Affordable - Applicable - no side effects - innovative fast recovery solutions - scientific base - Healthcare Innovation global & national award winner - special products suitable from 6 months to elderly

Using "UMACE" screening tool for memory and cognitive screening-

*Those who have "forgetfullness" and cognitive decline, observed by the person or caregiver (Mild to severe condition)

*Those who need to have planned brain surgery for Epilepsy severe condition, otherwise not controllled with medicines and need neuropsychiatric evaluation

*Those who develop memory and cognitive decline and behaviour issues after road accidents/brain surgery/brain diseases and need medical certificate to avail specific support

*UMACE-VIP for visually impaired population all ages for testing cognitive deficit and using the sanme set of tools for neurorehabilitation

*Mental health law advocacy for capacity issues for the disabled and deprived populations under LGBT

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*BrainNext for neurorehabilitation-

*BrainNext for Memory and Cognitive rehabilitation and behaviour correction in 6 months to elderly population

*18 sets and 500+ exercises suitable to all population, applies to global population

*Care giver training provided and patient centered treatment given to achieve miraculous results

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Our Support for following organizations- (Online/offline services) >2 years

*Epilepsy Foundation, Mumbai

*Sancheti Hospital, Pune

*"Memory Clinics" District Civil hospitals, Maharashtra State

*Sanvedana Kendra for disability, Latur

*Peth & Sinnar normal schools and ashram schools 

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*"BrainNext" special program for senior citizen groups , memory clubs and disbility school online concept

*UMACE and BrainNext tools for DRMK Memory Foundation activities for low-income group with special features, for children to elderly disabled, LGBT

*UMACE and BrainNext tools for "ARDSI - Alzheimer's and Related Disorder Society of India Nashik support group" 18+ Alzheimer's and dementia population and thier caregivers with special programs & services

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*Read more about DRMK Memory Foundation and ARDSI Nashik support group links and connect with us on the Facebook pages

*Check our Youtube channel - "Mental Health Aims" for updated information, Case studies & many more....

Universal Memory And Cognitive Exam (UMACE) a diagnostic tool for memory and cognitive impairment

Background

Since 2011, a diagnostic tool, titled UMACE (Universal Memory and Cognitive Exam) has been tested on more than 350 samples comprising normal (literate and illiterate), psychiatric and neurological patients rendering substantial quantitative and qualitative data.

With growing concern regarding an increase in the number of people affected by Alzheimer’s & Dementia in India with alarming10 million + patients by the year 2020. There are an estimated 46.8 million people worldwide living with dementia in 2015 and this number will almost be doubled every 20 years, reaching 74.7 million in 2030 and 131.5 million in 2050. Much of the increase will be in developing countries. Already 58% of people with dementia live in developing countries, but by 2050 this will rise to 68%.

The fastest growth in the elderly population is taking place in China, India, and their south Asian and western Pacific neighbours. (Kounteya Sinha, TNN, 2009, based on global dementia & ageing reports by, WHO, NIH, NIA and ADI, ARDSI).

The research work regarding UMACE was initiated with the help of local psychiatrists and neurologists in 2011. This project concluded in mid-2014 and was accomplished in three phases (Normal population [literate v/s illiterate], Psychiatric population v/s Normal & Neurology population compared between neurology disorder groups). The test was standardized in 2015 with the research award funding from "Capacity Australia", Sydney, Australia and the full paper was published in 2018 on the link below - 

The development of UMACE started in June 2011 when it raised the need for an instrument that could be used to detect cognitive impairments in the illiterate population while developing a technology-based therapy for dementia. The therapy research work was carried out using available MMSE test with a minimal number of participants and the research paper titled: “Cohesion of Cognitive and Technological inference for treating Dementia” was presented in - The Fifth International Congress of the Asian Society Against Dementia, Jointly organized by - Asian Society against Dementia, The Chinese Dementia Research Association, The Hong Kong College of Psychiatrists— Hong Kong, Nov. 2011

*First phase – Development of items with a diagnostic kit with verbal and non-verbal tasks with the statistical assessment for tool validity, comparing UMACE with MMSE with two Normal sample groups (Literate and Illiterate N=78).

