105 --> 04:36:55,441 STRUCTURALLY LATERALIZED. 5543 04:36:55,441 --> 04:36:57,977 >> WHICH DID YOU USE THE RIGHT 5544 04:36:57,977 --> 04:36:58,577 OR LEFT ARM? 5545 04:36:58,577 --> 04:37:01,380 >> I GUESS THIS SO MUCH. 5546 04:37:01,380 --> 04:37:03,149 >> I WANTED TO FOLLOW UP BECAUSE 5547 04:37:03,149 --> 04:37:10,756 YOU KIND OF MENTIONED THE CMI 5548 04:37:10,756 --> 04:37:12,425 AND I REMEMBER THE EARLY 5549 04:37:12,425 --> 04:37:17,663 CONSTRAINT IN MOVEMENT THERAPY 5550 04:37:17,663 --> 04:37:21,133 ESPECIALLY DR. DOBBS WORK SHOWED 5551 04:37:21,133 --> 04:37:29,241 WHEN YOU TRAIN IN THE FMRI WORK 5552 04:37:29,241 --> 04:37:38,484 THE PLASTICITY TOOK OVER. 5553 04:37:38,484 --> 04:37:40,586 >> THAT'S INTERESTING AND MY 5554 04:37:40,586 --> 04:37:43,355 FRIEND IS INTERESTED IN GOING 5555 04:37:43,355 --> 04:37:45,257 FROM CONTROL TO NON-LESION SIDE 5556 04:37:45,257 --> 04:37:49,995 AND EYE MOILT OF SYNERGY WHICH 5557 04:37:49,995 --> 04:37:54,934 SEEMS TO INDICATE THE 5558 04:37:54,934 --> 04:38:01,707 CONTRALESIONAL CORTEX HAS 5559 04:38:01,707 --> 04:38:05,244 ACTIVATION AND RESULTS IN THE 5560 04:38:05,244 --> 04:38:06,212 -SPECIFIC SYNERGY. 5561 04:38:06,212 --> 04:38:07,980 HE'S VERY INTERESTED IN COMING 5562 04:38:07,980 --> 04:38:13,886 UP WITH TESTS THAT INHIBIT 5563 04:38:13,886 --> 04:38:15,254 RECRUITING THE CONTRALATERAL 5564 04:38:15,254 --> 04:38:22,294 CORTEX. 5565 04:38:22,294 --> 04:38:25,097 WE LOOKED RAT AN APPROACH TO 5566 04:38:25,097 --> 04:38:29,668 INHIBIT SYNERGIES AND 5567 04:38:29,668 --> 04:38:31,437 CONTRALATERAL SIZE AND ALSO TO 5568 04:38:31,437 --> 04:38:32,972 SOME DEGREE WE KNOW ANYBODY THAT 5569 04:38:32,972 --> 04:38:35,407 WORKS WITH BRAIN LESIONS KNOWS 5570 04:38:35,407 --> 04:38:40,346 THE BRAIN IS A ZERO SUM GAME. 5571 04:38:40,346 --> 04:38:44,717 WHEN YOU TAKE A BUNCH OF NEURONS 5572 04:38:44,717 --> 04:38:46,252 IT TAKES AWAY FROM WHAT ELSE 5573 04:38:46,252 --> 04:38:50,890 THEY ARE COULD BE DOING. 5574 04:38:50,890 --> 04:38:57,062 IT'S HARD FOR ME TO IMAGINE WHEN 5575 04:38:57,062 --> 04:39:00,166 THAT HAPPENS AND THIS MAY BE 5576 04:39:00,166 --> 04:39:01,867 PART OF WHAT YOU'RE ASKING 5577 04:39:01,867 --> 04:39:04,503 STEALS THE IPSILESIONAL CORTEX. 5578 04:39:04,503 --> 04:39:07,206 SORRY, CONTRALESIONAL CORTEX. 5579 04:39:07,206 --> 04:39:08,974 IT'S POSSIBLE THAT HAPPENS SO 5580 04:39:08,974 --> 04:39:11,443 IT'S POSSIBLE WE COULD GET 5581 04:39:11,443 --> 04:39:21,253 BETTER RESULTS IF WE COMBINE 5582 04:39:21,253 --> 04:39:25,257 GEORGE DEWALT'S THERAPY LOADING 5583 04:39:25,257 --> 04:39:32,765 THE ABDUCTORS TO RECRUIT 5584 04:39:32,765 --> 04:39:34,800 CONTRALATERAL RETICULAR SYSTEMS 5585 04:39:34,800 --> 04:39:37,436 AND YOU CAN IMAGINE TRAINING THE 5586 04:39:37,436 --> 04:39:38,871 GOOD ARM AS THE SAME TIME AS THE 5587 04:39:38,871 --> 04:39:40,773 BAD ARM. 5588 04:39:40,773 --> 04:39:43,242 SORRY TO MAKE IT SO RIDICULOUS 5589 04:39:43,242 --> 04:39:44,844 AS GOOD AND BAD. 5590 04:39:44,844 --> 04:39:51,851 >> DID YOU TEST LOOKING AT THE 5591 04:39:51,851 --> 04:39:58,490 JEPSON TAYLOR INCLUDING THE 5592 04:39:58,490 --> 04:40:01,160 STUDY AND WHY DID THE FIRST 5593 04:40:01,160 --> 04:40:02,628 STUDY SHOW BETTER RESULTS? 5594 04:40:02,628 --> 04:40:05,464 I THINK EVERYBODY WHO'S DONE 5595 04:40:05,464 --> 04:40:11,070 STUDIES RECRUITING A SPECIFIC 5596 04:40:11,070 --> 04:40:14,173 POPULATION KNOWS THAT THE FIRST 5597 04:40:14,173 --> 04:40:17,009 10, 15 PARTICIPANTS ARE THE LOW 5598 04:40:17,009 --> 04:40:17,943 HANGING FRUIT. 5599 04:40:17,943 --> 04:40:19,511 THE PEOPLE THAT ARE MOTIVATED 5600 04:40:19,511 --> 04:40:22,882 AND EASY TO GET. 5601 04:40:22,882 --> 04:40:23,749 THE FIRST STUDY WAS COMPRISED 5602 04:40:23,749 --> 04:40:24,283 ONLY OF THOSE. 5603 04:40:24,283 --> 04:40:33,225 IN BOTH CASES THE CONTRALATERAL 5604 04:40:33,225 --> 04:40:39,965 ARM WORKS OR GOT BETTER. 5605 04:40:39,965 --> 04:40:50,542 >> I WAS THINKING ABOUT TESTED 5606 04:40:50,542 --> 04:40:53,245 ON KIDS BECAUSE THAT'S ONE WAY 5607 04:40:53,245 --> 04:40:56,415 TO PIVOT -- KIDS WITH 5608 04:40:56,415 --> 04:40:58,317 HEMISPHERICECTOMIES. 5609 04:40:58,317 --> 04:41:00,753 >> THIS IS SAD. 5610 04:41:00,753 --> 04:41:03,555 I WAS WRITTEN 15 OR 20 YEARS AGO 5611 04:41:03,555 --> 04:41:06,258 AND SAID I HAVE THESE KIDS AND 5612 04:41:06,258 --> 04:41:07,960 WHY DON'T YOU TEST THEM? 5613 04:41:07,960 --> 04:41:10,596 I'M LIKE I'M REALLY BUSY. 5614 04:41:10,596 --> 04:41:13,399 I'M DOING SOMETHING AND WE NEVER 5615 04:41:13,399 --> 04:41:13,832 DID. 5616 04:41:13,832 --> 04:41:15,501 NO, IT WOULD BE REALLY 5617 04:41:15,501 --> 04:41:19,905 INTERESTING TO DO THAT. 5618 04:41:19,905 --> 04:41:26,045 AS AN O.T. I WAS DEALING WITH 5619 04:41:26,045 --> 04:41:29,214 KIDS WITH C.P. AND I THOUGHT I 5620 04:41:29,214 --> 04:41:32,117 COULD STUDY WHERE THEY ARE MOVE 5621 04:41:32,117 --> 04:41:38,390 THE WAY THEY ARE DO AND THE 5622 04:41:38,390 --> 04:41:40,993 REASON I WENT TO ADULT STROKE IS 5623 04:41:40,993 --> 04:41:46,999 I KNEW THE BRIN DEVELOPED IN A 5624 04:41:46,999 --> 04:41:55,407 PRACTICAL WAY THAT WOULD BE 5625 04:41:55,407 --> 04:41:55,708 INTERESTING. 5626 04:41:55,708 --> 04:41:58,877 I WAS THINKING THE SAME THING. 5627 04:41:58,877 --> 04:42:02,014 THEIR BRAIN IS STILL DEVELOPING 5628 04:42:02,014 --> 04:42:03,615 BUT CAN MOVE BOTH ARMS AND LEGS. 5629 04:42:03,615 --> 04:42:10,489 >> SOME OF THEM. 5630 04:42:10,489 --> 04:42:20,165 I WORKED WITH A YOUNG GIRL SHE 5631 04:42:20,165 --> 04:42:26,238 WAS HEMI PARATIC AND LAD PERFECT 5632 04:42:26,238 --> 04:42:31,777 LANGUAGE AND PERFECT MATH 5633 04:42:31,777 --> 04:42:32,011 SKILLS. 5634 04:42:32,011 --> 04:42:36,849 IT IS INTERESTING THE WAY THE 5635 04:42:36,849 --> 04:42:38,384 BRAIN UNDER ENVIRONMENTAL 5636 04:42:38,384 --> 04:42:39,585 CONDITIONS WITH A LESION. 5637 04:42:39,585 --> 04:42:40,452 >> I AGREE. 5638 04:42:40,452 --> 04:42:44,223 I DON'T KNOW HOW YOU WOULD SEE 5639 04:42:44,223 --> 04:42:47,426 STRUCTURAL CHANGES AS SOON AS 5640 04:42:47,426 --> 04:42:55,667 YOU WERE SHOWING CHANGE. 5641 04:42:55,667 --> 04:43:06,011 >> THE TINY CHANGES 5642 04:43:11,517 --> 04:43:11,784 STRUCTURALLY? 5643 04:43:11,784 --> 04:43:16,221 NO. 5644 04:43:16,221 --> 04:43:23,829 >> IT'S PLAUSIBLE THERE'S 5645 04:43:23,829 --> 04:43:27,399 INCREASE IN TISSUE HELP AND A 5646 04:43:27,399 --> 04:43:29,234 CHANGE IN NEURONS IS HIGHLY 5647 04:43:29,234 --> 04:43:36,041 UNLIKELY. 5648 04:43:36,041 --> 04:43:40,579 >> SO THAT'S FUNCTIONAL. 5649 04:43:40,579 --> 04:43:48,120 I DON'T THINK YOU SEE CHANGES IN 5650 04:43:48,120 --> 04:43:48,353 FMRI. 5651 04:43:48,353 --> 04:43:52,291 IN HIS CASE HE'S TAKING A SYSTEM 5652 04:43:52,291 --> 04:43:58,730 THAT HAS A PRETTY SEVERE 5653 04:43:58,730 --> 04:44:09,274 IMPAIRMENT AND THEN TRAINING IT 5654 04:44:09,274 --> 04:44:13,579 LOOKING AT THE NON-DAMAGED 5655 04:44:13,579 --> 04:44:15,414 CORTEX AND WE MIGHT AS WELL SEE 5656 04:44:15,414 --> 04:44:17,249 IF TRAINING OF UNIMPAIRED 5657 04:44:17,249 --> 04:44:19,051 INDIVIDUALS CHANGING WITH THE 5658 04:44:19,051 --> 04:44:19,585 SAME THING. 5659 04:44:19,585 --> 04:44:21,253 I KIND OF DOUBT IT WOULD BE 5660 04:44:21,253 --> 04:44:31,763 OBSERVABLE ON THE RESOLUTION. 5661 04:44:36,935 --> 04:44:41,240 AND ONE OTHER THING IS WHEN 5662 04:44:41,240 --> 04:44:47,546 PEOPLE HAVE PERIPHERAL DAMAGE 5663 04:44:47,546 --> 04:44:50,382 SAY YOU HAVE PERIPHERAL NERVE 5664 04:44:50,382 --> 04:44:56,522 DAMAGE TO YOUR DOMINANT ARM ARE 5665 04:44:56,522 --> 04:44:58,524 AND/OR YOU LOSE AND HAVE AN 5666 04:44:58,524 --> 04:45:01,960 AMPUTATION OF YOUR DOMINANT ARM 5667 04:45:01,960 --> 04:45:03,529 PEOPLE DON'T AUTOMATICALLY 5668 04:45:03,529 --> 04:45:04,796 RETRAIN THEIR NON-DOMINANT ARM 5669 04:45:04,796 --> 04:45:06,231 TO BECOME DOMINANT. 5670 04:45:06,231 --> 04:45:07,699 FIVE YEARS LATER IT'S STILL 5671 04:45:07,699 --> 04:45:09,234 FUNCTIONING AS A NON-DOMINANT 5672 04:45:09,234 --> 04:45:11,436 ARM. 5673 04:45:11,436 --> 04:45:14,506 THE IDEA JUST RELEVANT TO THE 5674 04:45:14,506 --> 04:45:16,575 STROKE CASE BECAUSE EVEN THOUGH 5675 04:45:16,575 --> 04:45:18,443 YOU'RE USING THAT ARM EVERY DAY 5676 04:45:18,443 --> 04:45:19,678 YOU'RE NOT CHALLENGING IT. 5677 04:45:19,678 --> 04:45:23,482 IT DOESN'T UNDER GO THIS CHANGE 5678 04:45:23,482 --> 04:45:29,821 AND COORDINATION EFFICIENCY. 