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The first Telestroke workshop organized by the ESO Telestroke Committee took place in Munich, Germany from 5 to 6 July. the workshop was hosted by the Neurology staff of the Klinikum Harlaching chair Prof. Roman Haberl and the Tempis coordinators Gordian Hubert and Peter Muller-Bama.

The meeting was attended by 12 doctors coming from 7 different countries (Croatia, Italy, Macedonia, Philippines, Slovenia, Serbia and Spain).

Speakers from the Tempis staff, Dr. Frank Kraus and the ESO committee members gave a wide overview of the main solution and updates on the most advanced frontiers of telemedicine. Working groups simulated telemedicine models to be set up in each country, focusing on most disadvantaged geographical areas. A simulated call from a stroke centre was presented to the attendees. Also continental reimbursement policies, risk management aspects and technical issues were discussed.

The committee group looks forward producing shortly a recommendation paper and standard of certification for telestroke services.

The Committee members

Gordian Hubert (Chair), Germany
Sonia Abilleira, Spain
Andrey Alasheev, Russia
Jessica Balinn, Germany
Francesco Corea, Italy
Gustavo Santo, Portugal
Silvia Tur Campos, Spain
Geert Vanhooren, Belgium
Bojana Zvan, Slovenia

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The skyline of Barcellona offers always many surprises. One of them is directly connected with our interests.
A special tower stands in a southern residential area neighborhood, this is a popular metropolitan area grown for the workers in the bustling automotive industry of the 60s.
This is the tower of the Hospital Universitari de Bellvitge. We had a quick visit to the 9th floor together with Dr. Pere Cardona Portela IMG_8025.JPG(see photo).
Next to a “pan-optical” stroke unit at the same level of the Neurosurgery ward a special room hosts the “tele ictus” service.
A service active 24/7 for all partner hospitals of Catalunya. This is one of the Telestroke HUB of Barcelona metropolitan area, the other is the Hospital Universitari Vall d’Hebron.
With safe teleconsult techniques an audio-video streaming (see picture) connects the spoke with the hub. This is of help in the decision making process and facilitates the patient dispatchment avoiding futility.
An efficient regional PACS/RIS system support the clinicians for their decisions. The report written by the stroke expert will reach the spoke hospital in real time minimizing the risk of medical errors.
Also mobile devices ara available to guarantee the service from home by the stroke specialists on call. In Bellvitge 1200 patients are admitted each year and thanks to telemedicine 170 patients are centralized for thrombectomy. Every year 350 teleconsults are done with peaks of 3-4 per day.
We leave the “telestroke tower” with a better idea on one of the most exciting challenges for many health care systems: emergency telemedicine.IMG_8028.JPGIMG_8029.JPG
  • Presentati sommariamente i risultati della survey promossa dal Telestroke committee ESO di questa estate. Indicativa di difficoltà di accesso alle cure nella metà delle 20 reti ictus esaminate. Si riscontra altresì diffusione di sistemi per teleconsulto. Pochi sono dispositivi elettromedicali in uso, più frequenti le soluzioni improvvisate. Il mercato dei dispositivi appare eterogeneo e si patisce un vuoto organizzativo.

  • Si concorda invio della survey alla rivista di Thierry Moulin /European Research in Telemedicine.
  • Analisi più allargata (Elba, Roma altri eventuali) sarà inviata all’ESOC 2018 entro la deadline del congresso.
  • Non vi sono pacchetti formativi in materia di telestroke/teleneurologia.
  • ASL di Emilia Romagna, Abruzzo, Umbria e Toscana hanno mosso passi significativi per acquisire strumentazione per cifre maggiori al milione e mezzo di € spesso i medici non sono coinvolti nel processo organizzativo. 
  • Si riscontrano carenze contrattuali con mancato riconoscimento anche finanziario in chi pratica telemedicina con particolare criticità nel telelavoro dal domicilio.
  • I partecipanti si prodigheranno nel trasmettere alle organizzazioni sindacali ed ordini medici competenti territorialmente tali criticità nella prospettiva del rinnovo del CCNN di primavera e pressione su aziende sanitarie.
  • Ci ripromettiamo di proporre a ditte del settore di sponsorizzare eventi specifici anche nelle prossime edizioni delle urgenze neurologiche parlandone con gli organizzatori.
  • Concordiamo nel rivederci ove possibile a Göteborg ESOC 2018 e Milano ESOC 2019 per perseguire un significativo progresso in questo ambito di lavoro
  • Durante la tavola rotonda I Prof Comi e Micieli, invitavano lo scrivente ad esporre alcune istanze e prefigurano la possibilità di corsi in materia tramite “ANEU”.
  • Il Prof Toni raccomanda di segnalare le trombolisi effettuate in telemedicina affinché possano integrarsi con i registri già operativi.Gruppo Telestroke

Fare un salto in ospedale con l’auto d’epoca… per ricordarsi che un ictus … sei mesi fa rischiava di portarti via l’autonomia, la memoria e la libertà. Questo è il regalo che Loriano ci ha fatto lo scorso 29 Ottobre. E’ successo al San Giovanni Battista.

