Lakeview NH’s Director of Quality Improvement, Nicholas Cioe, PhD, CRC, recently presented his research on brain Injury treatment outcome at the North American Brain Injury Society (NABIS) conference in Miami. Brain injury has a tremendous effect on the United States. The medical system has a continuum of care available but many of these services are extremely expensive. Despite the effectiveness of residential post-acute brain injury rehabilitation (PABIR) resistance to provide adequate funding remains because of a dearth of randomized controlled trial (RCT) studies demonstrating effectiveness. Some research suggests observational trials are typically more representative of community samples and yield conclusions similar to RCT studies.
In response to an Army Small Business Technology Transfer Program RFP requiring university collaboration, Empirical Technologies, Inc. (ETI - an engineering firm) and the University of Virginia (UVA), have partnered to develop tools to differentiate between mild TBI and PTSD, using neurobiologically based biomarkers. This research project, entitled ‘Non-Invasive Assay to Discriminate between Mild TBI and PTSD’, is a multi-center study under the direction of UVA School of Medicine leader in neuropsychology and concussion, Dr. Jeffrey Barth, at the Defense and Veterans Brain Injury Center (DVBIC) - Charlottesville, and involves former DVBIC-Charlottesville Site Director and current Research Coordinator, Dr. Tina Trudel (Lakeview COO and UVA Asst. Clinical Professor of Psychiatry and Neurobehavioral Sciences). This research is based on the literature on differences between psychological and concussive issues, wherein the measure of visual tracking was evident in the concussion literature (but not for PTSD), as well as the measure of postural stability wherein imbalance was associated with concussion in athletes, but again was not associated with PTSD.
Dr. Tina Trudel, President/COO of Lakeview has been working within the Lakeview programs and field of neurorehabilitation, to increase the use and development of technology. She recently edited a special issue of the North American Brain Injury Society’s (NABIS) publication ‘Brain Injury Professional’, featuring articles on applications of technology in neurorehabilitation. Her Guest Editor column notes:
For the last few years, I have been privileged to serve on the International Scientific Advisory Board of the World Congress of Neurotechnology, which met in Rome in 2010 with representatives from around the world, presenting papers on topics that at times seemed more science fiction than science. The World Congress is now the World Association of Neurotechnology and has evolved as an international on-line forum (www.waneurotech.org) covering the areas of neuroresearch, neuropsychiatry, neuroplasticity, neurooncology and neurosurgery. Myself and others have sought a space for applied technology and neurorehabilitation within this realm of high-tech, heady science. In this arena, technology transfer, venture capital, clinical trials, government approvals and intellectual property rights are as passionately discussed as any scientific findings, and clinical rehabilitation applications share the screen with nanobots carrying designer molecules across the blood brain barrier!
Lakeview is pleased to announce that Nicholas Cioe, PhD, has joined our New Hampshire operations as Director of QA commencing 09-17-2012. Dr. Cioe recently served as Clinical Program Manager of the NeuroRestorative program in Paducah, KY in 2011-12, where he oversaw program development, leadership, scheduling, supervision, training, internal investigations and other aspects of clinical operations. Previously, Dr. Cioe served as both a Rehabilitation Counselor in brain injury rehabilitation settings (2007-2011) and early in his career provided direct care to youth with neurodevelopmental disorders at the Sargent Rehabilitation Center of Rhode Island (2004). Dr. Cioe was the Program Evaluator and Facility Information Analyst Consultant for the Evaluation and Developmental Center of Carbondale, IL, where he revised data and reporting systems, developed and established Information technology plans, and oversaw preparation for CARF accreditation.
Lakeview’s ambulance service opened August 22, 2012 and is the first licensed all Critical Care Paramedic ground unit in the state of Wisconsin. The Mobile Intensive Care Unit team is led by Todd Bluhm, CCEMT-P with Dr. John Tucker serving as Director of Medical Control. Dr. Tucker is board certified in Emergency Medicine and is the Director and Medical Control for Lakeview Hospital’s Emergency Medical Services’ Critical Care Team. He is a 1979 graduate of Rush Medical College at Presbyterian-St. Luke’s Medical Center, Chicago, Illinois. He completed his internship at Los Angeles County University of Southern California Medical Center followed by a residency with the University of Louisville Medicine Program. He is the Medical Director at St. Luke’s South Shore Hospital and affiliated with West Allis Memorial Hospital. The Critical Care Ambulance Service, developed by VP of Medical Operations Robyn Rushing, Todd Bluhm, CCEMT-P and their team, is the newest State of the Art program introduced by Lakeview Specialty Hospital & Rehab.
