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data from the ministery of health for central italy

So far it was a secret given to word of mouth among health professionals. The new Guide to Health Focus, now in its third edition with the most current data, it also recognizes the right of patients to know which are the most reliable centers to turn to be taken care of in the best way.Of course, hard to choose when you have a heart attack or a stroke: it relies on the ETS and it is hoped that in their region and in their local health healthcare is efficient.

May anti depressants be helpfull in stroke recovery ? also in non depressed subjects ?

Double blind placebo controlled on benefit of prolonged release Levomilnacipran in ischemic stroke recovery. A phase II RCT sponsored by Pierre Fabre Medicament IRPF. First patient enrolled in France. Up to 90 participating centres, six Italian centres will join the project. Stay tuned.

 

 

 

 

 

 

 

 

Cardioembolic Stroke as one of the  leading cause of global  disability deserves much more attention from health care authorities, the world stroke organization promotes the suscription of the “world stroke charter”

a signature may save lives

……We call on national governments, policy makers, payers and healthcare providers to take action to improve the lives of those with AF and drastically reduce the risks and costs of AF-related stroke.

Consiglio Superiore della Sanità Officiers

The largest ever Italian survey on 10-mortality rates for stroke was released this july by the large diffusion media Focus.

The survey was published after a governamental commision made available to journalist raw epidemiological data.

The list of smallest and high mortality Stroke centres is available on line as well. It is up to the political level the decision to keep this state of things or force resources to the best stroke-care provider.

 

 

 

 

 

The PREvention of VENous Thromboembolism In Hemorrhagic Stroke patients (PREVENTIHS) study started in june.

An Italian national  randomized open label trial, with blind follow on LMWH vs standard care in primary prevention of DVT or PE in hemorrhagic stroke. Coordinated by the Stroke Unit of Perugia University. Enrollement time 2 years planned size for 240 patients.

Participating centres:

Dipartimento di Medicina interna, Varese,

Stroke Unit, Reggio Emilia,

Medicina Interna,Ferrara,

Medicina Interna, Cecina,

Stroke Unit, Mantova,

Medicina Interna Vimercate,

Stroke Unit, Bologna

Unità Ictus San Giovanni Battista, Foligno.

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At ESC 2012 Lisbon, everyone’s talking about IST-3 the positive effects on acute ischemic stroke are mostly within 3 hours. But aged subjects may be more likely to be treated now.

INTERACT 2 trial is likely to be soon closed for reaching the enrollement goal.

The ICTUS trial demonstrated NO effects of citicoline in acute stroke.

ESO committees were also renewed.

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Here you can find the abstract book of the SIRN meeting in Milan. Here also available the oral communication on Apomorphine in SBI and slides by F. Corea in the morning session May 5th.

info f.corea@asl3.umbria.it

 

 

 

 

 

 

 

Seems more and more evident that  levels of air pollution considered safe by health care authorities such as WHO can contribute to higher rates of cognitive decline, stroke, and heart attack, according to many paper recently published.

Ist 3 trial results will be presented in the next European Stroke conference meeting held in Lisbon on 22-25 May. With more than 3000 enrolled patients this is likely to be one of the larget acute stroke trials. Check out the official site and preliminary publications on Trials. 2011 Nov 30;12:252.

 

 

 

 

 

An excellent overview on current stroke syndromes, including problematic clinical pictures various editors (Bogousslavsky, Agnelli, Caso and Paciaroni) .
In the Frontiers of Neurology and Neurosciences by Karger out this month.

Since Stroke is the most common neurologic disease and the leading cause of adult disability in Western countries. The initial diagnosis of stroke is clinical and needs to be done as rapidly as possible to guarantee optimal medical and interventional therapy. The emergency stroke management depends heavily upon stroke scores to quantify the damage and to speed up the diagnosis process. Unfortunately, several important stroke syndromes are not taken into consideration in these currently used stroke scores and therefore tend to be overlooked and not treated. Compiled by leading international experts, this book provides an excellent overview on current stroke syndromes, including particularly problematic clinical pictures. Thus, together with stroke scores, the publication will lead to more thorough assessments in emergency settings.

“…..This book is indispensable for neurologists, neurosurgeons, neuroradiologists and physicians involved in the care of stroke patients…..”