October, November, December 2012

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MINDMATTERS
October, November, December 2012
UPCOMING MEETINGS AND EVENTS
All meetings are held on the fourth Wednesday of each month from 6:00 – 8:00 p.m. at Easter Seal Rehabilitation Center
2203 Babcock Road, San Antonio, TX 78229 Unless otherwise noted
“Improving the Quality of Life for
Survivors of Brain Injury and their
Families”
Inside this issue: October 24 6:00 PM to 8:00 PM Easter Seal Rehabilitation Center
Its Halloween Party Time! Join us for an evening of fall festival fun. Activities will include a costume contest and, everyone's favorite, the Cake Walk! A light meal of sandwiches and corndogs will be served. Family and friends are welcome. So conjure up a costume, bring a cake for the cake walk, and join us for a "ghostly" good time. Book Review
2
Stress & Depression
3
We want you to know... 4-5
An App for That!
Brain HQ Brain Training 6
Veteran Care Givers
November 28 6:00PM to 8:00 PM Easter Seal Rehabilitation Center
5
7
Organize Paper Clutter! 8-9
Family Members: Dr. Jonhenry "Jon" Grizzle, Clinical Psychologist from Brooke Army Medical Center will be facilitating a discussion for family members. Budget Holidays with Kids 9-10
Survivors: “Eat a Turkey, Don't Be One: a Survivor's Guide to Surviving the Holidays” December 2 2:00PM to 5:00 PM Easter Seal Rehabilitation Center Christmas Potluck Dinner It's time again for a visit from that jolly old fellow, St. Nicholas. Come out and join us for a potluck dinner and photos with Santa and Mrs. Claus. AHIA will be providing the ham and turkey, while guests can participate by bringing their favorite side dish or dessert. December 14 6:00PM to 7:30 PM Luby’s Diner Survivors’ Christmas Dinner Call Evelyn Tattini at to make your reservations today! See our website for more details: www.alamoheadinjury.org. Please note that the meetings and programs of the Alamo Head Injury Association
(AHIA) are open to members, non members, guests, visitors and anyone desiring to
provide or receive information and/or support.
In our monthly meetings, we
strive to provide speakers
and programs that are informative and will benefit our
members and survivors in
some way.
However, if you have come
to our meeting seeking
personal support or guidance and would prefer to
speak with someone one on
one, please let us know.
There will always be someone available to talk with
you.
MINDMATTERS
Looking for a Good Book to Read?
WOULD YOU LIKE
TO SHARE YOUR
STORY?
If any survivor or family member would like to share their own personal story about the life changing experience of living with brain injury, please send it to the AHIA at : 2203 Babcock, San Antonio, TX or email it to: Lost and Found: A survivor's guide for
reconstructing life after brain injury by
Barbara Webster
Coping with life after brain injury is not easy. This practical and user friendly
workbook and guide for survivors and their families is packed with everyday
strategies, tips and accommodations to address the cognitive challenges of daily
life.
Based on the author's experience as a survivor and as a facilitator of hundreds of
support groups, she presents a philosophy and approach for overcoming challenges, envisioning goals, and continuing their healing process.
It is a collection of “brain injury survivor wisdom” that users will be able to apply
each day, no matter where they are in their journey of recovery. The workbook
comes with a CD to print all forms and worksheet tools.
etattini@alamoheadyinjury.c
om
We would love to print it in a future newsletter, if space allows! A Special Thank You!
AHIA wishes to send out a special thanks to Michelle Reyes for her generous
donation to Alamo Head Injury Association.
Michelle’s son, Matthew Shelton, sustained a severe brain injury while riding a
motorcycle. Unfortunately, Matthew was riding without a helmet. Subsequently,
Michelle formed Wear A Helmet for You Mom in her son’s name.
The organization, founded just last Spring, has the following mission:
“To decrease the incidence of traumatic brain injury [TBI] by getting people to wear their helmets on bicycles, skates, skateboards, & motorcycles
~ every single time. If not for yourself... then do it for your mom. or your
dad. your wife. your child. Do it for someone you love because if you
don't... their life changes forever too.”
Wear a Helmet for Your Mom can be found on Facebook at
www.facebook.com/ForYourMom.
Michelle has organized and held two fundraising events, donating
proceeds to AHIA for the purpose of purchasing bicycle helmets
for children.
