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A Pilot’s Success Story with Brain Training

ear anatomyJohn’s Story

John is a 66-year-old grandfather and successful businessman from Asheville, NC who plays tennis and counts flying among his favorite hobbies. But he is concerned that his memory is starting to slip. There’s no family history of Alzheimer’s disease or dementia.

John, however, did have a car accident and subsequent skiing accident in which the fall he suffered was so serious that his helmet broke. He also admits that he is often dizzy, fatigued, easily angered, and frustrated over his physical and mental limitations.

Intervention for balance and cognitive decline

John underwent comprehensive Brain Training at a frequency of three times per day over the course of five days. His brain function was carefully monitored throughout the training process with measurement of EEG brainwaves, vital signs, eye movements, balance, mental and physical timing, and more to ensure he was receiving the proper amount of therapy without exceeding fatigue limits that might promote worsening of his symptoms as is often the case in more conventional rehabilitation programs.

Understanding the relationship between physical functions such as balance, timing and eye movements and higher cognitive functions like memory (both major challenges in his case), we implemented the following Brain Training procedures: EEG neurofeedback, Interactive Metronome, vestibular rehabilitation, metabolic/nutritional therapies, eye movement and neurological rehabilitation, electrical stimulation, breathing exercises, lifestyle changes and home care therapies.

Outcomes with Brain Training

John reported midway through his five-day training program that he had “one of his best games of tennis.” He also said he felt less dizzy and improvements in his mood and memory were noticeable to him and others. “I walk better, talk better and feel better,” he said.

Actual measurable, objective improvements recorded with post-intensive diagnostic testing included:

  • Interactive Metronome (Timing): 14% improvement in timing accuracy and normalization of hyper-anticipatory timing tendency with motor tasks (i.e. becoming more ‘in-sync’ with a specified reference tone).
  • Videonystagmography (Eye movements): Significant improvements in numerous aspects of oculomotor functionality including: gaze holding, slow and fast eye movements, optokinetic responses, and spontaneous/involuntary eye movements.
  • Computerized Assessment of Postural Stability (Balance): 24% improvement in balance under the most challenging circumstances (eyes closed on an unstable surface – noted as PSEC on charts below below). Near complete normalization of a hazardous posterior center of pressure (tendency to carry his body or sway to the rear):

Pilot 1

Pilot 2

Implications Following Treatment

After his treatment was completed, John says he was able to recapture the moments of joy and sense of accomplishment he experienced through playing tennis and flying his aircraft, his two favorite hobbies; as well as being more engaged with his family.

He reports his memory has improved, he has fewer symptoms of dizziness and fatigue, and most important – he is now a safer, happier pilot following his specific Brain Training program.

Case Study: Post-Concussion Syndrome – Jackie

concussion ep 43Jackie’s Story

At the time of presentation to APEX Brain centers in Asheville, NC in late 2015, Jackie was a 55-year-old, soon to be retired professional female. Post-concussive symptoms of debilitating headaches, memory loss, learning and behavioral issues, fluctuations in heart rate, and difficulty handling visual stimulation such as driving, busy public places and computer screens were preventing her from leading a normal life. Prior to traveling to APEX from Charlotte, NC, Jackie had sought care from several different doctors in her area. Vestibular therapy and chiropractic care had given her some relief of symptoms, although her other experiences were not so positive. At one point a provider told her that she was mentally ill. Jackie was outraged and, as many with post-concussion syndrome report similarly, she offered this statement: “I’m not crazy. I didn’t have any of these symptoms before I had the injury and I am definitely not making them up”. This is the unfortunate reality of many who suffer with brain injury.   

Intervention for balance and cognitive decline

Jackie underwent comprehensive Brain Training at a frequency of 3 times per day over the course of 15 days (with 2 days off between each week for much needed rest and recovery). Her brain function was carefully monitored throughout the training process with measurement of EEG brainwaves, vital signs, eye movements, balance, mental and physical timing, and more to ensure she was receiving the proper amount of therapy to be effective without exceeding fatigue limits that could potentially promote worsening of her symptoms. Modalities implemented included, but were not limited to: neurofeedback, Interactive Metronome, vestibular rehabilitation, metabolic/nutritional therapies, eye movement and neurological rehabilitation, electrical stimulation, breathing exercises and home care therapies.

