federal efforts to address tbi began with the traumatic brain injury act of 1996. the act aimed to identify and increase awareness of tbi through new research and programs. the tbi amendments of 2001 amended the 1996 law by extending to include for the brain injury education and awareness campaign, it reauthorized the program to conduct a study to examine the information gathered by hhs and assess appropriate interventions and develop practice guidelines. i look forward to the results of this study which will come out in november of this year. the 2008 act also focused on the incidents and prevelance of tbi, jump reporting and linking individuals with tb ito support services to conduct research. i would like to hear an assessment from each of our witnesses of these federal programs. what have we learned about the causes, the diagnosis, the treatment of tbi through hhs' efforts? how is that knowledge being applied in real world situations? and i would also like to hear their ideas about where we should go from here. i would like to say a special hello to dr. flora w

have led efforts to understand, prevent and treat traumatic brain injury. most recently these efforts have undergone formal coordination from the brain injury. this committee which includes hhs agencies and non-hhs agencies will hopefully accelerate and coordinate developments in traumatic brain injury initiatives. i look forward to hearing more about the proposed plans and activities. i would like to highlight the importance of federal partnerships with addressing this important cause. i greatly appreciate the presence of mr. william who hails from the great state of new jersey. mr. ditto is a recently retired director of the brain injury program and represents the national association of head injury administrators. mr. ditto along with his colleagues have made great strides in limiting the federal and state funds to coordinate and provide services for individuals with traumatic brain injury. strengthening partnerships like these will improve the outcomes of the families and patients affected by traumatic brain injury. mr. chairman, i'd like to ask, as i t

been the precursor, if you will, to the post-traumatic stress disorder. individuals with ptsd also often experience numbing symptoms, if you will, to block the pain associated with the post-traumatic stress disorder and so, sometimes individuals will engage in certain behaviors to block that numbing. they'll not confront the emotional experiences that they may have, try to stuff it down. sometimes alcohol or substance use is a way to try to block those emotional pain symptoms. and another common type of symptom that individuals experience with ptsd is hyper-vigilant symptoms, where individuals might be sometimes easily startled, for example, especially in circumstances that might serve as a reminder of the traumatic event. and, lastly, i should mention that individuals often also experience what are known as re-experiencing symptoms. re-experiencing symptoms can include nightmares, intrusive thoughts that are essentially flashbacks, if you will, to that traumatic event that precipitated the ptsd. and so, one of the things that i want to say that it is jus

who have long-term disability as a result of traumatic brain injury. in 1972 my brother steve sustained a catastrophic brain injury while in the navy. for eight years he lay incontinent, unable to move, unable to speak, communicating through eye blinks only. when i completed my professional training in 1980 i co-founded the center for neuroskills and admitted my brother. after 18 months of intensive rehabilitation, steve regained speech, movement in all extremities and was able to feed himself. i hope to provide you today with several key points. the first is traumatic brain injury affects people of all ages and is more prevalent than new diagnoses of all cancers in the u.s. there are over 4,000 people who will sustain a brain injury every day in the united states. the injury is unpredictable. treatment is very complex and highly specialized. treatment particularly rehabilitation in a post-acute setting is clinically effective and cost advantageous. there's significant availability to medically necessary health care for patients with traumatic brain in

it's the teenagers who have more disability from the same level of mild traumatic brain injury. i think that this really shows that we're just beginning to truly understand the biomechanics of brains, the biology of what happens in the event of injury and this knowledge and this furthering of our understanding of our scientific foundation is going to help us to come up with better helmets, better prevention strategies and better therapies and i hope better recovery. >> you mention the short-term and long-term effects of brain injury in children. can you have long-term effects without noticing any short-term injury? >> i think that you usually will see something early on but there's some subtle differences. children are continuing to develop as we go forward. i often talk about children as an unfinished painting, right? we don't know where they're going to go. we don't know what their potential is going to be. as they get older, there might be need for certain cognitive abilities that weren't needed early on. they'll come through. there was a study that was recently done that sho

traumatic brain injury, post-traumatic stress, the other psychological ailments that can contribute to the risk of suicide. the end of the war in iraq, the beginning of the draw-down in afghanistan will hopefully ease some of the strain on our troops but that will not solve this problem. indeed, more than half, more than half of those who have committed suicide in the military have no history of deployment. so we're dealing with broader societal issues. substance abuse, financial distress, relationship problems, the risk factors for suicide that also reflect the problems in the broader society. the risk factors that will endure beyond war. for that reason, we've got to develop an enduring suicide prevention strategy. the department of defense is committed to being a part of a comprehensive approach to suicide prevention. we're committed to doing whatever it takes to protect and support our people. building off of the recommendations contained in the 2010 dod task force report last november, we have established a dod suicide prevention office. this office will put new resources and a ne

