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      Paper of the Month

      Research Paper of the Month: Apixaban for Stroke Prevention in Subclinical Atrial Fibrillation

      December 4, 2023

      Research Highlights One glowing light bulb that stands out from unlit or dim lamps on a blue background

      Research Highlights of the Month – December 2023

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      Executive Page: Advocacy for brain health gaining momentum across the neurological landscape

      October 1, 2023

      Executive Page Dear EAN members, dear friends, It is my pleasure to give you an update on behalf of the EAN Scientific Committee following a busy year since my appointment as chair. It has been a privilege to be so deeply involved in the scientific activities of the EAN and to work closely with an amazing community of people who are so dedicated to the advancement of neurology. One of the strongest threads within that community is the EAN’s group of Scientific Panels, which are often referred to as the organisation’s ‘scientific backbone’. The panels have a hand in everything the EAN does from a scientific point of view, including coordinating clinical research, disseminating good practice, assisting in planning the EAN annual congress, supporting the EAN’s educational efforts, and producing guidelines that assist neurologists in daily practice. All of this work requires a considerable amount of oversight, and this is why each panel is run by its own Management Group, elected by the panel members. Being a part of one of these Management Groups (PDF) is an opportunity to play a direct part in determining the direction of scientific progress within Europe, and I am excited to say that the call for applications to stand for election will be announced in September. All panel members and EAN individual members are eligible to apply to be candidates, with the vote being held among the existing panel members in autumn. I would like to urge every neurologist with a passion for the scientific future of their special area of interest to consider standing for election to the relevant Management Group and to look out for the call for applications later this month. I can tell you from personal experience that fulfilling a role such as this within the structure of the EAN is a fascinating and extremely rewarding experience. The chance to take on such a unique leadership position should not be missed! The most satisfying aspect of being involved in the EAN’s organisational structure is surely seeing all the hard work and planning come to fruition when a small idea evolves into a newly launched project. One such example is the 1st EAN Science School, taking place in Salzburg next March. The idea of the Science School is to offer early career neurologists with an interest in translational research a new avenue for learning about basic pathomechanisms of neurological disorders. Application for this very first edition, on ‘Pathophysiology of disorders of the nervous system’, closed last week and we have been delighted with the level of interest. It was a pleasure to be part of the task force in charge of planning this new project and I look forward to seeing it officially transferred to the hands of the Scientific Committee after a successful event and evaluation in spring. Of our ongoing activities, one of the most significant is the EAN Neuro-covid Registry, which aims to collate epidemiological data on neurological manifestations in patients with COVID-19 infection reported by neurologists in outpatient services, emergency rooms, and hospital departments. We currently have 1,542 patients entered in the database, from 35 centres across 23 countries. So far, 29 patients have been followed for 12 months and 387 have completed the 6-months follow up. This is a decent start, but I would like to strongly encourage EAN members and their institutions to get involved and contribute cases to what will become an invaluable resource for neurologists and clinicians to improve care for Covid-19 patients. Finally, I would like share a word on a forthcoming collaboration between EAN and the Human Brain Project in December, that I think will interest a lot of EAN members. The EAN-EBRAINS joint workshop on ‘The future of medical data sharing in clinical neurosciences’ will be a three-day virtual event that aims to discuss issues and challenges associated with data sharing in Europe, from ethics to data safety and privacy, including those specific to data federation, such as the development and validation of federated algorithms. The whole workshop is completely free of charge and registration is open until 25 November, so please check out the details and sign up! I wish you all a healthy and pleasant autumn and I look forward to updating you again. Best wishes Thomas Berger Chair of the EAN Scientific Committee

      Executive Page: Management Group elections are coming – run for office and help shape our future!

      September 1, 2023

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      Paper of the Month

      Research Paper of the Month: Apixaban for Stroke Prevention in Subclinical Atrial Fibrillation

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      Research Highlights One glowing light bulb that stands out from unlit or dim lamps on a blue background

      Research Highlights of the Month – December 2023

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      Paper of the Month

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      Research Highlights of the Month – November 2023

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      Research Paper of the Month: Apixaban for Stroke Prevention in Subclinical Atrial Fibrillation

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      Paper of the Month

      Research Paper of the Month: Apixaban for Stroke Prevention in Subclinical Atrial Fibrillation

      December 4, 2023

      Research Highlights One glowing light bulb that stands out from unlit or dim lamps on a blue background