Lakeview’s Robyn Rushing, VP of Medical Operations, to Speak on Advances in Ventilator Weaning of Patients with TBI at NABIS
As a facility of choice, Lakeview Specialty Hospital & Rehab continues to be the expert resource for families seeking continued aggressive medical care and evidence based neuropsychological interventions for loved ones with Traumatic Brain Injury (TBI). The Lakeview clinical team is composed of accomplished clinicians specializing in this complex population of patients. Pulmonary Intensivists, Critical Care Nurses, Respiratory Therapists, Critical Care Paramedics, Speech, Physical and Occupational therapists along with many other specialized clinicians, have worked together over the past three years to better identify key factors in weaning patients with TBI from mechanical ventilation. The program now boasts a 95% success rate for weaning and decannulation.
The Lakeview Specialty Hospital & Rehab Child and Adolescent programs are recognized leaders in the treatment of neurobehavioral disorders, including Autism Spectrum Disorders, Pervasive Developmental Disorders and other conditions affecting cognition, behavior and learning. Lakeview’s program, located in Waterford, Wisconsin, provides effective and empirically sound treatment to children, youth, and their families to quickly evaluate and address challenges to success within home and school. Our program is nationally recognized and accredited through the Joint Commission (Behavioral Health) and CARF International (Rehabilitation) as a center for excellence, and is a WI approved special education program approved under section 14-7.02 of the School Code of Illinois . The youth program and school are housed within the same complex as our well-known acute care specialty hospital, outpatient clinic and rehabilitation services, allowing us to access resources for the most medically complex youth.
‘Neurotoxins: Living in the Chemical World’, will be presented by Lakeview’s COO Dr. Tina Trudel at the International Association of Rehabilitation Professionals (IARP) Annual Meeting in San Juan, Puerto Rico, October 25-27, 2012. The presentation will examine the impact of neurotoxin exposure, with a focus on central nervous system damage and concomitant symptoms. Common occupational and environmental neurotoxins will be discussed, including heavy metals, solvents, organosphosphates and other substances, for both acute and low level long term exposure. Aspects of assessment, treatment and long term outcomes for both youth and adults will also be reviewed. For further information on this conference, please visit www.rehabpro.org.
Lakeview is pleased to welcome Dr. Thomas Horan, who joined us July 30th as Executive Director of our NH programs. Dr. Horan received his doctorate in psychology from the APA accredited program at Boston University, a Masters Degree in Business Administration from Mt. St. Mary College, a Certificate in Nonprofit Management from Harvard Business School, and was awarded a fellowship and received his MS in Rehabilitation Counseling from the University of Scranton where he also received his Bachelors of Arts with honors. Dr. Horan most recently served as the Executive Director of Catholic Health Services/Special Education and Residential Services with the Archdiocese of Miami (2003-2011), was the Vice President of Beacon of Hope House and Director of Behavioral Health Services for Catholic Charities, Archdiocese of New York (2001-2003), Executive Director of the Anderson School, a special needs school in New York (1997-2001) and held progressively responsible positions in the New York State Departments of Education, Mental Health and Developmental Disabilities for many years. We are confident in his ability to provide Lakeview with the expertise to lead us through these changing times and look forward to the continued growth of our New England programs as Centers of Excellence in rehabilitation, education, evaluation and behavioral health.
Recent studies have shed light on the increased risk of autism based on parental age. While for some time the risks for children’s health and older mother’s has been emphasized (including lower birth weight, higher risk of birth defects and chromosomal conditions such as Down’s Syndrome), only recently has paternal age also been identified as a risk factor. On the maternal side, researchers at the University of California, Davis conducted a ten year study in the 1990’s, examining 4.9 million births. The older mother’s age at conception was associated with increased risk of having a child with full syndrome autism.