5679 04:45:29,821 --> 04:45:31,456 >> ONE LAST QUESTION TIFFANY AND 5680 04:45:31,456 --> 04:45:33,392 THEN WE'LL MOVE ON. 5681 04:45:33,392 --> 04:45:36,094 >> AS SOMEONE WITH PERMANENT 5682 04:45:36,094 --> 04:45:38,497 NERVE DAMAGE IN MY FORMALLY 5683 04:45:38,497 --> 04:45:39,598 DOMINANT ARM I GUESS I'M 5684 04:45:39,598 --> 04:45:40,632 WONDERING IF AGE HAS ANYTHING TO 5685 04:45:40,632 --> 04:45:42,768 DO WITH IT AND IF THERE'S 5686 04:45:42,768 --> 04:45:43,669 PLASTICITY THERE BECAUSE I'LL 5687 04:45:43,669 --> 04:45:46,071 HEAR FROM PEOPLE WHO HAVE MY 5688 04:45:46,071 --> 04:45:49,241 INJURY AND BE LIKE OH, I LEARNED 5689 04:45:49,241 --> 04:45:52,077 HOW TO REWRITE OR TYPE WITH ONE 5690 04:45:52,077 --> 04:45:54,780 HAND AND I'M LIKE THAT HAPPENED 5691 04:45:54,780 --> 04:45:57,549 WHEN YOU WERE YOUNG SO I DON'T 5692 04:45:57,549 --> 04:45:59,218 KNOW IF YOU WERE -- 5693 04:45:59,218 --> 04:46:01,486 >> OF ADULTS THAT LOST A 5694 04:46:01,486 --> 04:46:04,056 DOMINANT ARM THE NON-DOMINANT 5695 04:46:04,056 --> 04:46:05,991 ARM IS SUPER RESISTANT TO 5696 04:46:05,991 --> 04:46:07,526 BECOMING A DOMINANT ARM. 5697 04:46:07,526 --> 04:46:13,165 AND I DON'T KNOW HOW MUCH OF 5698 04:46:13,165 --> 04:46:15,033 THAT IS COGNITIVE RESISTANCE TO 5699 04:46:15,033 --> 04:46:16,401 RETRAINING IT. 5700 04:46:16,401 --> 04:46:19,605 I DON'T THINK MUCH OF IT IS BUT 5701 04:46:19,605 --> 04:46:24,876 ONCE IT'S STRUCTURED IT SEEMS 5702 04:46:24,876 --> 04:46:27,512 HARD TO CHANGE BUT I AGREE IN 5703 04:46:27,512 --> 04:46:30,148 DEVELOPMENT THERE'S ALL THIS 5704 04:46:30,148 --> 04:46:30,983 CAPACITY FOR CHANGE. 5705 04:46:30,983 --> 04:46:35,454 I ALSO THINK THERE'S VERY STRONG 5706 04:46:35,454 --> 04:46:36,421 EVIDENCE DOMINANCE HAS A GENETIC 5707 04:46:36,421 --> 04:46:44,229 COMPONENT TO IT. 5708 04:46:44,229 --> 04:46:46,732 THEY HAVE TO INTERFACE WITH 5709 04:46:46,732 --> 04:46:51,903 DEVELOPMENT AND IF YOU END UP 5710 04:46:51,903 --> 04:46:55,173 LOSING FUNCTION OF YOUR-TO-BE 5711 04:46:55,173 --> 04:46:56,875 DOMINANT ARM THE GENETICS COULD 5712 04:46:56,875 --> 04:47:01,280 MARRY WITH THAT ENVIRONMENTAL 5713 04:47:01,280 --> 04:47:04,549 INFLUENCE AND SWITCH. 5714 04:47:04,549 --> 04:47:04,983 IT'S JUST A THOUGHT. 5715 04:47:04,983 --> 04:47:05,317 >> THANK YOU. 5716 04:47:05,317 --> 04:47:07,319 THAT WAS A VERY ENGAGING 5717 04:47:07,319 --> 04:47:09,254 DISCUSSION. 5718 04:47:09,254 --> 04:47:17,095 WE APPRECIATE THE PRESENTATION. 5719 04:47:17,095 --> 04:47:20,132 WE HAVE TWO LAST ORDERS OF 5720 04:47:20,132 --> 04:47:20,399 BUSINESS. 5721 04:47:20,399 --> 04:47:23,568 WE'RE LOOKING FOR NOMINATIONS TO 5722 04:47:23,568 --> 04:47:24,770 SUCCEED BARBARA SO KEEP THAT 5723 04:47:24,770 --> 04:47:26,171 MIND AS THE LAST THING WE DO AND 5724 04:47:26,171 --> 04:47:27,606 AFTER WE TAKE NOMINATIONS 5725 04:47:27,606 --> 04:47:30,342 TOMORROW YOU CAN SLEEP ON IT AND 5726 04:47:30,342 --> 04:47:33,512 WE'LL VOTE SO YOU'LL HAVE ONE 5727 04:47:33,512 --> 04:47:39,851 DAY OF ELECTIONEERING. 5728 04:47:39,851 --> 04:47:47,859 THE MAIN THING WE WANT TO DO IS 5729 04:47:47,859 --> 04:47:50,962 WE HAVE A RESPONSIBLE TO PUT OUT 5730 04:47:50,962 --> 04:47:57,569 A PLAN ON REHAB AND SHOW OFF TO 5731 04:47:57,569 --> 04:47:58,837 THE BROADER COMMUNITY WHAT'S 5732 04:47:58,837 --> 04:48:00,138 HAPPENING IN THE REHAB FIELD. 5733 04:48:00,138 --> 04:48:00,972 IT'S A GREAT OPPORTUNITY FOR 5734 04:48:00,972 --> 04:48:01,773 WHAT WE'RE TRYING TO DO. 5735 04:48:01,773 --> 04:48:03,809 I WANT TO THANK THE BOARD 5736 04:48:03,809 --> 04:48:05,377 MEMBERS WHO HAVE BEEN HELPING TO 5737 04:48:05,377 --> 04:48:08,480 SERVE ON SUBCOMMITTEES AND 5738 04:48:08,480 --> 04:48:09,247 GENERATING A LOT OF THIS WORK 5739 04:48:09,247 --> 04:48:12,851 AND THERESA AND BARBARA WILL 5740 04:48:12,851 --> 04:48:14,586 GIVE AN UPDATE ON THE ACTIVITIES 5741 04:48:14,586 --> 04:48:16,221 AND WHERE WE ARE. 5742 04:48:16,221 --> 04:48:16,655 >> THANK YOU. 5743 04:48:16,655 --> 04:48:22,294 I'M NOT GOING TO TALK ABOUT THE 5744 04:48:22,294 --> 04:48:24,062 CONFERENCE. 5745 04:48:24,062 --> 04:48:27,199 AND FOCUS ON THE RESEARCH PLAN 5746 04:48:27,199 --> 04:48:28,200 AND BARBARA KINDLY VOLUNTEERED 5747 04:48:28,200 --> 04:48:38,076 TO HELP WITH THIS. 5748 04:48:38,076 --> 04:48:41,713 WHAT WE ARE DOING IN 2024? 5749 04:48:41,713 --> 04:48:45,550 WE'VE BEEN GETTING INTERNAL AND 5750 04:48:45,550 --> 04:48:47,185 EXTERNAL FEEDBACK ON OUR CURRENT 5751 04:48:47,185 --> 04:48:47,953 RESEARCH PLAN. 5752 04:48:47,953 --> 04:48:50,255 REMEMBER WE HAD ONE IN 2016 AND 5753 04:48:50,255 --> 04:48:56,194 ONE IN 2021 AND NOW WE'RE SOME 5754 04:48:56,194 --> 04:48:59,331 TIME IN ', 25, MAYBE '26 THE 5755 04:48:59,331 --> 04:49:01,233 NEXT ONE WILL COME OUT AND 5756 04:49:01,233 --> 04:49:03,969 REVIEWING PROGRESS ON THE THEMES 5757 04:49:03,969 --> 04:49:06,671 AND COMING UP WITH NEW POTENTIAL 5758 04:49:06,671 --> 04:49:06,905 THEMES. 5759 04:49:06,905 --> 04:49:08,473 THE PLAN IS TO REFINE THOSE OVER 5760 04:49:08,473 --> 04:49:10,008 THE NEXT FEW MONTHS AND THEN GET 5761 04:49:10,008 --> 04:49:16,815 THE APPROVALS THAT WE NEED. 5762 04:49:16,815 --> 04:49:19,651 LAST TIME IT TOOK IT 10, 11 5763 04:49:19,651 --> 04:49:21,019 MONTHS TO GET I FINALLY APPROVED 5764 04:49:21,019 --> 04:49:23,321 AFTER I THOUGHT IT WAS DONE SO 5765 04:49:23,321 --> 04:49:25,257 WE HAVE PLENTY OF TIME TO BE ON 5766 04:49:25,257 --> 04:49:29,060 SCHEDULE. 5767 04:49:29,060 --> 04:49:33,231 MORE SPECIFICALLY WE STARTED IN 5768 04:49:33,231 --> 04:49:36,535 FEBRUARY WITH A REQUEST FOR 5769 04:49:36,535 --> 04:49:37,903 INFORMATION THAT WE PUBLISHED 5770 04:49:37,903 --> 04:49:38,804 SEEKING INPUT FROM THE 5771 04:49:38,804 --> 04:49:39,237 COMMUNITY. 5772 04:49:39,237 --> 04:49:42,874 THIS WAS KIND OF OUR ROUND 1. 5773 04:49:42,874 --> 04:49:47,279 WE BROAD THOSE RESPONSES TO YOU 5774 04:49:47,279 --> 04:49:50,582 IN PLAY TO DISCUSS. 5775 04:49:50,582 --> 04:49:57,255 IF YOU REMEMBER WE HAD A COUPLE 5776 04:49:57,255 --> 04:49:59,458 DOZEN RESPONSES AND EVERYTHING 5777 04:49:59,458 --> 04:50:01,226 WAS POSITIVE ABOUT THE PLAN AND 5778 04:50:01,226 --> 04:50:04,229 NEW POTENTIAL THEMES WERE 5779 04:50:04,229 --> 04:50:04,496 PROPOSED. 5780 04:50:04,496 --> 04:50:06,531 DURING THE SUMMER I HAD THE 5781 04:50:06,531 --> 04:50:09,968 PLEASURE OF WORKING WITH STAFF 5782 04:50:09,968 --> 04:50:15,140 AT NIH TO TAKE ALL THAT FEEDBACK 5783 04:50:15,140 --> 04:50:17,042 AND START PUTTING TOGETHER 5784 04:50:17,042 --> 04:50:17,542 THEMES. 5785 04:50:17,542 --> 04:50:23,215 AND THEN WE STARTED TO SOCIALIZE 5786 04:50:23,215 --> 04:50:24,316 THOSE PUBLICLY. 5787 04:50:24,316 --> 04:50:27,853 FIRST WE TALKED TO THE WORKING 5788 04:50:27,853 --> 04:50:30,322 GROUP THEN I'VE BEEN TO GRAND 5789 04:50:30,322 --> 04:50:31,122 ROUNDS. 5790 04:50:31,122 --> 04:50:35,494 WE DID A SPECIAL SESSION AT ACRM 5791 04:50:35,494 --> 04:50:41,600 AND NOW WE HAVE TODAY'S MEETING. 5792 04:50:41,600 --> 04:50:44,102 THIS IS NOT THE END OF OUR 5793 04:50:44,102 --> 04:50:44,503 FEEDBACK. 5794 04:50:44,503 --> 04:50:45,237 WE'LL BE SEEING MORE 5795 04:50:45,237 --> 04:50:49,841 OPPORTUNITIES. 5796 04:50:49,841 --> 04:50:51,776 SO WHAT ARE THE DRAFT THEMES? 5797 04:50:51,776 --> 04:50:56,982 LET'S GET TO THE MEAT OF IT A 5798 04:50:56,982 --> 04:50:57,282 LITTLE BIT. 5799 04:50:57,282 --> 04:51:03,488 AND IT'S NOT AVOIDED MY 5800 04:51:03,488 --> 04:51:05,257 ATTENTION YOU HEARD ABOUT THE 5801 04:51:05,257 --> 04:51:08,226 NICHD STRATEGIC PLAN THIS 5802 04:51:08,226 --> 04:51:09,160 MORNING AS WELL AS DISABILITY 5803 04:51:09,160 --> 04:51:11,463 RESEARCH STRATEGIC PLAN AND NOW 5804 04:51:11,463 --> 04:51:14,933 BRINGING A THIRD PLAN. 5805 04:51:14,933 --> 04:51:17,435 THIS ONE WE'RE CALLING A 5806 04:51:17,435 --> 04:51:25,243 RESEARCH PLAN. 5807 04:51:25,243 --> 04:51:29,247 THEY'RE COMPLIMENTARY AND 5808 04:51:29,247 --> 04:51:33,752 DISTINCTIVE BUT ALL RELATES. 5809 04:51:33,752 --> 04:51:37,489 SO NIH CAME UP WITH A FEW 5810 04:51:37,489 --> 04:51:40,825 GUIDING PRINCIPLES WE THINK 5811 04:51:40,825 --> 04:51:42,894 THESE THEMES ARE AREAS OF GROWTH 5812 04:51:42,894 --> 04:51:44,863 IN THE NEXT FIVE YEARS. 5813 04:51:44,863 --> 04:51:47,132 WE REALIZE THEY ARE NOTE 5814 04:51:47,132 --> 04:51:57,242 INCLUSIVE OF ALL REHABILITATION 5815 04:51:57,242 --> 04:52:05,216 RESEARCH WE HAVE THE IT FIVE 5816 04:52:05,216 --> 04:52:06,885 PROPOSED THEMES ON THE RIGHT AND 5817 04:52:06,885 --> 04:52:09,321 I'LL GO INTO EACH OF THEM IN 5818 04:52:09,321 --> 04:52:13,858 MORE DETAIL. 5819 04:52:13,858 --> 04:52:15,493 THE FIRST IS THE NEED FOR BASIC 5820 04:52:15,493 --> 04:52:18,997 AND MECHANISTIC STUDIES. 5821 04:52:18,997 --> 04:52:25,236 THIS IS THE FOUNDATIONAL 5822 04:52:25,236 --> 04:52:29,240 KNOWLEDGE WE NEED TO UNDERSTAND 5823 04:52:29,240 --> 04:52:32,010 THE COMPLEX RECOVERY FROM 5824 04:52:32,010 --> 04:52:33,445 DISEASE AND SEE THIS BEING 5825 04:52:33,445 --> 04:52:38,249 MULTI-LEVEL. 5826 04:52:38,249 --> 04:52:43,622 WE ALSO SEE THIS RAZZ -- ALSO 5827 04:52:43,622 --> 04:52:45,590 SEE THIS AS PRECISION 5828 04:52:45,590 --> 04:52:46,858 REHABILITATION. 