Update: Drones Promise Quick, Not Safe Delivery

Drones are on their way to becoming the preferred method of retail delivery and much more.  Currently, however, the air technology can only be used in a few limited locations.  Before they become ubiquitous, though, the Federal Aviation Administration (FAA) must assure that this way of delivery, that may weigh 50+ pounds, is safe for humans.  (Not just for airplane safety, the FAA is responsible for the safety of U.S. airspace from the ground up.)  Given their weight and their height of flight, head safety related to drones is of particular concern.

This has already been an issue this year.  On February 24, 2017, for example, a Seattle man was sentenced to a $500 fine and 30-days in jail because his drone hit a woman, causing her to lose consciousness.  However, current news also shows that drones can prove a benefit to those with a head injury.  In St. Louis, Minnesota the sheriff’s office is testing drones so, ultimately, they, “can look for missing persons, or a child, or maybe someone [who] was injured in an accident and sustained a head injury and wandered off.”

Federal-sponsored drone tests are also revealing.  At a government-approved test center at Virginia Tech, a drone is being tested again a crash-test dummy.  In testing, “the 21-pound drone tilted forward, accelerated sharply and slammed into [the drone’s] head, smacking the crash-test dummy’s neck backward and embedding shards of shattered propeller in his plastic face.”  Mark Black, director of the Virginia Tech drone test, asks, “When does the [head injury] threshold cross an unacceptable level?”

Although it is horrible to think of a head injury threshold, the Federal Aviation Administration knows that it can never make drones perfectly safe, just as airplanes will never be one hundred percent safe.  However, does the proposed FAA rule saying that, “Drones would have to fly 20 feet above people’s heads, and have a 10-foot buffer space on all sides,” satisfy the safety rules enough?

Update: Yesterday, an article appeared on the Fortune website regarding the safety of drones.  Specifically, it references and links to a research study conducted by the FAA that was released on Friday, April 28.  Generally, the research shows that, “both steel debris and the wood block caused significantly more damage to the dummy than the

Long-awaited, Expanded Research Facility Opens in Waco

For seven years, there have been high hopes and expectations that Waco, Texas would be host to a world-class VA research facility.  Consolidating the Austin-based Brain Injury Recovery Laboratory and Waco’s Center of Excellence into one facility, it was thought that, 1 “this program consolidation will enable [the] VA to meet its mission of better understanding brain injuries…”  Waco is right next to Fort Hood, so the high hopes seemed in tune with location reality.  Right before it opened, then-Rep. Chet Edwards (D-Waco) lauded it as, “one of the few programs in the country focused on the links between genes and brain anatomy in the development of PTSD and mental illness in our combat soldiers.”  The Center even had many designated areas of the building devoted to the study of TBI and PTSD.  However, after all the excitement of the opening of the facility ended, it seems that much of the research activity in it essentially did too.

Perhaps it was all of these high hopes, coupled with the new, expensive equipment,  that led to the program’s perceived failure.  In 2014, “a 10-month [local newspaper] investigation… found that the VA squandered millions of dollars and six years of research opportunity just as brain injuries were spiking among U.S. service members.”  (Of particular note was the finding that a MRI scanner that was purchased in 2008 for $3.6 million, had since stayed dormant.)  This investigation was noticed by Congress, who started an investigation of their own, launched by Rep. Bill Flores (R-Waco).

Last week, the VA debuted a new, expanded state-of-the-art research facility in Waco, Texas.  (This is very similar to the nomenclature that was used in 2009 for the facility’s original launch and, in fact, this new facility was originally planned to open in 2011.)  Housed in the Doris Miller Department of Veterans Affairs Medical Center, the VISN 17 Center of Excellence for Research on Returning War Veterans, as it’s known, employs 70 people from around the country.  These people must then find residence in Waco.  Waco Mayor Kyle Deaver says that, “attracting these well-paid professionals to Waco will ripple through the local economy,” which is an unexpected benefit of the Center.  Currently, a number of studies have already been planned, including Project Serve, SHE Study, the Moral Injury Project and treatment of traumatic brain injury using EEG neurofeedback.