Page 2
October, November, December
Stress, Depression Reduce Brain Volume
Thanks to Genetic ‘Switch’
By Rick Nauert PhD Senior News Editor, reprinted from
PsychCentral.com
Scientists have known that stress and depression can
cause the brain to retract or lose volume, a condition associated with both emotional and cognitive impairment.
Now, a new study discovers why this occurs.
Yale scientists have found that the deactivation of a single genetic switch can instigate a cascading loss of brain
connections in humans and depression in animal models.
Researchers say the genetic switch, known as a transcription factor, represses the expression of several genes that
are necessary for the formation of synaptic connections
between brain cells. The loss of connections, in turn, can
contribute to loss of brain mass in the prefrontal cortex,
say the scientists.
“We wanted to test the idea that stress causes a loss of
brain synapses in humans,” said
senior author Ronald Duman,
Ph.D. “We show that circuits normally involved in emotion, as well as cognition, are disrupted when this single transcription factor is activated.”
In the study, the research team analyzed tissue of depressed and non-depressed patients
donated from a brain bank and looked for
different patterns of gene activation.
The brains of patients who had been depressed exhibited lower levels of expression
in genes that are required for the function and
structure of brain synapses.
Lead author and postdoctoral researcher H.J.
Kang, Ph.D., discovered that at least five of
these genes could be regulated by a single
transcription factor called GATA1.
When the transcription factor was activated in animal models, rodents exhibited depressive-like symptoms,
suggesting GATA1 plays a role not only in the loss of connections between neurons but also in symptoms of
depression.
This finding of genetic variations in GATA1 may help researchers identify people at high risk for major depression or sensitivity to stress.
“We hope that by enhancing synaptic connections, either with novel medications or behavioral therapy, we can
develop more effective antidepressant therapies,” Duman said.
Psych Central depression screening
http://psychcentral.com/depquiz.htm
Page 3
Lost and Found: What Brain Injury
Survivors Want You to Know
Barbara J. Webster, Lash & Associates
(Condensed exerpt from an article on
BrainLine.org)
I need a lot more rest than I used to. I’m not being
lazy. I get physical fatigue as well as a “brain fatigue.” It is very difficult and tiring for my brain to
think, process, and organize. Fatigue makes it even
harder to think.
My stamina fluctuates, even though I may look
good or “all better” on the outside. Cognition is a
fragile function for a brain injury survivor. Some
days are better than others. Pushing too hard usually
leads to setbacks, sometimes to illness.
“Please don’t be
condescending or talk to
me like I am a child.”
Brain injury rehabilitation takes a very long time; it
is usually measured in years. It continues long after
formal rehabilitation has ended. Please resist expecting me to be who I was, even though I look better.
I am not being difficult if I resist social situations.
Crowds, confusion, and loud sounds quickly overload
my brain, it doesn’t filter sounds as well as it used to.
If there is more than one person talking, I may
seem uninterested in the conversation. That is because I have trouble following all the different
“lines” of discussion. It is exhausting to keep trying
to piece it all together. I’m not dumb or rude; my
brain is getting overloaded!
Page 4
Try to notice the circumstances if a behavior problem
arises. “Behavior problems” are often an indication of my
inability to cope with a specific situation and not a mental
health issue. I may be frustrated, in pain, overtired or there
may be too much confusion or noise for my brain to filter.
Patience is the best gift you can give me. It allows me to
work deliberately and at my own pace, allowing me to rebuild pathways in my brain. Rushing and multi-tasking inhibit cognition.
Please listen to me with patience. Try not to interrupt.
Allow me to find my words and follow my thoughts. It will
help me rebuild my language skills.
Please have patience with my memory. Know that not
remembering does not mean that I don’t care.
Please don’t be condescending or talk to me like I am a
child. I’m not stupid, my brain is injured and it doesn’t
work as well as it used to. Try to think of me as if my brain
were in a cast.
If I seem “rigid,” needing to do tasks the same way all the
time; it is because I am retraining my brain. It’s like learning main roads before you can learn the shortcuts. Repeating tasks in the same sequence is a rehabilitation strategy.
If I seem “stuck,” my brain may be stuck in the processing
of information. Coaching me, suggesting other options or
asking what you can do to help may help me figure it out.
Taking over and doing it for me will not be constructive
and it will make me feel inadequate. (It may also be an indication that I need to take a break.)