5829 04:52:46,858 --> 04:52:49,995 WE WOULD INCLUDE THINGS LIKE 5830 04:52:49,995 --> 04:52:53,465 BIOMARKERS FOR INJURY, ILLNESS 5831 04:52:53,465 --> 04:52:57,235 AND DISORDERS AS WELL AS FOR 5832 04:52:57,235 --> 04:52:59,170 PRESCRIBING INTERVENTIONS. 5833 04:52:59,170 --> 04:53:02,707 AND THEN OF COURSE THE TIMING 5834 04:53:02,707 --> 04:53:06,978 AND THE TYPE OF MECHANISM -- I'M 5835 04:53:06,978 --> 04:53:08,747 USING THE TERM MECHANISM 5836 04:53:08,747 --> 04:53:10,515 PHYSIOLOGICAL AND BEHAVIORAL. 5837 04:53:10,515 --> 04:53:13,885 WE TALKED ABOUT THE BEHAVIORAL 5838 04:53:13,885 --> 04:53:14,252 ASPECTS. 5839 04:53:14,252 --> 04:53:17,222 SO BOTH OF THOSE ARE INCLUDED 5840 04:53:17,222 --> 04:53:27,332 HERE. 5841 04:53:39,377 --> 04:53:44,215 OUR TEXT -- TEXT TOPIC IS 5842 04:53:44,215 --> 04:53:48,019 SOCIAL DETERMINATES OF HEALTH. 5843 04:53:48,019 --> 04:53:50,455 WE HAVE PEOPLE WITH DISABILITIES 5844 04:53:50,455 --> 04:53:52,524 AS A POPULATION EXPERIENCING 5845 04:53:52,524 --> 04:53:54,359 LEATH DISPARITIES. 5846 04:53:54,359 --> 04:53:56,761 WE HAVE -- HEALTH DISPARITIES. 5847 04:53:56,761 --> 04:53:59,698 WE HAVE ABLISM AND TALKED ABOUT 5848 04:53:59,698 --> 04:54:00,398 INTERSECTIONALITY AND WE'LL HAVE 5849 04:54:00,398 --> 04:54:05,770 A LAYERING OF OTHER MINORITIZED 5850 04:54:05,770 --> 04:54:09,641 IDENTITIES THAT CAN ALSO BE 5851 04:54:09,641 --> 04:54:14,746 CONTRIBUTING TO HEALTH OUTCOMES 5852 04:54:14,746 --> 04:54:19,317 AND THAT COULD BE RACE, 5853 04:54:19,317 --> 04:54:20,919 ETHNICITY AND RURAL, ETCETERA. 5854 04:54:20,919 --> 04:54:26,558 MAKING SURE WE ARE TAKING A 5855 04:54:26,558 --> 04:54:33,398 WHOLE PERSON APPROACH AND 5856 04:54:33,398 --> 04:54:35,467 STUDYING ASPECTS. 5857 04:54:35,467 --> 04:54:38,803 WE MENTIONED THE AHRQ REPORT AND 5858 04:54:38,803 --> 04:54:39,971 NEED MORE RESEARCH ON THE 5859 04:54:39,971 --> 04:54:43,308 BARRIERS AND FACILITATORS THAT 5860 04:54:43,308 --> 04:54:45,243 CONTRIBUTE TO HOW PEOPLE GET 5861 04:54:45,243 --> 04:54:47,679 REHAB CARE AND PREVENTIVE HEALTH 5862 04:54:47,679 --> 04:54:48,947 SERVICES FOR PEOPLE WITH 5863 04:54:48,947 --> 04:54:49,280 DISABILITIES. 5864 04:54:49,280 --> 04:54:51,116 THAT'S NOT PREVENTION OF 5865 04:54:51,116 --> 04:54:52,117 DISABILITIES, THAT'S PREVENTIVE 5866 04:54:52,117 --> 04:54:53,251 CARE FOR PEOPLE WITH 5867 04:54:53,251 --> 04:55:03,495 DISABILITIES. 5868 04:55:06,464 --> 04:55:07,866 AND FEEDBACK ON WHERE IT WAS 5869 04:55:07,866 --> 04:55:09,100 IMPORTANT WHERE THE CARE WAS 5870 04:55:09,100 --> 04:55:09,367 DELIVERED. 5871 04:55:09,367 --> 04:55:12,103 WE HEARD SOME OF THAT TODAY 5872 04:55:12,103 --> 04:55:15,740 RURAL VERSUS URBAN AREA AND 5873 04:55:15,740 --> 04:55:17,208 INPATIENT, OUT PATIENT COMMUNITY 5874 04:55:17,208 --> 04:55:18,843 NURSING HOMES, ETCETERA 5875 04:55:18,843 --> 04:55:23,581 INCLUDING FOREIGN AND DOMESTIC. 5876 04:55:23,581 --> 04:55:29,220 THAT'S WHAT WE HAVE UNDER SOCIAL 5877 04:55:29,220 --> 04:55:31,422 DETERMINATES OF HEALTH. 5878 04:55:31,422 --> 04:55:34,325 WE HIGHLIGHTED REHABILITATIVE 5879 04:55:34,325 --> 04:55:35,393 AND ASSISTIVE TECHNOLOGIES. 5880 04:55:35,393 --> 04:55:37,695 AGAIN, THERE'S TWO AREAS THAT WE 5881 04:55:37,695 --> 04:55:39,764 WANT TO HIGHLIGHT SO THE FIRST 5882 04:55:39,764 --> 04:55:45,970 IS THE ROLE THAT NIH PLAYS IN 5883 04:55:45,970 --> 04:55:49,240 SUPPORT OF EARLY STAGE 5884 04:55:49,240 --> 04:55:51,943 DEVELOPMENT AND THE FLIP SIDE IS 5885 04:55:51,943 --> 04:55:53,244 NOW THAT WE'VE DEVELOPED THESE 5886 04:55:53,244 --> 04:55:55,780 NEW TECHNOLOGIES HOW DO WE MAKE 5887 04:55:55,780 --> 04:55:58,283 SURE THEY ARE GET IMPLEMENTED OR 5888 04:55:58,283 --> 04:56:01,219 DISSEMINATED OR COMMERCIALIZED. 5889 04:56:01,219 --> 04:56:03,521 WE LEANED INTO THE SMALL 5890 04:56:03,521 --> 04:56:05,824 BUSINESS PROGRAM AND THE 5891 04:56:05,824 --> 04:56:09,227 COMMERCIALIZATION SO THOSE TWO 5892 04:56:09,227 --> 04:56:11,629 ENDS OF THAT TRANSLATIONAL 5893 04:56:11,629 --> 04:56:13,398 SPECTRUM. 5894 04:56:13,398 --> 04:56:15,834 THEN WE ALSO INCLUDED UNDER HERE 5895 04:56:15,834 --> 04:56:18,236 THINGS LIKE TELEHEALTH, REMOTE 5896 04:56:18,236 --> 04:56:21,372 ASSESSMENT AND DELIVERY OF CARE 5897 04:56:21,372 --> 04:56:23,107 AND ADHERENCE WHICH ARE OTHER 5898 04:56:23,107 --> 04:56:33,651 TOPICS THAT HAVE COME UP TODAY. 5899 04:56:35,687 --> 04:56:41,459 NEXT IS IMPLEMENTATION RESEARCH 5900 04:56:41,459 --> 04:56:44,329 THIS IS NEW TO THE CENTER. 5901 04:56:44,329 --> 04:56:49,834 WE FELT IT WAS IMPORTANT TO TALK 5902 04:56:49,834 --> 04:56:55,907 ABOUT THE PERSPECTIVES OF THE 5903 04:56:55,907 --> 04:56:59,911 CONSUMERS TO MAKE SURE WE HAVE 5904 04:56:59,911 --> 04:57:02,947 DESIRED, ACCEPTABLE, EFFICIENT 5905 04:57:02,947 --> 04:57:05,450 AND I'M SURE YOU CAN GIVE OTHER 5906 04:57:05,450 --> 04:57:06,150 ADJECTIVES TO USE. 5907 04:57:06,150 --> 04:57:09,487 WE SAW THE NEED FOR MORE 5908 04:57:09,487 --> 04:57:10,421 PRAGMATIC STUDIES. 5909 04:57:10,421 --> 04:57:15,326 SO ARE WE ABLE TO REPRODUCE 5910 04:57:15,326 --> 04:57:16,628 EFFICIENT EFFICACY STUDY IN THE 5911 04:57:16,628 --> 04:57:17,362 REAL WORLD? 5912 04:57:17,362 --> 04:57:21,232 AND HOW CAN WE HELP OUR 5913 04:57:21,232 --> 04:57:24,269 RESEARCHERS THINK ABOUT HOW 5914 04:57:24,269 --> 04:57:27,872 THEIR THERAPIES WILL BE ADOPTED 5915 04:57:27,872 --> 04:57:29,440 AND SUSTAINABLE AND PLAN FOR 5916 04:57:29,440 --> 04:57:32,810 THAT AND INCORPORATE THAT AND 5917 04:57:32,810 --> 04:57:34,812 NOT SOMETHING WE THINK OF AT THE 5918 04:57:34,812 --> 04:57:35,146 END. 5919 04:57:35,146 --> 04:57:36,381 THIS MIGHT BE CONTROVERSIAL BUT 5920 04:57:36,381 --> 04:57:43,488 SHOULD WE BE ENGAGING IN MEDICAL 5921 04:57:43,488 --> 04:57:49,494 EDUCATION AND PROFESSIONAL 5922 04:57:49,494 --> 04:57:50,361 SOCIETIES WE HEARD IT TAKES 5923 04:57:50,361 --> 04:57:51,796 FOREVER TO TRANSLATE AND IS 5924 04:57:51,796 --> 04:57:53,598 THERE A ROLE FOR NIH RESEARCH TO 5925 04:57:53,598 --> 04:57:57,235 HELP IN THAT TRANSLATION OF 5926 04:57:57,235 --> 04:58:07,645 FINDINGS INTO PRACTICE. 5927 04:58:08,246 --> 04:58:09,247 AND THE IMPORTANCE OF A 5928 04:58:09,247 --> 04:58:10,448 WORKFORCE AND SUPPORTING 5929 04:58:10,448 --> 04:58:15,453 TRAINING AND CAREER DEVELOPMENT 5930 04:58:15,453 --> 04:58:25,964 AND INFRASTRUCTURE IT'S BEEN 5931 04:58:28,633 --> 04:58:39,243 ESSENTIAL TO NCRR'S TRAINING AD 5932 04:58:39,243 --> 04:58:44,649 CALLED OUT A.I. AS AN AREA WE 5933 04:58:44,649 --> 04:58:55,193 THINK IS IMPORTANT BUT THERE MAY 5934 04:58:56,561 --> 04:58:59,497 BE OTHER POINTS. 5935 04:58:59,497 --> 04:59:05,470 >> SO WE MET EARLIER THIS 5936 04:59:05,470 --> 04:59:15,747 SUMMER, I GUESS. 5937 04:59:18,449 --> 04:59:20,618 WE WERE SUPPORTIVE OF THE 5938 04:59:20,618 --> 04:59:22,353 MECHANISTIC STUDIES AND BE 5939 04:59:22,353 --> 04:59:25,790 PROACTIVE ABOUT ADDING IMAGING 5940 04:59:25,790 --> 04:59:27,992 BIOMARKERS IN ADDITION TO THE 5941 04:59:27,992 --> 04:59:28,226 OTHERS. 5942 04:59:28,226 --> 04:59:29,761 THE THOUGHT WAS WE ARE LOOKING 5943 04:59:29,761 --> 04:59:35,199 AT PRE DUDICTIVE REHABILITATION. 5944 04:59:35,199 --> 04:59:41,873 IN TERMS OF THE SECOND THEME THE 5945 04:59:41,873 --> 04:59:47,612 SOCIAL DETERMINATES OF HEALTH 5946 04:59:47,612 --> 04:59:52,483 AND CONSIDER A COMPREHENSIVE 5947 04:59:52,483 --> 04:59:55,019 APPROACH THAT INCLUDES LANGUAGE 5948 04:59:55,019 --> 04:59:56,187 BARRIERS AND LITERACY AND RURAL 5949 04:59:56,187 --> 04:59:57,255 COMMUNITIES AND NUTRITION ACCESS 5950 04:59:57,255 --> 05:00:02,193 AND SO FORTH. 5951 05:00:02,193 --> 05:00:05,229 IN THE ASSISTIVE TECHNOLOGY AND 5952 05:00:05,229 --> 05:00:06,731 REHABILITATIVE TECHNOLOGIES 5953 05:00:06,731 --> 05:00:10,835 AGAIN SUPPORTIVE WITH CAVEATS. 5954 05:00:10,835 --> 05:00:17,542 WHY ARE DEVICES AND NOT OTHER -- 5955 05:00:17,542 --> 05:00:21,179 WHY ONLY DEVICES AND NOT OTHER 5956 05:00:21,179 --> 05:00:21,579 MODALITIES. 5957 05:00:21,579 --> 05:00:23,247 CONSIDERING OTHER REHAB 5958 05:00:23,247 --> 05:00:24,949 INTERVENTIONS LIKE DRUGS, 5959 05:00:24,949 --> 05:00:26,317 BIOLOGICS, BEHAVIORAL CHANGE 5960 05:00:26,317 --> 05:00:36,627 THERAPIES AS WELL. 5961 05:00:39,764 --> 05:00:42,400 AND IMPLEMENTATION AGAIN SUPPORT 5962 05:00:42,400 --> 05:00:45,403 OF THIS GROUP CONSIDERING ADDING 5963 05:00:45,403 --> 05:00:49,240 GENERALIZABILITY, ACCESS AND 5964 05:00:49,240 --> 05:00:51,175 DOSING COLLABORATION WITH THE 5965 05:00:51,175 --> 05:00:52,243 FDA AND CMS. 5966 05:00:52,243 --> 05:00:58,182 IN TERMS OF TRAINING AND CAREER 5967 05:00:58,182 --> 05:00:59,150 DEVELOPMENT, SUPPORTIVE CONSIDER 5968 05:00:59,150 --> 05:01:02,653 ADDING OPPORTUNITIES FOR TEAM 5969 05:01:02,653 --> 05:01:04,489 SCIENCE EMPHASIZING DATA SHARING 5970 05:01:04,489 --> 05:01:07,425 AND INNOVATION AND OTHER 5971 05:01:07,425 --> 05:01:09,227 SUGGESTIONS OR TO SOCIALIZE THIS 5972 05:01:09,227 --> 05:01:13,264 BROADLY AND NOT JUST AT REHAB 5973 05:01:13,264 --> 05:01:18,069 MEETINGS. 