for mild traumatic brain injury, the window is a little bit longer. it's 48 hours. i applaud the cdc and others to try to get that awareness out there. that early recognition response is needed. but i want to challenge, if i may, i give you a challenge that we're experiencing. the growing awareness for earlier recognition has really turned into some real challenges by parents who want some sound answers. they want to know things like, after how many concussions should my child be removed from contact sports? for how long are injured brains vulnerable to a second impact? does the risk differ by age? and why did my child get a concussion when they were wearing a helmet? our science, today, does not answer these questions. clinicians on the front lines are also asking questions. i think you might find this interesting, visits for concussion, because of awareness, have skyrocketed at the children's hospital of philadelphia's care network, increasing 458% since 2009. we're struggling to meet the demand. we need research and leadership to provide evidence-based recommenda

. >> at next, new help for veterans who suffered traumatic injuries to the brain in battle. we will tell you about a new facility on the way. >> quite a different than the weather today -- the sun is out and it is dry. we will see how long things will stay this way. >> a couple of local basketball players in the headlines today and the u.s. open is set to begin. the nationals do it again heading home to play the yankees. ♪ ♪ [ male announcer ] for our families... our neighbors... and our communities... america's beverage companies have created a wide range of new choices. developing smaller portion sizes and more low- & no-caloriebeverages... adding clear calorie labels so you know exactly what you're choosing... and in schools, replacing full-calorie soft drinks with lower-calorie options. with more choices and fewer calories, america's beverage companies are delivering. >> help is on the way for service members dealing with traumatic brain injuries and posttraumatic stress. leaders broke ground on a new cutting edge medical center in virginia. it is changing the way we car

. >>> post-traumatic stress disorder usually associated with combat veterans but new research shows it can affect people who suffered through a heart attack. >> reporter: 12 years ago gary dormann suffered a severe heart attack. in the months and years since, it's taken a toll both physically and emotionally. >> i constantly go back to it. it's something you don't forget, especially the type of heart attack i had and the situation i went through. >> reporter: doctors told him he suffered from post-traumatic disorder or ptsd and he's not alone. new research from columbia university medical center shows one in eight people or more who have a heart attack develop symptoms of ptsd. traumatic experiences such as fighting in combat or being sexually assaulted using bring on the anxiety disorder. >> thoughts about the experience, thoughts that you can't get out of your head, nightmares, sleep disruption. >> reporter: researchers reviewed 24 previous studies. they also found heart patients with ptsd have doubled the risk of having another heart attack or dying in the next three years. yearly o

the post traumatic stress disorder. p.t.s.d. was born after good war in viet nam u.s. veterans found it difficult to read just their civilian life after they've gone through in russia the show started to be talked about afterwards military campaigns in the ghana stand and later. rim on who still remembers how he was sent to change in one thousand nine hundred ninety nine good when i was boy the city that was our first battles where of course we were scheduled to size militants were shelling us and it's also terrible to see your friends some dead others injured and crying for help now a veteran of many missions remonde says he's first but was a nightmare that will stay with him for the rest of his life likewise many veterans of the u.s. led war in iraq and afghanistan have faced significant physical emotional and in all these ruptures after they'd come back home or when their backs or or nightmares there really isn't any control over try to but there really isn't. so here they're still shaking here your heart racing your mind is going you know i mean miles minute. you k

wars to suffer from either traumatic brain injury or spinal cord injuries et cetera. we need to be able to accommodate that and recognize that subissues, when you look at prevalence rate, is associated with traumatic brain injury and-and-and spinal cord injury. in the case of our returning veterans, it's a matter of recognizing that drinking is, if you suffer from traumatic brain injury, drinking is a no-no. the problem is, from a social point of view, drinking is a yes-yes. because that's what they did with their buddies et cetera, et cetera. the problem with alcohol and tbi is it's disinhibiting, and that's a problem. because then you start getting into trouble. so treatment programs need to be able to assess for tbi or assess for cognitive dysfunctions. and we need screening tools that will allow us to do that. or when you're talking with family members or buddies or partners, you're able to make those assessments because it will help you address the issue because many people, especially early in the recovery process, aren't willing to acknowledge that they have co