The research paper based on these studies was presented in Australia 2012. Title - “Using a Multicultural Model to develop a Universal Diagnostic Tool for Cognitive and Memory Impairments” International Psychogeriatric Association International Meeting, Cairns, Australia, 7-11 September 2012

* Second phase - The UMACE testing was performed for a group of 35 male and female patients with varied psychiatric disorders in private psychiatric clinics using the original UMACE item structure and was compared with MMSE with a group of 35 male and female Normal population (N=70)

* Third phase - In the third phase different neurological disorder groups were administered in a private neurology clinic (total 7 groups- Vertigo, Migraine with and without aura, Epilepsy & Seizure disorder, Stroke, Parkinson, Brain diseases, Other neurological disorders) for 205 neurological disorder patients. This study excluded the patients previously diagnosed with Alzheimer’s & Dementia.

The additional test assessment functions are added in the third phase to assess the patients with Stroke or similar disorder having disabilities in speech and motor coordination.

The above mentioned UMACE diagnostic tool research work has been carried out by the researcher through her own expenses owing to the lack of funding opportunities in India for this particular venture. At the final stage, the researcher was awarded AUD 3500, through “Capacity Australia”, an NGO run by experienced and eminent psychogeriatricians in Sydney, Australia. Through these funds, she was able to complete statistical procedure and research documentation with the help of two Australian authors in 2015.

The current UMACE diagnostic tool is suitable to assess all people having no cut off criteria based on education or disability, except for the visually impaired and persons having an IQ below 70.

*The research paper titled - “Excellence in diagnosis in culturally diverse settings: the development of Universal Memory and Cognitive Exam (UMACE)” will be presented in oral presentation in "The 26th Annual Conference of Alzheimer Europe" which will take place in Copenhagen, Denmark from 31 October–2 November 2016.

In 2015 the existing UMACE diagnostic tool was improved to analyze memory and cognitive impairment of the visually impaired population named as UMACE-VIP with added features which is applicable around the globe.

Standardization and Publications UMACE -

* Kardile, Mangal S,Luscombe, Georgina M, Peisah, Carmelle (2018), The Development of a
New Screening Tool for Cognitive Impairment in India: The Universal Memory and
Cognitive Exam (UMACE), http://www.ijhsr.org/IJHSR_Vol.8_Issue.5_May2018/35.pdf,
ISSN: 2249‐9571 http://www.ijhsr.org/current_issue_ijhsr.html, May 2018

* “Excellence in diagnosis in culturally diverse settings: the development of Universal
Memory and Cognitive Exam (UMACE)”UMACE Research paper presentation PPT published by Alzheimer’s Europe
http://alzheimer‐europe.org/Media/Files/7.‐Conferences/2016‐Copenhagen/P4.2‐
KARDILE‐Mangal


* 4th international conference on Vascular Dementia June 30‐July 02, 2016 Valencia, Spain,
Subcortical dementia developed at high altitude in Himalayas – an army case study
investigation with MMSE and new UMACE diagnostic tool, Mangal Kardile, J Alzheimers
Dis Parkinsonism 2016, 6:3(Suppl), http://dx.doi.org/10.4172/2161‐0460.C1.019

* “Using a Multicultural Model to develop an Universal Diagnostic Tool for Cognitive and
Memory Impairments”, International Psychogeriatric Association International Meeting, Australia,7‐11 September, 2012 ABSTRACTS‐ IPA‐2012‐Abstract‐Book.1.pdf, Concurrent Session 6C

Currently the "UMACE" test is available in Maharashtra Govt. District Civil Hospital - Memory Clinics

India shoulders the largest burden of global blindness, about 15 million across the country (around 38 million visually impaired populations worldwide) with 30,000 new cases being added each year. The 75% of these cases are of avoidable blindness, but India has an acute shortage of optometrists, while India needs 40,000 optometrists, it has only 8,000 (http://www.netradaan.com/blind-statistics-india.php).

The global population of about 38 million persons at present who are blind and, by definition, cannot walk about unaided. They are usually in need of vocational and/or social support.

285 million people are estimated to be visually impaired worldwide: 39 million are blind and 246 have low vision. About 90% of the world's visually impaired live in low-income settings (Visual impairment and blindness Fact Sheet, WHO, N°282, 2014).

One out of every three blind people in the world lives in India (Anugraha Drishtidaan,2013, http://www.anugrahadrishtidaan.org/Blindness-Global-&-Indian-Scenario.htm)

Concerning the years lived with disability for all types of non-communicable chronic diseases; the ages 60 + blind population lives the longest years with a disability which is 13.3 years lived with disability (21.5% of old age), (World Alzheimer Report, ADI, 2009) and there has been little consideration regarding understanding how much percentage of cognitive impairments might be present within this population when they are already at the loss of a very important visual sensory information.

