Organization and Delivery of Neurological Services

Members of the WFN Applied Reserach Group (ARG) from many different countries are active in their regions. In 2012, we were focused mainly on Central and Eastern European countries, and we organized several meetings.

As part of these activities, members of the ARG were active in their research, related to importance of delivery of neurological services, educational activities and spreading the knowledge to our colleagues in many parts of the world. Vida Demarin was active at the Eighth Congress of the Society for the Study of Neuroregeneration and Neuroplasticity (SSNN) in March 2012 in Dubrovnik; Management of Pain in November 2012 in Moscow; Neurological Meeting on Stroke in March 2012 in Ljubljana, Slovenia; Challenges on Stroke in April 2012 in Belgrade, Serbia; and Neurological Symposium on Headache in May 2012 in Tuzla, Bosnia and Herzegovina, to mention just a few of them.

Our gorgeous city of Dubrovnik was the host of the 23rd Summer Stroke School with international participation June 4-8. For the first time, the summer school was under the auspices of Croatian Academy of Sciences and Arts. The usual and proud auspicates are Inter-University Center Dubrovnik, Croatian Stroke Society, Medical School University of Zagreb, Central and Eastern European Stroke Society and Research Group on Delivery of Neurological Services (RGODNS) of World Federation of Neurology (WFN). The joint meeting of ARG ODNS and the 23rd Summer Stroke School was organized in Interuniversity Center in June 2012 in Dubrovnik.

The aim of the course was to support the cooperation and promote exchange of knowledge and experience among participants from different countries. This meeting shed new light on epidemiology of stroke, its primary and secondary prevention, diagnostics, therapy and rehabilitation. All participants had a unique opportunity to share their national stroke data and discuss about specific stroke problems of their country. Countries of the East and West Europe had an opportunity to work together on solving problems related to stroke, whether they were medical, economical or of some other nature. We can’t skip mentioning that all the hard work was awarded by rich social program during the evenings. We look forward to 2014 course already.

All participants had a unique opportunity to share their national stroke data and discuss about specific stroke problems of their country. Countries of the East and West Europe had an opportunity to work together on solving problems related to stroke.

The 52nd International Neuropsychiatric Pula Congress (INPC) was held June 20-23, 2012 under the auspices of the Croatian president Ivo Josipovic. The congress is traditionally held in Verudela Hotels Brioni and Histria, and organizers are: Kuratorium International Neuropsychiatric Pula Congress, Sestre Milosrnice University Hospital Center, Zagreb, and this year, the Department of Medical Sciences of the Croatian Academy of Sciences and Arts. The main sponsors of the congress were the Ministry of Science, Education and Sports of the Republic of Croatia, the city of Graz, the city of Zagreb and Istria County. This year, more than 350 international particpants attended the congress.

The main themes of the congress were recent achievements in restorative neurology, new advances in psychopathology — the interaction of biological and psychological factors. The theme of the joint meeting of the International Neuropsychiatric Pula Congress in the Section of Neuroscience Alps-Adria was discussions about different therapeutic procedures. Besides the main topic during this year’s congress, numerous symposia were also held: roundtables and workshops in collaboration with the Central and Eastern European Stroke Society (CEESS), World Federation of Neurology, Research Group on Delivery of Neurological Services (WFN RG ODNS) and one topic symposium related to dilemmas in therapies for different neurological disease (stroke, multiple sclerosis, epilepsy and Parkinson’s disease) and the Croatian branch of the Italian Cochrane Centre (CBICC) on the topic: Introduction to the Cochrane systematic review and application of evidence-based medicine in everyday practice, the meeting of the European Society of young neurologists and residents (European Association of Young Neurologists and Trainess – EAYNT), European Summer School of psychopathology in Pula, fifth Pula International Symposium on Epilepsy, neuro-otological course of vertigo, the European standards for doctoral studies in the field of neurology, a symposium on forensic psychiatry, the German Symposium on the ongoing training in neuropsychiatry (Deutschsprachiges Neuropsychiatrisches Fortbildungs Symposium), a symposium on the quality of life of psychiatric patients, a symposium on connecting providers in neurorehabilitation, a symposium on the role and experiences of nurses in the care of patients with incontinence, symposium on deep brain stimulation, interactive school about headache and symposium on palliative care.

