Welcome to the WCN 2021 Interactive Program

The congress will officially run on Central European Time (CET) - Rome Time 
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    Please note that all sessions will run at their scheduled time and be followed by a LIVE Q&A/Discussion at the end

     The viewing of sessions, cannot be accessed from this conference calendar. All sessions are accessible via the Virtual Platform

Displaying One Session

Scientific Session: T (Topics)
Session Time
17:10 - 18:30
Room
Topic D
Chair(s)
  • Ettore Beghi (Italy)
Scientific Session: T (Topics)

NEUROLOGICAL DISORDERS AND AGE: THE DEMOGRAPHIC TRANSITION

Session Type
Scientific Session: T (Topics)
Date
06.10.2021, Wednesday
Session Time
17:10 - 18:30
Room
Topic D
Lecture Time
17:10 - 17:33
Presenter
  • Yannick Béjot (France)

Abstract

Abstract Body

The ongoing growth and aging population have major consequences on the global burden of neurological disorders, especially cerebrovascular and neurodegenerative diseases. According to recent estimates, the number of people aged over 60 years old is expected to double by 2050 worldwide, thus leading to 12 million deaths from stroke, and almost 5 million deaths from dementia, together with 200 million stroke survivors and 106 million patients with dementia, despite a decrease in the age-standardized incidence in high-income countries over the past decades. Beyond these epidemiological features, clinicians are already directly experiencing deep changes in their day-to-day practice. For instance, the median age at stroke onset has now exceeded 80 years in western countries, and elderly patients are likely to have prolonged hospital length of stay, more frequent early complications, greater disability at discharge with reduced ability to return home, and higher risk of cognitive decline, than their younger counterparts. Furthermore, best acute stroke management and secondary prevention have been less investigated in the elderly, with few considerations of their particularities such as multiple associated diseases, polymedication, and frailty. The sustainability of health systems in the World is seriously threatened by these demographic changes, thus justifying a great effort and innovative approaches to improve both prevention and treatment of these neurological disorders strongly related to age.

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Scientific Session: T (Topics)

NEUROLOGICAL DISORDERS, SEX AND GENDER: EFFECTS OF BIOLOGICAL AND SOCIO-CULTURAL DIFFERENCES

Session Type
Scientific Session: T (Topics)
Date
06.10.2021, Wednesday
Session Time
17:10 - 18:30
Room
Topic D
Lecture Time
17:33 - 17:56
Presenter
  • Walter A. Rocca (United States of America)

Abstract

Abstract Body

NEUROLOGICAL DISORDERS, SEX, AND GENDER: EFFECTS OF BIOLOGICAL AND SOCIO-CULTURAL DIFFERENCES

Walter A. Rocca, MD, MPH

Mayo Clinic, Rochester, Minnesota (MN) - USA

Objective: To discuss the effects of variables related to sex and gender on the brain, with a special focus on late life and aging. Dementia and Alzheimer’s disease (AD) are used as examples.

Methods: I will discuss: 1) Definitions and mechanisms related to sex; 2) definitions and mechanisms related to gender; and 3) differences in risk and protective factors for dementia and AD.

Results: Sex is a biological variable that involves chromosomes, gonads, sex hormones, and reproduction (e.g., chromosomes XX or XY). Gender is a social and cultural variable that involves subjective components (e.g., gender identity) and societal and cultural components (e.g., social roles of men and women). Sex and gender variables have major effects on all aspects of dementia, in particular: 1) frequency and distribution, 2) risk and protective factors, 3) clinical manifestations, 4) response to treatment, and 5) long-term prognosis. Risk and protective factors may differ between men and women in frequency (e.g., education), in magnitude of the effect (e.g., APOE genotype), or both in frequency and magnitude of the effect (e.g., head trauma). Some risk or protective factors are restricted to one sex (e.g., bilateral oophorectomy).

Conclusions: Sex and gender related variables affect the brain throughout life. The effects of age and sex on late life and aging are particularly important to understand the common age-related chronic conditions such as dementia and Alzheimer’s disease.

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Scientific Session: T (Topics)

POVERTY AND ITS IMPACT ON NEUROLOGICAL DISORDERS

Session Type
Scientific Session: T (Topics)
Date
06.10.2021, Wednesday
Session Time
17:10 - 18:30
Room
Topic D
Lecture Time
17:56 - 18:19
Presenter
  • Carlos N. Ketzoian (Uruguay)

Abstract

Abstract Body

Poverty as a multidimensional and multi causal concept admits dissimilar definitions. For our purposes, it will be assumed that there are several dimensions that participate in poverty, among which the economic level, the social position and the cultural specificity among others will be highlighted. This determines individual well-being in relation to the existence conditions of a person, as well as the well-functional capacities and efficient development in a society. The human development index is an indicator that includes the aforementioned dimensions.

These definitions are decisive in order to analyse the impact that poverty has on neurological diseases.

During this presentation the definitions of poverty and extreme poverty will be taken from ECLAC (Economic Commission for Latin America and the Caribbean) as well as data from publications of the Pan American Health Organization (PAHO).

The association between poverty and neurological disorders varies depending on the type of neurological pathology considered. The epidemiological indicator used to measure morbidity or mortality also participates in the evidence of this association.

A particular analysis focused on multiple sclerosis will also be presented.

As a conclusion, it is established that although the impact of poverty varies depending on the different neurological diseases, in general, in order to have access to better health care, low levels of poverty are required. This is verified not only in the area of ​​neurology but also in the different health-disease processes to which human populations are exposed.

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Scientific Session: T (Topics)

LIVE Q&A

Session Type
Scientific Session: T (Topics)
Date
06.10.2021, Wednesday
Session Time
17:10 - 18:30
Room
Topic D
Lecture Time
18:19 - 18:30