High Blood Pressure In Pregnancy May Curb Child’s IQ

October 4, 2012

Connie K. Ho for redOrbit.com Your Universe Online

Researchers from the American Academy of Neurology recently found that a mothers high blood pressure during pregnancy could impact a childs cognitive skills long into adulthood.

The findings of the study were recently published in the online version of Neurology, the medical journal of the American Academy of Neurology.

High blood pressure and related conditions such as preeclampsia complicate about 10 percent of all pregnancies and can affect a babys environment in the womb, explained the studys author Katri Riknen, a professor at the University of Helsinki in Finland.

Our study suggests that even declines in thinking abilities in old age could have originated during the prenatal period when the majority of the development of brain structure and function occurs.

In the study, the researchers examined medical records from the mothers of 398 men who were born between 1934 and 1944. Along with identifying the mothers blood pressure, the scientists tested the mens thinking abilities at age 20 and again at around 69 years of age. They also compiled data on the participants language and math skills as well as visual and spatial relationships.

The team of investigators discovered that the men whose mothers had high blood pressure scored about 4.36 points lower on the tests than the men whose mothers did not have high blood pressure. At both ages 20 and age 69 these men score lower than their counterparts. Their scores also tended to decline more quickly over time than the men whose mothers did not have high blood pressure.

Maternal hypertensive disorders in pregnancy predict lower cognitive ability and greater cognitive decline up to old age, noted the researchers in an article by the Daily Mail. A propensity to lower cognitive ability and decline up to old age may have prenatal origins.

Furthermore, the researchers studied whether premature birth would impact the findings and found that early birth did not affect the score in the same way. Additionally, the fathers occupation did not appear to influence the participants scores, and the scores did not change for participants whose fathers worked as manual laborers or office workers.

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High Blood Pressure In Pregnancy May Curb Child’s IQ

High Blood Pressure Pregnancy Linked to Lower Child IQ, Study Finds

A new study suggests that mothers with high blood pressure during pregnancy might have a detrimental effect on their childs IQ. The research was published this week in the American Academy of Neurologys medical journal, Neurology.

The study found that men whose mothers blood pressure was high during pregnancy scored 4.36 points lower on thinking ability tests at age 69 than men whose mothers did not have high blood pressure. Researchers also found that these men scored lower than others at age 20 and had greater declines in their scores over time. This trend was seen most noticeably for math reasoning skills.

High blood pressure and related conditions such as preeclampsia complicate about 10 percent of all pregnancies and can affect a babys environment in the womb, said Dr. Katri Riknen, lead author of the study and professor of psychology at the University of Helsinki. Our study suggests that even declines in thinking abilities in old age could have originated during the prenatal period when the majority of the development of brain structure and function occurs.

The study looked at the medical records of mothers with high blood pressure during pregnancy for 398 men born between 1934 and 1944. The men were tested on their thinking abilities at age 20 and age 69. The tests included measurements of language skills, math reasoning, and visual and spatial relationships.

Researchers isolated other factors and found that premature birth did not affect the mens thinking abilities. Likewise, whether a mans father was a blue-collar or white-collar worker made no difference in his childs thinking abilities.

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High Blood Pressure Pregnancy Linked to Lower Child IQ, Study Finds

Mayo Clinic uses smartphone images to evaluate stroke patients in remote locations through telemedicine

A new Mayo Clinic study confirms the use of smartphones medical images to evaluate stroke patients in remote locations through telemedicine. The study, the first to test the effectiveness of smartphone teleradiology applications in a real-world telestroke network, was recently published in Stroke, a journal of the American Heart Association.

Bart Demaerschalk, M.D., neurologist and medical director of Mayo Clinic Telestroke, shows us how the smartphone technology works:

Posted at Clinical Cases and Images. Stay updated and subscribe, follow us on Twitter and connect on Facebook.


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Mom's high blood pressure in pregnancy could affect child's IQ into old age

ScienceDaily (Oct. 3, 2012) New research suggests that a mother's high blood pressure during pregnancy may have an effect on her child's thinking skills all the way into old age. The study is published in the October 3, 2012, online issue of Neurology, the medical journal of the American Academy of Neurology.

