Newsletter October 2015 – Special Edition for World Stroke Day

Topics

Letter from the President and the President Elect


Dear ESO members,

The World Stroke Day (I am woman) campaign is a significant initiative. It is not that stroke clinicians have been blithely unaware that some of our patients are women, nor that we are only recently recognising with astonishment that many colleagues are women. Stroke is especially common among patients who are smokers or have diabetes, hypertension, atrial fibrillation. By no means all of these are men. Treatment in a stroke unit, reperfusion strategies such as iv thrombolysis or thrombectomy, and preventive measures such as antithrombotic drugs, antihypertensives and statins with occasional recourse to surgery for carotid disease are all valuable, and apply to both sexes. We do not provide less advantageous treatment for women, and we hope to treat our colleagues who are women with equal respect and consideration. Nevertheless, there are potential issues that we must consider. Perhaps due to family commitments, fewer of our women colleagues have achieved the most prominent research and political positions, though this varies regionally. Women suffer stroke 2-3 years later than men, on average. Women are less likely to consent to participate in research studies than men. Women are more likely to act as carers for men with previous stroke than vice versa. Only women suffer the additional risks associated with hormonal changes and pregnancy. Differential treatment effects are possible, though some claims of this have been disproven after proper adjustment of outcomes for the different ages and severity of stroke have been performed. When half of our patient population has such an obvious phenotypic and genotypic difference from the other half, we should certainly recognise and consider the possibility that investigation and management of our patients, and the needs of our colleagues, should be adjusted to take account of sex differences. ESO has taken up the agenda at the highest levels in its organisation: our President Elect, no less, is a woman; and we have given a mandate to our conference committees to encourage invitation of women speakers and moderators, to involve them in committees and to include relevant topics in our programmes. I take pleasure in standing alongside Valeria to introduce our colleagues’ views on how to tackle the issues of women in stroke and of stroke in women.

Kennedy Lees, President & Valeria Caso, President Elect


World Stroke Day 2015


October 29th 2015 is World Stroke Day. The chosen title by WSO for the campaign is “I am Woman” highlighting the fact that women are more:

  • at risk of having a stroke,
  • likely to die from a stroke than men,
  • unlikely to receive acute care and rehabilitation than men, even though they respond equally well to treatment,
  • likely to experience severe decline in cognitive function and higher risk of post-stroke depression and institutionalisation,
  • likely than men to experience hypertension, atrial fibrillation, diabetes, depression and obesity, all of which increase stroke risk,
  • likely to take on the care giving role.
Paola Santalucia
Paola Santalucia

Every year, 15 million people worldwide suffer a stroke, making it the second leading cause of death in persons older than 60 years of age and the fifth leading cause of death in those aged between 15 and 59 years. Worldwide, it is the fifth leading cause of death for men and the third for women.

By 2030, it has been estimated that 72 million people over the age of 65 (19% of the general population) will have a stroke, with women outnumbering men. Nearly half of all stroke survivors suffer from neurological deficits, either physical, cognitive or both which translates into 200.000 more disabled women than men annually.

Some age-related stroke risk factors are different in women and men due to the sex-hormonal profile. Overall stroke risk factors, on a gender perspective, could be classified as sex-specific, prevalent in women and similar between sexes. Sex-specific risk factors include pregnancy, preeclampsia, gestational diabetes, oral contraceptive use, menopause and postmenopausal hormone use Other risk factors prevalent in women include migraine, atrial fibrillation, diabetes mellitus, hypertension, depression and psychosocial stress. Whereas, risk factors with similar prevalence in men and women include advancing age, physical inactivity, obesity, unhealthy diet and smoking habit.

Overall, women have a lower risk of stroke compared to men, however this disparity diminishes following menopause, when women have more strokes and worse outcomes than men. Elderly women, in particular, are a very fragile segment of the population. Depression and poor quality of life are associated with cardiovascular events and impair the subsequent recovery.

Global action through healthcare strategies, awareness campaigns and social interventions contribute to improving stroke incidence in women and men.

Paola Santalucia, Chair of the ESO Public Relations Committee

Interview to Valeria Caso, President Elect of ESO, by Paola Santalucia, Chair of the ESO Public Relations Committee


PS:
I know that you are currently collaborating with Valentina Arnao, a PhD candidate in Neurology, on the collection of worldwide stroke data on women with stroke regarding prevalence, incidence and mortality. Could you summarise the main results you have obtained so far from this investigation?