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      Executive Page Dear EAN members, dear friends, It is my pleasure to give you an update on behalf of the EAN Scientific Committee following a busy year since my appointment as chair. It has been a privilege to be so deeply involved in the scientific activities of the EAN and to work closely with an amazing community of people who are so dedicated to the advancement of neurology. One of the strongest threads within that community is the EAN’s group of Scientific Panels, which are often referred to as the organisation’s ‘scientific backbone’. The panels have a hand in everything the EAN does from a scientific point of view, including coordinating clinical research, disseminating good practice, assisting in planning the EAN annual congress, supporting the EAN’s educational efforts, and producing guidelines that assist neurologists in daily practice. All of this work requires a considerable amount of oversight, and this is why each panel is run by its own Management Group, elected by the panel members. Being a part of one of these Management Groups (PDF) is an opportunity to play a direct part in determining the direction of scientific progress within Europe, and I am excited to say that the call for applications to stand for election will be announced in September. All panel members and EAN individual members are eligible to apply to be candidates, with the vote being held among the existing panel members in autumn. I would like to urge every neurologist with a passion for the scientific future of their special area of interest to consider standing for election to the relevant Management Group and to look out for the call for applications later this month. I can tell you from personal experience that fulfilling a role such as this within the structure of the EAN is a fascinating and extremely rewarding experience. The chance to take on such a unique leadership position should not be missed! The most satisfying aspect of being involved in the EAN’s organisational structure is surely seeing all the hard work and planning come to fruition when a small idea evolves into a newly launched project. One such example is the 1st EAN Science School, taking place in Salzburg next March. The idea of the Science School is to offer early career neurologists with an interest in translational research a new avenue for learning about basic pathomechanisms of neurological disorders. Application for this very first edition, on ‘Pathophysiology of disorders of the nervous system’, closed last week and we have been delighted with the level of interest. It was a pleasure to be part of the task force in charge of planning this new project and I look forward to seeing it officially transferred to the hands of the Scientific Committee after a successful event and evaluation in spring. Of our ongoing activities, one of the most significant is the EAN Neuro-covid Registry, which aims to collate epidemiological data on neurological manifestations in patients with COVID-19 infection reported by neurologists in outpatient services, emergency rooms, and hospital departments. We currently have 1,542 patients entered in the database, from 35 centres across 23 countries. So far, 29 patients have been followed for 12 months and 387 have completed the 6-months follow up. This is a decent start, but I would like to strongly encourage EAN members and their institutions to get involved and contribute cases to what will become an invaluable resource for neurologists and clinicians to improve care for Covid-19 patients. Finally, I would like share a word on a forthcoming collaboration between EAN and the Human Brain Project in December, that I think will interest a lot of EAN members. The EAN-EBRAINS joint workshop on ‘The future of medical data sharing in clinical neurosciences’ will be a three-day virtual event that aims to discuss issues and challenges associated with data sharing in Europe, from ethics to data safety and privacy, including those specific to data federation, such as the development and validation of federated algorithms. The whole workshop is completely free of charge and registration is open until 25 November, so please check out the details and sign up! I wish you all a healthy and pleasant autumn and I look forward to updating you again. Best wishes Thomas Berger Chair of the EAN Scientific Committee

      Executive Page: Management Group elections are coming – run for office and help shape our future!

      September 1, 2023

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      Research Paper of the Month: Apixaban for Stroke Prevention in Subclinical Atrial Fibrillation

      December 4, 2023

      Research Highlights One glowing light bulb that stands out from unlit or dim lamps on a blue background

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      Paper of the Month

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      Research Highlights of the Month – November 2023

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      Research Paper of the Month: Apixaban for Stroke Prevention in Subclinical Atrial Fibrillation

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Executive Page

President’s Page: Should we split neurology into sub-disciplines?

October 1, 2015

Günther Deuschlby Günther Deuschl

Neurology is a young and rapidly expanding field. This has many consequences – and ideas about a possible centrifugal development of neurological specialities are among them. Two major factors are facilitating the separation of sub-disciplines from neurology.

Firstly, there are the increasing possibilities for treatment and therefore increasing numbers of patients which need neurological treatment. Major research progress has been made and many diseases can nowadays be  treated successfully. This does not only apply for stroke, infections, multiple sclerosis and epilepsy but also for degenerative disease like Parkinson’s disease and even some of the hereditary conditions like Wilson’s disease. This explosion of knowledge and therapeutic possibilities has led to an increasing complexity of neurological sciences and we need more and more subspecialists in neurologic departments. Within modern healthcare systems, more treatment opportunities lead to more and possibly separate facilities helping patients to overcome their diseases.

