Stroke medicine is an energetic discipline

Stroke medicine is an energetic discipline

This interview first appeared on European Stroke Association website 

*Professor Anita Arsovska is Head of the Department for Urgent Neurology at the University Clinic of Neurology, University Ss Cyril and Methodius, Skopje, Republic of North Macedonia

Professor Arsovska  has participated as a subinvestigator in the MARINER and Impact 24B studies. She is an ESO Fellow as well as President of the Macedonian Neurology Society and Board member of Stroke Alliance for Europe (SAFE). She is an active member of the ESO Public Relations and Trials Alliance Committees. Her main interests involve acute stroke management, color duplex sonography and neuroimaging. She is also very active in promoting stroke prevention and raising stroke awareness, organizing many public campaigns and scientific meetings. Prof. Arsovska is involved in the ESO EAST and Angels projects. She also participated in the Action Plan for Stroke in Europe as part of the acute stroke management working group.

What are your main fields of interest in stroke medicine and research?

Many exciting innovations and improvements in the field of acute treatment are taking place, making stroke medicine an energetic discipline. As a Head of the Department for Urgent Neurology, it is my ambition to implement new hyperacute treatments and manage acute stroke patients at the highest level by a multidisciplinary team. I am very honored that I had the opportunity to be a part of the Acute Stroke Management working group in the Stroke Action Plan for Europe 2018-2030 and contribute to fulfillment of the targets for 2030. Beside the acute treatment, I am also interested in stroke prevention and especially in the life after stroke period, a neglected domain in many countries across Europe. Serving as a SAFE (Stroke Alliance for Europe) Board member, gives me an unique opportunity to commit to the needs and rights of stroke survivors and their caregivers and reduce the overall burden of stroke. SAFE, in partnership with ESO has developed the SSOFT – an online learning tool designed to help anyone interested in setting up or developing a Stroke Support Organisation (SSO) in Europe. At the moment, SAFE, in collaboration with ESO is preparing  the event ‘Joining forces to prevent and control non-communicable diseases: The role of policy in tackling stroke’, under the patronage of the Romanian Presidency of the Council of the European Union, which will take place on 28 March 2019, in Brussels, at the European Committee of the Regions.

What is the role of ESO in facilitating and promoting the projects you are coordinating or where you are involved?

The European Stroke Organisation (ESO) is a vibrant and dynamic organisation that generously offers many possibilities in networking, education and scientific knowledge.  ESO is a true inspiration to its members, providing guidance and sense of belonging to the stroke community. I am truly grateful to currently serve as a member of the PR Committee and Trials Network Committee, and previously in the Membership Committee, thus actively contributing to the mission and vision of ESO. The ESO-EAST initiative is the first comprehensive programme of improving stroke care in Eastern European countries, aiming to harmonize stroke care among all countries in Europe. The Angels Initiative in which I am actively involved is helping us to increase the number of patients in stroke ready hospitals and to optimize the treatment quality for every stroke patient. We have 5 centers registered in the RES-Q registry, an initiative of the ESO EAST Project, a very useful tool for monitoring and evaluation of health care quality, providing insight into specific gaps that need to be improved in our stroke care system.

You can read the full interview here.

Heroes need heroes: Teaching children the art of saving a life

Heroes need heroes: Teaching children the art of saving a life

 Proios H1, Loutrari A1,4, Tsakpounidou K1, Baskini M1, Uys W2, Van der Merwe J3,

1 Department of Educational and Social Policy, University of Macedonia, Thessaloniki, Greece

2 Lucan Visuals, South Africa

3 Angels Initiative, Boehringer Ingelheim GmbH

4 Aston University, UK

Growing old comes with wisdom and confidence, but several challenges also come into play. Evidence shows that old age is associated with greater stroke risk (Τeh et al., 2018). But there is always a bright side: old people very often get to enjoy the warm and rejuvenating company of young children. Research shows that during the last decades, the time grandparents spend looking after their grandchildren has substantially increased (Pulgaron et al., 2016). Sharing the process of growing up every step of the way is admirable and heroic. Grandparents are real heroes of the everyday, but even heroes are not invincible. Heroes need their own heroes, so children can become heroes themselves and save the life of their precious grandparents.

FAST HEROES 112 is an educational program for young children aiming at stroke prevention. Through a five-week pilot stage of the program in Thessaloniki, Greece, children were trained to identify stroke symptoms and seek help by dialing 112. Cartoon heroes representing stroke symptoms and the concept of time were used to familiarize children with the main stroke symptoms and the importance of acting urgently. Preliminary data are encouraging; they show that most children are able to memorize the three main stroke symptoms and appreciate the significance of taking action as fast as possible. FAST HEROES 112 aims to capture the imagination of more children in future interventions and, if need be, turn them into life-saving heroes.

 

References:

  1. Pulgaron ER, Marchante AN, Agosto Y, Lebron CN, Delamater AM. Grandparent Involvement and Children’s Health Outcomes: The Current State of the Literature. Fam Syst Health. 2016 September ; 34(3): 260–269. doi:10.1037/fsh0000212.
  2. Τeh WL, Abdin E, Vaingankar JA, Seow E, Sagayadevan V, Shafie S, Shazana Shahwan S, Zhang Y, Chong SA, Ng LL, Subramaniam M. Prevalence of stroke, risk factors, disability and care needs in older adults in Singapore: results from the WiSE study. MJ Open 2018;8:e020285. doi:10.1136/ bmjopen-2017-020285.