Valeria Caso
Valeria Caso
VC: Data on prevalence, incidence and mortality of stroke in women from Sub-Saharan Africa, Arabic and Asian countries, excluding Japan and Singapore are very limited due to lack of reliable in-hospital registries and national healthcare databases in these countries. Moreover, limited access to both emergency and general care for women limits us in obtaining a precise picture of the burden of stroke in women in these countries.

Regarding the prevalence, incidence and mortality of stroke in women in Eastern Europe, the burden from stroke is on the rise, due to increases in dietary risks, high blood pressure and smoking habit.

Likewise, the absence of universal health care systems, specialised Stroke Units, stroke care pathways and stroke guidelines, all contribute to making effective treatment more difficult to deliver. Being so, one of our principle aims of the current ESO-EAST project will be to identify and address these issues.

Despite ageing populations in Western Europe, North America and Australia, decreases in stroke incidence, prevalence and mortality have been observed over the last two decades; even in subjects older than 80 years. However, studies carried out on US populations have revealed that these reductions for women are less pronounced in African Americans, Hispanics and Native Indians. To this regard, in 2010, 60% of stroke deaths occurred in women in the USA and 80% of all deaths related to stroke were reported to be in the lower social ranks.

PS: The role of the caregiver is important for all stroke victims - have you observed that woman patients are adequately cared for by their caregivers?

VC: Well, with a question of this nature I always risk sounding “politically incorrect”. However, men tend to be admitted to our Stroke Unit with a pink fortress of support built up over a lifetime including wives, daughters, fiancés, mothers and sisters who, in a very organised manner, “stress” physicians, nurses, physiotherapists and logopaedicians to deliver the best possible care for “their men”. Whereas, women more than often are admitted without such a network. This is undoubtedly due to a worldwide sociological fact that women have the role of caregivers throughout their lives for their men and themselves.

PS: What is the role of ESO in enhancing stroke care in women?

VC: In 2014, we established “WISE – Women Initiative for Stroke in Europe” an ESO Working Group to guarantee better stroke care for women. WISE was initially led by you and Aleksandra Pavlovic from Serbia. Presently, Aleksandra Pavlovic and Katharina Sunnerhagen from Sweden are leading this group as you have taken on the responsibilities for managing the PR activities of ESO. WISE has as its objective to promote scientific initiatives and efforts in favour of women’s stroke care. As you know, Europe has marked diversities in its health care systems, as well as its economic and social fabric. These differences have been shown to influence cardiovascular risk profile in patients along with the incidence of cerebrovascular disease. These differences more than often translate into disparities regarding patient outcome; especially for women who tend fair worse than men after stroke. For this, WISE is working to bridge the gaps in women’s stroke care throughout Europe.

ESO is also working to update the European guidelines for stroke in women. Specifically, we are seeking to implement the “American Guidelines for Stroke in Women” based upon the GRADE System. To do so, women will need to be better represented in future clinical trials worldwide. The only trial to date where the number of men and women have been equally represented has been in the IST3-trial, as it did not impose an age limit on enrolment.

More data on stroke in women from large clinical trials would help us answer the question why women tend to have worse outcome after stroke compared to men.

PS: Thank you very much for your time. Are there any final thoughts you would like to share with ESO members?

VC: I would like to conclude by citing two recently published articles. First, a review performed by Langer et al., entitled “Women and Health: the key for sustainable development.” (Lancet. 2015; 3861165-210.) The authors state: “We estimate the financial value of the paid and unpaid health-care-related duties that women undertake in health systems and in their homes and communities, which are a hidden subsidy to health systems and societies. We conclude that gender-transformative policies are needed to enable women to integrate their social, biological, and occupational roles and function to their full capacity, and that healthy, valued, enabled, and empowered women will make substantial contributions to sustainable development.”

Second, an article by Anupam et al., (JAMA. 2015; 314:1149-1158) which reads that “sex differences in academic faculty rank, with women substantially less likely than men to be full professors, after accounting for age, experience, specialty, and measures of research productivity.”

ESO is already working toward tearing down gender existing obstacles in medical research and academics in order to deliver better patient care for everyone.