5974 05:01:18,069 --> 05:01:20,404 >> STEVE, WOULD YOU SAY THAT 5975 05:01:20,404 --> 05:01:21,239 ACCURATELY REFLECTS THE MEETING 5976 05:01:21,239 --> 05:01:23,774 AND I DON'T KNOW IF OTHER STEVE 5977 05:01:23,774 --> 05:01:24,575 HAS REJOINED. 5978 05:01:24,575 --> 05:01:25,676 HE HAD TO STEP OFF. 5979 05:01:25,676 --> 05:01:29,247 >> WELCOME TO THE 20th CENTURY. 5980 05:01:29,247 --> 05:01:29,547 >> 21st? 5981 05:01:29,547 --> 05:01:39,724 [LAUGHTER] 5982 05:01:40,925 --> 05:01:41,225 >> OKAY. 5983 05:01:41,225 --> 05:01:44,095 I HAD AN OPPORTUNITY TO GIVE 5984 05:01:44,095 --> 05:01:44,929 GRAND ROUNDS AT THE LAB. 5985 05:01:44,929 --> 05:01:46,964 THE ATTENDEES WERE LARGELY 5986 05:01:46,964 --> 05:01:48,900 SUPPORTIVE OF THE THEMES. 5987 05:01:48,900 --> 05:01:51,536 I WOULD SAY THERE WAS A SPIRITED 5988 05:01:51,536 --> 05:01:53,237 DISCUSSION OF THE ROLE THAT NIH 5989 05:01:53,237 --> 05:01:56,440 SHOULD TAKE IN TECHNOLOGY 5990 05:01:56,440 --> 05:01:58,309 DEVELOPMENT ON BOTH SIDES SO 5991 05:01:58,309 --> 05:02:05,216 THAT FEEDBACK HAS BEEN HEARD. 5992 05:02:05,216 --> 05:02:11,923 AND NEXT SLIDE -- WE HAVE A VERY 5993 05:02:11,923 --> 05:02:13,524 IMPORTANT ROLE WE SHOULD GET OUT 5994 05:02:13,524 --> 05:02:15,226 OF THE JOB. 5995 05:02:15,226 --> 05:02:17,228 BOTH OF THOSE OPINIONS CAME 5996 05:02:17,228 --> 05:02:22,200 THROUGH. 5997 05:02:22,200 --> 05:02:23,768 AS FAR AS WE HAVE A SMALL 5998 05:02:23,768 --> 05:02:25,536 BUSINESS PROGRAM I SUSPECT WE'LL 5999 05:02:25,536 --> 05:02:28,072 CONTINUE TO DEVELOP TECHNOLOGY. 6000 05:02:28,072 --> 05:02:29,407 IT WAS AN INTERESTING 6001 05:02:29,407 --> 05:02:31,242 PERSPECTIVE. 6002 05:02:31,242 --> 05:02:33,911 THEN WE HAD SPECIAL SESSION AT 6003 05:02:33,911 --> 05:02:36,781 THE CONGRESS OF REHAB MEDICINE 6004 05:02:36,781 --> 05:02:39,317 WE TRIED TO QUANTITATE SOME OF 6005 05:02:39,317 --> 05:02:39,550 THIS. 6006 05:02:39,550 --> 05:02:42,420 THE AUDIENCE WAS MOSTLY EARLY TO 6007 05:02:42,420 --> 05:02:44,422 MID CAREER RESEARCHERS AND ABOUT 6008 05:02:44,422 --> 05:02:47,024 HALF HAD NOT YET APPLIED TO NIH. 6009 05:02:47,024 --> 05:02:48,192 SO I THINK THAT'S IMPORTANT TO 6010 05:02:48,192 --> 05:02:49,193 KEEP IN MIND WHO THE AUDIENCE 6011 05:02:49,193 --> 05:02:59,270 WAS. 6012 05:03:04,675 --> 05:03:07,645 AND ABOUT A THIRD HAD REFERENCED 6013 05:03:07,645 --> 05:03:13,951 THE PLAN WHEN APPLYING TO NIH. 6014 05:03:13,951 --> 05:03:16,420 AND KIND TECHNOLOGY, TRAINING 6015 05:03:16,420 --> 05:03:17,888 AND INFRASTRUCTURE AND 6016 05:03:17,888 --> 05:03:20,825 TRANSLATIONAL RESEARCH WHICH IS 6017 05:03:20,825 --> 05:03:22,827 BASICALLY WHAT WE WERE CALLING 6018 05:03:22,827 --> 05:03:23,461 MECHANISTIC RESEARCH IN THE 6019 05:03:23,461 --> 05:03:30,001 PREVIOUS PLAN. 6020 05:03:30,001 --> 05:03:34,071 AND LOOK AT THE SOCIAL 6021 05:03:34,071 --> 05:03:34,772 DETERMINATES OF HEALTH AND 6022 05:03:34,772 --> 05:03:36,140 IMPLEMENTATION PLAN. 6023 05:03:36,140 --> 05:03:37,308 WE ASKED WHAT WAS MISSING. 6024 05:03:37,308 --> 05:03:41,479 WE GOT MOSTLY ONE-OFFS OF WHAT 6025 05:03:41,479 --> 05:03:48,819 THEY'RE PERSONALLY DOING. 6026 05:03:48,819 --> 05:03:50,454 AND WE HAVE HEALTH SYSTEMS 6027 05:03:50,454 --> 05:03:52,023 COMING THROUGH WHICH I THINK 6028 05:03:52,023 --> 05:03:53,591 COULD BE INCORPORATED UNDER 6029 05:03:53,591 --> 05:04:04,001 IMPLEMENTATION RESEARCH. 6030 05:04:08,306 --> 05:04:11,108 >> I WOULDN'T DEFINE THEM BUT 6031 05:04:11,108 --> 05:04:15,446 THINGS LIKE HOW DO YOU IMPLEMENT 6032 05:04:15,446 --> 05:04:19,250 A NEW PROCEDURE INTO THE WORK 6033 05:04:19,250 --> 05:04:21,585 FLOW IN A REHAB HOSPITAL AND HOW 6034 05:04:21,585 --> 05:04:26,057 DO YOU EVALUATE IT. 6035 05:04:26,057 --> 05:04:29,226 THERE ARE FRAMEWORKS THE 6036 05:04:29,226 --> 05:04:33,230 RESEARCH INFRASTRUCTURE MR3 HAS 6037 05:04:33,230 --> 05:04:43,574 DONE SOME WEBINARS. 6038 05:04:50,881 --> 05:04:52,717 NEXT WE'RE OPEN FOR DISCUSSION. 6039 05:04:52,717 --> 05:04:57,888 DO YOU HAVE OTHER THINGS WE NEED 6040 05:04:57,888 --> 05:05:05,229 TO BE THINKING ABOUT AND IT'S 6041 05:05:05,229 --> 05:05:06,697 ONLY SUCCESSFUL IF YOU HAVE 6042 05:05:06,697 --> 05:05:09,333 BUY-IN, IF THE COMMUNITY HAS 6043 05:05:09,333 --> 05:05:14,505 BUY-IN. 6044 05:05:14,505 --> 05:05:15,639 ARE THERE SPOTS MISSING OR 6045 05:05:15,639 --> 05:05:17,341 THINGS YOU'D LIKE US TO CONSIDER 6046 05:05:17,341 --> 05:05:22,580 BEFORE WE MOVE TO THE NEXT 6047 05:05:22,580 --> 05:05:23,247 STAGE? 6048 05:05:23,247 --> 05:05:27,818 >> IF I CAN -- IT'S MY OWN 6049 05:05:27,818 --> 05:05:30,688 OPINION I THINK A RESEARCH PLAN 6050 05:05:30,688 --> 05:05:32,189 SHOULD BE INSPIRATIONAL TO OUR 6051 05:05:32,189 --> 05:05:34,125 FIELD AND GET NEURONS TO LIGHT 6052 05:05:34,125 --> 05:05:39,196 UP AND SHOULD SHOW THE FIELD OUR 6053 05:05:39,196 --> 05:05:40,631 LARGER CONSTITUENCY WE 6054 05:05:40,631 --> 05:05:41,232 UNDERSTAND THE NEEDS AND 6055 05:05:41,232 --> 05:05:42,400 OPPORTUNITIES AND THINK A PLAN 6056 05:05:42,400 --> 05:05:45,035 SHOULD BE ACTIONABLE AND IN 6057 05:05:45,035 --> 05:05:46,237 PREVIOUS DISCUSSION WITH THE 6058 05:05:46,237 --> 05:05:47,438 BOARD WE'VE TAKEN THE PREVIOUS 6059 05:05:47,438 --> 05:05:53,244 PLAN AND SHOWN HOW WE MADE 6060 05:05:53,244 --> 05:06:00,084 PROGRESS ON THE PREVIOUS PLAN. 6061 05:06:00,084 --> 05:06:03,120 AND GIVEN THE CASE WE HAVE SOME 6062 05:06:03,120 --> 05:06:04,822 AND IN OTHERS WE HAVE TO CO 6063 05:06:04,822 --> 05:06:06,424 PROGRAMMING AND THAT'S WHERE OUR 6064 05:06:06,424 --> 05:06:09,226 JOB GETS INTERESTING. 6065 05:06:09,226 --> 05:06:11,462 LET'S OPEN UP THE DISCUSSION WHO 6066 05:06:11,462 --> 05:06:21,672 WILL START? 6067 05:06:28,479 --> 05:06:29,547 >> YOU THINK THESE ARE IMPORTANT 6068 05:06:29,547 --> 05:06:32,116 THEMES AND AGREE WITH THE CAVEAT 6069 05:06:32,116 --> 05:06:35,820 IN TERMS OF INCLUDING THE 6070 05:06:35,820 --> 05:06:36,187 PIECES. 6071 05:06:36,187 --> 05:06:41,792 I WOULD DEFINITELY NOT REMOVE 6072 05:06:41,792 --> 05:06:43,194 TECHNOLOGY FROM THE EQUATION. 6073 05:06:43,194 --> 05:06:49,166 I DEFINITELY THINK THAT THERE'S 6074 05:06:49,166 --> 05:06:51,168 AN ASSUMPTION THAT THERE'S 6075 05:06:51,168 --> 05:06:53,437 SUFFICIENT SUPPORTED TECHNOLOGY 6076 05:06:53,437 --> 05:06:55,940 OUT THERE BUT I THINK IT 6077 05:06:55,940 --> 05:06:58,809 HASN'T -- JUST LIKE WITH REHAB 6078 05:06:58,809 --> 05:07:04,548 ROBOTICS THE BPENETRATION IS NO 6079 05:07:04,548 --> 05:07:04,915 THERE. 6080 05:07:04,915 --> 05:07:06,984 PART OF WHAT I SUGGEST IS 6081 05:07:06,984 --> 05:07:08,719 FALLING UNDER THE IMPLEMENTATION 6082 05:07:08,719 --> 05:07:10,621 RESEARCH SECTION OR MAYBE 6083 05:07:10,621 --> 05:07:13,324 THERE'S OVERLAP BETWEEN THEME 6084 05:07:13,324 --> 05:07:15,059 THREE AND FOUR IS NOT JUST ABOUT 6085 05:07:15,059 --> 05:07:20,831 THE DEVELOPMENT OF IT BUT IT'S 6086 05:07:20,831 --> 05:07:21,932 BEING ABLE TO MAKE SURE IT'S 6087 05:07:21,932 --> 05:07:24,902 BEING USED AND ALSO THE 6088 05:07:24,902 --> 05:07:27,238 TRANSLATION OF IT INTO THE HANDS 6089 05:07:27,238 --> 05:07:28,239 OF INDIVIDUALS. 6090 05:07:28,239 --> 05:07:31,008 I WOULD ALSO I DON'T KNOW YOU 6091 05:07:31,008 --> 05:07:35,179 DID IT, IT DIDN'T EXPLICITLY SAY 6092 05:07:35,179 --> 05:07:40,751 DIGITAL HEALTH OR DIGITAL 6093 05:07:40,751 --> 05:07:43,354 TECHNOLOGY BUT USE A MOBILE 6094 05:07:43,354 --> 05:07:45,189 HEALTH, MOBILE TYPE OF 6095 05:07:45,189 --> 05:07:47,124 TECHNOLOGY IT WASN'T CLEAR WHERE 6096 05:07:47,124 --> 05:07:51,795 THAT SITS BUT I WOULD PUT IT 6097 05:07:51,795 --> 05:07:54,932 UNDER REHAB AND ASSISTIVE 6098 05:07:54,932 --> 05:07:55,799 TECHNOLOGY BECAUSE THE MOBILE 6099 05:07:55,799 --> 05:07:58,569 HEALTH IS A GAME CHANGER FOR 6100 05:07:58,569 --> 05:07:59,503 MANY COMMUNITIES. 6101 05:07:59,503 --> 05:08:01,305 SO THOSE ARE THE COUPLE OF 6102 05:08:01,305 --> 05:08:11,482 THINGS THAT I WOULD ADD. 6103 05:08:11,482 --> 05:08:15,519 >> BOB AND FRANCISCO ON ZOOM. 6104 05:08:15,519 --> 05:08:17,688 WE'LL GO TO CARL AND THEN 6105 05:08:17,688 --> 05:08:17,955 FRANCISCO. 6106 05:08:17,955 --> 05:08:23,394 WE'LL GET THE NEW GUY IN THERE. 6107 05:08:23,394 --> 05:08:24,094 6: 6108 05:08:24,094 --> 05:08:27,097 >> I THINK IT'S A GREAT TEST. 6109 05:08:27,097 --> 05:08:30,234 IT'S GOING TO BE GREAT IN THE 6110 05:08:30,234 --> 05:08:33,237 FUTURE WHEN NINDS AND NICHD 6111 05:08:33,237 --> 05:08:36,140 DON'T KNOW HOW TO PARS MEDICAL 6112 05:08:36,140 --> 05:08:39,243 DRUG, CELLULAR THERAPIES. 