Outcomes after Brain Training

Jackie reported prior to brain training that she would have a constant headache of 6 on a 0-10 scale (0 being no pain and 10 being the worst possible pain) that would escalate into an 8-9 of 10 by the end of the day. The week after her program she reported the headaches were finally manageable at a level of 3-4 of 10 and would not escalate. Jackie has had continued success and reported at 3 weeks after her program that she is headache free, unless she spends too much time in front of a screen or in a busy public place. She also reports that when this occurs, her ‘at home’ brain exercises will relieve them. Aside from headaches, Jackie has reported that she no longer feels like she is in a constant brain fog. Her heart rate has also normalized and no longer fluctuates or spikes. 

Actual, measurable objective improvements recorded with post-intensive diagnostic testing include, but are not limited to:

  • Cognitive Testing: Jackie showed an increase in her Neurocognition Index of 11%. This is a standardized overall score of cognitive performance. Significant improvements in specific areas of memory (one of her biggest concerns) are as follows: 65% in composite memory, 33% in verbal memory, and 67% in visual memory.
  • Interactive Metronome: 56% improvement in motor timing accuracy and normalization of hyper-anticipatory timing tendency with motor tasks (i.e. premature response to a specified reference tone).
  • Videonystagmography (VNG): Significant improvements in numerous aspects of oculomotor (eye movement) functionality including: gaze holding, slow and fast eye movements, optokinetic responses, and spontaneous/involuntary eye movements.

Implications for others:

Diagnostic and functional tests can be used to direct an effective Brain Training program and improve post-concussion symptoms. Increased sensory and environmental sensitivities are common symptoms of post-concussion syndrome. There are several areas of your brain that process information from your environment and from your body. If these areas are damaged then it becomes difficult for the brain to process sensory input, resulting in fogginess, memory and cognitive issues, impaired processing of pain, and the many other symptoms seen after concussions. The frustration felt by individuals being made to feel they are “crazy”, as Jackie noted, is entirely unnecessary and driven by a health care system that is largely focused on diagnostic testing and lacking significantly in functional treatment options. There is great hope for partial and full recovery in most cases of concussion given a thorough investigation and functional interventions addressing the physical, cognitive, metabolic and lifestyle factors that influence brain health.

If you or someone you care about is experiencing ANY of these symptoms, or anything out of the ordinary related to a head or brain injury, call APEX Brain Centers now at 828.708.5274. You may also email us at [email protected] for more information and to set up a free consultation. 

Case Study: Balance and Memory Problems – Roger

Son & Elderly FatherRoger’s story

At the time of presentation to APEX Brain Centers, Roger was a 70-year-old male struggling with severe balance problems, clumsiness, fatigue, and a general disinterest in life. He used to enjoy life as a family man, successful entrepreneur and golfer. Just over 10 years prior he had undergone radiation therapy for cancer that damaged his 8th cranial nerve (the balance and hearing nerve). He had also undergone prism therapies and surgery for eye position abnormalities, which have caused further insult to his ability to maintain good balance and to learn effectively. Although not listed as a primary complaint, he also suffered from significant cognitive decline in several areas as evidenced by very low to low average scores on standardized cognitive testing.

Roger sought care at APEX Brain Centers in Asheville, NC in May of 2015 and underwent an intensive course of Brain Training. He was admitted into in an individualized program directed by extensive diagnostic testing, and led by clinicians highly experienced in functional neurology. What follows is a sampling of some of the cutting-edge clinical interventions and amazing functional gains Roger experienced during his time at APEX.

Intervention for balance and cognitive decline

Roger underwent comprehensive Brain Training at a frequency of 3 times per day over the course of 15 days (with 2 days off between each for much needed rest and recovery). His brain function was carefully monitored throughout the training process with measurement of EEG brainwaves, vital signs, eye movements, balance, mental and physical timing, and more to ensure he was receiving the proper amount therapy to be effective, but not too much so as to be counter-productive. Modalities implemented included, but were not limited to: neurofeedback (NFB), Interactive Metronome, vestibular rehabilitation, metabolic/nutritional therapies, eye movement and neurological rehabilitation, whole body vibration, electrical stimulation, breathing exercises and home care recommendations.