You may not be able to help me do something if helping
requires me to frequently interrupt what I am doing to give
you directives. I work best on my own, one step at a time
and at my own pace.
October, November, December
If I repeat actions, like checking to see if the doors are locked or the stove
is turned off, it may seem like I have OCD — obsessive-compulsive disorder
— but I may not. It may be that I am having trouble registering what I am
doing in my brain. Repetitions enhance memory. (It can also be a cue that I
need to stop and rest.)
If I seem sensitive, it could be emotional lability as a result of the injury or it
may be a reflection of the extraordinary effort it takes to do things now.
Tasks that used to feel “automatic” and take minimal effort, now take much
longer, require the implementation of numerous strategies and are huge accomplishments for me.
We need cheerleaders now, as we start over, just like children do when they
are growing up. Please help me and encourage all efforts. Please don’t be
negative or critical. I am doing the best I can.
Don’t confuse Hope for Denial. We are learning more and more about the
amazing brain and there are remarkable stories about healing in the news
every day. No one can know for certain what our potential is. We need Hope
to be able to employ the many, many coping mechanisms, accommodations
and strategies needed to navigate our new lives. Everything single thing in
our lives is extraordinarily difficult for us now. It would be easy to give up
without Hope.
Created with the assistance of the "Amazing" Brain Injury Survivor Support
Group of Framingham, MA.
New Members
Please Welcome: [Your Name Here] Don’t wait—become a member of AHIA TODAY! Donations
AHIA would like to thank
Christi Moorman for her
generous and thoughtful
donation.
There’s an App for That!
Stressed? Balance your life and experience a relaxed meditative
state to relieve your daily stresses and tensions. Pranayama's simple and intuitive guide to deep breathing features a progressive
course based on the principles of yoga, to help you find balance and stress relief.
Combining the power of breath with technology, Pranayama is an easy way of
improving your health and reducing stress, using music and animated visuals
to guide you to slower deeper breathing. Even practicing slow breathing for
only 15 minutes a day can reduce stress. Practicing slow breathing is not as
easy as it seems. Pranayama guides you with the following features:
- It does counting for you so that you can focus on awareness and technique.
- Music cues that use distinct tones for each phase of breathing.
-A structured course that gradually reduces your breathing rate as you progress
through the sessions.
-Customizable sessions
Thanks also go out to
Michelle Reyes for her
generous donation to
Alamo Head Injury
Association. This is the
second time that Michelle
has chosen to honor the
Association with
donations.
Page 5
MINDMATTERS
What’s it Like to Use Brain HQ?
50 years ago, going to the gym wasn't something the average person did. Now, it
seems, everyone has a gym membership, or finds another way to exercise regularly.
That’s because a revolution took place in the 1980s and 1990s: we all learned how
important physical exercise was for our overall health and well-being.
Brain fitness is the next step in that revolution. Just as you can exercise your abs,
delts, and quads, you can exercise your memory, attention, and more. As with physical exercise, brain exercise can help you improve your performance, feel your best,
and even live longer.
When it comes to brain fitness training, BrainHQ is best in class. Built by a team of
top neuroscientists, with exercises proven in dozens of published studies to make real
and lasting improvements in brain function, BrainHQ is your personal brain gym. To learn more about
how it works, what makes it right for you, and how other people have benefitted from its exercises, visit
the brainHQ website (www.positscience.com/brainHQ) explore the topics below.
Memory Exercises
Memories are made up of what you sense. When
memory fails, it’s not because you forgot how to
remember—it’s because your brain isn’t processing
information very clearly. Our Memory exercises
sharpen the brain’s ability to record what you see
and hear so that you can create a crystal-clear
memory that’s easy to recall. Examples include:
Memory Grid
To-Do List Training
Syllable Stacks
Brain Speed Exercises
When it comes to brain speed, every millisecond
counts. How quickly your brain can process events
around you determines how effectively you can react to
and remember those events. Find out how our Brain
Speed exercises can have you operating at top speed.
Click an exercise below to learn about it.
Eye for Detail
Fine Tuning
Peripheral Challenge
Sound Sweeps
Visual Sweeps
Attention Exercises
Does it drive you crazy when you can’t remember
where you put your keys? You probably weren’t
paying much attention when you set them down.
Each of our Attention exercises helps retrain the
brain to focus its attention, so you feel more aware
and less distracted. Click an exercise below to learn
about it.