I am a woman: Testimonial of a stroke neurologist


Women and Stroke – Women in Stroke

Aleksandra Pavlovic
Aleksandra Pavlovic
When I was a medical student 25 years ago, stroke was a devastating disease, a disaster, a life-changing event after which nothing would be the same. It seemed to me then that the main job of a neurologist was to register what had happened and distinguish ischemic stroke from bleeding. And even for those who recovered, a sword of Damocles of new, recurrent stroke, hanged over their heads and peace was lost for ever. But, things have changed so much since that time.

The first stroke patient I saw was a 54-year old lady left with Gerstmann syndrome after a left-hemisphere stroke. I was fascinated with her cognitive deficits and decided to dedicate my carrier to behavioral neurology.

What struck me the most was how her stroke affected the lives of those close to her. She was an accountant but couldn’t work now. She was the sole provider of her family of five since her husband lost his job during the difficult years in our country. She was also the only caregiver for her mother, left paralyzed after her own stroke several years ago. No wonder she actually had previous TIA but decided not to act upon it, since she “believed it would go away”, and “just didn’t have the time” to see a doctor. She also added to home budget by painting on silk which she loved so much, but could not do it anymore. When she was affected by stroke, a lot of people were also affected. “I just have to be healthy, doctor”, she said, understandably depressed.

When I transferred to the Department for Cerebrovascular Disorders, over the years we had a lot of young stroke patients. One of the cases I will never forget was a woman with history of devastating multiple miscarriages whose stroke led to diagnosis of antiphospholipid syndrome we finally made. Together we fought back against the disease. She tells me now that when she looks at her 13-year-old daughter, a skilled horse-rider and passionate little fashion designer, she can hardly recall all those years of fear and desperation.

My grandmother had several strokes over the years on the basis of long-standing hypertension. But each time she had no doubt she would recover since her “house was waiting for her and she just can’t leave it”. Her firm determination was obvious if you saw that tiny little lady “rushing” down the hospital hallway with the walker, asking for extra rounds with a physiotherapist. I witnessed her text-book aphasic TIA one day while I was visiting, and I at once was terrified, in spite of being previously trained in stroke for many years at the time.

We treat all our patients professionally and equally, no doubt. But a woman with stroke has a particular resonance for me, especially since I became a mother myself. We know that women are more likely to experience stroke and more likely to die from it. Women have specific stroke risks from the use of birth control pills, hormone replacement therapy and pregnancy related conditions. They are also less likely to receive acute care and rehabilitation than a man. Therefore we constituted WISE - Women Initiatives for Stroke in Europe, a European Stroke Organisation working group focused on stroke in women. WISE aims to improve knowledge on gender differences in stroke in Europe and stimulate research in the field.

Around Europe, a lot of stroke physicians are women, balancing family life and house work, night-shifts and research, social roles and academic careers. I am proud of these hardworking ladies with so many goals in life. I identify myself with every multitasking sleep-deprived woman, believing nothing wrong can ever happen to them. I am typing all of this with one hand since my baby-girl is sleeping in her pink pajamas on my other shoulder. One day still far away, she will be a woman too.

Aleksandra Pavlovic, Neurologist, Belgrade, Serbia

Aleksandra Pavlovic and Katharina Sunnerhagen answer on behalf of WISE

WISE answers to questions on stroke in women for World Stroke Day

ESO WISE Group

1. What’s the perception of the scientific community about stroke in women?

The scientific community is increasingly becoming aware of the problem of stroke in women but there are still gaps in our knowledge regarding several important aspects. Guidelines for the Prevention of Stroke in Women have been published in 2014 by the American Heart Association/American Stroke Association (Stroke, published online February 6th 2014), summarizing data on stroke risk factors unique to or more common in women than men, and suggesting prevention strategies. A need for further research of sex-specific stroke risk profiles and prediction scores, sex differences in hemorrhagic stroke, carotid stenosis management, stroke risk associated with the use of oral contraceptives and hormone therapy, effective life style interventions both in primary and secondary prevention, have all been recognized.

Women have been underrepresented in cardiovascular clinical trials, including stroke, so they need to be included in clinical trials of primary and secondary stroke prevention in sufficient numbers for preplanned subgroup analysis. Having in mind diversities in health-care systems, economical and social settings, and multi-ethnicity of Europe, there is a need for European guidelines for Primary and Secondary Prevention of Stroke in Women.