"High blood pressure and related conditions such as preeclampsia complicate about 10 percent of all pregnancies and can affect a baby's environment in the womb," said study author Katri Riknen, PhD, with the University of Helsinki in Finland. "Our study suggests that even declines in thinking abilities in old age could have originated during the prenatal period when the majority of the development of brain structure and function occurs."

Researchers looked at medical records for the mother's blood pressure in pregnancy for 398 men who were born between 1934 and 1944. The men's thinking abilities were tested at age 20 and then again at an average age of 69. Tests measured language skills, math reasoning and visual and spatial relationships.

The study found that men whose mothers had high blood pressure while pregnant scored 4.36 points lower on thinking ability tests at age 69 compared to men whose mothers did not have high blood pressure. The group also scored lower at the age of 20 and had a greater decline in their scores over the decades than those whose mothers did not have problems with blood pressure. The finding was strongest for math-related reasoning.

The researchers also looked at whether premature birth affected these findings and found no change. Whether the baby's father was a manual laborer or an office worker also did not change the results.

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Mom's high blood pressure in pregnancy could affect child's IQ into old age

Research and Markets: Neurobiology of Psychiatric Disorders, Vol 106. Handbook of Clinical Neurology (Series Editors …

DUBLIN--(BUSINESS WIRE)--

Research and Markets (http://www.researchandmarkets.com/research/9f9zgp/neurobiology_of) has announced the addition of Elsevier Science and Technology's new book "Neurobiology of Psychiatric Disorders, Vol 106. Handbook of Clinical Neurology (Series Editors: Aminoff, Boller and Swaab). Vol. 106" to their offering.

This new volume in the Handbook of Clinical Neurology presents a comprehensive review of the fundamental science and clinical treatment of psychiatric disorders.

Advances in neuroscience have allowed for dramatic advances in the understanding of psychiatric disorders and treatment. Brain disorders, such as depression and schizophrenia, are the leading cause of disability worldwide. It is estimated that over 25% of the adult population in North America are diagnosed yearly with at least one mental disorder and similar results hold for Europe. Now that neurology and psychiatry agree that all mental disorders are in fact, "brain diseases," this volume provides a foundational introduction to the science defining these disorders and details best practices for psychiatric treatment.

- Provides a comprehensive review of the scientific foundations of psychiatric disorders and psychiatric treatment

- Includes detailed results from genetics, molecular biology, brain imaging, and neuropathological, immunological, epidemiological, metabolic, therapeutic and historical aspects of the major psychiatric disorders

- A "must have" reference and resource for neuroscientists, neurologists, psychiatrists, and clinical psychologists as well as all research scientists investigating disorders of the brain

For more information visit http://www.researchandmarkets.com/research/9f9zgp/neurobiology_of

Source: Elsevier Science and Technology

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Research and Markets: Neurobiology of Psychiatric Disorders, Vol 106. Handbook of Clinical Neurology (Series Editors ...

Improved Stroke Care with Aquilion ONE Presented at ASHNR

TUSTIN, Calif.--(BUSINESS WIRE)--

Dr. Ken Snyder, Assistant Professor of Neurosurgery, Radiology and Neurology at State University of NewYork at Buffalo, will discuss how his institution used the AquilionTM ONE from Toshiba America Medical Systems, Inc. to diagnose stroke during a Lunch & Learn Symposium titled Acute Stroke Triage Using Whole Brain CT Perfusion. The presentation will take place Thursday, October 4, at noon ET, at the American Society of Head and Neck Radiologys (ASHNR) annual meeting, October 3 7, in Miami Beach, Fla.

Aquilion ONE acquires whole brain perfusion images, showing dynamic blood flow for better visualization and more accurate diagnoses, said Satrajit Mistra, senior director, CT Business Unit, Toshiba. The systems fast acquisition and whole-brain coverage enable clinicians to develop treatment plans quickly, which is critical in stroke situations.