. >>> they were feeling traumatized about what happened. >> a local political leader taking a unique approach to quell violence in one bay city. 6tá . >>> unusual site on the this. they are cutting in huge trailers that are 80 feet long. trailers are so big. they needed a pilot car to guide them. modular classrooms will be delivered as part of expansion projects in the school district. >> some ac transit bus stops are getting moved in oakland. >> all of them at the fruit dale bart station will be removed due to construction. they have been moved it near the bart station. they will be back at their normal locations after july 25th. >>> new at noon, a push for overtime pay. hundreds of farm workers and domestic employees are gathered to lobby for a change in california's labor laws. >> some of the workers boarded buses in oakland for the ride to the state capitol. >> they want the law to require employers to pay farm and domestic workers time and a half for overtime. >> they were exempt from overtime pay. and that was passed on this date in 1938. >> it has been 74 years. the exclusions

stress disorder, you need to know about traumatic brain injury. you need to know about spinal cord injuries, you need to know about family problems associated with those conditions, in addition to the substance use disorder with which that person may present. and you do well to know as much as possible about a full range of psychological conditions in terms of depression, anxiety, beyond ptsd et cetera. john, final thoughts? we have some work to do, but we're well on our way, let's put it that way. there's a lot of people out there, i mean, they say that 17 percent of the population are people with disabilities. that's a large number. and the incidence of alcohol and drug problems among people with disabilities is higher than the general population. so we have a lot of work to do, we're well on our way, but let's keep going. ed, final thoughts. communication and awareness. i found, it's amazing to me how many people are just not aware of-of what's going on with disabled folks. they just don't have a clue. very good. barbara. well, substance abuse

these witnesses were traumatized. it's, of course, going to be up to the jury to evaluate their demeanor. >> your whole argument, all the way the prism through which you look at this says they were traumatized. you assume that it happened. >> i don't assume it happened. i don't assume anything. i listened to the witness's testimony. >> one at a time. let mark finish. >> that's all. >> marcia, if they're traumatized, you're assuming it happened. other than the fact they may be traumatized by having to testify. but if you're saying they are traumatized, you assume it happened. jurors are not instructed to assume that it happened. >> no. >> jurors are instructed to presume innocence. so don't mislead the public as to what the standard is. >> obviously mark. >> for the jurors. >> i would never mislead the public. obviously they're not required to assume anything. they're required not to assume. and i've never said otherwise. they are required however to listen to the testimony and determine whether or not the truth of the

which traumatized the public i think and the problems compounded because of the stigma attached with seeking help this is only one of a handful of centers in cairo offering psychological assistance to people who need help but while some of those who were arrested and detained by the authorities have come here most egyptians have stayed away but psychological help is the last thing on mona's mind she can hardly scrape together enough money to buy food for her family she gets a little comfort from believing her son died for a cause but even that threatens to be wiped out as the country braces itself for a fresh round of protests as anger against the ruling military moms policy r t cairo. and the ins and outs of egypt's political hardships are also in the spotlight in today's edition of cross talk coming up in just about ten minutes time now will the progress of democratic change succeed or was there even any in the first place. there are thirty people who rule egypt you know another twenty nine they threw mubarak out of the window because they didn't want his son to succeed he's a very

which traumatized the public i think and the problem is compounded because of the stigma attached with seeking hope this is only one of a handful of centers in cairo offering psychological assistance to people who need help but while some of those who were arrested and detained by the authorities have come here most egyptians have stayed away. but psychological help is the last thing on mona's mind she can hardly scrape together enough money to buy food for her family she gets a little comfort from believing her son died for a cause but even that threatens to be wiped out as the country braces itself for a fresh round of protests as anger against the ruling military announced. r.t. kyra. exactly twenty four minutes past the hour on the russian capital is daniel with all the business and daniel the world's most profitable company is russia's gazprom. similar made the revelation at today's annual general meeting where he explained also why the firm won't be sold off in russia's big profits as asian drive from this year all it is to buy most is a gas from h.q. . well it's official gas pro

it was a traumatic time for egyptians and an even more traumatic time for the bathroom at the tahrir square party party. ( laughter ) now it's a complex situation so let me recap what has happened in egypt. 5,000 years ago, settlements in the valley united to form the first dynasty. then pyramids, cleopatra, blah, blah, blah, cut to last february. president mubarak steps down handing temporary power to the military. then in november, egyptians voted in their first free parliamentary elections, handing a strong majority to the conservative islamic muslim brotherhood. then there was a presidential election with 13 candidates that led to a runoff between the muslim brotherhood. egypt's top court appointed by mubarak dissolved parliament and claimed all legislative power for itself. the brotherhood refused to capitulate. they held presidential elections, both candidates claimed they won and now officials are delaying announcing the winner and no one knows who's in charge. they even checked for babies in the baskets on the the nile. nothing. ( laughter ) ( applause ) folks, looking at the