Trump Seeks to Shrink BRAIN (Funding)

A few weeks ago, President Trump submitted his proposed budget to Congress.  Related to health issues, President Trump’s budget:

Reduces the National Institutes of Health’s (NIH) spending relative to the 2017 annualized
CR level by $5.8 billion to $25.9 billion. The Budget includes a major reorganization of NIH’s
Institutes and Centers to help focus resources on the highest priority research and training
activities, including: eliminating the Fogarty International Center; consolidating the Agency for
Healthcare Research and Quality within NIH; and other consolidations and structural changes
across NIH organizations and activities. The Budget also reduces administrative costs and
rebalance Federal contributions to research funding.

Read full text here

President Trump’s proposed budget would include a massive reduction of funding to the NIH and, though not specifically mentioned in the written, public-version of the budget, a reduction in funding for Brain Research through Advancing Innovative Neurotechnologies (BRAIN).  In response, a bipartisan group of Representatives, including  U.S. Representatives Bill Pascrell (D-NJ), Tim Murphy (R-PA), Earl Blumenauer (D-OR), and Cathy McMorris Rodgers (R-WA) sent a letter to Rep. Cole and Rep. DeLauro, president and ranking member, respectively, of the Labor Subcommittee of the Appropriations Committee urging a stay of current funding for the National Institute of Health’s BRAIN.  Pascrell is, of course, the founder and co-chair of the Congressional Brain Injury Task Force.

(As reported last year, Presidents Obama’s 2017 budget increased the funding for BRAIN.)

A Weapon that Hurts the Soldier with Every Shot

When thinking of war, civilians may think of the possible consequences to soldiers as they relate to the actions of the opposition.  Rarely does one consider that by defending oneself and the country, American soldiers may be harming themselves, as well.

However, evaluation of methods of warfare defense shows that personal-injury will occur when in battle.  For example, the Carl-Gustaf system, a shoulder-fired weapon weighing approximately 10 pounds, may be called “the best [recoilless] multi-purpose weapon.”  A single shot from this powerful weapon produces a burst of gas from its muzzle and breech towards the shooter.  (“It feels like you get punched in your whole body,” is the way one Army gunner described it.)

When the Carl-Gustaf system was presented to the Congressional Brain Injury Task Force, one member asked what all of us wonder and worry:  “What kind of damage is that doing to soldiers in training and on the battlefields?”  The Army knows of this “brain-injury problem” and started testing the effects of the weapon on American soldiers, as early as 2011.

Drones Promise Quick, Not Safe Delivery

Drones are on their way to becoming the preferred method of retail delivery and much more.  Currently, however, the air technology can only be used in a few limited locations.  Before they become ubiquitous, though, the Federal Aviation Administration (FAA) must assure that this way of delivery, that may weigh 50+ pounds, is safe for humans.  (Not just for airplane safety, the FAA is responsible for the safety of U.S. airspace from the ground up.)  Given their weight and their height of flight, head safety related to drones is of particular concern.

This has already been an issue this year.  On February 24, 2017, for example, a Seattle man was sentenced to a $500 fine and 30-days in jail because his drone hit a woman, causing her to lose consciousness.  However, current news also shows that drones can prove a benefit to those with a head injury.  In St. Louis, Minnesota the sheriff’s office is testing drones so, ultimately, they, “can look for missing persons, or a child, or maybe someone [who] was injured in an accident and sustained a head injury and wandered off.”

Federal-sponsored drone tests are also revealing.  At a government-approved test center at Virginia Tech, a drone is being tested again a crash-test dummy.  In testing, “the 21-pound drone tilted forward, accelerated sharply and slammed into [the drone’s] head, smacking the crash-test dummy’s neck backward and embedding shards of shattered propeller in his plastic face.”  Mark Black, director of the Virginia Tech drone test, asks, “When does the [head injury] threshold cross an unacceptable level?”