About Toshiba America Medical Systems, Inc.

With headquarters in Tustin, Calif., Toshiba America Medical Systems (TAMS) markets, sells, distributes and services radiology and cardiovascular systems, including CT, MR, ultrasound, x-ray and vascular equipment, and coordinates clinical diagnostic imaging research for all modalities in the United States. For more information, visit the TAMS website at http://www.medical.toshiba.com.

About Toshiba Medical Systems Corporation

Toshiba Medical Systems Corporation is a leading worldwide provider of medical diagnostic imaging systems and comprehensive medical solutions, such as CT, X-ray and vascular, ultrasound, nuclear medicine and MRI systems, as well as information systems for medical institutions. Toshiba Medical Systems Corporation has been providing medical products for over 80 years. Toshiba Medical Systems Corporation is a wholly owned subsidiary of Toshiba.

About Toshiba

Toshiba is a world-leading diversified manufacturer, solutions provider and marketer of advanced electronic and electrical products and systems. Toshiba Group brings innovation and imagination to a wide range of businesses: digital products, including LCD TVs, notebook PCs, retail solutions and MFPs; electronic devices, including semiconductors, storage products and materials; industrial and social infrastructure systems, including power generation systems, smart community solutions, medical systems and escalators & elevators; and home appliances.

Toshiba was founded in 1875, and today operates a global network of more than 550 consolidated companies, with 202,000 employees worldwide and annual sales surpassing 6.1 trillion yen (US$74 billion). Visit Toshiba's web site at http://www.toshiba.co.jp/index.htm.

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Improved Stroke Care with Aquilion ONE Presented at ASHNR

Vitamin D deficiency increases risk in MS and the elderly: Study

Low levels of vitamin D could be responsible for more severe multiple sclerosis symptoms and an increased risk of death in the elderly, according to the findings of two new studies.

The new studies look into how low levels of vitamin D often referred to as the sunshine vitamin affect health and risk factors for disease.

Published in the Annals of Neurology and the Journal of Clinical Endocrinology and Metabolism(JCEM) the research papers suggest that battling deficiencies in elderly populations and people with multiple sclerosis (MS) could help to improve health and quality of life.

MS hope

In the first study, published in Annals of Neurology, researchers from Johns Hopkins University, USA, reveal that low blood levels of vitamin D are associated with an increased number of brain lesions and signs of a more active disease state in people with MS.

However the team, led by Dr Ellen Mowry, caution that more research is needed before across the board mega-doses of vitamin D are recommended for MS patients

"Even though lower levels of vitamin D are associated with more inflammation and lesions in the brain, there is no evidence that taking vitamin D supplements will prevent those symptoms," she says."If we are able to prove that through our currently-enrolling trial, it will change the way people with multiple sclerosis are treated."

The full study can be found by clicking here .

Elderly risk

The second study, published in JCEM, suggests that low levels of the sunshine vitamin in combination with high levels of parathyroid hormone are associated with increased mortality in African American and Caucasian older adults.

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Vitamin D deficiency increases risk in MS and the elderly: Study

Mom's high blood pressure in pregnancy could affect child's IQ in old age

Public release date: 3-Oct-2012 [ | E-mail | Share ]

Contact: Rachel Seroka rseroka@aan.com 612-928-6129 American Academy of Neurology

MINNEAPOLIS New research suggests that a mother's high blood pressure during pregnancy may have an effect on her child's thinking skills all the way into old age. The study is published in the October 3, 2012, online issue of Neurology, the medical journal of the American Academy of Neurology.

"High blood pressure and related conditions such as preeclampsia complicate about 10 percent of all pregnancies and can affect a baby's environment in the womb," said study author Katri Riknen, PhD, with the University of Helsinki in Finland. "Our study suggests that even declines in thinking abilities in old age could have originated during the prenatal period when the majority of the development of brain structure and function occurs."

Researchers looked at medical records for the mother's blood pressure in pregnancy for 398 men who were born between 1934 and 1944. The men's thinking abilities were tested at age 20 and then again at an average age of 69. Tests measured language skills, math reasoning and visual and spatial relationships.