6113 05:08:39,243 --> 05:08:45,249 THE OVERLAP IS SPECTACULARLY 6114 05:08:45,249 --> 05:08:52,222 PERMISSIBLE. 6115 05:08:52,222 --> 05:08:54,825 THE ONE THING I MIGHT ADD, THIS 6116 05:08:54,825 --> 05:08:57,227 IS DECIDEDLY STROKE CENTRIC AND 6117 05:08:57,227 --> 05:09:01,231 MAY NOT PERTAIN TO MUCH OF THE 6118 05:09:01,231 --> 05:09:04,835 BUSINESS YOU DO BUT THAT'S THE 6119 05:09:04,835 --> 05:09:06,403 COLOR OF GLASSES I SEE THE WORLD 6120 05:09:06,403 --> 05:09:09,406 THROUGH BUT THERE IS A 6121 05:09:09,406 --> 05:09:10,307 PROGRESSION--SOMEBODY COMES IN 6122 05:09:10,307 --> 05:09:14,678 WITH A STROKE OR TBI OR SEI OR 6123 05:09:14,678 --> 05:09:21,218 SOMETIMES AN MS FLARE OR DIM EN 6124 05:09:21,218 --> 05:09:27,725 IS THAT -- DEMENTIA AND THE 6125 05:09:27,725 --> 05:09:32,896 HANDOFFS ARE MISERABLE AND 6126 05:09:32,896 --> 05:09:35,633 NOBODY SPEAKS THE SAME LANGUAGE 6127 05:09:35,633 --> 05:09:38,202 AND IN THE FUTURE WHEN WE THINK 6128 05:09:38,202 --> 05:09:41,238 OF GIVING STEM CELLS OR DAY 6129 05:09:41,238 --> 05:09:42,873 THREE OR STEROID YAHOO OR 6130 05:09:42,873 --> 05:09:45,175 WHATEVER THE PEOPLE WILL PAY THE 6131 05:09:45,175 --> 05:09:49,780 PRICE ARE THE OTHER PARTIES. 6132 05:09:49,780 --> 05:09:54,051 WE NEED INTEGRATION AND 6133 05:09:54,051 --> 05:09:54,385 COMMUNICATION. 6134 05:09:54,385 --> 05:09:57,221 WHEN TPA BECAME APPROVED STROKE 6135 05:09:57,221 --> 05:10:00,791 CENTERS WERE GALVANIZED AND NOW 6136 05:10:00,791 --> 05:10:04,094 A POWERFUL FORCE FOR RESEARCH 6137 05:10:04,094 --> 05:10:07,464 AND RESEARCH DONE. 6138 05:10:07,464 --> 05:10:10,701 IRS IN THIS COUNTRY THIS IS 6139 05:10:10,701 --> 05:10:12,036 FERTILE TERRITORY AND A RELATED 6140 05:10:12,036 --> 05:10:19,843 NOTE IN TERMS OF INTEGRATION AND 6141 05:10:19,843 --> 05:10:23,447 HANDOFFS AND I WOULD LOVE A 6142 05:10:23,447 --> 05:10:27,051 REHAB DAY FOR TRIALS AND PROMISE 6143 05:10:27,051 --> 05:10:29,286 TO LEAD IT THE FIRST 21 DAYS BUT 6144 05:10:29,286 --> 05:10:32,823 THOSE ARE TWO RELATED TOPICS 6145 05:10:32,823 --> 05:10:39,063 THAT MAY BE MAYOR -- MARROW IN 6146 05:10:39,063 --> 05:10:39,496 SCOPE BUT TO SHARE. 6147 05:10:39,496 --> 05:10:44,234 >> I THINK THIS IS GREAT TOO. 6148 05:10:44,234 --> 05:10:46,036 I WOULD LIKE TO ADVOCATE FOR AN 6149 05:10:46,036 --> 05:10:46,303 ADDITION. 6150 05:10:46,303 --> 05:10:48,405 FOR NUMBER ONE, THE NEED FOR 6151 05:10:48,405 --> 05:10:52,443 BASIC AND MECHANISTIC STUDIES, 6152 05:10:52,443 --> 05:10:54,211 FROM MY PERSPECTIVE AT THE MS 6153 05:10:54,211 --> 05:10:57,614 SOCIETY IT'S FRUSTRATING TO ME 6154 05:10:57,614 --> 05:10:58,649 TO SEE BASIC SCIENCE STUDIES AND 6155 05:10:58,649 --> 05:11:00,617 ONE MEASURE OF FUNCTION AND THEY 6156 05:11:00,617 --> 05:11:02,086 ARE SAFE THEY NOW UNDERSTAND 6157 05:11:02,086 --> 05:11:02,352 FUNCTION. 6158 05:11:02,352 --> 05:11:05,456 I WOULD REALLY LIKE TO ADVOCATE 6159 05:11:05,456 --> 05:11:07,191 FOR TRULY COLLABORATING WITH 6160 05:11:07,191 --> 05:11:08,492 BASIC SCIENTISTS AND REHAB 6161 05:11:08,492 --> 05:11:09,893 SCIENTISTS BECAUSE THE TWO 6162 05:11:09,893 --> 05:11:11,195 FIELDS ARE VERY DIFFERENT EVEN 6163 05:11:11,195 --> 05:11:12,830 THE WAY YOU DESIGN STUDIES IS 6164 05:11:12,830 --> 05:11:13,664 VERY DIFFERENT AND THEY ARE NEED 6165 05:11:13,664 --> 05:11:16,567 TO LEARN FROM ONE ANOTHER IF 6166 05:11:16,567 --> 05:11:18,769 WE'RE EVER GOING TO GET AWAY 6167 05:11:18,769 --> 05:11:26,043 FROM MOUSE STUDIES TO PEOPLE 6168 05:11:26,043 --> 05:11:28,612 DOING THINGS. 6169 05:11:28,612 --> 05:11:34,084 >> I THINK IT'S GREAT. 6170 05:11:34,084 --> 05:11:38,122 I THINK THE ISSUE OF DEVICES AND 6171 05:11:38,122 --> 05:11:40,424 TECHNOLOGY HAS A SEPARATE 6172 05:11:40,424 --> 05:11:40,691 CATEGORY. 6173 05:11:40,691 --> 05:11:44,862 IT SEEMS WEIRD TO ME. 6174 05:11:44,862 --> 05:11:46,997 IT SEEMS TO ME THAT FOR EXAMPLE 6175 05:11:46,997 --> 05:11:49,233 AT WHAT POINT DO WE CALL 6176 05:11:49,233 --> 05:11:53,003 ELECTRIC LIGHTS NOT TECHNOLOGY 6177 05:11:53,003 --> 05:11:53,237 ANYMORE? 6178 05:11:53,237 --> 05:11:55,506 IT SEEMS THE BASIC MECHANISM 6179 05:11:55,506 --> 05:11:59,143 RESEARCH IS WHAT DRIVES WHAT YOU 6180 05:11:59,143 --> 05:12:04,047 DO FOR INTERVENTION AND 6181 05:12:04,047 --> 05:12:05,249 TECHNOLOGY SHOULD BE PART OF -- 6182 05:12:05,249 --> 05:12:08,051 I DON'T KNOW WHO MENTIONED -- 6183 05:12:08,051 --> 05:12:11,455 THE BEHAVIORAL INTERVENTION 6184 05:12:11,455 --> 05:12:13,190 STATEMENT BUT I MEAN WHAT -- 6185 05:12:13,190 --> 05:12:18,695 WHAT ARE DEVICES IF THEY'RE NOT' 6186 05:12:18,695 --> 05:12:20,664 MEANS FOR IMPLEMENTING 6187 05:12:20,664 --> 05:12:21,565 BEHAVIORAL INTERVENTION. 6188 05:12:21,565 --> 05:12:24,301 I JUST WANT TO POINT OUT THAT IT 6189 05:12:24,301 --> 05:12:26,436 SEEMS LIKE THAT SHOULD BE 6190 05:12:26,436 --> 05:12:29,239 INTEGRATED THROUGHOUT AND NOT A 6191 05:12:29,239 --> 05:12:36,980 SEPARATE CATEGORY. 6192 05:12:36,980 --> 05:12:42,119 >> APOLOGIES I KNOW I'M NEW SO 6193 05:12:42,119 --> 05:12:44,254 IF THIS WAS DISCUSSED JUST TELL 6194 05:12:44,254 --> 05:12:48,025 ME AND RAISES MORE PHILOSOPHICAL 6195 05:12:48,025 --> 05:12:49,326 TECHNOLOGY BUT I'M AN ATTORNEY 6196 05:12:49,326 --> 05:12:52,963 SO WORDS MATTER. 6197 05:12:52,963 --> 05:12:57,234 AND ON SOCIAL DETERMINATES OF 6198 05:12:57,234 --> 05:13:03,073 HEALTH HAVE YOU GIVEN 6199 05:13:03,073 --> 05:13:07,144 CONSIDERATION TO WHERE THEY'LL 6200 05:13:07,144 --> 05:13:08,912 END AND WE STARTED USING AND 6201 05:13:08,912 --> 05:13:10,848 STILL KEEPS THE SAME ACRONYM THE 6202 05:13:10,848 --> 05:13:13,250 SOCIAL DRIVERS OF HEALTH AND 6203 05:13:13,250 --> 05:13:20,991 IT'S SOMETHING I THINK THAT 6204 05:13:20,991 --> 05:13:25,596 MAKES A DIFFERENCE AND WHERE 6205 05:13:25,596 --> 05:13:36,139 YOU'RE HEADED AND INTERVENTION. 6206 05:13:37,875 --> 05:13:40,777 >> THEY'RE STARTING TO USE OTHER 6207 05:13:40,777 --> 05:13:44,248 WORDS AND THE OTHER WORD ESCAPES 6208 05:13:44,248 --> 05:13:46,216 ME BUT WHAT PARTICULAR PHRASE 6209 05:13:46,216 --> 05:13:48,685 THEY'RE USING BUT WE'LL BE 6210 05:13:48,685 --> 05:13:49,052 HARMONIZED. 6211 05:13:49,052 --> 05:13:50,821 >> FRANCISCO IS UNMUTED AND 6212 05:13:50,821 --> 05:13:51,521 READY. 6213 05:13:51,521 --> 05:13:53,957 >> ONE COMMENT IN RESPONSE. 6214 05:13:53,957 --> 05:13:56,226 THE REASON WHY WE HAVE SEVERAL 6215 05:13:56,226 --> 05:13:57,828 DRIVERS OF LEATH IT'S PUBLIC 6216 05:13:57,828 --> 05:14:00,497 HEALTH FOCUSSED AND PUBLIC LEATH 6217 05:14:00,497 --> 05:14:01,832 IS USING THE TECHNOLOGY. 6218 05:14:01,832 --> 05:14:04,134 THERE'S SOMETHING THERE THE 6219 05:14:04,134 --> 05:14:05,469 FIELD THAT DOES SUGGEST IT'S A 6220 05:14:05,469 --> 05:14:14,044 TERM THAT CAN BE USED. 6221 05:14:14,044 --> 05:14:17,247 >> ONE OF THE MAXIMS IN DESIGN 6222 05:14:17,247 --> 05:14:19,850 ENGINEERING AND SYSTEMS 6223 05:14:19,850 --> 05:14:23,453 ENGINEERING IS THAT YOU START 6224 05:14:23,453 --> 05:14:28,625 WITH THE PROBLEM FIRST. 6225 05:14:28,625 --> 05:14:29,626 IF WE HAVE AN ASSISTIVE 6226 05:14:29,626 --> 05:14:35,365 TECHNOLOGY AS A GENERAL 6227 05:14:35,365 --> 05:14:36,166 ACTIVITY, WE ENGINEERS CAN'T 6228 05:14:36,166 --> 05:14:39,836 HELP OURSELVES AND DO WHAT WE 6229 05:14:39,836 --> 05:14:41,305 LIKE TO DO. 6230 05:14:41,305 --> 05:14:42,706 WE LOVE THAT. 6231 05:14:42,706 --> 05:14:44,975 BUT THIS IS ONE OF THE WAYS IN 6232 05:14:44,975 --> 05:14:48,545 WHICH TRANSLATION TO THE MARKET 6233 05:14:48,545 --> 05:14:51,114 IN ANY TYPE OF MARKET BE IT 6234 05:14:51,114 --> 05:14:53,383 COMMERCIAL, CONSUMER, THAT'S 6235 05:14:53,383 --> 05:14:57,220 WHEN A VERY GOOD IDEA CANNOT 6236 05:14:57,220 --> 05:15:00,791 FIND THE MARKET OR FINDS A 6237 05:15:00,791 --> 05:15:02,292 MARKET BUT IS TO EXPENSIVE TO 6238 05:15:02,292 --> 05:15:06,797 REDESIGN IT AND RETOOL IT FOR A 6239 05:15:06,797 --> 05:15:07,397 PARTICULAR CLIENT. 6240 05:15:07,397 --> 05:15:11,435 THIS IS ESPECIALLY THE CASE WHEN 6241 05:15:11,435 --> 05:15:15,605 YOU BUMP AGAINST REGULATORY 6242 05:15:15,605 --> 05:15:20,811 ISSUES LATE IN THE DESIGN 6243 05:15:20,811 --> 05:15:23,914 PROCESS THAT'S A RECIPE FOR NOT 6244 05:15:23,914 --> 05:15:25,115 GOING ANYWHERE AND TIME 6245 05:15:25,115 --> 05:15:26,650 CONSUMING AND RETOOLING. 6246 05:15:26,650 --> 05:15:33,223 ONE WAY TO PROMOTE ESSENTIALLY 6247 05:15:33,223 --> 05:15:35,459 EFFECTIVE TRANSLATION TO 6248 05:15:35,459 --> 05:15:36,193 TECHNOLOGIES, DEVICES, THERAPIES 6249 05:15:36,193 --> 05:15:38,962 IS TO START WITH A PROBLEM. 