Although it is horrible to think of a head injury threshold, the Federal Aviation Administration knows that it can never make drones perfectly safe, just as airplanes will never be one hundred percent safe.  However, does the proposed FAA rule saying that, “Drones would have to fly 20 feet above people’s heads, and have a 10-foot buffer space on all sides,” satisfy the safety rules enough?

10 Seconds to Safety

Combat sports like boxing, wrestling and mixed martial arts, by definition, have a high potential of harming the head and brain.  Because of this, in 1985, the New Jersey State Athletic Control Board (NJSACB) was created to, “protect the safety and well-being of all participants and promote the public confidence and trust in the regulatory process and conduct of public boxing and other combative sport.”   This month, the New Jersey State government approved the testing of a new technology that hopes to make combat sports, well, less combative.  Specifically, NJSACB , which sets the athletic parameters in a state that is home to such combat sports locations as Atlantic City and the Prudential Center, approved the testing of EyeGuide Focus.

EyeGuide Focus, “uses a camera [attached to a headset] to record the action of the athlete’s eyes as they track a cursor that makes a sideways figure 8 on a computer screen.”   Because it is able to track the eye 60 times a second, according to the manufacturer, EyeGuide can detect concussions in only 10 seconds.

This past Saturday, February 18, the eye technology was tested at the Cage Fury Fighting Championships at The Borgata in Atlantic City.  As of February 23, the results of these tests are not available for public view.  On May 20, EyeGuide will again be tested at the Top Rank WBC/WBO Junior Welterweight Championship in Newark.*

* Even though the publicity of this device focuses on the use of EyeGuide Focus in combat sports, EyeGuide has larger applications.  According to the manufacturer, the EyeGuide Focus is affordable, so that it can be purchased for use in a wide variety of settings, from MMA matches to high school sports games (the EyeGuide website has the product listed for purchase at $9,999).

Echoing the Benefits of Exercise after TBI

In 2013, the University of Buffalo found that of the four participants who underwent daily aerobic exercise, all benefited neurologically, particularly in decreasing exhaustion.  In 2015, the National Institute of Health (NIH) conducted a 12-week study with the same results: “individuals with TBI may benefit from participation in vigorous aerobic exercise training with improved cardiorespiratory fitness and diminished fatigue.”  Currently, the University of Kansas is performing a two-year, $500,000 clinical study, sponsored by the Department of Defense, to see if the same applies to wounded warriors.  (The reason why this is even a question is because traditionally, rest is the recommended remedy for a “knock to the head”.)

As opposed to the Buffalo study, the study in Kansas will include more than 100 hundred wounded warriors, stationed in Fort Riley, all of whom were affected by explosive devices.  Also, as the leaders of the study and exercise trainers will agree, all exercise is not the same and does not provide to same benefits.  Therefore, “instead of lifting weights, we want the soldiers running more to improve their aerobic capacity,” says David Johnson, the leader of the study, explaining the aim of the study in a news release.  Beyond fatigue, the study expects to find that aerobic exercise helps the brain heal in other ways, such as in memory and thinking, anxiety and depression.  While this study is focused on the benefits of exercise for those with mild traumatic brain injury, the results may have benefits for other neurological conditions, such as in aiding those with severe TBI, Alzheimer’s, etc.  More so, it could reaffirm the neurological benefits of exercise for all.

Let’s Dance! FDA Approves Medical Testing of MDMA for PTSD

It has been proven that dancing can relieve stress and anxiety.  Late last year, the FDA approved testing of MDMA, the active ingredient in Ecstasy, the drug that makes you want to dance the night away, as a possible cure for PTSD.  Specifically, after promising results in previous studies, this Phase 3 study, slated to begin in June, will include more patients.  If successful, it will allow the medical use of MDMA in the treatment of PTSD, as soon as 2021.  Whatever your personal opinion of this treatment, the current administration will likely make sure that medical MDMA, if approved, is available for use in 2021 or earlier, as President Trump has previously discussed his support for the troops [many of whom have a TBI and/or PTSD] and his desire to deregulate the FDA.