Outcomes after Brain Training

Subsequent to his Brain Training program, Roger reported subjective improvements in the vast majority of his pre-intensive complaints. More profound than that; his wife was quoted as saying, “it’s like I have my old husband back”. She noted that he used to be the life of the party and had been slowly deteriorating over time to the point of sitting in his chair all day and sleeping more and more often. He was finally plugging back into life, putting an end to his isolation and apathy. As is demonstrated by his balance testing, he is also experiencing a renewed ability to maintain balance, allowing him to be safer and more efficient in navigating his physical environment.

Actual, measurable objective improvements recorded with post-intensive diagnostic testing include:

  • Cognitive Testing: Increase in his Neurocognition Index of 48%. This is a standardized overall score of cognitive performance. Increases in various aspects of memory, attention, processing speed and more as great as 21%.
  • Interactive Metronome: 56% improvement in task average with motor timing, and normalization of hyper-anticipatory timing tendency with motor tasks (i.e. responding prematurely to a pre-set reference tone).
  • Computerized Assessment of Postural Stability (CAPS): 20.5% improvement in balance on an unstable surface with eyes closed – bringing him from severe to mild reduction in balance compared to his peers. Elimination of a posterior center of pressure (CoP); significantly reducing his risk of falling backwards.
  • Videonystagmography (VNG): Significant improvements in numerous aspects of oculomotor (eye movement) functionality including: gaze holding, slow and fast eye movements, optokinetic responses, and spontaneous/involuntary eye movements.


With an alarming increase in the number of baby boomers and seniors experiencing balance issues and cognitive decline (that are in fact related), it is important to recognize the symptoms of these potentially debilitating disorders and, more importantly, that something can be done about them. Early intervention is key, as the longer one waits and the more function is lost, the more difficult it is to recover and have full engagement with life!

iPads for Everyone!!!

Logo concept FINAL_RGB_WEBEveryone that signs up for a 5 or more day full intensive training program at APEX Brain Centers in Asheville, NC, that is! (Unique offer details below).

While technology and all that come with it can cause significant impairment for many, it can also be used to provide an extreme advantage when it comes to Training your Brain. The ever-growing list of hi-tech applications (apps) for mobile devices and tablets is astounding, many of which hold significant promise for re-training brain dysfunction, and for improving upon already strong performance in those looking to reach their peak potential. As with anything, there is a downside – apps used improperly and not under expert guidance can, in some cases, be counter-productive, and even harmful!

The following are the main areas of apps for brain performance: 

  • Memory and Attention: We have all heard of that brain training program that begins with ‘L’ that most folks pronounce incorrectly! While this and many other similar apps are quite useful and largely without side-effects, they may not be providing all they claim in the absence of a comprehensive brain health program. 
  • Eye movements: The secret is out, eye movements are directly related to our higher, more human, cognitive brain functions. A simple Google search of ‘eye movements and cognition’ should get you rolling there! The challenge is that these sensitive windows into higher brain function can very easily be trained incorrectly, leading to further dysfunction or significantly limiting peak performance. User beware: Expert direction is essential with these type of apps! 
  • Neurofeedback/Biofeedback: By far the newest and most concerning area of mobile brain training, app stores are piling up with programs that will help you regulate your brainwaves, heart rate, muscle tension, and more. Common sense should let you know that training your brainwaves in the absence of higher education in neurophysiology and neuroplasticity might not be a very wise choice. Once again, user beware!

Although just a sampling of what’s available in the various app stores in the cyber world, the take home message here is that ANY effort in training your brain should be directed by a qualified health care provider trained in these areas of brain performance for maximum benefit and decreased probability of side-effects.

Enter the iPad…

All clients entering into a 5 or more day full intensive training program at APEX Brain Centers in Asheville, NC through May 31, 2015 will receive a FREE iPad Mini with Retina Display (or comparable device) as a valuable aid to your brain training program, and to help you continue progress once discharged. All you would need to do is have an iTunes account to purchase any needed applications (typically less than $35.00), and the desire to make your brain the best possible brain it can be.

This special offer is not to be combined with any offers and you must reference this post at the time of consultation or admission for validation purposes. Let us help you harness the power of technology and put you in the driver’s seat on your journey to Building a Better Brain!

