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Autonomic nervous system education in Europe: EAN/EFAS/INUS survey on curricula...

Reis‐Carneiro, Diogo; Skoric, Magdalena Krbot; Habek, Mario; Adamec, Ivan; Calandra‐Buonaura, Giovanna; Cortelli, Pietro; van Dijk, J. Gert

Background and purpose: Centers for training in autonomic nervous system (ANS) disorders are not widely available and the recent coronavirus 2019 pandemic temporarily reduced training opportunities in autonomic medicine across European countries. Here we evaluated the current state of education, clinical skills and postgraduate educational preferences on ANS disorders of European neurology residents and consult...


The road to integrate climate change projections with regional land‐use–biodive...

Cabral, Juliano Sarmento; Mendoza‐Ponce, Alma; P. Silva, André; Oberpriller, Johannes; Mimet, Anne; Kieslinger, Julia; Berger, Thomas

Current approaches to project spatial biodiversity responses to climate change mainly focus on the direct effects of climate on species while regarding land use and land cover as constant or prescribed by global land-use scenarios. However, local land-use decisions are often affected by climate change and biodiversity on top of socioeconomic and policy drivers. To realistically understand and predict climate im...


EFAS/EAN survey on the influence of the COVID-19 pandemic on European clinical ...

Fanciulli, Alessandra; Skorić, Magdalena Krbot; Leys, Fabian; Carneiro, Diogo Reis; Campese, Nicole; Calandra-Buonaura, Giovanna; Camaradou, Jennifer

Purpose: To understand the influence of the coronavirus disease 2019 (COVID-19) pandemic on clinical autonomic education and research in Europe. Methods: We invited 84 European autonomic centers to complete an online survey, recorded the pre-pandemic-to-pandemic percentage of junior participants in the annual congresses of the European Federation of Autonomic Societies (EFAS) and European Academy of Neurology (...


How to optimize the adherence to a guideline-directed medical therapy in the se...

Pedretti, Roberto F. E.; Hansen, Dominique; Ambrosetti, Marco; Back, Maria; Berger, Thomas; Ferreira, Mariana Cordeiro; Cornelissen, Véronique

A key factor to successful secondary prevention of cardiovascular disease (CVD) is optimal patient adherence to treatment. However, unsatisfactory rates of adherence to treatment for CVD risk factors and CVD have been observed consistently over the last few decades. Hence, achieving optimal adherence to lifestyle measures and guideline-directed medical therapy in secondary prevention and rehabilitation is a gre...


European Academy of Neurology guidance for developing and reporting clinical pr...

Aleksovska, Katina; Kobulashvili, Teia; Costa, João; Zimmermann, Georg; Ritchie, Karen; Reinhard, Carola; Vignatelli, Luca; Fanciulli, Alessandra

Background and purpose: Rare diseases affect up to 29 million people in the European Union, and almost 50% of them affect the nervous system or muscles. Delays in diagnosis and treatment onset and insufficient treatment choices are common. Clinical practice guidelines (CPGs) may improve the diagnosis and treatment of patients and optimize care pathways, delivering the best scientific evidence to all clinicians ...


Clinical autonomic nervous system laboratories in Europe: a joint survey of the...

Habek, Mario; Leys, Fabian; Krbot Skorić, Magdalena; Reis Carneiro, Diogo; Calandra‐Buonaura, Giovanna; Camaradou, Jennifer; Chiaro, Giacomo

Background and purpose: Disorders of the autonomic nervous system (ANS) are common conditions, but it is unclear whether access to ANS healthcare provision is homogeneous across European countries. The aim of this study was to identify neurology-driven or interdisciplinary clinical ANS laboratories in Europe, describe their characteristics and explore regional differences. Methods: We contacted the European nat...


Prioritization process for European Academy of Neurology clinical practice guid...

Aleksovska, Katina; Bassetti, Claudio L. A.; Berger, Thomas; Carvalho, Vanessa; Costa, João; Deuschl, Günther; Frederiksen, Kristian S.; Jaarsma, Joke

Background and purpose: The development of high-quality clinical practice guidelines (CPGs) takes substantial time, effort, and resources. During the past years, the European Academy of Neurology (EAN) guideline production was significantly increased, so the need to develop clear, transparent, and methodologically solid criteria for prioritizing guideline topics became apparent. With this paper, we aim to defin...


Guidelines should be guidelines: time to leave the terms "consensus" and "posit...

Aleksovska, Katina; Bassetti, Claudio L. A.; Berger, Thomas; Carvalho, Vanessa; Costa, João; Deuschl, Günther; Frederiksen, Kristian Steen

Clinical guidelines are “statements that include recommendations, intended to optimize patient care, that are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options”. Clinical guidelines are increasingly becoming a part of neurology clinical practice, most probably because they may improve patient clinical outcomes. Methods and strategies intended to ...


Secondary prevention through comprehensive cardiovascular rehabilitation : from...

Ambrosetti, Marco; Abreu, Ana; Corrà, Ugo; Davos, Constantinos H.; Hansen, Dominique; Frederix, Inês; Iliou, Marie C.; Pedretti, Roberto F. E.

Secondary prevention through comprehensive cardiac rehabilitation has been recognized as the most cost-effective intervention to ensure favourable outcomes across a wide spectrum of cardiovascular disease, reducing cardiovascular mortality, morbidity and disability, and to increase quality of life. The delivery of a comprehensive and ‘modern’ cardiac rehabilitation programme is mandatory both in the residential...


Delphi consensus recommendations on how to provide cardiovascular rehabilitatio...

Ambrosetti, Marco; Abreu, Ana; Cornelissen, Veronique; Hansen, Dominique; Iliou, Marie Christine; Kemps, Hareld; Pedretti, Roberto Franco Enrico

This Delphi consensus by 28 experts from the European Association of Preventive Cardiology (EAPC) provides initial recommendations on how cardiovascular rehabilitation (CR) facilities should modulate their activities in view of the ongoing coronavirus disease 2019 (COVID-19) pandemic. A total number of 150 statements were selected and graded by Likert scale [from -5 (strongly disagree) to +5 (strongly agree)], ...


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