“Because TBI is caused by trauma and there is symptom overlap [with PTSD], it can be hard to tell what the underlying problem is. In addition, many people who get a TBI also develop PTSD.”  Therefore, if approved, MDMA could help those who have had a TBI “regain” themselves, in some sense.  However, government studies have also proven that continued use of MDMA can cause long-term cognitive impairments.  Memory problems are, of course, already a significant side effect of traumatic brain injury.

Ultimately, finding a treatment for PTSD that does not worsen the symptoms of other medical issues for some potential users is a difficult task.

Epilepsy After TBI May Offer Pathway for Cure

In the United States, about 1 in 26 people will develop epilepsy at some point in their lives.  Though this is a staggering number as it is, traumatic brain injury can greatly heighten the risk of developing this seizure disorder.  According to the NIH, “Seizures…happen in 1 to 5 of every ten people who have had a TBI, depending on where the injury occurred in the brain.”  Though this statistic is very vague, even the fact that ten percent of brain injured individuals may develop epilepsy is a horrifyingly large number.  However, the reality of this awful statistic may present an opportunity for a broad range medical breakthrough.

A TBI is caused by a single moment, a single jolt to the brain.  “Because the precise time of the epilepsy-causing insult is known, traumatic brain injury offers the best opportunity for determining how epilepsy develops…,” says Dr. Jerome Engel, Jr., professor of neurology, neurobiology, and psychiatry and biobehavioral sciences at UCLA.  That means that a head injury, a single moment that severely disrupts one person’s life, may allow doctors to find a cure for millions of others.

In this UCLA-led study for a cure, a.k.a. Epilepsy Bioinformatics Study of Antiepileptic Therapy (EpiBioS4Rx), “the research team will identify biomarkers associated with the development of epilepsy and develop therapies to prevent or modify the condition.”  Specifically, along with UCLA, the project will be a cooperation of UCLA with 13 centers for traumatic brain injuries and seven preclinical research centers.  The NIH has pledged a grant of $21 million for the five-year study, $7.5 million of which will be granted to UCLA.  Led by so many world-class neuroscientific teams and with the government’s financial assistance, EpiBioS4Rx may give hope for a cure, for an incurable disease.

A Penny for Your Brain

Imagine if all you had to do was carry around a penny to know if something has negatively affected your brain.  The Office of Naval Research (ONR) is sponsoring the development of such a product, called BLAST (Blast Load Assessment Sense and Test).  Specifically, the ONR, in association with NASA, the University of North Carolina, and Applied Research Associates Inc., a New Mexico-based research firm, is in development of a coin-sized device that would be no burden to the soldier and can be worn on the helmet or body armor, and can identify brain injury, letting the soldier know if they should get immediate medical help.  As Dr. Timothy Bentley of the ONR says, “A system like BLAST is vitally important because it can help recognize the signs of TBI early and tell warfighters they might need medical attention.”

While it may take 5 years to be fully developed and tested, the prospect of such a product has great possibilities, both in and outside of the armed forces.  For example, brain injury in American football has been big news in the past several years, and a coin-sized brain injury “detector” attached to players’ helmets could aid in the quick diagnosis and treatment of such an injury in football and other sports where helmets are worn, such as hockey.  Beyond that, the possibilities are endless.

For more information:

Navy BLAST Sensor Development Looking to Improve Data on TBIs, Military.com

BLAST: Greater Speed, Accuracy in Recognizing Brain Injury, AMERICA’s NAVY

Naval Research seeks to tackle traumatic brain injury, MilitaryTimes