6250 05:15:38,962 --> 05:15:41,665 I KNOW IT DOESN'T SOUND TOO 6251 05:15:41,665 --> 05:15:45,235 ATTRACTIVE BUT IF YOU PRESCRIBE 6252 05:15:45,235 --> 05:15:48,839 WE WANT TO SOLVE THIS PROBLEM UP 6253 05:15:48,839 --> 05:15:50,540 FRONT THE TECHNOLOGY THAT COMES 6254 05:15:50,540 --> 05:15:53,243 FROM THOSE EFFORTS WILL LIKELY 6255 05:15:53,243 --> 05:15:59,883 SEE THE LIGHT OF DAY. 6256 05:15:59,883 --> 05:16:02,753 BE ADVISED EVERY DESIGN ENGINEER 6257 05:16:02,753 --> 05:16:03,920 GIVES TO EVERY YOUNG DESIGN 6258 05:16:03,920 --> 05:16:04,187 ENGINEER. 6259 05:16:04,187 --> 05:16:08,158 START WITH A PROBLEM FIRST. 6260 05:16:08,158 --> 05:16:10,327 >> I THINK YOU'RE RIGHT. 6261 05:16:10,327 --> 05:16:14,364 I WANT TO MENTION WE HAVE A FEW 6262 05:16:14,364 --> 05:16:16,633 SMALL COURSES SOMETIMES FUNDED 6263 05:16:16,633 --> 05:16:21,138 THROUGH THE R25 MECHANISM TO 6264 05:16:21,138 --> 05:16:26,410 EXPOSE ENGINEERS TOE THIS -- TO 6265 05:16:26,410 --> 05:16:27,644 THE LIVES OF PEOPLE WITH 6266 05:16:27,644 --> 05:16:30,580 DISABILITY AND YOU HAVE WELL 6267 05:16:30,580 --> 05:16:31,615 MEANING ENGINEERS HAVE SOLUTION 6268 05:16:31,615 --> 05:16:34,317 TO REAL LIFE PROBLEMS AND IT'S A 6269 05:16:34,317 --> 05:16:37,054 REAL EYE OPENING MOMENT WHERE 6270 05:16:37,054 --> 05:16:38,855 THE TWO START WORKING TOGETHER. 6271 05:16:38,855 --> 05:16:41,224 WE HAVE TIFFANY AND THEN 6272 05:16:41,224 --> 05:16:47,564 MICHELLE AGAIN. 6273 05:16:47,564 --> 05:16:50,267 >> THIS IS TIFFANY YU. 6274 05:16:50,267 --> 05:16:52,302 I GUESS ONE WAY TO START 6275 05:16:52,302 --> 05:16:53,070 THINKING ABOUT PRE PROBLEM IS 6276 05:16:53,070 --> 05:16:55,872 ALSO OR REFRAMING IT IS TO THINK 6277 05:16:55,872 --> 05:16:57,741 ABOUT WHAT BARRIERS ARE YOU 6278 05:16:57,741 --> 05:16:58,942 EXPERIENCING OR WHAT IS 6279 05:16:58,942 --> 05:17:00,343 SOMETHING THAT YOU WOULD LIKE TO 6280 05:17:00,343 --> 05:17:02,813 DO AGAIN AND THEN USE THAT AS 6281 05:17:02,813 --> 05:17:04,114 THE PATHWAY. 6282 05:17:04,114 --> 05:17:06,416 I WAS WONDERING IF THIS WAS 6283 05:17:06,416 --> 05:17:09,219 EMBEDDED THROUGHOUT BUT I'VE 6284 05:17:09,219 --> 05:17:16,159 BEEN THINKING ABOUT THE 6285 05:17:16,159 --> 05:17:17,227 HUMANIZATION OF CARE. 6286 05:17:17,227 --> 05:17:27,270 AND HOW IT'S IMPLEMENTED. 6287 05:17:27,270 --> 05:17:30,474 >> I DON'T KNOW THAT WE'VE USED 6288 05:17:30,474 --> 05:17:35,245 THOSE WORDS BUT WE ARE 6289 05:17:35,245 --> 05:17:39,449 EMPHASIZING THE COMMUNICATION 6290 05:17:39,449 --> 05:17:44,788 WITH THE END USER AND ACROSS THE 6291 05:17:44,788 --> 05:17:45,822 WHOLE PROCESS. 6292 05:17:45,822 --> 05:17:48,592 SO FROM SELECTING THE PROBLEM TO 6293 05:17:48,592 --> 05:17:52,062 THE DESIGN OF THE SOLUTION TO 6294 05:17:52,062 --> 05:17:52,462 THE DISSEMINATION. 6295 05:17:52,462 --> 05:17:53,530 SO WE'RE THINKING ABOUT IT IN 6296 05:17:53,530 --> 05:17:57,400 THAT WAY. 6297 05:17:57,400 --> 05:17:58,869 I DON'T KNOW IF THAT IS HOW 6298 05:17:58,869 --> 05:17:59,469 YOU'RE USING THE TERM 6299 05:17:59,469 --> 05:18:08,478 HUMANIZATION. 6300 05:18:08,478 --> 05:18:08,645 >> 6301 05:18:08,645 --> 05:18:11,348 >> I THINK ABOUT IT AS A PATIENT 6302 05:18:11,348 --> 05:18:21,224 LIKE HOW DISEMPOWERED IT FEELS 6303 05:18:21,224 --> 05:18:23,460 BECAUSE THEY'RE USING 6304 05:18:23,460 --> 05:18:25,996 TERMINOLOGY I DON'T UNDERSTAND. 6305 05:18:25,996 --> 05:18:27,831 IF I THINK WHERE WOULD I LIKE TO 6306 05:18:27,831 --> 05:18:33,470 SEE THIS AREA IN THE NEXT FIVE 6307 05:18:33,470 --> 05:18:34,037 YEARS, A LOT MORE -- WHAT'S 6308 05:18:34,037 --> 05:18:38,875 THAT? 6309 05:18:38,875 --> 05:18:40,377 [OFF MIC] 6310 05:18:40,377 --> 05:18:43,280 >> CAN YOU FINISH, I'M SORRY. 6311 05:18:43,280 --> 05:18:46,550 >> I THINK A LOT OF IS THE CROSS 6312 05:18:46,550 --> 05:18:48,218 COLLABORATION LIVED EXPERIENCE 6313 05:18:48,218 --> 05:18:49,452 AND BRINGS US MORE TO THE 6314 05:18:49,452 --> 05:18:51,221 PROCESS. 6315 05:18:51,221 --> 05:18:54,291 AND REALIZING WE'RE NOT JUST THE 6316 05:18:54,291 --> 05:18:57,327 BENEFICIARIES AND WE WANT 6317 05:18:57,327 --> 05:19:01,231 DIGNITY IN OUR CARE AND HOW IT'S 6318 05:19:01,231 --> 05:19:07,404 IMPLEMENTED TOO. 6319 05:19:07,404 --> 05:19:09,773 I DON'T KNOW IF IT'S EVEN 6320 05:19:09,773 --> 05:19:11,474 RELEVANT BUT SOMETHING I WAS 6321 05:19:11,474 --> 05:19:13,276 THINKING ABOUT AS I WAS LOOKING 6322 05:19:13,276 --> 05:19:16,279 THROUGH THIS THINKING ABOUT 6323 05:19:16,279 --> 05:19:16,880 REHABILITATIVE AND ASSISTIVE 6324 05:19:16,880 --> 05:19:18,848 TECHNOLOGY AND SOMETIMES WE 6325 05:19:18,848 --> 05:19:23,486 FORGET THERE'S A REAL PERSON 6326 05:19:23,486 --> 05:19:27,757 WHO'S LIFE IS CHANGED BY THIS 6327 05:19:27,757 --> 05:19:29,125 RESEARCH THAT'S BEING DONE WHEN 6328 05:19:29,125 --> 05:19:33,463 IT COMES DOWN TO IT. 6329 05:19:33,463 --> 05:19:36,233 >> IT'S DEFINITELY RELEVANT. 6330 05:19:36,233 --> 05:19:38,635 DON'T INTERPRET MY WORD FINDING 6331 05:19:38,635 --> 05:19:39,002 SLOWNESS. 6332 05:19:39,002 --> 05:19:41,238 I'M THINKING ABOUT THE PLAIN 6333 05:19:41,238 --> 05:19:42,939 LANGUAGE CONVERSATION WE HAD 6334 05:19:42,939 --> 05:19:47,877 EARLIER AND THINKING ABOUT NIGHT 6335 05:19:47,877 --> 05:19:51,114 NIDELER AND INVITED THEM TO DO A 6336 05:19:51,114 --> 05:19:53,416 PRESENTATION ON THEIR CENTERS 6337 05:19:53,416 --> 05:19:54,517 THE LAST MEETING, MEETING 6338 05:19:54,517 --> 05:19:55,085 BEFORE. 6339 05:19:55,085 --> 05:19:58,421 THERE'S MODELS THAT I CAN SEE US 6340 05:19:58,421 --> 05:20:01,458 DOING A BETTER JOB OF 6341 05:20:01,458 --> 05:20:06,329 COMMUNICATING THOSE OUTCOMES. 6342 05:20:06,329 --> 05:20:07,797 THANK YOU FOR THAT. 6343 05:20:07,797 --> 05:20:10,533 >> LET'S GETS ANGEL, PEPE AND 6344 05:20:10,533 --> 05:20:11,468 BACK TO MICHELLE FOR MORE 6345 05:20:11,468 --> 05:20:16,306 COMMENTS. 6346 05:20:16,306 --> 05:20:19,276 >> MY COMMENTS -- THE PLAN IS I 6347 05:20:19,276 --> 05:20:21,211 LOVE WHERE IT'S GOING AND ONE 6348 05:20:21,211 --> 05:20:25,215 THING I WOULD WANT TO ADD OR 6349 05:20:25,215 --> 05:20:28,718 SHARE AND YOU WENT THROUGH IT 6350 05:20:28,718 --> 05:20:32,088 QUICKLY ON TRAINING AND MAKING 6351 05:20:32,088 --> 05:20:37,727 SURE IT RELATES TO WHAT TIFF 6352 05:20:37,727 --> 05:20:38,928 TIFFANY'S SAYING WHEN YOU'RE 6353 05:20:38,928 --> 05:20:40,330 WORKING ON TRAINING BUT LOOK AT 6354 05:20:40,330 --> 05:20:41,464 PROGRAMS AND INITIATIVES TO 6355 05:20:41,464 --> 05:20:43,833 RECRUIT MORE PEOPLE WITH LIVED 6356 05:20:43,833 --> 05:20:45,235 EXPERIENCE TO THE FIELD OF 6357 05:20:45,235 --> 05:20:45,602 RESEARCH. 6358 05:20:45,602 --> 05:20:51,141 I THINK THAT WILL HELP WITH 6359 05:20:51,141 --> 05:20:55,478 TIFFANY'S POINT OF UTILIZATION 6360 05:20:55,478 --> 05:20:58,381 AND THERE'S I THINK THERE WOULD 6361 05:20:58,381 --> 05:21:00,450 BE A LOT THAT CAN BE LEARNED BY 6362 05:21:00,450 --> 05:21:01,217 INCLUDING THAT IN THE TRAINING 6363 05:21:01,217 --> 05:21:09,726 ASPECT OF THE PLAN. 6364 05:21:09,726 --> 05:21:11,394 BETWEEN THE REHAB AND DISABILITY 6365 05:21:11,394 --> 05:21:13,697 RESEARCH PLAN SIT NEXT TO EACH 6366 05:21:13,697 --> 05:21:15,332 OTHER ON THE SHELF. 6367 05:21:15,332 --> 05:21:18,268 MY NAME GOES ON BOTH, NO. 6368 05:21:18,268 --> 05:21:21,905 SO SOME OF THESE THINGS ARE MORE 6369 05:21:21,905 --> 05:21:25,241 FORWARD IN ONE PLAN HOPEFULLY SO 6370 05:21:25,241 --> 05:21:28,978 I DON'T WANT TO WRITE THE SAME 6371 05:21:28,978 --> 05:21:39,489 THING TWICE PUT TOTALLY AGREE. 6372 05:21:41,291 --> 05:21:43,727 >> WE NEED TO PROMOTE IN 6373 05:21:43,727 --> 05:21:45,228 PEDIATRICS BUT IT WASN'T 6374 05:21:45,228 --> 05:21:45,528 EMPHASIZED. 6375 05:21:45,528 --> 05:21:53,236 I WONDER HOW IMPORTANT IT WOULD 6376 05:21:53,236 --> 05:22:01,244 BE IF WE -- AND JUST ANSWERING 6377 05:22:01,244 --> 05:22:05,215 THAT ARE ALSO USED FOR DISCOVERY 6378 05:22:05,215 --> 05:22:07,717 SO THEY DON'T NEED AN 6379 05:22:07,717 --> 05:22:09,219 APPLICATION FOR TREATMENT BUT 6380 05:22:09,219 --> 05:22:11,321 TOOLS FOR DISCOVERY. 6381 05:22:11,321 --> 05:22:16,326 AND SOMETIMES TALKING BACK TO 6382 05:22:16,326 --> 05:22:21,464 FRANCISCO, WE SEE THE TECHNOLOGY 6383 05:22:21,464 --> 05:22:25,969 BASED ON THE EXTENT OF 6384 05:22:25,969 --> 05:22:31,508 TECHNOLOGY USED FOR DIFFERENT 6385 05:22:31,508 --> 05:22:33,843 APPLICATION. 6386 05:22:33,843 --> 05:22:38,281 IT'S IMPORTANT TO KEEP THAT. 6387 05:22:38,281 --> 05:22:48,758 MY OWN EXPERIENCE FUNDED B 6388 05:22:51,961 --> 05:22:53,263 BY NINDS AND THERE'S A GAP 6389 05:22:53,263 --> 05:22:57,600 BETWEEN THE AGENCIES. 6390 05:22:57,600 --> 05:23:01,938 I GOT THIS GRANT AND FROM NSF I 6391 05:23:01,938 --> 05:23:07,510 CANNOT DO TOO MANY BUT THEN I 6392 05:23:07,510 --> 05:23:11,514 NEED SOME NUMBER AND SO THERE'S 6393 05:23:11,514 --> 05:23:13,583 A BRIDGE TO THE JOB. 6394 05:23:13,583 --> 05:23:21,224 AND YOU DON'T KNOW IF PEOPLE 6395 05:23:21,224 --> 05:23:23,460 HAVE HAD THE EXPERIENCE. 