The loss of sight causes enormous human suffering for the affected individuals and their families. It also represents a public health, social and economic problem for countries, especially the developing ones, where 9 out of 10 of the world's blind live. In fact, around 60% of them reside in sub-Saharan Africa, China and India. If additional resources are not urgently mobilized and efforts are not made to curb this trend, by 2020 the global burden of blindness can double. The developing countries will bear the brunt (WHO, vision 2020, The right to sight).

In 2015, a group of 25 (ages 18 years and above) visually impaired adult populations have been tested with UMACE-VIP tool and the results are satisfactory. Further research work is in progress for the sample below 18 years.

In the clinical settings, the UMACE-VIP tool proves to be useful for understanding memory and cognitive impairments in the Indian Army population posted at high altitude battle zones such as Siachen Glacier, above 6500 meters. There is documentation that the extreme weather conditions with the low temperature below -50 degrees Celsius cause neuro-biological complications in the otherwise healthy population (Usui et al., 2004, Shiota et, al., 1990, Javier et al., 2006). Still, there is a lack of study regarding impaired function at high altitudes with evidence of indicating motor, perceptual and behavioural deficits in adults (Javier et al., 2006).

The same tool is used for neurorehabilitation for the visually impaired population, and understanding memory and cognitive deficit in the epilepsy population for neuropsychiatric evaluation before and after the brain surgery.

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"BrainNext" - First ever successful, sustained Memory recall in Dementia and Cognitive enhancement in all types of brain disabilities - 1st such Case study book published and available to purchase, Book your copy today !

More than 6000 populations have benefitted so far....

The need for the development of the “BrainNext” brain exercise kit emerged from present limitations for cure of neurodegenerative diseases such as Alzheimer’s and various forms of Dementia, developmental disorders in children and a variety of neurological disorders among all age groups. Considering the neural complexities of brain functions it is desirable to nourish the human brain with continuous sensory input to keep the neurons as active as possible for the entire life span after the person has been diagnosed with certain neural disability. The children who suffer from developmental disorders such as Autism spectrum, ADHD, CP, Learning disability and various other clinically significant cognitive deficits regarding attention, general concentration and various degrees of mentally challenged population having behavioural issues need long term cognitive rehabilitation.

While dealing with the clinical neurological population the researcher has identified the need for specially designed brain exercise kit for long term rehabilitation support.  Based on continuous research work, specific exercises have been designed to create, enhance and supply sensory nourishment for the less affected neurons to enable the affected brain to continue to be normal as long as possible.

At present we need to understand that the memory and cognitive activities required by the brain can only be fulfilled by supplying the utmost possible neural boost with the help of the care giver as the affected individual would not be able to do the exercise by himself/herself. Furthermore we need to know that at present neither is there any single clinical solution to stop or cure the neurodegeneration process nor is there any methodology that can act on all the memory and cognitive activities of the human brain at a time. We need to have multidimensional approach for better quality of life for the neurologically affected population.

The “BrainNext” brain exercises kit has all the possible exercise solutions which any normal human brain may perform and can be used for the entire life span of the affected person. The affected brain has to be exercised by another normal human brain as interaction between two human brains is the key to train and guide the affected neurons by healthy neurons. The particular deficits in the neural responses can only be judged by another healthy human brain to make the best of the “BrainNext” brain exercises.

The “BrainNext” kit comprises total 18 sets and any single set can be purchased individually or can be purchased as a single unit of 18 sets together.

“NeuroCog”-screening test was developed in June 2020 concernigng brain health due to lack of oxygen during covid-19 infections. Some of the Mild to moderate populations had olfactory (smell) and gustatory (taste) deficit, and moderate to severe covid infections prodeced significant brain deficit. The "NeuroCog" test emerged as a need to assess multiple-sensory-deficit caused by SARS-CoV-2 infection. The test is constructed studying SARS-CoV-2 etiology in varied populations, 2.6 years & above, excludes samples

The test can be administered and can be taken Online and Offline, after covid-19 infection (usually suggested after 15 days of infection)

More than 100 professionals in 7 District civil hospitals in Maharashtra State, India, were given training to use "NeuroGog" in Jan.21, notifying concerned State and Central Govt ministries. Currently the test is FREE and used by District Civil Hospitals, at Mental Health Aims, Nashik center, private universities for research studies and large scale post-covid-study in Nashik-district by our reg.NGO DRMK MEMORY FOUNDATION for awareness raising and gathering data towards standardization.