WISE would like to emphasize the need for continuous education of health care professionals, both at the level of primary health care and at the specialist level, about stroke with attention to gender differences. There are data showing that women are less likely to be treated for stroke risk factors unique to (reproductive factors) and more common (migraine with aura, obesity, metabolic syndrome, atrial fibrillation) in women than men. These factors should be proactively managed in order to reduce stroke risk in women. National guidelines for stroke prevention, treatment and care, should include chapters on stroke in women. Educational Meetings, Teaching Courses and all forms of Continuous Medical Education at national levels should be strongly encouraged. The European Stroke Organization dedicated a Teaching Course on it’s first Conference in Glasgow, April 2015, to the topic “Women and Stroke, Paediatric Stroke”.
WISE recognizes the need for pan-European epidemiological studies on different aspects of stroke in women, risk factors in particular, in order to appropriately tailor prevention strategies. Besides, a survey on gender differences in front-line care of stroke patients around Europe should be performed. Also, multicenter European databases focused on specific issues of stroke in women such as unique stroke risk factors for women and women>80 years old are needed.

2. What are the necessary steps to improve the awareness of stroke in women?

It is imperative to improve public awareness of stroke in women, particularly of stroke at younger ages, having in mind both age-specific settings such as pregnancy, gestational hypertension and hormonal contraception but also increasing risk of stroke with aging.

Although there is a continuous need for population-wide prevention strategies in stroke, stroke in women could be more adequately address with high-risk prevention approach, targeting women with hypertension, atrial fibrillation, smokers, when assessed for hormonal contraception or hormone therapy for menopause symptoms. Healthy life styles for protection of cardio/cerebrovascular health should be continuously promoted, advising women to refrain from smoking, maintain a healthy weight, eat a balanced diet, be physically active, and check the blood pressure. Stroke awareness campaigns could be associated not only with World Stroke Day but with national holidays dedicated to women, with respect to cultural varieties of Europe such as Mother’s Day or International Women’s Day. There is a great opportunity to use new strategies for stroke prevention, such as smartphone applications.

3. What is WISE view and vision of stroke care in women?

Implementation of guidelines for stroke prevention in women, tailored for specific problems such as stroke in pregnancy, menopausal stroke, stroke in elderly women, is vital for reducing the burden of stroke in women. Post-stroke care and rehabilitation are crucial for enabling a woman to go back to her occupational, social and biological roles.
Besides comprehensive guidelines, systematic reviews and professional statements on particular problems in management of stroke in women should be supported, such as sex-differences in stroke prevention and treatment.

A network of researchers working with stroke patients and particularly focused on problems of stroke in women will increase our knowledge of stroke specificities in women in different population, produce new ideas and approaches to managing these patients and hopefully increase both public and professional knowledge on the topic. We believe that, by embracing European diversities in health-care systems, economical and social settings, and multi-ethnicity, an international scientific approach will lead to development of new strategies in fighting stroke in women, and promoting the field of Women’s Healthcare for a benefit that is global, for women and men.

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Elvira Pistillo
The WISE working group would like to thank Elvira Pistillo from our ESO office for her dedication and commitment for this special edition of the newsletter.


Marialuisa Zedde, member of ESO Public Relations Committee selected some links to relevant scientific publications on stroke in women:

www.ncbi.nlm.nih.gov/pubmed/26499113
www.ncbi.nlm.nih.gov/pubmed/26159792
www.ncbi.nlm.nih.gov/pubmed/26185186
www.ncbi.nlm.nih.gov/pubmed/25190445
www.ncbi.nlm.nih.gov/pubmed/25116874
www.ncbi.nlm.nih.gov/pubmed/25028447
www.ncbi.nlm.nih.gov/pubmed/25028447
www.ncbi.nlm.nih.gov/pubmed/25669310
www.ncbi.nlm.nih.gov/pubmed/25669310
www.ncbi.nlm.nih.gov/pubmed/24503673
www.ncbi.nlm.nih.gov/pubmed/25948665
www.ncbi.nlm.nih.gov/pubmed/25628307
www.ncbi.nlm.nih.gov/pubmed/23970792
www.ncbi.nlm.nih.gov/pubmed/25641184
www.ncbi.nlm.nih.gov/pubmed/25459238
www.ncbi.nlm.nih.gov/pubmed/23887843
www.ncbi.nlm.nih.gov/pubmed/24686450
www.ncbi.nlm.nih.gov/pubmed/24646615
www.ncbi.nlm.nih.gov/pubmed/25335544
www.ncbi.nlm.nih.gov/pubmed/25351597
www.ncbi.nlm.nih.gov/pubmed/24613026
Marialuisa Zedde
Marialuisa Zedde


World Stroke Day activities around Europe


Finland

October 26th will be the proper launching day for blood pressure campaign all around Finland to draw public attention to the harmful influence of high blood pressure on brain health. The campaign is a part of One Life, which joins forces with the Finnish Brain Association, the Finnish Diabetes Association and the Finnish Heart Association to promote vascular health.