with respect to the traumatic brain injuries and other types of things, that's much simpler for people to kind of understand that you had a concussive event or you had a t.b.i., traumatic brain injury, that's caused problems. we should be developing ways of helping to manage and treat those problems just like we do individuals who have the other types of problems. >> let me just add one thing there, which is it's a good question, but it highlights one of the challenges of introducing neuroscience today in the courtroom. at kent showed you some of his slides and mentioned during his talk, he is trying to develop treatments as he develops abilities to diagnose psychopathy. but that's what comes first is the diagnosis. if that is what is introduced first before there are any treatments available, which is the status of much of the neuroscience today, then there isn't a treatment that is available. and so part of the problem today is it tends to serve as an aggravating factor because you can't say, well, here is a simple way to fix that thing that we have identified. in a few cases where d

>>randy: well, look at the hallmark of post traumatic stress syndrome. i can't do my job.re are physical manifestations that go along with it. for example, there are certain chemicals that in the urine that are up-and-down, if you really have ptsd it shows up not urine, your frontal lobe --. >>shepard: you watched a gang member kill someone. >>randy: but ptsd is that you cannot do your job. >>arthur: with not just send the guy to another spot. >>randy: because there is a union. you did not just sue. >>shepard: what do you do, let the gang come and kill you? they are willing to kill. >>randy: get a job someplace else. >>shepard: there are tons of jobs out there, right now. he asked to be transfer. and he got a note from the doctor. >>arthur: the guy is not a police officer or fireman who is trained or a military guy he is delivering boxes and is in the middle of a shootout. the guy is dying in his arms. give the guy a break. >>shepard: you can transfer me. neil cavuto is here in a minute. hang on. your long-term payout into a lump sum of cash today. >> announcer: meet mary.

question and i'm going to rephrase it a little bit, but why is it that we treat people who have, say, traumatic brain injuries or other diagnosed mental illnesses in the criminal justice system rather than in the mental health system? [applause] >> so what i showed you today was to give you that exact what is neuroscience doing in the legal is system and so that person of the person with the tumor, you could all see that and so can a radiologist. but the else that we do know of those images. no radiologist can just see by looking at them. we are so sensitive to individual differences in i.q., in age, in all of these different availables, psychopathy scores, whatever it is, we can develop beautiful pictures of these things. so the question is, how is the legal system going to deal with all of these different, you know, images and other types of things that we can now tell you about your brain and how is that going to change things? so i tend to view, you know, individuals who have brain differences for whatever reason worthy of developing better treatments for them that can help to remediate tho

. >> unemployment is traumatic at best. to be unemployed with out any source of income is doubling traumatic. >> and there could with help on the way. so far, congress has not taken any action. >> coming up on abc 7 news, oprah kicking off a book club with a high tech twist. >> dirty little reason your dry cleaning could soon cost you more. >> and elite minority of donors with a big influence on the outcome of the california election. abc 7 news continues in one minute. >>> a new report shows how much just a few big don jurors thrown into california politics. california watch looked at top 100 check writers. a powerful club spent well over $1 billion to influence voters here. here is man yet miranda. >> california watch calls them rain makers. and this is a club of people in special interest groups influencing voters in election was their check books. it found top 100 political donors spent nearly $1 billion. the biggest spender is california teachers association. 118 tdzs million. pharma doling out $72 million. pg&e, a clo

she and her mom megan visited our studios yesterday to talk about how post-traumatic stress disorder affected their lives. barbara's dad steven worked at dover airport base processing all the dead soldiers returning home. >> it changed him. made him very sad, very closed in, very depressed, suicidal and for the longest time we didn't understand what was wrong. >> are our own anita brikman will be emceeing the event that starts at 10:00 at upper center park at new jersey and constitution avenues northwest. coming up at 5:30, we'll talk about how barbara experienced her father trying to commit suicide. there is a happy ending to this story but certainly some very tough moments for a little 10- year-old girl of the back to you, jessica, andrea. >> delia goncalves reporting live from capitol hill. >>> after a 28-hour standoff, a barricade in falls church, virginia ended last night. the situation started monday afternoon with a domestic disturbance call on hillwood avenue. when officers arrived, a man barricaded himself inside a home. police say in the early hours of the standoff, the sus