Case Study: Severe Metabolic, Neurological, and Cognitive Dysfunction

02G66007History: B.M. is a 52 y.o. male with a history of hypertension (high blood pressure), hyperglycemia (elevated blood sugar), borderline hyperlipidemia (elevated blood fats), excessive weight gain, fatigue, numbness in both feet, dairy intolerance, depression, cognitive struggles, osteoarthritis, and gout. His last evaluation and laboratory analysis was performed approximately 4 years prior to evaluation at APEX Bran Centers in August of 2013. Persistent and worsening symptoms and rapidly declining health forced him to seek drastic change before it was too late. He was not taking any medications at the time of evaluation, or at any time during his therapeutic program.

Evaluation: August, 2013 – B.M. measured 5’ 8” tall and weighed in excess of 250 pounds. His blood pressure was 148/78 and heart rate recorded at 82 beats per minute. Salivary pH was 6.0. Upon re-assessment in late 2013, B.M. was weighing in at just under 200 pounds with reductions in blood pressure and heart rate noted as well. See below for the full listing of abnormal laboratory tests and their comparative measurements taken just over 2 months after beginning an intensive metabolic recovery program. All critical laboratory values are highlighted.

Laboratory Test Normal Range 1st Test – 8/28/13 2nd Test – 11/4/13
Serum glucose: 65-99 mg/dL 252 89
Hemoglobin A1c: 4.8-5.6% 9.9 6.4
Insulin: 2.6-24.9 uIU/mL 33.1 4.5
Serum Creatinine: 0.76-1.27 mg/dL 0.73 0.76
Serum Ferritin: 30-400 ng/mL 602 509
Triglycerides: 0-149 mg/dL 730 75
LDL: 0-99 mg/dL Unable to be calculated, 59
VLDL: 5-40 mg/dL triglycerides too high! 15
HDL: >39 mg/dL 20 28
Cholesterol/HDL ratio: 0-5.0 8.9 3.6
Vitamin D (25-OH): 30-100 9.2 29.5
Urinalysis: Glucose Negative 3+ Negative
Vitamin B12: 211-946 pg/mL 197 774
Plasma Homocysteine: 0-15 umol/L 12.3 11.1
C – reactive protein (cardiac): 0-3 mg/L 2.0 0.78
MTHFR No mutation Mutation identified  

Assessment: Based on evaluation and testing performed in August of 2013, it was evident that B.M was experiencing dangerous abnormalities in blood sugar handling and cardiovascular health, among others. In fact, he was displaying all the signs of Type II Diabetes and full blown Metabolic Syndrome (more on Metabolic Syndrome from the Mayo Clinic). Peripheral neuropathy and cognitive/emotional dysfunction were a direct reflection of his poor blood sugar handling as these conditions are consistent with poor lifestyle choices and impaired fuel delivery. B.M. was instructed to consult with his primary care physician for possible endocrine/cardiology consults due to the extreme and dangerous elevations in some of these values. He understood that most of these changes were driven by lifestyle choices and opted for a more holistic approach!

Intervention: B.M. was immediately placed on a rigorous course of medical food supplementation (3-5 times per day) specific for clients with blood sugar handling issues and Diabetes. This was supplemented with an unlimited quantity of green vegetables and approved whole food protein bars. In addition, he was placed on essential fatty acids, other key fats, and Vitamin D to assist with his metabolic struggles. Progressive cardiovascular and muscle resistance exercise protocols were implemented as tolerated. Subsequent to an 8 week program, at which time most of his functional gains were made, he was placed on additional supplements to complement the findings of his repeated laboratory analysis in November of 2013.

Results: In addition to the profound changes realized with standard laboratory testing outlined above, B.M. had a significant reduction in his weight and waist:hip ratio (a reliable predictor of cardiovascular risk and/or health). Energy levels increased while pain levels dropped, allowing for him to resume an increasingly active and productive lifestyle with work and leisure activities (including long distance cycling). His peripheral neuropathy all but vanished, save for the occasional tingling in the feet. Cognitive and emotional stability was regained with vast improvements in thinking and depressive episodes. Pain and other symptoms subsided concurrent with improvements in metabolic function and weight loss. His overall health status, risk of a dangerous vascular event, and potential longevity were all markedly improved. By all accounts B.M. is in a much better place with regard to his health, distancing himself from Type II Diabetes and significant cardiovascular risk. To this day he continues to experience the benefit of his hard work. As with many individuals, he does slip from time to time; but he knows full well that he is largely in control of his physiology, and he gets himself back on track when needed so as not to reach the alarming state of health he once was in!