During the campaign Finns are welcomed to measure their blood pressure and ask questions in about 120 free pop-up measurement points from October 26th to 30th. The first pop-up point was in the Finnish Parliament, where blood pressure of Members of Parliament was measured. The campaign is publicized in radio, social media and Helsinki tram.

Blood pressure is the head issue – a public lecture at 6-8 pm on October 28th in Helsinki Congress Paasitorni (Paasivuorenkatu 5 A, Helsinki) with one of pop-up measurement points.

AVH-päivät, Stroke day 2015 – a two-day conference for all health professionals on the treatment and rehabilitation of stroke. October 28-29th, 2015, Helsinki Congress Paasitorni, Helsinki.

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Petra Ijas
In Finland, stroke in women was in focus during Stroke Day 2014. This year, there will be a special issue on stroke in women in the Stroke-magazine (AVH-lehti), a quarterly special issue of Finnish Brain Association. Brochure “Woman and stroke” has been distributed in health events during the whole year. Contact: Finnish Brain Association, paivi.seppa-lassila@aivoliitto.fi, tel. +358 40 715 5198 or Risto Roine, risto.roine@tyks.fi; Finnish Stroke Society, Tiina Sairanen, tiina.sairanen@hus.fi.

Petra Ijas, Department of Neurology, University of Helsinki

Austria

There was a press conference together with patients' self organization about the symptoms and signs of stroke. A film was created with an actor about signs and symptoms of stroke (FAST test). This film will be presented in cinemas and television together with statements of patients. Posters will be shown in the public and in newspapers about the symptoms and signs of stroke and statements of patients.

A survey was conducted to learn about signs and symptoms of stroke in the general population. Results of the survey were presented at the press conference.

Another film was produced about central retinal artery occlusion (CRAO) which will be shown on television. Opthalmologists and neurologits start to use i.v. thrombolysis in this situation.

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Julia Ferrari
1. + 2. were organized by the "Samariterbund" and the Austrian Stroke Organization (www.oegsf.at).

3. was organized by the Department of Neurology at the Brothers of Charity Hospital, Vienna (Krankenhaus der Barmherzigen Brüder, Wien).

Julia Ferrari, Department of Neurology, Krankenhaus der Barmherzigen Brüder, Vienna

Macedonia

  • Activities organized by the Macedonian Neurology Society and the Society of Nurses in Neurology, with the support of the University Clinic of Neurology and Red Cross
  • Public event: measurement of blood sugar and blood pressure in the population; advice and printed material regarding stroke risk factors and prevention in several cities
  • Workshop for families who have patients with stroke
  • Lectures about stroke risk factors in women at the Women’s Organization in Skopje
  • Television guest on several television stations, talking about World Stroke Day, forthcoming activities, stroke facts, risk factors and prevention
  • Scientific meeting entitled “ World Stroke Day”
Anita Arsovska
Anita Arsovska
Please see this presentation for further informationon on World Stroke Day in Macedonia.

Anita Arsovska, President of the Macedonian Neurology Society

ESO supports the World Stroke Day organized by the World Stroke Organisation. For information on the World Stroke Day 2015 on 29 October please see the World Stroke Campaign website.



WSO elections


We are happy and proud to announce the election of two former ESO Presidents to WSO presidency.

Prof. Werner Hacke will be WSO President from 2016 to 2018 and Prof. Michael Brainin from 2018 to 2020.

The election of our past ESO Presidents, Prof. Werner Hacke and Prof. Michael Brainin, will secure a continuation of WSO-ESO collaboration initiated by Prof. Steve Davis. The support we received from WSO for the first European Stroke Conference was determinant in the success of the conference. Future collaboration between WSO and ESO will empower our commitment to the fight against stroke.