6396 05:23:23,460 --> 05:23:24,894 THE FINAL COMMENT IS RELATED 6397 05:23:24,894 --> 05:23:27,730 BACK TO THE HUMANITIES. 6398 05:23:27,730 --> 05:23:29,933 YOU HAVE A NICE CONVERSATION 6399 05:23:29,933 --> 05:23:36,606 ABOUT THE HUMANITIES AND 6400 05:23:36,606 --> 05:23:41,211 REHABILITATION AND I KNOW THERE 6401 05:23:41,211 --> 05:23:44,080 ARE SOME PROGRAMS FROM NIH AND 6402 05:23:44,080 --> 05:23:46,950 DIFFERENT INSTITUTES AND I'VE 6403 05:23:46,950 --> 05:23:48,685 SEEN SOME OF THAT BUT WE'RE NOT 6404 05:23:48,685 --> 05:23:54,290 GOING TO BE SILOED IF WE DON'T 6405 05:23:54,290 --> 05:23:56,926 TALK HERE RIGHT. 6406 05:23:56,926 --> 05:23:59,863 WHAT ARE SYNERGY TO DEVELOP WITH 6407 05:23:59,863 --> 05:24:05,768 OUR INSTITUTES AND INITIATIVE. 6408 05:24:05,768 --> 05:24:08,538 AND HOPEFULLY SOON THAT'S THE 6409 05:24:08,538 --> 05:24:12,675 BEST WAY OF EXERCISING. 6410 05:24:12,675 --> 05:24:15,278 YOU GET THE REWARD FROM THE 6411 05:24:15,278 --> 05:24:16,045 SOCIAL ASPECT THAT'S VERY 6412 05:24:16,045 --> 05:24:26,222 IMPORTANT. 6413 05:24:29,459 --> 05:24:33,863 >> I'M NOT TRYING TO BE FUNNY. 6414 05:24:33,863 --> 05:24:40,069 TURN -- DIFFERENT PEOPLE HAVE 6415 05:24:40,069 --> 05:24:40,637 DIFFERENT STANCE. 6416 05:24:40,637 --> 05:24:41,738 >> HAVING THE RIGHT ENVIRONMENT 6417 05:24:41,738 --> 05:24:42,338 OR SET UP. 6418 05:24:42,338 --> 05:24:45,241 >> WE CAN TALK ABOUT THIS AT THE 6419 05:24:45,241 --> 05:24:48,311 DINNER. 6420 05:24:48,311 --> 05:24:58,855 I'D LIKE TO SEE MORE INCLUSIVE 6421 05:24:59,622 --> 05:25:02,158 COVERAGE OF THE HUMANITIES AND 6422 05:25:02,158 --> 05:25:03,026 THE ARTS. 6423 05:25:03,026 --> 05:25:06,329 >> SO YOU'LL NOTICE THIS IS NOT 6424 05:25:06,329 --> 05:25:12,635 THE NCMRR RESEARCH PLAN. 6425 05:25:12,635 --> 05:25:17,874 AS THE NIH RESEARCH PLAN. 6426 05:25:17,874 --> 05:25:20,009 WE HAVE TO BE SOMEWHAT AGNOSTIC 6427 05:25:20,009 --> 05:25:21,044 ON SOME TOPICS. 6428 05:25:21,044 --> 05:25:24,414 I NEED THE AGING INSTITUTE TO BE 6429 05:25:24,414 --> 05:25:29,218 ON BOARD WITH IT AS WELL AS THE 6430 05:25:29,218 --> 05:25:30,053 CHILD HEALTH INSTITUTE. 6431 05:25:30,053 --> 05:25:31,988 SO WE'RE PROBABLY NOT GOING TO 6432 05:25:31,988 --> 05:25:34,958 CALL OUT PEDIATRICS BECAUSE I 6433 05:25:34,958 --> 05:25:37,627 WANT EVERYONE TO SEE THEMSELVES 6434 05:25:37,627 --> 05:25:37,994 THERE. 6435 05:25:37,994 --> 05:25:43,666 SO IT'S NOT THAT WE AREN'T 6436 05:25:43,666 --> 05:25:47,971 SUPPORTIVE BUT THE PEOPLE DOING 6437 05:25:47,971 --> 05:25:49,038 PEDIATRICS WILL HAVE TO SEE 6438 05:25:49,038 --> 05:25:53,242 THEMSELVES IN OTHER CATEGORIES 6439 05:25:53,242 --> 05:25:56,980 IF THAT MAKES SENSE. 6440 05:25:56,980 --> 05:25:58,448 I'M THINKING ABOUT HUMANITIES 6441 05:25:58,448 --> 05:26:01,217 AND MAYBE CULTURE AND OTHER 6442 05:26:01,217 --> 05:26:07,190 WORDS LIKE THAT THAT CAN BE 6443 05:26:07,190 --> 05:26:07,957 INTERPRETED MULTIPLE WAYS. 6444 05:26:07,957 --> 05:26:09,359 THAT COULD BE PART OF THE SOCIAL 6445 05:26:09,359 --> 05:26:17,400 DRIVERS OF HEALTH. 6446 05:26:17,400 --> 05:26:20,303 >> ONE LIFE SPAN APPROACH WAS 6447 05:26:20,303 --> 05:26:21,237 HIGHLIGHTED IN A PREVIOUS 6448 05:26:21,237 --> 05:26:25,274 VERSION SO LET'S GO WITH 6449 05:26:25,274 --> 05:26:25,842 MICHELLE. 6450 05:26:25,842 --> 05:26:29,812 >> I THINK SARAH HAND HER HAND 6451 05:26:29,812 --> 05:26:30,446 UP TOO. 6452 05:26:30,446 --> 05:26:35,485 I WAS GOING TO DO TWO THINGS AND 6453 05:26:35,485 --> 05:26:41,958 JOSÉ BEGAN TO ADDRESS WHILE IT'S 6454 05:26:41,958 --> 05:26:49,699 TRUE SOME INTERVEN INTERVENTION 6455 05:26:49,699 --> 05:26:51,167 DRIVE SOME DEVELOPMENT AND NOT 6456 05:26:51,167 --> 05:26:54,604 ALL IN TERMS OF TECHNOLOGY. 6457 05:26:54,604 --> 05:26:55,772 THERE ARE THERAPEUTIC TYPE 6458 05:26:55,772 --> 05:26:58,508 INSTANCES AND ALSO ASSISTIVE. 6459 05:26:58,508 --> 05:27:01,511 THERE'S SIMPLE SYSTEMS AND 6460 05:27:01,511 --> 05:27:03,479 SIMPLE MORE ROBOTIC TYPE 6461 05:27:03,479 --> 05:27:03,913 SYSTEMS. 6462 05:27:03,913 --> 05:27:07,116 I THINK CALLING IT 6463 05:27:07,116 --> 05:27:07,650 REHABILITATION ASSISTIVE 6464 05:27:07,650 --> 05:27:09,352 TECHNOLOGY IS VERY GENERAL. 6465 05:27:09,352 --> 05:27:11,320 IT DIDN'T IMPLY IT'S GOING TO BE 6466 05:27:11,320 --> 05:27:11,554 DIGITAL. 6467 05:27:11,554 --> 05:27:13,256 IT DOESN'T IMPLY IT HAS TO BE 6468 05:27:13,256 --> 05:27:16,359 HIGH TECH OR ROBOTIC. 6469 05:27:16,359 --> 05:27:20,430 IT IMPLIES IT'S TECHNOLOGY THE 6470 05:27:20,430 --> 05:27:24,667 WAY THE LAW DEFINES ASSISTIVE 6471 05:27:24,667 --> 05:27:26,135 TECHNOLOGY IS SERVICE AS WELL AS 6472 05:27:26,135 --> 05:27:26,369 DEVICES. 6473 05:27:26,369 --> 05:27:29,772 SO I THINK IT'S GOOD THAT WE 6474 05:27:29,772 --> 05:27:30,540 PULL THAT OUT. 6475 05:27:30,540 --> 05:27:33,643 BUT I DO LIKE THE IDEA AND I 6476 05:27:33,643 --> 05:27:35,478 DON'T KNOW IF THIS COULD BE IN 6477 05:27:35,478 --> 05:27:41,217 THE DETAILED PART OF IT 6478 05:27:41,217 --> 05:27:47,323 STRESSING THE APPROACHES AND 6479 05:27:47,323 --> 05:27:50,026 STRESSING THE PARTICIPATORY 6480 05:27:50,026 --> 05:27:51,494 DESIGN APPROACH AS AS WELL AS 6481 05:27:51,494 --> 05:27:54,464 HUMAN CENTERED DESIGN APPROACH 6482 05:27:54,464 --> 05:27:58,267 BECAUSE I DO THINK THAT WHERE 6483 05:27:58,267 --> 05:28:01,738 AND WHY ASSISTIVE AND REHAB 6484 05:28:01,738 --> 05:28:03,606 TECHNOLOGY FAILS IS BECAUSE 6485 05:28:03,606 --> 05:28:06,943 THERE'S NOT ENOUGH OF THAT UP 6486 05:28:06,943 --> 05:28:09,879 FRONT PARTICIPATORY AND HUMAN 6487 05:28:09,879 --> 05:28:15,184 CENTERED AND PROBABLY DESIGN 6488 05:28:15,184 --> 05:28:16,753 STRATEGIES WHICH WE OUR TRAINING 6489 05:28:16,753 --> 05:28:18,621 OUR STUDENTS TO DO BUT SHOULD BE 6490 05:28:18,621 --> 05:28:18,921 EMPHASIZED. 6491 05:28:18,921 --> 05:28:21,557 I AGREE AS A GENERAL THEME BUT I 6492 05:28:21,557 --> 05:28:25,962 THINK IN THE MEAT OF IT WE 6493 05:28:25,962 --> 05:28:28,731 SHOULD PUMP UP THE IDEA OF 6494 05:28:28,731 --> 05:28:31,167 SUCCESSFUL REHAB AND AT DESIGN 6495 05:28:31,167 --> 05:28:36,372 IS PARTICIPATORY AND HUMAN 6496 05:28:36,372 --> 05:28:39,041 CENTER 6497 05:28:39,041 --> 05:28:40,777 CENTE 6498 05:28:40,777 --> 05:28:42,111 CENTERED IT'S PROBLEM BASED 6499 05:28:42,111 --> 05:28:42,879 WE'LL HAVE THE HIGHER LIKELIHOOD 6500 05:28:42,879 --> 05:28:48,184 OF SUCCESS. 6501 05:28:48,184 --> 05:28:49,218 >> THIS WAS ADDRESSED WITH THE 6502 05:28:49,218 --> 05:28:50,653 STATEMENT WHERE YOU SAID THIS IS 6503 05:28:50,653 --> 05:28:53,022 THE NIH RESEARCH PLAN AND NOT A 6504 05:28:53,022 --> 05:28:53,723 SPECIFIC GROUP BECAUSE ONE OF 6505 05:28:53,723 --> 05:28:56,592 THE THINGS I WANTED TO POINT OUT 6506 05:28:56,592 --> 05:28:59,395 OR BRING UP WAS THE FACT THAT 6507 05:28:59,395 --> 05:29:02,999 NOT ALL -- AS WE TALK ABOUT 6508 05:29:02,999 --> 05:29:04,500 INCREASING THE PIPELINE OF 6509 05:29:04,500 --> 05:29:05,201 INDIVIDUALS WITH LIVED 6510 05:29:05,201 --> 05:29:05,968 EXPERIENCE INVOLVED IN RESEARCH, 6511 05:29:05,968 --> 05:29:09,739 I THINK WHAT OFTEN HAPPENS IS 6512 05:29:09,739 --> 05:29:11,040 YOU BECOME PIGEON HOLED TO 6513 05:29:11,040 --> 05:29:12,141 STUDYING THE POPULATION YOU 6514 05:29:12,141 --> 05:29:13,009 IDENTIFY WITH. 6515 05:29:13,009 --> 05:29:15,111 MAKING SURE WE'RE NOT SAYING WE 6516 05:29:15,111 --> 05:29:18,514 NEED TO THEN HAVE MORE DISABLED 6517 05:29:18,514 --> 05:29:22,285 RESEARCHERS DOING DISABILITY 6518 05:29:22,285 --> 05:29:26,389 WORK BUT JUST HAVING SO SO YOU 6519 05:29:26,389 --> 05:29:26,789 COVERED THAT. 6520 05:29:26,789 --> 05:29:27,957 THANK YOU. 6521 05:29:27,957 --> 05:29:31,394 >> ON MY OTHER HAT WE'VE. 6522 05:29:31,394 --> 05:29:34,997 CLEAR WE WANT MORE DISABLED 6523 05:29:34,997 --> 05:29:37,233 RESEARCHERS IN NIH SCIENCE 6524 05:29:37,233 --> 05:29:41,237 BECAUSE THAT TALENT IS NEEDED 6525 05:29:41,237 --> 05:29:51,447 EVERYWHERE. 