NaturalNews Blog: Do Brain Games Exploit Memory Loss Fears for Profit?

People ask me all the time if brain games “really work.” Their interest is understandable. Most people are looking tools they can use to improve their brain function and prevent age-related memory loss. But the effectiveness of brain games has been publicly called into question recently by members of the scientific community. My new blog on the NaturalNews Network responds to the critics and gives consumers some insight on the role that brain games can play in supporting brain health.

A recent article in The Guardian, titled Brain Games Exploit Anxieties About Memory Loss for ProfitScientists reference an open letter signed by 73 members of the scientific community that largely condemns the effectiveness of brain games due to lack of adequate research supporting the claims made by the various companies producing them. Claims cited include making one smarter, speeding up the time it takes to learn, and reducing cognitive slowing and forgetfulness. In this letter the signatories do acknowledge the existence of brain plasticity – the brain’s ability to change based on its experience – although apparently feel as if the positive impacts on the brain from these games do not extend beyond the “training-induced” learning that occurs from these games. Even if this were in fact the only benefit…is this a bad thing?

Read the full article HERE.

At APEX we create targeted brain training programs designed to improve brain health and function. Brain games are one of many tools we use to help our clients achieve their personal goals. Brain games alone may not be a complete solution to improving brain health, but we believe that they can be a valuable part of a comprehensive strategy to help individuals build better brains.

Read all of my NaturalNews blogs by visiting my profile.

The Importance of Early Screening for Alzheimer’s, Dementia, and Cognitive Decline

Brain decline is one of the most common fears of people over the age of 50. While Americans are living longer and longer today, the quality of our extended years is all too often reduced by memory loss, confusion, lack of focus, and other dementia symptoms. The increase in numbers of people with Alzheimer’s disease and other forms of dementia (Visit the Alzheimer’s Association for more Facts and Figures) means that too many of us have too little “life” in these extra years of living. Memory loss and cognitive decline are beyond epidemic proportions, as 1 in 3 senior citizens will die with Alzheimer’s or some other form of dementia.

Though these numbers are alarming, there are steps that people can take to alleviate their fears about dementia. Early testing is key. We offer cognitive screening to anyone who is concerned about brain decline at our office in Asheville. Join the growing ranks of boomers and seniors who are taking their brain health seriously and doing everything they can to ensure they live as healthily and happily as they can well into their golden years.

Why Early Screening for Cognitive Decline is Important

Early detection of memory loss and cognitive decline is of the highest order of importance! The sad reality is, most who are presenting for cognitive evaluation have been putting it off for some time, and many have waited too long. Once a person reaches moderate to advanced stages of these debilitating disorders less can be done to improve, or possibly reverse, them. If discovered early, many of these conditions can be radically improved allowing for a more fulfilling life.

What follows are 4 research-backed methods we utilize to assess your brain to determine if you are at risk for cognitive decline or dementia. Time is of the essence in discovering these conditions and cognitive screenings can serve as a beacon for problems long before they present themselves:  

  • Cognitive Testing: We can accurately measure various aspects of memory, attention, and other factors of higher level thinking that can help us determine what parts of the brain are most affected by trauma, age related cognitive decline, etc. While most tests and resources are geared towards the determining the severity or rating of cognitive impairment (Learn more from Bart Sheehan’s Brain Assessment Scales in Dementia article), it is our firm belief that many standardized tests of brain function can be utilized as proactive indicators of function.
  • Smell Testing: Research has supported the fact that smell is a “canary in a coal mine” when it comes to dementia and cognitive decline. The part of the brain that is often first attacked by Alzheimer’s, the front part of the temporal lobe, controls the sense of smell. That is why a decline in a person’s ability to perceive odors can be an early warning sign of the disease. Recent research from the University of Florida demonstrates that smell testing can actually predict Alzheimer’s incidence.
  • Balance Testing: Another key biomarker for higher brain function is balance. Balance, or our ability to resist gravity on two legs, plays a large part in the higher brain functions we as humans experience. Recent scientific research published in the journal Frontiers has helped practitioners gain greater understanding of the connection between balance, memory, and other cognitive processes.
  • Eye Movement Testing: It is sometimes said that the eyes are the windows to the soul, but in reality they are the windows to the brain. The connection between eye movements and cognition has been widely studied. The ability to move our eyes is directly related to higher brain function. Simply put, slow eye movements, fast eye movements, holding of gaze, and many other capacities of the eyes are controlled by centers in the brain that govern the way we remember and think.