Michael Brainin
Michael Brainin
Werner Hacke
Werner Hacke

 



ESO Activities


ESO-EAST in progress


The 2nd ESO-EAST Meeting was held in Greece on 8-9 October 2015 and followed the 1st ESO-EAST Meeting in Glasgow in April 2015. The ESO-EAST Project ("Enhancing and Accelerating Stroke Treatment") is an ESO initiative focused on optimizing stroke care in countries of Eastern Europe and Central Asia.

The meeting was chaired by Robert Mikulik from St. Anne’s University Hospital in Brno, Czech Republic. Funding was also provided by St. Anne’s University Hospital (ICRC-ERA-HumanBridge Project, No. 316345 funded from the 7th Framework Program by the European Union).

15 country representatives from 12 countries (Bulgaria, Czech Republic, Estonia, Greece, Kazakhstan, Kyrgyzstan, Lithuania, Macedonia, Poland, Russia, Slovakia and Ukraine) presented their strategy for stroke care improvement. Also, representatives of SITS registry presented how SITS could be helpful in this initiative. Participants agreed that two main initiatives should be followed:

1) Establishment of Quality Improvement Registry that should provide snapshot of quality of stroke care, identify limitations of stroke care in each country and develop strategy to minimize such limitations.

2) Participate in educational activities on stroke, e.g. initiate education of nurses in stroke, which is mainly lacking.

Veronika Svobodova
Veronika Svobodova
Veronika Svobodova, grant specialist from St. Anne’s University Hospital in Brno, informed attendees about a) grant opportunities available for funding, b) projects conducted by St. Anne’s University Hospital in Brno that can be shared by other stroke centers, e.g. on stroke education and stroke awareness in children.

The meeting was very interactive thanks to fruitful contribution of all attendees. The ESO thanks all participants for their support.

ESO is grateful to Robert Mikulik, Jana Balúchová and Veronika Svobodova for their professional and personal support to the ESO-EAST meeting. This workshop was entirely financed by fundings from the University of Brno.

2nd ESO-EAST Meeting, 8-9 October 2015, Greece

2nd ESO-EAST Meeting, 8-9 October 2015, Greece



Upcoming ESO Events


3rd ESO-ESMINT-ESNR Stroke Winter School
: 9th to 12th February in Bern, Switzerland,
www.strokewinterschool.com

3rd European Stroke Science Workshop: 19th to 21st November 2015 in Garmisch-Partenkirchen, Germany, www.eso-stroke.org/eso-stroke/eso-activities/european-stroke-science-workshop.html, Programme

ESO GRADE Workshop: 21st/22nd November 2015 in Garmisch-Partenkirchen, Germany

ESO Conference: The second Europe-wide conference will be held from May 10th to 12th 2016 in Barcelona. Information is available on the conference website at www.eso.kenes.com. For further details, you may contact Marcel Dekker, mdekker@kenes.com, or Prof. Kennedy Lees, kennedy.lees@glasgow.ac.uk. Please note that the “European Stroke Conference (ESC)” is not supported by ESO.

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Other Events, endorsed by ESO

5th International Conference on Neurology and Epidemiology (ICNE)
November 18-20, 2015 - Griffith University, Gold Coast, Australia
www.icne2015.com/en/

10th UK Stroke Forum
December 1-3, 2015 - Liverpool, United Kingdom
www.stroke.org.uk/events/training-conference/uk-stroke-forum-conference-2015
Highlights from UK Stroke Forum 2014

14th International Symposium of the Belgian Stroke Council
December 5, 2015 - Leuven, Belgium
belgianstrokecouncil.be

ISC - International Stroke Conference
February 17-19, 2016 - Los Angeles, USA
www.strokeconference.org/

Flemisch neurovascular course for nurses and paramedics
(Opleiding Neurovasculaire zorg voor verpleegkundigen en paramedici)
April 15, 2016 - Brugge, Belgium
www.vives.be/opleidingen/gezondheidszorg/neurovasculaire-zorg



Miscellaneous


ESO Membership

Dear ESO member - Please help to further promote membership in the ESO by talking to your colleagues and students!

Membership registration is available on the ESO website: www.eso-stroke.org/eso-stroke/membership.html. If you are already ESO member you might want to consider upgrading your membership to Fellow membership. Further information is available at www.eso-stroke.org/eso-stroke/membership/fellow-of-the-eso.html.