OLTRE 17 milioni di persone nel mondo – 200mila solo in Italia – vengono colpite da ictus cerebrale ogni anno (di queste ne muoiono 6 milioni). Senza contare poi che sono in molti quelli che seppur sopravvivono, dovranno convivere con gravi disabilità o con il terrore che l’ictus si ripresenti di nuovo. L’ictus cerebrale nel solo 2016 ha ucciso o reso invalida un’enorme quantità di persone, uomini, donne e persino bambini, rubando 116 milioni di anni di vita. E continua ad essere la seconda causa più probabile di morte nel mondo intero”.

·UNA GIORNATA PER INFORMARSI E PREVENIRE L’ICTUS
All’ictus (in inglese stroke, che significa “colpo”) viene dedicata ogni anno la Giornata mondiale (29 ottobre) e dal 2006 è stata istituita l’Organizzazione mondiale dell’ictus (World stroke organization, Wso), che coinvolge 85 Paesi nel mondo. Perché l’ictus – molto spesso invalidante – se si conosce, si può prevenire. “Investire in prevenzione oggi non è più solo intelligente, è obbligatorio – sottolinea l’associazione Alt – perché nessun governo avrà le risorse sufficienti per assistere tutti coloro che verranno colpiti da ictus o da un altro evento da trombosi nei prossimi anni. Dipende molto da noi: dobbiamo sapere quali sono le cause, modificare i fattori di rischio modificabili, imparare a riconoscere problemi nel battito del cuore in noi stessi o in chi ci sta accanto. Insomma, dobbiamo riconoscere i sintomi sospetti e agire immediatamente”.

Ricordarsi i sintomi dell’ictus può velocizzarne il riconoscimento, quindi la diagnosi e la sua cura. RAPIDO!

Ridi,

Alza il braccio,

Parla e DOmanda aiuto

queste le parole chiave che possono salvarci.

Brussels, 30th November 2016 – Jon Barrick SAFE President and Valeria Caso President of the European Stroke Organisation of Stroke Professionals had a meeting today at the European Union Health Commission to discuss the quality of Stroke prevention, care and support within the countries of Europe.

SAFE and ESO made a number of proposals aimed at gathering EU support for encouraging countries across Europe to improve stroke intervention. Stroke now accounts for more than 9% of all deaths in Europe and is the leading cause of long term severe disability.

Topics discussed included the Health Commissioners engagement with proceedings at a Stroke Summit meeting to be held in Brussels on May 11th 2017, the dissemination of the Burden of Stroke report with data on the stroke care pathway performance in each European country, and a report on the current situation  around acute stroke care. Also discussed were support for the SAFE, ESO and others initiative to produce a stroke European action plan to be launched in May 2018, and the potential for creation of an economic burden of stroke report by 2019.

The Stroke European action plan will be the sequel to the Helsingborg declaration of 2006, which set objectives to be achieved by 2015. This is now redundant and many new developments and treatments have occurred since its first appearance, and there is now an opportunity to create initiatives to drive down the death and disability rates from stroke.

Other topics covered were the need for greater awareness of stroke, more effort to be made in preventing stroke, and the need to allocate more resources for stroke research generally. SAFE and ESO were encouraged to provide more examples of good practice to be shared country to country, and questions were asked concerning possibilities of good practice pilot activity.

There was found to be a huge overlap between the work of SAFE and ESO, and that of the EU Health Commission, with all parties seeking to make sure stroke care is sustainable, efficient, and supports resilience within health care systems (the capacity to buffer change, learn and develop, enhance adaptive capacity in a situation of rapid treatment transformations).

As such there was agreement that more work to combat stroke makes a positive contribution to the Health programme aims of the EU http://ec.europa.eu/health/programme/policy/index_en.htm.Schermata 2016-12-04 alle 09.08.51.pngschermata-2016-12-04-alle-09-08-51