6526 05:29:53,449 --> 05:29:59,222 I'M EXCITED ABOUT THE FOCUS ON 6527 05:29:59,222 --> 05:30:02,225 ENGAGING WITH CONTINUING MEDICAL 6528 05:30:02,225 --> 05:30:03,593 EDUCATION AND PREFERRED 6529 05:30:03,593 --> 05:30:04,360 EDUCATIONAL SOCIETIES BEING 6530 05:30:04,360 --> 05:30:09,232 INVOLVED ON THE EXCITE STUDY AND 6531 05:30:09,232 --> 05:30:10,967 THERAPY IS MOVING ALONG AND 6532 05:30:10,967 --> 05:30:13,135 BEING CALLED TO ASK WORKSHOP AND 6533 05:30:13,135 --> 05:30:14,203 GIVE TRAINING ON THIS 6534 05:30:14,203 --> 05:30:16,038 INTERVENTION AND THEN WE WERE 6535 05:30:16,038 --> 05:30:18,674 PULLED AWAY TO MORE RESEARCH AND 6536 05:30:18,674 --> 05:30:22,345 MORE GRANTS AND IT ALWAYS FELT 6537 05:30:22,345 --> 05:30:25,214 LIKE THIS LAG OF TRAINING 6538 05:30:25,214 --> 05:30:27,984 CLINICIANS AND THE SUPPORT FOR 6539 05:30:27,984 --> 05:30:29,385 THAT KIND OF IMPLEMENTATION SO 6540 05:30:29,385 --> 05:30:32,388 EXCITED ABOUT THAT AND WHEN I 6541 05:30:32,388 --> 05:30:33,522 THINK ABOUT HUMANITIES AND THANK 6542 05:30:33,522 --> 05:30:36,659 YOU FOR BRINGING THAT UP AND IS 6543 05:30:36,659 --> 05:30:41,230 IT TYING IN WITH HUMANISM AND 6544 05:30:41,230 --> 05:30:45,234 THE LIVED EXPERIENCE, 6545 05:30:45,234 --> 05:30:49,238 PARTICIPATORY ACTION RESEARCH 6546 05:30:49,238 --> 05:30:52,475 AND PART OF WHAT WE'RE LOOKING 6547 05:30:52,475 --> 05:30:54,744 FOR IS THE NATIONALITIES AND THE 6548 05:30:54,744 --> 05:30:58,314 ENDOWMENT AND THERE'S AN A 6549 05:30:58,314 --> 05:30:59,949 WORKSHOP AT EMORY ON FRIDAY AND 6550 05:30:59,949 --> 05:31:08,658 HOW DO I TAKE MY WORK IN THIS 6551 05:31:08,658 --> 05:31:09,292 AROUND USING HUMANITIES BASED 6552 05:31:09,292 --> 05:31:10,660 STRATEGY TO ADDRESS MY WORK 6553 05:31:10,660 --> 05:31:13,095 AROUND STROKE AND CARE GIVING. 6554 05:31:13,095 --> 05:31:23,572 FOR EXAMPLE, IF A THEME IS 6555 05:31:30,680 --> 05:31:33,482 STUDYING BARRIERS AND FOR PEOPLE 6556 05:31:33,482 --> 05:31:35,318 WITH DISABILITIES AND THE 6557 05:31:35,318 --> 05:31:40,423 HUMANITIES BASED APPROACH MIGHT 6558 05:31:40,423 --> 05:31:44,126 BE USING PHOTO VOICE AS A 6559 05:31:44,126 --> 05:31:47,496 MESSAGE, A VISUAL ARTS THAT 6560 05:31:47,496 --> 05:31:51,233 COMBINES NARRATIVE REFLECTION OF 6561 05:31:51,233 --> 05:31:52,435 PEOPLE WITH LIVED EXPERIENCE TO 6562 05:31:52,435 --> 05:31:58,140 DESCRIBE WHAT A BARRIER WOULD BE 6563 05:31:58,140 --> 05:32:04,480 TO CARE AND THEN ALSO PART OF 6564 05:32:04,480 --> 05:32:06,849 THE DISSEMINATION RESULTS AND 6565 05:32:06,849 --> 05:32:10,886 WITH THE INTENTION IT DRIVES 6566 05:32:10,886 --> 05:32:12,321 POLICY CHANGE IT'S USUAL VISUAL 6567 05:32:12,321 --> 05:32:16,225 ARTS AND NARRATIVE WRITING TO 6568 05:32:16,225 --> 05:32:21,864 CAPTURE WHAT LIKE FOR ME WHAT 6569 05:32:21,864 --> 05:32:23,532 I'M INTERESTED IN WHEN I THINK 6570 05:32:23,532 --> 05:32:26,002 OF BARRIERS TO CARE PARTNERS AND 6571 05:32:26,002 --> 05:32:29,238 EXPERIENCE AND TRYING TO GET 6572 05:32:29,238 --> 05:32:38,981 THEIR LOVED ONES TO CARE. 6573 05:32:38,981 --> 05:32:41,183 I'M NOT SURE IF THAT MADE SENSE. 6574 05:32:41,183 --> 05:32:42,585 >> OKAY. 6575 05:32:42,585 --> 05:32:44,854 WE'RE OVER TIME SO I'M GOING TO 6576 05:32:44,854 --> 05:32:55,331 THE NEXT SLIDE AND THE NEXT. 6577 05:32:55,965 --> 05:32:57,666 I'M GOING TO SIT ON THIS AND 6578 05:32:57,666 --> 05:32:59,101 DIGEST AND FEEL FREE TO E-MAIL 6579 05:32:59,101 --> 05:33:00,936 ME IF SOMETHING COMES TO YOU BUT 6580 05:33:00,936 --> 05:33:11,480 WOULD LIKE TO GET THIS DONE FER 6581 05:33:12,181 --> 05:33:13,482 JANUARY FOR A REQUEST OF 6582 05:33:13,482 --> 05:33:14,383 INFORMATION TO GET A SECOND 6583 05:33:14,383 --> 05:33:20,322 ROUND FOR THE THEMES GOING 6584 05:33:20,322 --> 05:33:30,299 FORWARD. 6585 05:33:30,299 --> 05:33:31,901 IN FEBRUARY WE'LL HAVE A SESSION 6586 05:33:31,901 --> 05:33:35,304 AND HAVE A CONFERENCE IN MARCH 6587 05:33:35,304 --> 05:33:39,842 AND THEN I HAVE A SESSION AT 6588 05:33:39,842 --> 05:33:40,309 ASNR. 6589 05:33:40,309 --> 05:33:45,614 THERE IS SOMEWHERE ELSE YOU 6590 05:33:45,614 --> 05:33:48,984 THINK IT WOULD BE GOOD I'VE 6591 05:33:48,984 --> 05:33:50,152 ALREADY GOTTEN FEEDBACK IT 6592 05:33:50,152 --> 05:33:51,854 SHOULD INCLUDE A SLIDE IN OTHER 6593 05:33:51,854 --> 05:33:53,522 PEOPLE'S PRESENTATIONS AS THEY 6594 05:33:53,522 --> 05:33:59,528 GO OUT TO THE STROKE MEETING OR 6595 05:33:59,528 --> 05:34:07,970 THE MEETING. 6596 05:34:07,970 --> 05:34:12,441 WE'LL DO THAT AND THEN IN MAY 6597 05:34:12,441 --> 05:34:13,976 I'LL ASK FOR YOUR FINAL 6598 05:34:13,976 --> 05:34:14,276 CONCURRENCE. 6599 05:34:14,276 --> 05:34:16,745 YOU DON'T HAVE TO APPROVE BUT I 6600 05:34:16,745 --> 05:34:18,147 WOULD LIKE YOUR CONCURRENCE ON 6601 05:34:18,147 --> 05:34:26,088 THE THEMES IN PLAY. 6602 05:34:26,088 --> 05:34:28,657 >> STEVE, I WANT TIME FOR 6603 05:34:28,657 --> 05:34:28,958 NOMINATIONS. 6604 05:34:28,958 --> 05:34:31,393 >> LET ME BEGIN WITH THE 6605 05:34:31,393 --> 05:34:32,561 FOLLOWING 20 -- NO. 6606 05:34:32,561 --> 05:34:35,197 TO BE HELPFUL I LOVE THE ONES 6607 05:34:35,197 --> 05:34:39,201 LISTED BUT SHOULD APTA AND OTA 6608 05:34:39,201 --> 05:34:40,870 SHOULD BE THERE AND SO FORTH? 6609 05:34:40,870 --> 05:34:46,275 >> THESE ARE SPECIFIC MEETINGS I 6610 05:34:46,275 --> 05:34:53,315 HAVE AN OPPORTUNITY BUT WE'RE 6611 05:34:53,315 --> 05:34:54,116 SENDING OTHERS. 6612 05:34:54,116 --> 05:34:59,555 >> SHOULD RHEUMATOLOGISTS AND 6613 05:34:59,555 --> 05:35:03,626 GERIATRICIANS BE THERE ? 6614 05:35:03,626 --> 05:35:08,797 THEY PROBABLY DO MORE RELAB THAN 6615 05:35:08,797 --> 05:35:12,001 REHAB TECHS DO AND WE NEED 6616 05:35:12,001 --> 05:35:15,437 PATIENTS WE NEED TO GALVANIZE 6617 05:35:15,437 --> 05:35:16,105 STROKE SUPPORT GROUPS AND STROKE 6618 05:35:16,105 --> 05:35:20,442 SUPPORT NET, ETCETERA AND REACH 6619 05:35:20,442 --> 05:35:22,811 OUT TO THOSE IN TOUCH WITH 6620 05:35:22,811 --> 05:35:24,914 STROKE SUPPORT GROUPS AND 6621 05:35:24,914 --> 05:35:25,548 SOCIALIZATION TO THE PATIENT IS 6622 05:35:25,548 --> 05:35:35,824 THE SUGGESTION. 6623 05:35:41,964 --> 05:35:45,401 >> IT'S CALLED REHAB NEED. 6624 05:35:45,401 --> 05:35:47,570 IT'S HIGH COURSE THE CONFERENCE 6625 05:35:47,570 --> 05:35:58,113 ON RELAB -- REHAB ROBOTICS AND 6626 05:35:59,281 --> 05:36:01,217 IFESS DIFFERENT CONFERENCES 6627 05:36:01,217 --> 05:36:01,650 COMING TOGETHER. 6628 05:36:01,650 --> 05:36:03,185 IT'S A NICE OPPORTUNITY. 6629 05:36:03,185 --> 05:36:05,621 >> ONE OF US WILL BE THERE. 6630 05:36:05,621 --> 05:36:10,159 >> SO THANK YOU FOR YOUR 6631 05:36:10,159 --> 05:36:10,859 CONTINUED SUPPORT. 6632 05:36:10,859 --> 05:36:12,127 THIS IS BE AN ONGOING 6633 05:36:12,127 --> 05:36:12,761 DISCUSSION. 6634 05:36:12,761 --> 05:36:13,729 IF YOU THINK OF OTHER THINGS YOU 6635 05:36:13,729 --> 05:36:14,863 KNOW WHERE WE ARE. 6636 05:36:14,863 --> 05:36:17,166 THE FINAL PIECE IS AS YOU KNOW 6637 05:36:17,166 --> 05:36:20,169 EACH HAVE FOUR-YEAR TERMS. 6638 05:36:20,169 --> 05:36:24,206 THAT FINISH OFFICIALLY 6639 05:36:24,206 --> 05:36:27,109 >> Reporter: JUNE 30th OF WHY 6640 05:36:27,109 --> 05:36:32,615 YOU ARE FOURTH YEAR MEANING THE 6641 05:36:32,615 --> 05:36:33,515 MAY MEETING IS YOUR LAST MEETING 6642 05:36:33,515 --> 05:36:36,418 AND THIS IS THE TIME TO NOMINATE 6643 05:36:36,418 --> 05:36:37,319 SOMEONE TO SERVES OUR NEXT 6644 05:36:37,319 --> 05:36:41,757 CLAIR. 6645 05:36:41,757 --> 05:36:42,391 -- CHAIR. 6646 05:36:42,391 --> 05:36:45,828 AS I THINK I PROMPTED WE'RE 6647 05:36:45,828 --> 05:36:49,231 LOOKING FOR NOMINATIONS AND I 6648 05:36:49,231 --> 05:36:53,235 NOTICED KATHLEEN EXPRESSED SOME 6649 05:36:53,235 --> 05:37:03,412 INTEREST. 6650 05:37:08,217 --> 05:37:10,519 >> I'M VERY INTERESTED IN 6651 05:37:10,519 --> 05:37:12,488 KEEPING REHABILITATION STRONG 6652 05:37:12,488 --> 05:37:14,156 AND I REALLY ENJOY BEING PART OF 6653 05:37:14,156 --> 05:37:14,923 THIS GROUP. 6654 05:37:14,923 --> 05:37:18,360 I WAS OFFERING TO HELP IN THAT 6655 05:37:18,360 --> 05:37:19,261 WAY IT'S NEEDED. 6656 05:37:19,261 --> 05:37:22,464 >> ANYBODY ELSE THAT WANTS TO -- 6657 05:37:22,464 --> 05:37:27,269 >> I'LL ASSURE EVERYONE IT IS AN 6658 05:37:27,269 --> 05:37:37,780 EASY LIFT BECAUSE THERESA IS 6659 05:37:38,347 --> 05:37:41,884 PHENOMENAL. 6660 05:37:41,884 --> 05:37:46,422 >> RUNNING THE MEETING AND 6661 05:37:46,422 --> 05:37:52,328 ANYONE TO NOMINATE OR PICK ON? 6662 05:37:52,328 --> 05:37:54,029 >> WE ROTATE OFF. 6663 05:37:54,029 --> 05:37:55,464 >> THE PEOPLE IN THE SENIOR 6664 05:37:55,464 --> 05:38:01,203 CLASS WOULD NOT REALLY BE 6665 05:38:01,203 --> 05:38:11,647 APPROPRIATE ANYBODY ELSE? 6666 05:38:16,251 --> 05:38:16,385 OKAY. 6667 05:38:16,385 --> 05:38:19,855 SO CAN WE BRING THIS TO A CLOSE 6668 05:38:19,855 --> 05:38:20,689 A LITTLE BIT EARLY? 6669 05:38:20,689 --> 05:38:23,425 I THANK OUR VIEWING AUDIENCE. 6670 05:38:23,425 --> 05:38:25,694 I THINK OUR PEOPLE THE ACTIVE 6671 05:38:25,694 --> 05:38:29,698 PARTICIPANTS IT'S BEEN A GREAT 6672 05:38:29,698 --> 05:38:33,969 DAY SO FAR AS USUAL WE HAD GREAT 6673 05:38:33,969 --> 05:38:35,604 DISCUSSION AND I APPRECIATE OUR 6674 05:38:35,604 --> 05:38:36,772 NEW MEMBERS JUMPING IN AND 6675 05:38:36,772 --> 05:38:43,912 HITTING THE GROUPED. 6676 05:38:43,912 --> 05:38:45,447 -- GROUND. 6677 05:38:45,447 --> 05:38:48,917 I'LL CALL IT TO A CLOSE AND CALL 6678 05:38:48,917 --> 05:38:50,953 IT AT 10:00 A.M. EASTERN TIME 6679 05:38:50,953 --> 05:38:51,420 TOMORROW SAME PLACE. 6680 05:38:51,420 --> 05:38:51,754 AND THANK YOU. 6681 05:38:51,754 --> 05:38:51,820