We are proud to announce that this year’s 53rd INPC Congress in Pula June 19-22, 2013, had the endorsement of the WFN. We are grateful for all efforts related to ARG organization and its activities.

Battistin is president of the ARG OSNS, and Demarin is the secretary-general of the ARG ODNS.

Highlights of the 53rd International Neuropsychiatric Pula Congress

The 53rd International Neuropsychiatric Pula Congress (INPC) was held June 19-22, 2013, under the auspices of the Croatian President Prof. dr. Ivo Josipovic. The congress is traditionally held in Verudela Hotels Park Plaza Histria and Brioni, and organizers are: Kuratorium International Neuropsychiatric Pula Congress and the Department of Medical Sciences of the Croatian Academy of Sciences and Arts. The supporting organizations of the Congress are: World Federation of Neurology, WFN Applied Research Group on the Delivery of Neurology Services, International Interdisciplinary Medicine Association, European Psychiatric Association, Central and Eastern European Stroke Society.

This year, the congress was endorsed by WFN. The main sponsors of the congress were the Ministry of Science, Education and Sports of the Republic of Croatia, the City of Graz and the City of Zagreb. More than 350 participants attended representing Australia, Austria, Bosnia, Croatia, Czech Republic, Germany, Great Britain, Herzegovina, Hungary, India, Italy, Lithuania, Macedonia, Montenegro, New Zeeland, Poland, Romania, Russia, Serbia, Slovenia, South Korea, Spain, Sweden, Switzerland, Thailand, Turkey, Ukraine, the United States, and many more.

Vida Demarin, MD, honorary president of the INPC Congress, and Bosko Barac, MD.

Vida Demarin, MD, honorary president of the INPC Congress, and Bosko Barac, MD.

The main theme of this year’s congress was Depression and Pain — What Is the Link? The theme of the joint meeting of the International Neuropsychiatric Pula Congress in the Section of Neuroscience Alps-Adria offered discussions about different therapeutic approaches. Beside the main theme during this year’s congress, numerous symposiums were also held: the Second European Summer School of Psychopathology in Pula, the Sixth Pula International Symposium on Epilepsy, the Second Interface Providers in Neurorehabilitation Symposium, the First Pula Neuro-interdisciplinary School, psychiatric symposia on Law on Psychotherapy, Forensic Psychiatry, CSF Signaling and CSF Biomarkers, neurological symposia on Music and Rhythm in Restoring the Brain, Advanced Treatment of Parkinson´s Disease and Diagnosis and Treatment of Low Back Pain. On Wednesday evening, the traditional academic lecture was given by Professor Luigi Agnati, who presented the latest findings on the Volume Transmission Mode and Potential Clinical Impact.

This year’s International Neuropsychiatric Pula Congress has once again proved that there is a need and interest to organize such a congress where multidisciplinary approaches to numerous interesting topics in the field of both neurology and psychiatry is maintained, and which has during more than half a century maintained the continuity of meeting that has become known as “The Pula School of Science and Humanism,” as it was often emphasized by prominent speakers, honored guests and participants of the oldest international congress in the field of neurology, psychiatry and neuropsychiatry.

Report from the European Stroke Conference

I’m deeply grateful to the WFN for awarding me the Junior Traveling Fellowship in 2013 to visit the European Stroke Conference held May 27-31, in London.

Shaily Singh

Shaily Singh

The conference was attended by more than 3,500 delegates from  around  the world. Following is the brief outline of the meeting and its structure and discussion items.

The meeting was broadly divided into different themes, with parallel symposia, teaching courses, debates and controversies, oral paper sessions, poster presentations and plenary lectures.