Dementia awareness raising program for Nasik Police on the occasion of Kumbh-Mela 2015
- by Mangal Kardile (Founder - Mental Health Aims)

Published -

https://www.cambridge.org/core/journals/international-psychogeriatrics/article/elder-abuse-by-abandonment-in-india-a-novel-community-awareness-and-intervention-strategy/0625672E08127B1502DA088CAEFA17B9

*The Story behind Kumbh-Mela

The holy water Amrit had to be protected from the demons. The messengers of gods had to hide it at different places namely Patallok (below the earth surface), Swargalok (heaven) and Mrutyulok (on the earth surface). They were on the earth (Mrutyulok) for twelve days of demigods which is equal to twelve years of earth for them. The gods stayed on the earth with the Amrut for twelve years. Therefore, the Kumbh Mela is celebrated every 12 years at four places where drops of Amrut had fallen, namely Ujjain, Haridwar, Nasik and Prayag.

The upcoming Kumbh Mela at Nashik will be celebrated this year in 2015. The festival has been started from 14th July and will continue for a year. The main events are the holy bathing days called "Shaahi Snaan" where over 10 million people would gather on the particular day to take holy dip in sacred river - Godavari. The holy bathing days would be 26, 29th August and 13, 18, 25th September 2015. Unfortunately many old, disabled people are left behind purposely by taking the advantage of gigantic crowd.

*The need for the awareness raising -

Unfortunately, there are reports from last Kumbh Melas, in Nasik (1989, 2001), Haridwar (2010), Allahabad (2001, 2013), Ujjain (2001), abandoning thousands of elder people from all over India. Reports listed as follows-

http://news.nationalgeographic.com/news/2013/02/130223-culture-travel-religion-india-maha-kumbh-mela-world-women-widow-hindu-festival/,

http://voices.nationalgeographic.com/2013/01/26/kumbh-mela-2013-lost-and-found/

http://www.hinduismtoday.com/blogs-news/hindu-press-international/kumbha-mela-s-brutal-side----hundreds-of-old-women-abandoned/277.html.

I had an opportunity to talk about it with our Nasik Police officers those attended the abandoned elderly in the last Nasik Kumbh Mela held in 2001, and interacted about issues involved while relocating and re-uniting the abandoned elder population, and giving shelter for those who could not be re-united.
The most disturbing fact for me as a mental health professional is nobody has attempted to understand that why any elder person is unable to tell their residential address and why the elderly has forgotten his/her name?

The elder abuse and abandonment happening in every other Kumbh-Mela festival has not been addressed meticulously, which has now become a pattern of taking elders along to Kumbh-Mela, with a purpose to abandon.

India is aging rapidly. The current population of India is over 1.2 billion and the ageing population over 60 years is 109 million, will be above 300 million by the year 2050. At present the elder populations above 65 outnumber the young children (0-4) and by the year 2050 it will outnumber the young population (below 15 years). The constant decline in birth rate and increased longevity shows rapid increase in the violation of rights of older population. Unfortunately there is no much awareness or willingness to understand the clinical, legal or social aspects concerning the aging population.

*Dementia awareness raising program for Nasik Police

Learning about dementia and spreading awareness regarding Dementia is necessary for all of us. And the necessity of being knowledgeable about how the awareness could help in one's profession could further enhance its magnitude. Based on these conclusions the 15 lecture series program has been completed about "Dementia awareness raising and its significance to Kumbh-Mela" for all Nasik city Police stations including Riot control unit between 16 July' 15 to 04 August' 15. The sessions were interactive and it has helped us reaching out to a large audience in a few days, delivering important information regarding Dementia before Kumbh-Mela event.
Available staff on duty including the senior staff of the concerned police station was present.

The 30 to 45 min lecture covered the topics regarding understanding normal human brain structures and its significance to the functionality. Understanding what is Dementia and brief knowledge about its various types. What is Mental Stress and how it is linked with "Vascular Dementia", the only Dementia type which is at present under human control. How dementia awareness raising is linked with Kumbh-Mela event, and how this knowledge might help the police department to handle the lost and/or abandoned population in the Kumbh-mela event.

*Special poster has been designed by giving cues for the police department for investigating people who have "forgetfulness" as a prominent symptom. The concerned poster has been displayed in each Police station.

*Dementia awareness lecture series program and the poster presentation have been carried out by Mangal Kardile (Founder- Mental Health Aims) understanding the "Social Responsibility" as a mental health professional.