Divided Attention
Double Decision
Mixed Signals
Target Tracker

Page 6
People Skills Exercises
It can be hard to remember names and faces, to participate in conversations in loud places, to read people’s
emotions effectively. But all these types of skills are
real benefits when dealing with others—whether you’re
at a party or meeting new clients. Try our People Skills
exercises to increase your chances of success.
Face to Face
In the Know
Recognition
October, November, December
A Message from:
Despite the enormous effort to provide articles, webinars, PSA's, and more on the Invisible Injuries of PTSD and
TBI, it seems that there are still too many families (and medical staff) that feel many of the symptoms are "in your
head". There are two very good TBI blog posts by the Defense Centers of Excellence for Traumatic Brain Injury that
may resonate with you and your warrior or veteran.
The first addresses Neuroendocrine Dysfunction in TBI (http://www.dcoe.health.mil/blog/article.aspx?
id=1&postid=402) and the second, older one discusses what the families may experience and how to best identify the
problem and support your warrior (http://www.dcoe.health.mil/blog/article.aspx?id=1&postid=359).
Undiagnosed TBI can lead to devastating outcomes for relationships. Many families talk about the "lack of verbal
filters", the short-term memory loss, mood swings, paranoia, and the agitation that TBI may present. And, if you or your
veteran is unfortunate enough to not receive care for your TBI because the doctors say "you look fine; just adapt", you
may need to persist and document the symptoms to obtain care. Be alert to support those fighting to make sense of their
lives when they suddenly can't keep it together, but don't understand what their list of symptoms may mean.
The military is taking notice and working diligently to identify and treat TBI beginning in-country. A new blast exposure
technical tool is in use for measuring blast exposure and potential injuries. Protocols exist for first, second, and subsequent concussive events. But, the families must be aware to bring specific behaviors to the attention of the warrior or
veteran, as symptoms can manifest long after the last event.
Consider the increased suicide risk without diagnosis and treatment of even mild TBI in this third article: (http://
www.traumaticbraininjury.net/diagnosis-of-traumatic-brain-injury-key-to-preventing-military-suicide/). Traumatic
Brain Injury is serious, but there are options. Continually learn about new research and treatment alternatives -and do not give up the quest for diagnosis and management.
Linda Kreter and the VeteranCaregiver Team
Linda B. Kreter
Chief Executive Officer
WiseHealth, Inc.
www.VeteranCaregiver.com
Page 7
MINDMATTERS
Get Organized : Tackle the Paper Clutter—
A system that helps [not just] ADHD adults get organized and put an end
Originally published on ADDitudeMag.com
.
by Judith Kolberg
Like many of my clients with attention deficit hyperactivity disorder (ADHD), Sheila can't seem to get organizedand keep up with her clutter at home and at work.
OK, that's putting it mildly; her apartment is one giant in-box, filled with letters, articles, bills, and receipts.
"Here's the thing," says Sheila. "If I clip an interesting magazine article - and they're all interesting to me - or
get a tempting credit card solicitation, it's here to stay. I can't act on it right away, so I put it aside, so that I'll
have it when I figure out what to do with it."
Barbara Hemphill, an ADDer and the author of Taming the Paper Tiger, sums up the problem this way: "The
stacks represent unmade decisions. It's difficult to focus long enough to make a decision about each piece of
paper. And if a document needs to be filed, an ADDer can think of 17 different ways to file it. Then there's the
fact that managing paper is boring. Our minds wander off task."
What's the solution to your paper problem?
Stop treating each piece of paper in your home as
something lifeless. Instead, see each as an action to
take.
Let's say you're digging out from under stacks of
paper. Sort everything into three categories.
"Toss" papers get discarded. "File" papers get
filed. Papers that require more nuanced action go
into your "Action" pile; I'm talking about anything
that necessitates a phone call or an e-mail, that
must be given to someone else, that requires faxing, that requires a signature, that pertains to an
ongoing project, and so on.
Sort quickly, and don't agonize over your decisions. Ask a friend or family member to be your
"body double," working alongside you and mirroring your actions. Or, like Sheila, you can hire
a professional organizer.
Page 8
Recently, I spent four hours helping Sheila sort her papers.
She had no trouble figuring out which papers were Toss, File,
or Action. The only challenge was figuring out what to do
with the papers that wound up in the Action pile. Well, as I
told Sheila, I have a system for that, too. It's called PaperAction-Next Encounter, or PANEC.