The various themes were acute stroke treatment both interventional and medical, intracerebral hemorrhage, translational neuroscience, arteriopathies, childhood stroke, rehabilitation, small vessel disease, imaging, neuroprotection, outcomes and quality of health services, risk factors, anticoagulation in stroke, and alternative therapies to name a few.

The plenary sessions were on the awards on stroke research and also new trial results announced, including INTERACT 2, SPS3, STITCH 2, imaging results of IST3, etc.

A huge number of research papers and posters were presented during this meeting.

There were parallel halls for oral presentations with different themes to select the area of stroke one is interested in. The timing, discipline and attendance was par excellence.

I had one abstract accepted as first author and was a co-author on one other.

Special e-poster sessions with presentations and question-and-answer sessions were undertaken for the first time for highly rated abstracts. There was a lot of interaction during my e-poster presentation and new ideas generated.

Overall, this meeting was an excellent feast of stroke academics and gave me a great opportunity to present our institutional research, to interact with other stroke researchers from around the world and to collaborate for future research.

Singh is assistant professor of Neurology at  the Institute of Human Behavior and Allied Sciences In Delhi, India.

The Forced Migration of German-Speaking Neuroscientists

“Vienna’s culture was one of extraordinary power, and it had been created and nourished in good part by Jews. My life has been profoundly shaped by the collapse of Viennese culture in 1938. … The sense of loss is heightened by the fact that Vienna was my birthplace, my home.”

– Eric Kandel, In Search of Memory (2007)

Frank W. Stahnisch, MD, MSc (Courtesy of the University of Calgary)

Frank W. Stahnisch, MD, MSc (Courtesy of the University of Calgary)

If one looks at cultural influences on modern brain research from a historical perspective, it is useful to take into account the ground-breaking developments in 20th century clinical neuroscience that emerged through the forced migration of German-speaking neurologists, neuropathologists and neurosurgeons after the rise of Nazism and Fascism in Central Europe. Following the massive expulsion of Jewish and politically opposed neuroscientists from the German-speaking countries to North America after 1933 (a development that saw approximately 600 researchers and physicians with neurological training and scientific experience driven into exile), the various relationships between neurology, psychiatry, pathology and experimental psychology underwent gradual readjustment.

The effect this process had on the pre-existing research cultures in the U.S. and Canada was the rapid transformation of the brain research field into one of the most prolific areas of biomedical knowledge production. The founding of the National Institutes of Health in 1948 and particularly the research conducted by the National Institutes of Mental Health and the National Institute of Neurological Diseases and Blindness in Bethesda, Md., since the 1950s were landmark events that mark this transformation phase in the formation of early neuroscience. This was a period when many émigré doctors and neuroscientists became relicensed and intended to resume their work in clinical care in North American postwar neuroscience institutions.

Eric Kandel (left) at a medical conference at the NIMH in Bethesda, MD, circa 1965. (Courtesy NIH)

Eric Kandel (left) at a medical conference at the NIMH in Bethesda, MD, circa 1965. (Courtesy NIH)

Stahnisch currently conducts a historical research project … that aims to document and analyze the impact of the forced migration of German-speaking neuroscientists.

Often whole research schools were expelled under the Nazi and Fascist governments: An illustrative example of this is the group of academic disciples and coworkers of the director of the clinical department of psychiatry at the Charité in Berlin, Karl Bonhoeffer (1868-1948). Nearly one third of his longtime research associates had to seek refuge in North America. This illustrious group of psychiatrists and neurologists included Paul B. Jossmann (1891-1978) who went to the Veterans Administration Outpatient Clinic in Boston; Lothar Bruno Kalinowsky (1899-1992) who shifted his work to the Mount Sinai Hospital in New York City; Franz Joseph Kallmann (1897-1965) who led the Genetics Laboratory of the New York State Psychiatric Institute between 1938 and 1961; Fred Quadfasel (1902-1981) who worked at the Hospital of the Veterans Administration in Boston; Herta Seidemann (1900-1984) who likewise went to New York City, where she assumed the post of a staff attending physician at Montefiore Hospital in Brooklyn, and Erwin W. M. Strauss (1891-1971) who was the only physician from the former Berlin group to settle in the traditionally southern state of Kentucky.