The study found that men whose mothers had high blood pressure while pregnant scored 4.36 points lower on thinking ability tests at age 69 compared to men whose mothers did not have high blood pressure. The group also scored lower at the age of 20 and had a greater decline in their scores over the decades than those whose mothers did not have problems with blood pressure. The finding was strongest for math-related reasoning.

The researchers also looked at whether premature birth affected these findings and found no change. Whether the baby's father was a manual laborer or an office worker also did not change the results.

###

The study was supported by the Academy of Finland, European Science Foundation, University of Helsinki, the British Heart Foundation, the Finnish Foundation of Cardiovascular Research, the Finnish Diabetes Research Foundation, the Finnish Medical Society, Gulf Lkaresllskapet, the National Doctoral Program of Psychology, the Pivikki and Sakari Sohlberg Foundation, the Juho Vainio Foundation, the Yrj Jahnsson Foundation, the Signe and Ane Gyllenberg Foundation, the Jalmari and Rauha Ahokas Foundation, the Emil Aaltonen Foundation, the Finnish Ministry of Education and the Finnish Foundation for Pediatric Research.

To learn more about cognition, visit http://www.aan.com/patients.

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Mom's high blood pressure in pregnancy could affect child's IQ in old age

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Infertility treatments may significantly increase multiple sclerosis activity

Public release date: 3-Oct-2012 [ | E-mail | Share ]

Contact: Dawn Peters sciencenewsroom@wiley.com 781-388-8408 Wiley

Researchers in Argentina report that women with multiple sclerosis (MS) who undergo assisted reproduction technology (ART) infertility treatment are at risk for increased disease activity. Study findings published in Annals of Neurology, a journal of the American Neurological Association and Child Neurology Society, suggest reproductive hormones contribute to regulation of immune responses in autoimmune diseases such as MS.

According to a 2006 report from the World Health Organization (WHO), MS affects 2.5 million individuals worldwide and is more common among women than men. While previous research found that up to 20% of couples in Western countries experience infertility, women with MS typically do not have diminished fertility except in those treated with cyclophosphamide or high-dose corticosteroids. Medical evidence shows sex hormones and those involved in ovulation (gonadotrophin-releasing hormone (GnRH)) play an important role in the development of autoimmune disorders.

"When MS and infertility coincide, patients seek ART to achieve pregnancy," explains Dr. Jorge Correale with the Ral Carrea Institute for Neurological Research in Buenos Aires. "Given the role of some reproductive hormones in autoimmune diseases, those with MS receiving infertility treatments are at particular risk of exacerbating their disease."

To further understand the impact of infertility treatment on MS disease activity, researchers analyzed clinical, radiological, and immune response data in 16 MS patients who were subject to 26 ART cycles. The team recruited 15 healthy volunteers and 15 MS patients in remission not receiving ART to serve as controls.

Results show that 75% of MS patients experienced disease exacerbation following infertility treatment. MS relapses were reported in 58% of the cycles during the three month period following ART treatment. Furthermore, ART was associated with a seven-fold increase in risk of MS exacerbation and a nine-fold increase of greater MS disease activity on magnetic resonance imaging (MRI). The authors noted that 73% of exacerbations were new symptoms and 27% were attributed to a worsening of pre-existing symptoms.

Worsening was associated with three different mechanisms: 1) increase in the production of certain pro-inflammatory molecules known as cytokines (IL-8, IL-12, IFN-, and TGF- by CD4+ T a GnRH-mediated effect); 2) increase in the production of antibodies against de myelin protein MOG, as well as B cell survival factor BAFF and antiapoptotic molecule Bcl-2 levels from purified B cells, these effects were a consequences of the rise of 17- estradiol production induced by ART; and 3) authors demonstrated using an in vitro model of the blood-brain-barrier that ART facilitated the penetration of deleterious peripheral blood cells into the central nervous system, an effect mediated by the induction of the molecules IL-8, VEGF and CXCL-12.