Tackling your "Action" pile
The idea of PANEC is to take each piece of paper in the Action pile and write on it the very next action that is needed.
Not the final action, mind you, or all of the actions to take.
Just the next action, described with attention-getting words
and phrases. Move each annotated Action document to a
place you think will prompt you to actually complete the action.
Like most of my clients, Sheila got PANEC right away. On a
page ripped from a catalog, she wrote "Order by June 1." On
a credit card offer, she wrote "Apply or Die." She put both
papers on her desk, because that's where she takes care of
financial activities. Grocery coupons? She taped them to the
October, November, December
refrigerator. She wrote "Give to Bobby." on an article about hybrid
cars, and then stuck it in her son's sneaker (the only place he's sure to
see it). And she taped an application she needs to complete to her bathroom mirror, so she'll see it each morning until it's done.
Sheila takes about 20 Action papers at a time and distributes them
around the house to their Next Encounter locations. She says that
makes the process less monotonous, and helps her dissipate pent-up
energy. You may prefer to do things a bit differently. That's OK, as
long as you stick with the basic idea.
PANEC works for ADDers because it reduces the uncertainty about
what to do with each paper. Everything is either Toss, File, or Action.
Just make sure not to cycle papers endlessly. If you move a document
more than twice, your call-to-action phrase probably isn't specific
enough - or maybe you need more information to decide what action to
take.
Depending on how many papers you have, digging out might take one
morning or several days. Once your paper-handling system is in place,
you can keep paper clutter to a minimum. What sweet relief!
Sort papers as they
come in:

Toss it—have a trashcan
or shredder nearby.

File it—place it in a
folder for future filing.
Better yet, have your
files nearby for quick
and easy filing.

Does it need ACTION?
Fighting Pile-Ups
Once you've discarded the papers you don't need, and filed the papers
you may need in the future, you're left with a stack of papers that calls
for some sort of action.
How do you make sure these documents don't languish for months,
mocking your inaction? Take each document in the stack and write on
it the next action to take. Not the final outcome of taking action, and
not all the actions required to reach that outcome. Just the next action.
Then, place each Action paper in the place that is most likely to get
you to follow through.
Pay thi
s by
Friday!
Ask Carolyn
for help on
this app
p
Lo o k u
s fo r
addres
this
PANEC
1. What is the very NEXT
action required? Not the
final action but the
next—do you need to
read it? Gather some
info? Pay it, if it’s a bill?
2. Write the next action
3. Place it in it’s Next Encounter Location—a
place you will be certain
to see it and take action.
Page 9
MINDMATTERS
Happy Holidays with Kids— On a Budget!
Enjoying the upcoming holiday season with your family doesn’t have
to break the bank! Just check out the following items that San Antonio and the Internet have to offer!
The first Sunday of each month, the San Antonio Museum of Art hosts a FREE
event for children.
Sunday, November 5th, 1:00—5:00
Celebrate Dia de los Muertos with live music, dance performances, poetry readings, and much more. Children and familes are invited to make sugar skulls,
calavera masks, nichos and papel picado in this special family day honoring the
long tradition of Dia de los Muertos.
ZOO BOO
Tuesday, October 30 and Wednesday, October 31, 2012
6:30 p.m. to 9:30 p.m.
Join the Zoo for some “spook”tacularly scary
fun at the 26th Annual Halloween event, ZOO
BOO at YOUR San Antonio Zoo.
Zoo Boo is an exciting, safe, and non-scary
Halloween event for families with children 12
years of age or younger held on the grounds of
the San Antonio Zoo. Guests are encouraged to
wear non-scary costumes.
Activities include trick-or-treating, face painting, entertainment, and games. Children can
participate in the costume contest.
.
Admission
Tickets purchased October 30-31, 2012
Members - $6.00
Non-members - $7.00
Page 10
Celebrating Día de los Muertos, SAY Sí’s 6th Annual Muertitos Fest will feature local artists, folk art exhibits, altars to honor
the deceased, family workshops, food booths, artisan stalls, and
live music and dance performances on November 1-3, 2012.
Muertitos Fest First Friday | November 2, 2012, 6-10 pm
FREE and open to the public.