Karl Bonhoeffer, 1938

Karl Bonhoeffer, 1938

Stahnisch currently conducts a historical research project — funded by the Canadian Institutes of Health Research (CIHR) — that aims to document and analyze the impact of the forced migration of German-speaking neuroscientists to Canada and the United States after the 1930s and 1940s, while specifically focusing on theoretical concepts and scientific applications of interdisciplinarity in 20th-century neuroscientific research. The aims of the research project are: first, to describe the general research topic; second, to show how a new model can be applied to historiography and social studies of neuroscience; third, to provide a deeper understanding of the influence of Central-European émigré-researchers on the emerging field of neuroscience after WWII.

With this article, Stahnisch seeks assistance from the international community of neurologists regarding existing archival collections, personal papers and diaries, along with personal accounts by former colleagues, pupils and family members, in order to gain information about German-speaking émigré neuroscientists in North America.

For a preliminary article on the scope and depth of the research project, see: OEZG. 2010;21:36-68 (www.univie.ac.at/oezg/OeZG103.html#A2).

Stahnisch is a medical historian at the University of Calgary, Alberta, Canada. Visit the history of medicine and health care program at homhcp.ucalgary.ca.

The Past and the Present: Parents of the Future

Vladimir Hachinski

Vladimir Hachinski

When Johan Aarli, my predecessor as president of the World Federation of Neurology (WFN), first mentioned that he was writing a history of the WFN, I realized that this was an important task. However, I did not expect that institutional history would be very exciting.

As Aarli began sharing the chapters that he was writing, I happily realized that I was totally wrong. It is a fascinating book that has gained from the author’s strategy of creating a context by describing what was occurring in the world, then what was happening in the world of the brain sciences and practice and then addressing the specific story of the WFN at different times.

One of his interesting findings is the crucially important role that the National Institute of Health played in the launching of the WFN. The book describes colorful personalities, crises and both generic and specific issues. One could easily conclude at times “same plot, different players.”

The past WFN president gives a lively account of the history of the WFN up to the end of his tenure. I offer a provisional account of the present of the WFN in the accompanying reprinted article that I wrote at the request of the Editor of the Canadian Journal of Neurological Sciences, Bryan Young. The future of the WFN will be determined in Vienna, where a new president, a new vice president, a new secretary-general and one new trustee will be elected. There are multiple candidates for all of the roles, reflecting a healthy interest of individuals in leadership positions for the WFN. Whether the new officers will build on the leadership role that the WFN has achieved with the major world brain organizations during this administration, or revert to a more traditional and limited role will be conditioned by the WFN’s past and present.

In addition to crucial elections, the World Neurology Congress in Vienna promises to be exceptional. The scientific program and teaching courses are of the highest quality, and the congress will be enhanced by the presence of another author: Eric Kandel, the Noble Prize winner, will speak about the highlights of his recent book “The Age of Insight.” Johan Aarli’s book on the history of the WFN, titled “The WFN: The First Half Century” will not yet be available, but can be ordered at the congress.

Vienna has its own attractions beyond that of the congress, and we expect a record number of attendees.

Looking forward to seeing you in Vienna!

See Also

See also Vladimir  Hachinski’s article, “World Federation of Neurology: Moving into the Future,” Can J Neurol Sci. 2013; 40: 609-611.

Healthy Lifestyle and Prevention of Stroke

The wonderful city of Dubrovnik was the host of the 24th Summer Stroke School with international participation June 3-8. The summer school was held under the auspices of the Croatian Academy of Sciences and Arts. The usual and proud auspicates were Inter-University Centre Dubrovnik, Croatian Stroke Society, Medical School University of Zagreb, Central and Eastern European Stroke Society and Applied Research Group on Delivery of Neurological Services (RGODNS) of World Federation of Neurology (WFN).