"Our findings indicate a significant increase in MS disease activity following infertility treatment," concludes Dr. Correale. "Neurologists should be aware of possible disease exacerbation so they may discuss the benefits and risks of ART with MS patients."

###

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Infertility treatments may significantly increase multiple sclerosis activity

Mainz University Medical Center searches for treatment for posttraumatic pain syndrome

02.10.2012 - (idw) Universittsmedizin der Johannes Gutenberg-Universitt Mainz

German Research Foundation funds a three-year joint project of the Mainz University Medical Center and the University of Mnster to the tune of about EUR 460,000

The work group "Pain Autonomic Nervous System" headed by Professor Dr. Frank Birklein of the Department of Neurology at the Mainz University Medical Center and the collaborating research team of bioanalyst Professor Dr. Simone Knig of the University of Mnster have been granted funding of approximately EUR 460,000 by the German Research Foundation (DFG) to conduct research into the complex regional pain syndrome (CRPS). This syndrome is a posttraumatic pain disorder that some 5 percent of patients develop after an injury, such as a bone fracture. These patients exhibit exacerbated inflammatory reactions in the affected limbs, the symptoms of which include hyperthermia, edema, excessive sweating, and pain on movement. The aim of this three-year joint research project is to study the inflammatory processes in the tissue and thus develop a rapid, targeted, and individually tailored treatment for CRPS.

If, several weeks after suffering an injury or an accident or undergoing surgery to arms or legs, the patient continues to have severe and persistent pain coupled with vegetative symptoms in the affected extremities for which there is no apparent cause, it is often the case that this individual is suffering from what is known as the complex regional pain syndrome (CPRS, also called Sudeck's atrophy). In such cases, the pain does not subside as expected after a relatively minor injury such as bruising or a sprained ankle or following surgery. Instead, the pain becomes more severe and other symptoms develop, such as swelling, temperature changes of the skin, increased hair and nail growth, and restriction of movement and functions. If there are nerves that were damaged by the original injury, the condition is called complex regional pain syndrome type II (CRPS II). It is estimated that about 5,000 to 10,000 patients in Germany are affected annually, among them significantly more women than men. Most patients are in the age range of 40 to 60 years. The mechanisms underlying this disorder are still not understood so treatment is fairly non-specific. The diagnosis can often only be made by the process of elimination. On the other hand, if CRPS is detected at an early stage it can be cured. The earlier treatment begins, the better the chances of recovery. The illness is currently treated by a multimodal treatment approach, which usually involves a combination of drug treatment, physiotherapy, and psychotherapy. During the research project, the researchers at the Medical Center of Johannes Gutenberg University Mainz will be studying how and why the inflammatory processes occur in the tissue in CRPS and in particular why they do not disappear when the wound has physically healed. The researchers of Birklein's work group in the Department of Neurology at the Mainz University Medical Center along with their national and international cooperation partners around the world have published most of the medical articles on the topic of CRPS so far and have already made important progress towards describing and detecting the inflammation associated with CRPS. "If we want to be able to develop targeted individual treatments, we first need to find the answer to the question of 'Why?'. We hope that we will obtain the necessary information in this research project," said Professor Dr. Frank Birklein.

Press Office Barbara Reinke Press and Public Relations University Medical Center of Johannes Gutenberg University Mainz Langenbeckstr. 1 D 55131 Mainz, GERMANY phone +49 6131 17-7428 fax +49 6131 17-3496 e-mail: pr@unimedizin-mainz.de http://www.unimedizin-mainz.de

About the University Medical Center of Johannes Gutenberg University Mainz The University Medical Center of Johannes Gutenberg University Mainz is the only facility of its kind in Rhineland-Palatinate. It consists of more than 60 clinics, institutes, and departments. Research and teaching are inextricably linked with medical treatment. Approximately 3,500 students of medicine and dentistry are trained in Mainz on a continuous basis. More information can be found at http://www.unimedizin-mainz.de/index.php?L=1 function fbs_click() {u=location.href;t=document.title;window.open('http://www.facebook.com/sharer.php?u='+encodeURIComponent(u)+'&t='+encodeURIComponent(t),'sharer','toolbar=0,status=0,width=626,height=436');return false;} html .fb_share_link { padding:2px 0 0 20px; height:16px; background:url(http://static.ak.facebook.com/images/share/facebook_share_icon.gif?6:26981) no-repeat top left; } Share on Facebook