 

 

 

Sleep after stroke: How does it affect recovery?

Sleep after stroke: How does it affect recovery?

This article first appeared on ARNI Stroke Charity (UK) website | Author: Tom Balchin

Are you interested in learning about your sleep after stroke?

Researchers at the University of Oxford are currently investigating how sleep is affected by stroke.

Heidi Johansen-Berg is Professor of Cognitive Neuroscience and Director of The Wellcome Centre for Integrative Neuroimaging at the University of Oxford. There, she leads the Plasticity Group whose research focuses on how the brain changes with learning, experience, and damage.

As well as shedding light on how the healthy brain responds to change, The Plasticity Group’s work also has implications for understanding and treating disease. For example, they are currently studying how sleep can affect recovery after stroke.

Would you be interested in learning more about your sleep following stroke?

If so, The Plasticity Group are currently running a study in which you might be interested in participating – or you may know someone who is.

The aim for this study is to investigate how sleep is affected by stroke which could help to develop better sleep improvement programmes specifically for individuals after stroke.

We know that sleep plays an important role in learning. Studies have shown that if you take two groups of people and teach them the same skill, such as juggling, then allow one group to sleep for a few hours and keep the other group awake, the sleep group will perform significantly better when retested as they have been able to consolidate the memories of learning the skill through sleep.

Learning, or re-learning, of motor skills is a key component of motor rehabilitation after stroke. If sleep is impaired following stroke then consolidation of motor skills gained through physical rehabilitation may be diminished. Therefore, finding out about how sleep is affected by stroke could help us to develop better rehab outcomes following stroke.

The current study involves coming to a research centre in Oxford for one session to complete a couple of motor assessments with the upper limbs and to answer a couple of questionnaires about your sleep and mood. Then researchers will set you up with a pair of sleep monitoring wrist watches for you to wear for a week with a simple sleep diary asking what times you go to bed and get up each day.

Read the full article here.

 

SAFE Angels patient information books improve patient – doctor communication

SAFE Angels patient information books improve patient – doctor communication

The Angels Initiative is a unique healthcare initiative launched by Boehringer Ingelheim in partnership with the European Stroke Organisation (ESO), the World Stroke Organisation (WSO) and the Stroke Alliance for Europe (SAFE).

SAFE’s members proudly contributed to the Angles Initiative by providing critical information to stroke patients and their families as early as in stroke units. In addition to containing useful and evidence-based information, these brochures help improve patient – doctor communication as well.

The SAFE Angels project was realised in the first half of 2018. It involved translation to 13 European languages, design, printing and distribution of five different brochures for stroke patients and their carers.  The core texts were kindly provided by Stroke Association UK.
13 organisations from the following countries took part in this project and made sure these brochures were made available in the stroke units: Spain, Serbia, Poland, Czech Republic, Latvia, Croatia, Macedonia, Greece, Ukraine, Georgia, Hungary and Turkey.

Patient information brochures are available only in a selected number of hospitals in the project countries, but can also be downloaded from SAFE website.

“We consider this as a pilot project, because we already distributed the whole quantity of the patient information brochures and now both patients and medical staff are asking when we will have it again. For now, we are signposting people to visit SAFE’s website and download the PDF versions.”

Ivan Milojevic, Serbian stroke support organisation Mozdani udar

In 2018, the Angels Initiative won the prestigious 2018 EFPIA Health Collaboration Award for Improving Stroke Care.
Deciding among 80 other applications, the European Federation of Pharmaceutical Industries and Associations (EFPIA) decided to honor the Angels Initiative with a “Health Collaboration” award in the category Service Delivery.

SAFE members proudly reported about this event, reminding their audiences once again of when these brochures can still be found in 12 European countries. For more detailed information, please see our Facebook page or look up for a specific stroke support organisation’s Facebook profile.

This year’s first SAFE Board meeting held in London

This year’s first SAFE Board meeting held in London

This year’s first SAFE Board meeting took place in London this week, from 4-5th February.

The Board members took two days to discuss the current and future SAFE Strategy, with special focus on governance, finances and supported growth in member organisations.

Among many SAFE ongoing projects, there will be two which are very important for SAFE’s political activities. The first and the fast approaching is the  EU Presidency event that is going to organised in the EU Parliament on 28th March this year. The Board discussed the details around this project and the activities that will be performed prior to the event to ensure better impact. The other strategically important project is the big research about the Economic Impact of Stroke in Europe. This research is being done by the Oxford University researchers and the report is to be presented in the EU Parliament at the end of October this year, around the World Stroke Day.

The Board ratified the Social Media Strategy and agreed on ways forward and the venues for this year’s Regional Conferences were defined.

Stroke Support Organisation Faculty Tool (SSOFT) was again among the most important topics, considering its value and significance for the stroke support organisations’ empowerment.