Course Director Vida Demarin, fellow of Croatian Academy of Arts and Sciences (Zagreb, Croatia), Professor Roman Haberl (Munich, Germany), Professor Kurt Niederkorn (Graz, Austria), Professor Tatjana Rundek (Miami, USA) and Professor Zlatko Trkanjec (Zagreb, Croatia) have once again shown that Croatia is one of Europe’s centers of knowledge. The course gathered many experts from around the world who unselfishlessly shared their clinical and personal experience and knowledge with course participants.

The aim of the course once again supported the cooperation and promoted the exchange of knowledge and experience among participants from different countries. This meeting shed a new light on epidemiology of stroke, its primary and secondary prevention, diagnostics, therapy and rehabilitation. All participants had a unique opportunity to share their national stroke data and discuss specific stroke problems of their country. Countries of East and West Europe had an opportunity to work together on solving problems related to stroke, whether they were medical, economical or of some other nature.

The diverse scientific program embraced different aspects of stroke, from the importance of spreading knowledge about stroke, stroke prevention in 2013, prevention of stroke in atrial fibrillation, a new era, IMT/plaque, the same or different phenotypes, recent advances in ultrasound diagnosis, dissection of carotid and vertebral arteries as a cause of stroke, aortich atheroma as a risk factor for stroke, sensory impairments after stroke, silent brain infraction, thrombectomy in acute stroke, gender differences in stroke, detection of cerebral emboli using transcranial doppler, vascular mild cognitive impairment, gut — your second brain, diagnosis and treatment of vertebral artery stenosis, examination after stroke, postpartum stroke, advanced glycation end products (AGE) and their role in carotid atherogenesis, and many more interesting topics.

All of the hard work was awarded by a rich social and cultural program: an excursion to the island of Lokrum, a violin recital by Midori Komachi organized by Uta Schneider in honor of Professor Vida Demarin in Rectors Palace in the heart of Dubrovnik, and the closing night of this Summer Stroke School that offered flavors and tastes of traditional Mediterranean tasty and healthy foods in the peaceful atmosphere of Dubrovniks’s peninsula Babin Kuk. Altogether, it was a worthwhile and interesting scientific and social program and once more a successful Summer Stroke School. We look forward to the 25th Summer Stroke School June 9-13, 2014.

JNS: New Editor, New Face, New Content

Vladimir Hachinski

Vladimir Hachinski

The Journal of Neurological Sciences (JNS) is the official journal of the World Federation of Neurology (WFN). Under the leadership of Robert Lisak and his team, the journal has grown steadily in its impact factor, circulation and income for the WFN. We are most grateful to Lisak, his team and his indispensable manager, Susan Hutton, for their dedication and accomplishments. [Read more…]

WFN Headquarters Office is Moving

After five years in Richmond-upon-Thames, WFN Headquarters Office is relocating to new premises in London. The new address is in Hammersmith at 1 Lyric Square, London W6 0NB. The new telephone and fax numbers are: [Read more…]

Candidate Statement: President – Werner Hacke, MD, PhD, DSc (hon), FESC

Neurology is changing rapidly!

hackeThe spectrum of neurological diseases is undergoing major changes in incidence, spectrum and therapeutic options. There is an increase of neurological diseases in an unprecedented manner all over the world. While infectious diseases are still a major health problem in low and middle income countries, all societies are facing a massive increase of noncommunicable diseases linked to risk factors and aging population. [Read more…]

Candidate Statement: President – Raad Shakir

shakirThe WFN has been part of my life for 32 years. It all started when I presented a paper at the 1981 World Congress in Kyoto. I soon realized that neurology is an international fraternity of like-minded people who strive to understand and advise each other. This was made more poignant as I was already an émigré from my own country of birth, Iraq.  [Read more…]