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Robots let Ariz. Mayo Clinic doctors care remotely

TUCSON -- Starting in October, Phoenix-based neurology specialist Dr. Bart Demaerschalk will be able to roam the halls of Casa Grande Regional Medical Center, look into the eyes of stroke patients, diagnose conditions and consult with colleagues.

And he'll do it all from Phoenix using a joystick-like tool while looking at his computer monitor. His patients will be looking right back at him.

"I use a joystick device," he said. "It's much like a video game. It allows me to drive the robot in another environment."

Demaerschalk is medical director of the Mayo Clinic's telestroke system, which consists of a mobile robot doctors can control, adjust and speak through. ER doctors in Casa Grande will be able to contact the Mayo Clinic staff on a telestroke hotline.

The hospital, at 1800 E. Florence Blvd., in Casa Grande, is 43 miles from Marana.

Using telestroke, doctors can travel with other members of the health-care team throughout the hospital, moving from room to room and through elevators.

The Mayo Clinic developed the technology to care for stroke patients in rural settings. Demaerschalk said stroke neurologists and doctors working at the remote sites have used telestroke together to diagnose strokes with 96 percent accuracy in 1,000 cases.

The Casa Grande hospital is one of 11 in the network. The Mayo Clinic started the program in 2005.

The technology is already in hospitals in Bisbee, Cottonwood, Flagstaff, Globe, Kingman, Parker, Phoenix, Show Low, Yuma and Phoenix, as well as St. Joseph, Mo.

In addition to seeing patients himself, Demaerschalk and six other doctors in a rotation will have access to patients' brain scans to look for damage from blocked arteries or hemorrhages.

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Robots let Ariz. Mayo Clinic doctors care remotely

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Robots to help stroke patients

Starting in October, Phoenix-based neurology specialist Dr. Bart Demaerschalk will be able to roam the halls of Casa Grande Regional Medical Center, look into the eyes of stroke patients, diagnose conditions and consult with colleagues.

And he'll do it all from Phoenix using a joysticklike tool while looking at his computer monitor. His patients will be looking right back at him.

"I use a joystick device," he said. "It's much like a video game. It allows me to drive the robot in another environment."

Demaerschalk is medical director of the Mayo Clinic's telestroke system, which consists of a mobile robot doctors can control, adjust and speak through. ER doctors in Casa Grande will be able to contact the Mayo Clinic staff on a telestroke hotline.

The hospital, at 1800 E. Florence Blvd., in Casa Grande, is 43 miles from Marana.

Using telestroke, doctors can travel with other members of the health-care team throughout the hospital, moving from room to room and through elevators.

The Mayo Clinic developed the technology to care for stroke patients in rural settings. Demaerschalk said stroke neurologists and doctors working at the remote sites have used telestroke together to diagnose strokes with 96 percent accuracy in 1,000 cases.

The Casa Grande hospital is one of 11 in the network. The Mayo Clinic started the program in 2005.

The technology is already in hospitals in Bisbee, Cottonwood, Flagstaff, Globe, Kingman, Parker, Phoenix, Show Low, Yuma and Phoenix, as well as St. Joseph, Mo.

In addition to seeing patients himself, Demaerschalk and six other doctors in a rotation will have access to patients' brain scans to look for damage from blocked arteries or hemorrhages.

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Robots to help stroke patients

20% Showers

The University of Arkansas for Medical Sciences (UAMS) Department of Pediatrics and Arkansas Children's Hospital (ACH) announced today the opening of the Centers for Children in Jonesboro, which is initially offering neurology and cardiology clinics. Additional services will follow.