The festivities continue with Día de los Muertos First Friday celebration. Enjoy the exhibits, altars, live musical and dance performances, festive food and artisan booths.
Muertitos Fest Family Day | Saturday, November 3, 2012, 12-3
pm
FREE and open to the public.
All events take place at:
SAY Si Central
1518 South Alamo
San Antonio, TX 78204
For more information please call 210.212.8666
“Join SACM as we countdown to the New Year at the kid-friendly hour of
12:00, noon. Get ready to rock to the beat of our funky DJ, toast with
sparkling juice, and watch the ball drop as
you flick your flutter-fetti
stick, sending colored confetti everywhere. You won't want to miss this
unique year end event!”
October, November, December
Everyone knows that Lowe's is a great place
to go to for home improvement, building supplies, etc. But did you know they also offer a
FREE kids craft every other Saturday at
10:00. Check out your local Lowe’s, but October features fun crafts such as this “Ghoul
Bus” and the “Creepy Keeper”.
Magik Theater
JUNIE B. JONES IN JINGLE BELLS,
Windcrest Lights up the Night
BATMAN SMELLS
(Nov 14 - Dec 22)
Tuesday – Friday 9:45am & 11:30am, Friday at 7pm & Saturdays at 2pm
Junie B. returns to San Antonio and The
Magik Theatre in this hilarious holiday
tale! Between taking part in the holiday
pageant and picking a Secret Santa gift for
her big rival, Tattletale May, there’s never
a dull moment in the life of the world's
funniest first grader. With Santa watching
her like a hawk, will Junie B. make the
right choice and give May something other
A tradition since the 1950s, San Antonio residents and visitors enjoy viewing the dazzling Christmas lights in the City of Windcrest
annual Light Up. Thousands drive through the Windcrest streets in
awe of the amazing Christmas light displays. A contest is held by
the city to select the most beautifully decorated homes in various
categories prior to their opening ceremony in mid-December. To
find all the best locations, you can print a map from the city's official website. It's not just the homes in Windcrest that participate;
churches, schools and businesses also get involved. The streets of
Windcrest get very crowded with spectators as Christmas approaches, so visit on a weeknight for less traffic. Windcrest is adjacent to the Interstate 35/Loop 410 interchange, just 15 minutes from
downtown San Antonio.
than a lump of coal? Junie B. will steal
your heart—and brighten your spirits—
with her last-minute choice. General Admission is $10 per person
WWW.CRAFT FUN!
These website offer up a whole host of fun
family activities, crafts, printable coloring
pages, and more.
Every Saturday from 11:00 to 3:00, Lakeshore learning offers a FREE, detailed craft
activity for children. Usually, the Saturday
before a holiday, they will provide a holidaythemed craft as well as other activities, such
as face painting.
www.enchantedlearning.com
www.familyfun.com
www.dltk-kids.com – crafts for kids
Page 11
October, November, December
2012 AHIA BOARD OF DIRECTORS
Ann Cameron, President
Lupe Armendariz, Vice-President
Kay Dabney, Recording Secretary
All board meetings will be held
Diana Najara, Treasurer
at:
Dr. Douglas Cooper, Board Member at-large
RIOSA
Robin Hinson & Sam Velazquez:
9119 Cinnamon Hill,
Survivor Representatives
San Antonio, TX 78229
Brain Injury Association of America: Federal Policy Update Improving Access to Mental Health Services for Veterans,
Service Members, and Military Families
On August 31, 2012, the President released an Executive Order to improve access to mental health
services for veterans, service members and their families. BIAA applauds the President for taking action
on this very important issue so that all returning service members, veterans and their families receive
the access to mental health services they deserve.
In Section 5 of the Executive Order, the President requests the establishment of a National Research
Action Plan to better understand the underlying mechanisms of Post Traumatic Stress Disorder (PTSD),
other mental health conditions, and Traumatic Brain Injury (TBI). The National Research Action Plan will
research prevention, diagnosis, and treatment of PTSD, TBI and other mental health conditions. In order
to improve the coordination of agency research into these conditions and reduce the number of affected
men and women through better prevention, diagnosis, and treatment, the Departments of Defense,
Veterans Affairs, Health and Human Services, and Education, in coordination with the Office of Science
and Technology Policy, shall establish the National Research Action Plan within 8 months of the date of
this order.
This order shall be implemented consistent with applicable law and subject to the availability of
appropriations.
Page 12
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