  European Stroke Journal announcement to ESO members

Dear Colleague,
Along with holding our first ESO conference in 2015, one of our major objectives was to create our own journal with the aim that it opens its pages in early 2016. I am delighted to announce that we have moved several steps closer to this target. Following an intensive period of negotiation, on the one hand, and review of a wonderfully strong field of applicants on the other hand, recent days have seen us sign a deal with a publisher and select our most senior editors to lead the formation of the new European Stroke Journal (ESJ).
Our publisher will be the respected UK based firm, SAGE. SAGE publishes a series of medical and scientific journals, is known for its ethical approach and was recently also chosen by our colleagues in the WSO to become the new publisher for International Journal of Stroke, with which we intend to have a friendly and co-operative rivalry.
Our new Editor in Chief will be Bo Norrving, from Lund in Sweden. Bo has impeccable credentials for this role. He is a former President of the World Stroke Organisation and has represented stroke at the World Health Organisation. He has been senior consulting editor for Stroke. He brings vast experience and huge commitment to stroke, to Europe and to the task before him. He will handle the political, ethical, scientific and practical aspects with assurance and diplomacy, and will draw huge credit to ESO and ESJ in the process.
We are equally delighted that Bo will not face this task alone. He will be supported by a vice editor who can claim similar distinction. Didier Leys from Lille in France has expressed his enthusiasm to work alongside Bo in building this exciting new venture for ESO. As well as editorial duties at JNNP for 7 years, Didier also has strong political credentials: he was President of ESO from 2010-2012, and served on the Executive Committee that took the tough decision to establish our independent conference.
We believe that we have a partnership that has the very best people and publisher available and I am sure that you will join in welcoming SAGE and congratulating Bo and Didier in their new roles. We also are confident that all of our fellows and members will do their utmost in practical ways to support the journal. We ask every fellow and member to consider to send just one of their best manuscripts to ESJ over the next year – one that you know is worthy of the top journals in our field – so that we can hit the ground running with a strong flow of first rate papers. Giving one great paper to a new journal will have a negligible effect on your personal publication ranking but will have a major effect on the journal’s chance of a rapid and notable rise into citation territory. It represents a small, inexpensive but tangible way of demonstrating support for ESO and for European stroke science. For the first two years (at least) there will be a prize for the unsolicited paper that attracts the highest number of citations in the 12 months from its first publication in ESJ.
With best regards
Ken Lees
Kennedy Lees

President
Bo Norrving Bo Norrving

Bo Norrving is Professor in Neurology at Lund University, Sweden. He has broad experience in stroke, from clinical research (including many seminar papers and books), publishing (associate/senior consulting editor positions for Stroke and Neuroepidemiology), stroke society leadership (past vice President of the ESO, immediate-past President of the World Stroke Organization), to governmental/ policy positions. The latter include acting as chair of stroke section for ICD 11 at WHO, the WSO Global Policy committee, the Swedish Stroke Register (Riksstroke), and co-chair of the WSO Guidelines and Quality Committee.

Didier Leys Didier Leys 

Didier is Professor of Neurology at the University of Lille, and a former President of the European Stroke Organisation. He has a long history of collaboration in the stroke field within Europe, especially with Finland, Germany, Switzerland and Italy. Didier’s research activity has 3 main orientations: the relationship between stroke and dementia, mechanisms of cervical artery-dissection, and thrombolysis in acute cerebral ischaemia. He has authored 466 publications attracting 15,541 external citations. His served for 7 years as associate Editor of the Journal of Neurology, Neurosurgery and Psychiatry (April 2004-March 2010), and has been editorial board member and reviewer for several other journals.

 
http://www.sagepub.com

Founded 50 years ago by Sara Miller McCune to support the dissemination of usable knowledge and educate a global community, SAGE is a leading international publisher of innovative, high-quality content. SAGE publishes more than 850 journals and over 800 new books each year, spanning a wide range of subject areas. A growing selection of library products includes archives, data, case studies and video. SAGE remains majority owned by our founder and after her lifetime will become owned by a charitable trust that secures the company’s continued independence. Principal offices are located in Los Angeles, London, New Delhi, Singapore and Washington DC. http://www.sagepub.com

 

iso2016.jpg

it was held as usual in Florence (CTO) we followed the top trial session. Ongoing RCT were presented mostly from larger international initiatives. Small national activities are also under construction. A large discussion was opened on the chance to address specific educational programs for interventional neurology. The national need of interventional neurologists is large: 100-200 doctors. Should be a radiologist to practice thrombectmy ? a Neurosurgeon (exceeding number in Italy) ? a well trained Neurologists ? The answer from the faculty board is to wait for a new medical figure that will be possibly available in 5-10 years from now.

SITS endorses the ESOC – the European Stroke Organisation Conference in Glasgow 17-19 April 2015 – according to an announcement by SITS Chairman professor Nils Wahlgren today.

SITS usually arranges meetings for National Coordinators, SITS participants, workgroups and  regional committees at large conferences and ESOC will be the conference for our meetings in Europe next year, Nils Wahlgren declared.

Nils Wahlgren concluded: We hope to see as many SITS members as possible in Glasgow, since it facilitates networking between those who use SITS.

The WHO atlas addresses the global epidemic of heart disease and stroke in a clear and accessible format.