Do not wait until it is too late to get tested. Our brain is our most sensitive and most complex organ. When the brain is in decline, early intervention is critical. All of the above-mentioned strategies are just a sampling of what we look at when assessing those with suspected cognitive decline, and those simply looking to boost their brain performance. The most important message to take home here is that any and all of these areas of measurement can be trained, improved, and re-tested to demonstrate that we can in fact help add “life” to our years!

How to Prevent Dementia and Alzheimer’s Related Memory Loss

There are many types of dementia, some of which are preventable and others that are not. Conditions that are considered genetically driven, such as Alzheimer’s, Parkinson’s, and brain tumors, lead to degeneration and loss of nerve connections and cells within the brain that result in the decline in cognitive abilities such as memory, reasoning and problem solving. But no matter the cause there are ways to slow the rate of dementia and Alzheimer’s related memory loss. The key is acting early. Most types of dementia are progressive. The earlier you seek help the more successful you will be at preventing memory loss.

Even in the case of Alzheimer’s disease, thought by most to be completely incurable, evidence suggests that the progression of the disease is impacted by factors within our control, most notably the proper control of our blood sugar levels. Finding the cause of memory loss can help you and your health care providers determine the best means of preventing further memory decline. Certain types of depression lead to ‘pseudo-dementia’, which can be treated with great success. Even age-related memory loss can be impacted quite successfully with the appropriate nutritional, exercise, stress management and Brain Training methods.

Recognizing Early Signs of Dementia and Alzheimer’s

If you recognize the early signs of Alzheimer’s disease and dementia you can be proactive in preventing memory loss. If you or someone you know is struggling to find the right words, regularly misplacing common everyday items, overreacting (or underreacting) to situations, getting lost in familiar surroundings, or having extreme difficulty with simple tasks such as balancing the checkbook, dementia or Alzheimer’s disease may be suspected. Disinterest in formerly pleasurable activities and a decrease in the sense of smell are also telltale signs that one’s brain function may be declining. If this is the case seek help from a practitioner who is experienced helping those with memory loss as soon as possible.

Prevent Memory Loss through Brain Training

APEX offers Brain Training for memory loss prevention. We understand the mechanisms of memory loss well and use specific diagnostic and training procedures to help anyone, even those with dementia, to Build a Better Brain. Through brain mapping, cognitive testing and other brain assessments, we design a Brain Training program customized to help you retain your memory, or possibly even improve it. Brain Training for memory loss may include neurofeedback, transcranial magnetic stimulation, Interactive Metronome training, specific brain and body exercises and nutritional support, among many other modalities.

Foods and Supplements to Support Memory Retention

To support a healthy brain and memory, it is good practice to avoid processed and refined foods. Minding your calorie intake is critical. A great first step is to develop an ‘eat to live’ philosophy instead of a ‘live to eat’ strategy. Eating a sensible diet of real, live, or whole foods is the logical first step towards Building a Better Brain and preventing memory loss.

The lists of brain foods or ‘superfoods’ that are reputed to prevent memory loss are long. One needs to exercise caution when claims for products or foods are seemingly too good to be true and some simple advice will go a long way towards eating for a healthy brain.

Also consider a full metabolic and nutritional assessment to see if dietary changes can help you see improvement in your memory, or in other areas of health.

Exercise for Brain Health 

Memory loss prevention is only one of the reasons that exercise is good for our brains. Exercise encourages new nerve cell growth in parts of the brain that facilitate memory and learning. Exercise also improves blood supply and fuel delivery to already existing brain pathways and regions. Exercise simply makes us smarter and is considered by many to be the best memory loss treatment on the market!

APEX Brain Centers is leading the way in neuroplasticity-based brain enhancement programs that are opening new doors for those struggling with addictions, learning and behavioral disabilities, test performance, athletic performance and more.

2 Walden Ridge Drive (STE 80) ~ Asheville, NC 28803 ~ 828.708.5274
© 2015 APEX Brain Centers