like everyone in new york and america, we were so traumatized with 9/11. i said to my husband, i am going to go out to the orchards. >> this is before you knew he was sick? >> i knew. he was still going full speed and no one would have known he was sick. he wasn't really sick, he just had his medical condition. i said i am going to go surprise him. i spent 2 days. >> simply because the world is coming to an end? >> i felt compelled. it was the moment i knew i had to turn the page. you just know. there is something that happens to you, i am going to turn the page. i was panicked. i was surprising him, he would have said no, i am too busy, i don't want you here. i spent a day running all over new york city trying not to freak out about the sirens buying flannel clothes, the right things for the orchard. this is ridiculous, i wear what i always wear, black. >> you are wearing a black cashmere turtle neck to the orchard? you can't do that. on the airplane, i am trying to learn the apple business. i have my files like a reporter. i realize i am treating my brot

it is very traumatic. i do not know. maybe the supervisors will have a heart. we need to work with a private industry. 80 billionaires' floating around san francisco -- if they cannot give a little bit -- i am not saying charter schools. we need to revamp the san francisco unified school district. i was listening. the gentleman could have gone another two years, giving you all the statistics. we need to address this. i know i have passed my two minutes. the thing is not working. it is not my intention. supervisor campos: thank you. is there another member of the public would like to speak? can we have a motion to continue this item? a motion by president chiu, seconded by commissioner maufas. we have a very important meeting that is going to follow us. it is important we get out of here on time. the human rights commission will be honoring some pretty amazing individuals, including a very special and amazing as pamela -- espinola jackson, who will be honored as a human rights hero for 2012, which is well deserved. we take that motion to continue to the call of

like everyone in new york and america, we were so traumatized with 9/11. i said to my husband, i am going to go out to the orchards. >> this is before you knew he was sick? >> i knew. he was still going full speed and no one would have known

traumatic brain injury, posttraumatic stress, the other psychological ailments that can contribute to the risk of suicide. the end of the war in iraq, the beginning of the drawdown in afghanistan will hopefully ease some of the strain on our troops. that will not solve this problem. indeed more than half of those who have committed suicide in the military had no history of deployment. we are dealing with broader societal issues. substance abuse. financial distress. relationship problems. risk factors for suicide that also reflect the problems in the broader society. risk factors that will endure beyond war. we have to develop an enduring suicide prevention strategy. the department of defense is committed to being a part of a comprehensive approach to suicide prevention. we are committed to doing whatever it takes to protect and support our people. building off of the recommendations contained in the 2010 dod task force report last november, we have established a dod suicide prevention office. this office will put new resources and a new focus for implementing programs and enhancing th

my mother actually had two miscarriages prior to me my birth experience was pretty traumatic for her because i was born with multiple problems. and i was missing my leg and my fingers and my big toe on my right foot and my mother said that there was a gasp everyone was shocked and all she saw was the ask oxygen mask or whatever to kind of knock her out my parents really truly honestly believe that what had happened was as a result of my father's exposure to agent orange in vietnam and so that's when my parents started pushing and trying to get the word out so i was interviewed for local newspapers and. i would be photographed and our story would be told in newspapers primarily once when i was a teen in the van because it was big news i mean you her a girl with one leg marching in a high school competitive band in a very small town i mean it was news i was born without my my fingers on my left hand and on my right hand. my hands really honestly never really stood in the way for me except for an outward sign to other people that i wasn't the same i use my hands a lot in my artwork i fi

traumatic experiences bring on the anxiety disorder. >> thoughts about the experience, thoughts that you can't get out of your head, nightmares, sleep disruption. >> resefrjers review -- researchers reviewed 24 previous studies. they double the risk of having another heart attack. >> nearly 1.5 million patients suffer heart attacks or other sudden heart conditions over year in the u.s. researchers say that means 168,000 would develop ptsd. >> everyone has bad things happen to them and they experience like symptoms in the first couple of days. it's only those people after months that those symptoms are still around that we can say this is a psychological disorder. >> therapy and medication can help treat the disorder. researchers hope more doctors will be on the look out for ptsd in heart patients. >> other symptoms of ptsd can include avoiding reminders and elevated heart rate and blood pressure. >>> let's update the situation on wall street. stocks are in a steady decline. the market dropped sharply. this is the dow's second worst day of the year. let's go to new york with alex us h