Cardiovascular disease now ranks as the world s top causeof death, causing one third of all deaths globally. Heartdisease can no longer be seen as the problem ofoverworked, overweight middle-aged men in developed countries. In todays world, women and children too are atrisk. Already, 75% of all CVD deaths occur in the poorer regions of the world, and this is likely to increase in the future. Following on from the success of WHO s Tobacco Atlas , the Atlas of Heart Disease and Stroke  addresses this most
urgent health issue in a ground-breaking, clear and accessible format, designed to inform UN agencies,
government officials, politicians, and other decision makers, the media, researchers, and the general public, as well as provide an essential tool for the health professional.
IMG_1400
Topics include:

* Risk factors: high blood pressure, tobacco use,
inactivity, obesity, lipids, diabetes
* Women, childhood and youth
* The global burden of CVD, including the economic
burden
* Research
* Prevention
* Policies and legislation
* Treatment
* Predictions

Hipponion STROKE NATIONAL PRIZE

Image


1. Shall be established a biennial award for the best original scientific research conducted in the field of stroke in Italy, with the aim of stimulating research in the same field particularly between youth
.
The honorary president of the award is Prof. Domenico Inzitari. Unpublished work will be accepted and to be published only if “Stumbleupon” with attached author’s statement that the date of submission of the same work is not yet “accepted. “
2.
The institution and contribute to scientific scrutiny Prize: ISO, Alice Federation Italy, the Sin (Italian Society of Neurology), Sno (Neurological Hospital), the Region Calabria, the city of Vibo Valentia, and the Order of Physicians of the Province of Vibo Valentia
.
3. Prizes will be awarded three jobs, with prizes 5.000, 3.000, and 2.000 euro, respectively, to be allocated
the first, second and third place in the competition. This year, the two scientific societies Italian Neurological most representative (SIN and SNO) they are equally distributed you the burden of premiums
.
4. The competition is open to researchers in experimental and clinical sciences in the field of stroke  of all ages and nationalities, operating in a clinical or research established in Italy. Age younger than 35 years and the prominent role of the investigator in the activities experimental design and conduct of research that has produced results will be evaluated
such preferred securities.
5. Scientific works, must relate to the themes, both experimental and clinical, relating to the field of stroke
brain. Must be research with scientific results and their originals. Work in collabor
action
with foreign groups will be considered, but the role of the researcher Italian applicant must
be paramount. Will not be taken into account jobs that will be judged as reviews
articles, meta-analyzes or other items without
the original data.
6. Entries must be sent in full (in Italian or English),
by15 September 2014

to


President of ‘Hipponion STROKE NATIONAL PRIZE, Dr. Domenico Consoli, Avenue of the
Peace, Vibo Valentia 37 89900, email:
domco@tiscali.it
or
neurologiavv@live.it
(In case of sent by post, the date of dispatch of postmark) backed by sections
conventional scientific work surfaces: table of contents, introduction, materials and methods, results, discussion,
conclusions, bibliography, any figures or tables in a format no longer than 5000
words. The first author, as well as general personal data, must declare , Under their own responsibility, the role he / she played in the research work. The evaluation of the role played by the host / presenter, with regard to design, conduct of the study, analysis of results, writing text, you will year elements of privilege for the award. To this end it will be prepared an attached card that contains the data, the tax code, the professional role, the contact information and a statement of the first autograph signer of the work ch and under its responsibility to have played a leading role in developing, driving and draft work. 7., The Commission will assess the scientific work sent anonymously each of three independent reviewers. The criteria and ratings to assess tion will be:

Originality of the scientific question (innovative contribution compared to the previous knowledge of the
specific theme) score from 1 to 10.

Appropriate methodology and advanced to the scientific answer to the question: score from 1 to 10.

Comprehensive discussion on the methodological robustness of the results produced, their limitations and the comparison
with the previous literature, score from 1 to 10.

Conclusions congruous with the results (degree of inference

generalizability of the results) pts 1to 10.

Overall assessment, taking into account the age of the investigator and the role he played in
of research that have produced results: score from 1 to 10
In case of conflict between the two referees, the evaluation with
conclusive emerge as a result of an evaluation
jointly by all the members of the advisory board.
8. Among all jobs submitted will be selected 12 works, each of which will be presented
directly by the candidate / in the premium, for the val
utazione conclusive by the Commission, in
a report of 15 minutes (10 for presentation, 5 for discussion) to be held
the
No
d occasion
and
Vibo Stroke Seminar “Life before and after stroke”
9. Scientific work of the Committee will
be ratified by the Commission of the guarantors.
10. The awards av
will come
à
during the Stroke Seminar
.
11. For the 12 candidates selected for the presentations will be offered free travel and accommodation
a
Vibo Stroke Seminar “Life before and after
‘Stroke’
12
. The board of trustees will consist of: D. Consoli (President’s Award)
P. Binelli,
A.
Carolei,
C. Fieschi, G.F. Gensini, G. Lanza, G. Blacks, A. Padovani,
L. Provincial
A.
Quattrone, V. Toso

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