The second major factor is due to increasing numbers of neurologic patients because of aging populations world-wide. The population in Europe has been gaining 3 months every year for more than 5 decades and this is dramatically increasing the life expectancy. Many diseases are clearly age-dependent and older age comes with a higher percentage of prevalent neurological diseases in the community. This applies in particular for all neurodegenerative disease. Many neurological hospitals in Europe are observing increasing patient numbers over the last two decades. There is probably no discipline in European countries which has gained as many new in-patient care facilities as neurology. Without large patient numbers the subdivision of neurology would not be possible due to the economic constraints of modern hospitals.

These changes provide the basis for a diversification of our field, particularly in academic settings. Separate research units for stroke, movement disorders, dementia, multiple sclerosis, pain/headache, epilepsy or other even more focused segments have been established and for their clinical research they need access to separate in- and out-patient care facilities. This is based mostly on the heavy research programmes which need independent structures to flourish and to have patients access. Here, traditional structures may indeed prevent rising sub-diciplines from growing faster.

There is a tendency in several countries to separate these research- and care-units as independent units within the University Hospitals. This applies in particular for stroke services. From an economic point of view, stroke units and their associated care and rehabilitation facilities may be particularly profitable in some health systems. Further support comes from neighbouring disciplines which are also involved in invasive or rehabilitative care of stroke patients. Finally, business people may want to split up neurology to pick out and privatise one of the most profitable junks of neurology. Similar attempts may be interesting also for dementia, movement disorders, epilepsy and multiple sclerosis. At present it is hard to anticipate the consequences of such a separation of the different services of neurology. It is conceivable that stroke medicine with its many patients can economically survive independently but not necessarily other neurological subdiciplines.

Although not fully comparable, Internal Medicine has shown that the separation into more than 10 sub-disciplines – among them Cardiology, Gastroenterology, Hematology and Oncology – has led to an admirable scientific expansion and much clinical progress for some of these disciplines, but also to economic disequilibrium and subsequent disadvantageous situations for some wallflower disciplines. But also the profile of internal medicine has changed a lot. Generalists are becoming extremely rare in internal medicine despite those who can make an informed weighting of the different components of the disease of multimorbid patients are very much needed.

In neurology, we are still able to clinically oversee the whole discipline which is for me the most attractive beauty of our field. So far, we still have the opportunity to oversee the complexity of all our diseases which is the basis to administer them in a common clinical and economic structure. Also, young neurologists can be trained to enter the field within a reasonable time. There is much room for subspecialisation, particularly when it comes to advanced diseases and certainly for research. Fortunately, besides all tendencies for subdividing the field, the traditional clinical assessment and clinical reasoning is a common characteristic feature of all neurologic sub-disciplines and will remain the common gold standard no matter what sophisticated additional assessments we are developing. The upcoming times will be challenging for neurology, but carefully learning all skills of the general neurologist is still the best advice that can be given to those starting in our field.

President’s Page: Should we split neurology into sub-disciplines? was last modified: November 12th, 2018 by Editor
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February 1, 2014

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Dec
6
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all-day 17th European Headache Federatio...
17th European Headache Federatio...
Dec 6 – Dec 9 all-day
17th European Headache Federation Congress
EHC 2023 17th European Headache Federation Congress 6-9 December 2023 | Barcelona/Spain Website: www.headache-congress.org/ As the European Headache Congress has always been a wide-ranging stage for scientists to present the latest…
Dec
18
Mon
all-day EAN Regional Teaching Day in Tel...
EAN Regional Teaching Day in Tel...
Dec 18 all-day
The Regional Teaching Day in Tel Aviv, Israel is followed by the Israel Neurological Association Annual Conference on 19-20 December 2023. Please find more information here: Regional Teaching Day Tel…
Jan
31
Wed
all-day Application deadline! EAN Spring...
Application deadline! EAN Spring...
Jan 31 all-day
Please find more information here: Spring School – ean.orgShare this...FacebookTwitterLinkedin
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26
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all-day EPNS Training Course on Acute Ne...
EPNS Training Course on Acute Ne...
Feb 26 – Feb 27 all-day
EPNS Training Course on Acute Neurology
European Paediatric Neurology Society (EPNS) – Training Course on Acute Neurology 26-27 February 2024 EPNS courses are aimed at trainees/residents plus qualified paediatric neurologists who want to refresh their knowledge.…
Feb
28
Wed
all-day EPNS Training Course on Neurophy...
EPNS Training Course on Neurophy...
Feb 28 – Feb 29 all-day
EPNS Training Course on Neurophysiological Investigations
European Paediatric Neurology Society (EPNS) – Training course on Neurophysiological Investigations 28-29 February 2024 EPNS courses are aimed at trainees/residents plus qualified paediatric neurologists who want to refresh their knowledge.…
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