Northeast Arkansas families whose children are seen by these subspecialties will have the benefit of comprehensive care in a comfortable setting right in northeast Arkansas. Those who have had to travel to larger cities like Little Rock or Memphis will be able to avoid longer drives for basic specialty appointments. The new UAMS/ACH Centers for Children location at 520 Carson Street in Jonesboro is already allowing families to seek more comprehensive care closer to home for disorders ranging from extreme headaches and seizures to autism.

The centers' opening marks an expansion of regional services offered by a unique UAMS and ACH collaborative. The first Centers for Children location in Lowell opened in 2007 and quickly grew to include multiple subspecialty services and a primary care clinic. UAMS and ACH are also partners in two dozen individual subspecialty clinics throughout Arkansas.

"We want families to have excellent care available to their children as close to their front doors as possible," said ACH President and CEO Jonathan Bates, MD. "Through the Centers for Children, ACH and UAMS are delivering these specialized services in more familiar environments, which means better outcomes and happier, healthier children."

The collaboration between UAMS and ACH results in a strengthened coordinated system of care for children across the state.

"It's all about the kids," said College of Medicine Dean Debra H. Fiser, MD. "The overriding goal of the UAMS Department of Pediatrics and Arkansas Children's Hospital has always been to improve the health and welfare of children in Arkansas. The Centers for Children in Jonesboro will help us to enhance the health and health care of children in Northeast Arkansas for generations to come." Familiar faces are also a part of the Centers for Children experience. Northeast Arkansas families have turned to Stephen Bates, MD, for their children's neurology care for several years. He is now seeing patients as part of the UAMS/ACH Centers for Children in Jonesboro. Patients of the Neurology Clinic at the UAMS/ACH Centers for Children in Jonesboro will also be able to undergo EEGs on site that will be read by Dr. Stephen Bates, who is a professor in the UAMS Department of Pediatrics.

In October, the centers will also add a monthly Cardiology Clinic, where children with congenital heart defects will be evaluated and treated. This clinic will be moving from its existing location at The Children's Clinic in Jonesboro.

The institutions expect there will be between 1,500 and 2,000 visits to the neurology and cardiology clinics in the first year at the Centers for Children in Jonesboro. UAMS and ACH plan to offer additional clinics at the Jonesboro campus in the coming months, as well. These additional clinics will be based on volume and feedback from the referring physicians in the region.

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20% Showers

Patients in Casa Grande to be remotely examined

Starting in October, Phoenix-based neurology specialist Dr. Bart Demaerschalk will be able to roam the halls of Casa Grande Regional Medical Center, look into the eyes of stroke patients, diagnose conditions and consult with colleagues.

And he'll do it all from Phoenix using a joysticklike tool while looking at his computer monitor. His patients will be looking right back at him.

"It's much like a video game," he said. "It allows me to drive the robot in another environment."

Demaerschalk is medical director of the Mayo Clinic's telestroke system, which consists of a mobile robot doctors can control, adjust and speak through. ER doctors in Casa Grande will be able to contact the Mayo Clinic staff on a telestroke hotline.

The hospital, at 1800 E. Florence Blvd., in Casa Grande, is 43 miles from Marana. It also serves western Pinal County.

Using telestroke, doctors can travel with other members of the health-care team throughout the hospital, moving from room to room and through elevators.

The Mayo Clinic developed the technology to care for stroke patients in rural settings. Demaerschalk said stroke neurologists and doctors working at the remote sites have used telestroke together to diagnose strokes with 96 percent accuracy in 1,000 cases.

The Casa Grande hospital is one of 11 in the network. The Mayo Clinic started the program in 2005.

The technology is already in hospitals in Bisbee, Cottonwood, Flagstaff, Globe, Kingman, Parker, Phoenix, Show Low, Yuma and Phoenix, as well as St. Joseph, Mo.

In addition to seeing patients himself, Demaerschalk and six other doctors in a rotation will have access to patients' brain scans to look for damage from blocked arteries or hemorrhages.

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Patients in Casa Grande to be remotely examined