Please also make sure that you pay your annual membership fee. Timely payment of membership fees secures reliable income for our organisation. This is important to keep ESO up and running and to be able to plan future activities! Membership fees can be paid online at www.eso-stroke.org/eso-stroke/membership/pay-your-membership-fees-online.html. Thank you!

AHA/ASA Professional Membership

Join a network of more than 27’000 professional members by affiliating with the AHA/ASA Stroke Council. Read more.


Dr. D.B. Gupta Research Experience Fellowship 2016

EAN and ESO are pleased to invite applications for the D B Gupta Research Experience Fellowship 2016, supported by Lupin Pharmaceuticals. The primary purpose of this programme is to support experience and training for an Indian Neurologist in any area of basic or clinical or applied research in Neuroscience. The goal of the programme is to provide a research-focused experience and training, under the supervision of a mentor with recognized expertise in a specific field, at a European laboratory or clinic, with the specific intention that the individual returns to India bringing new skills and experience with them. The successful applicant will be awarded € 2,000.- per month for a period of 6 months, plus travel expenses of up to € 500.-, and subject to acceptance of an abstract free registration & a travel grant to an EAN congress. Submission deadline: November 30, 2015. Application forms and detailed guidance may be requested by e-mail from EAN Head Office (fellowship@eaneurology.org) or can be downloaded from the website.

McMaster/Hamilton Health Sciences (HHS) Stroke Fellowship Program

The McMaster/Hamilton Health Sciences (HHS) Stroke Fellowship Program is currently seeking applicants. One and two year stroke fellowships are available, for commencement in July 2016 (application deadline: October 31, 2015). The fellowship program is intended to train and prepare the next generation of stroke experts across the continuum of stroke medicine from stroke prevention, acute stroke care, stroke recovery and rehabilitation. For futher information please see here.

AHA Webinars

In 2011, Stroke initiated a series of educational webinars that occur on a bimonthly basis. These webinars cover important topics in the cerebrovascular disease field, especially those with recent advances that will impact clinicians and researchers. The intention of the webinars is to provide participants with current and novel information on high-impact topics. The webinars consist of a structured lecture with appropriate slides by acknowledged thought leaders relevant to the topic under discussion. For the live webinar, participants then have the opportunity to pose questions to the speaker after the formal presentation. These webinars serve as a valuable educational resource to the stroke community for enhancing knowledge about recent developments in this evolving field.

ESO offers in collaboration with the American Stroke Association (ASA) free webinars accessible via the ESO website. Please click www.eso-stroke.org/eso-stroke/education/aha-webinars.html to access the webinars.

Donate to ESO

The European Stroke Organisation appreciates any donation which helps funding important projects and supporting various activities with the goal of raising the awareness of stroke on a pan-European scale. Please tell your colleagues and executives at the hospital about this new opportunity to make a difference in stroke, by supporting our organisation. Your donation will help us in our efforts to reduce the number of stroke-associated deaths and the burden caused by stroke throughout Europe. Please visit the ESO donation website at www.eso-stroke.org/eso-stroke/about-eso/make-a-donation-to-eso.html. Every support is highly appreciated and we thank you for caring!

Twitter

Join ESO on Twitter

Register on Twitter at twitter.com/ESOstroke and become a Follower of ESO!

Anything interesting you would like to share with the ESO community via Twitter?

Please contact Else Charlotte Sandset from the ESO Public Relation and Young Stroke Physicians Committees else@sandset.net, who coordinates communication on Twitter for ESO. Contributions might include scientific content, such as interesting papers on stroke, or information on stroke meetings and ESO initiatives as well as pictures from ESO events or even clinical trials results as they are given at conferences.

Below is a selection of latest Tweets posted by Else Charlotte Sandset.

ESOstroke: RT @UKStrokeForum: @ESOstroke & @WorldStrokeOrg have both endorsed the #UKSF15 - the UK's largest multidisciplinary #stroke conference

ESOstroke: The focus is on stroke for #WorldStrokeDay next week. Do you or your department have anything planned?

ESOstroke: RT @ESOC2016: Looking back on the success of #ESOC15 and forward to #ESOC16! t.co/lK9FQlBbSk

ESO Newsletter

We encourage everyone to contribute to future ESO newsletters by sending your suggestions, comments or scientific news to Paola Santalucia, p_santalucia@hotmail.com. ESO Fellows are kindly invited to submit a short summary of their recent relevant publications.