From space medicine to clinical practice:
A hands on workshop towards beyond the art rehabilitation protocols.
Chrysoula Kourtidou-Papadeli, Christos Frantzidis,
Evdokimos Konstantinidis, Christina Plomariti
It is well known that bed confinement and inactivity lead to detrimental consequences in many physiological systems, like the cardiovascular and the musculoskeletal. The main reason for this is the ineffective use of the gravity loads administered to the body in these situations. Several countermeasures have been proposed to mitigate the physiological multisystem deconditioning caused by bed confinement and inactive lifestyle. Among them, the short-arm human centrifuge (SAHC) has been proposed as a realization of Artificial Gravity / AG, but most of its applications are targeted for use in space.
The focus of this workshop will be to 1) present the latest advances in the fields of space medicine and related countermeasures, 2) discuss how space-related research could be transferred to the clinical practice for rehabilitation and improving physical health and wellbeing, 3) perform a hands-on workshop on integrating space-related research in everyday medical practice, through participatory design and co-creation approaches.
It will consist of presentations on the following topics:
• Presentation of the Vitalise project (aims, methodology, research infrastructures)
• Latest advances on countermeasures for mitigating detrimental microgravity effects.
• Infrastructures of the human centrifuge (a joint presentation including the infrastructures of all the different labs participating in the workshop)
• Use of artificial gravity training on healthy population
• Applications in rehabilitation
• Presentation of the Vitalise project: Protocol for using the SAHC for rehabilitation in stroke
• Future aspects of the centrifuge
• Co-creation session: At the last half hour of the workshop the attendees will be given the opportunity to share among them and with the organizers of the workshop their ideas on the following topics. At first, a canvas will appear where everybody will be able to write their ideas and at the final 10 minutes a discussion will take place based on the created canvas o Other applications of space-related countermeasures in rehabilitation and medical practice
o Use of the space-related countermeasures for physical training and well-being
o Combination of the space-related countermeasures with other rehabilitation techniques
1. Chrysoula Kourtidou-Papadeli, Director of the AeroMedical Center of Thessaloniki & Greek AeroSpace Medical Association – Space Research (GASMA-SR)
2. Evdokimos Konstantinidis, European Network of Living Labs, Brussels, Belgium, Medical Physics and Digital Innovation Laboratory, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
3. Christina Plomariti, Medical Physics and Digital Innovation Laboratory, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
4. Christos Frantzidis, Medical Physics and Digital Innovation Laboratory, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
5. Despoina Petsani, Medical Physics and Digital Innovation Laboratory, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
6. Ivana Rosenweig, Department of Neuroimaging, Sleep and Brain Plasticity Centre, Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King’s College London (KCL), De Crespigny Park, Box 089, London, SE5 8AF, UK
7. Smaranda Nafsika Ketseridou, Medical Physics and Digital Innovation Laboratory, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
1. Christina Plomariti, Medical Physics and Digital Innovation Laboratory, School of Medicine,
Aristotle University of Thessaloniki, Thessaloniki, Greece
2. Despoina Petsani, Medical Physics and Digital Innovation Laboratory, School of Medicine,
Aristotle University of Thessaloniki, Thessaloniki, Greece
3. Vasileia Petronikolou, Medical Physics and Digital Innovation Laboratory, School of Medicine,
Aristotle University of Thessaloniki, Thessaloniki, Greece
4. Smaranda Nafsika Ketseridou, Medical Physics and Digital Innovation Laboratory, School of
Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
This workshop is funded by the European Union Horizon 2020 Research and Innovation Programmmes VITALISE (No. 101007990 – https://vitalise-project.eu/)
Near-infrared spectroscopy (NIRS) is an imaging technique that uses light to measure muscle or cerebral oxygenation. One variant of this technique called functional NIRS (fNIRS) can be used to measure brain activity. fNIRS has become popular increasingly over the past years among researchers because of its wearability, portability and ease of use. Additionally, fNIRS is non-invasive and compatible with many other techniques such as EEG, tES and can provide complementary information.
fNIRS measures the brains hemodynamic response and local changes so it provides a relatively high spatial resolution. In this workshop we will discuss the basics of fNIRS and demonstrate how to get started with this technique using our devices.
We will hold two sessions so more attendees can join and get to know the technique and our devices.
• Duration: 90 minutes
• Number of attendees: 10-15, 50 euros registration fee
• Suitable for: Anyone who is interested in using fNIRS technique in research
Exploring Affect in Medical Education and Training
P.E. Antoniou, S. Reppou, C. Plomariti,
N. Pandria, A. Athanasiou, V. Kiosses,
G. Ntakakis, I.Tsoupouroglou, P.D.Bamidis
Affect (emotional state) is understood to play a vital part in the learning process and in shaping learning, as it is linked to concepts such as motivation, interest, and attention. Oftentimes, learning occurs during an emotional episode; therefore, the connection between affect and learning provide some useful insight into how people learn. In addition, there is evidence of the influence and capability of digital tools such as Mixed, Virtual, and Augmented Reality (MR/VR/AR, commonly referred to as XR) for detecting and influencing the emotional state of users during learning activities.
The aim of this hands-on workshop is to explore the concepts and applications of affective learning in medical training and introduce its audience to the use of innovative, technology-oriented methods. A series of training scenarios implemented in virtual reality will be presented to the participants, who will have the opportunity to try them and then participate in an interactive session dedicated to exploring their affective states during the learning process. The presented training resources will include:
• Empathy training for healthcare professionals
• Surgical and/or neuroanatomy training
• Basic skills training (preparation for ECG, basic ECG reading skills, basic radiology skills)
During the first 30 minutes of the workshop, the projects that incited the creation of the training resources will be presented in brief, along with the rationale and key educational points behind each training scenario. For the next 45 minutes, the participants will be divided into groups where they will be given the opportunity to try firsthand at least one of the scenarios. After that, each group will be interviewed and complete a brief questionnaire in order to explore their affective state occurring during the training course. Finally, for the last 45 minutes the participants will be able to discuss together with the facilitators their experience and share ideas, with the use of a canvas, on using affect for more impactful learning in medical educational episodes.
This work was supported by the ENTICE Erasmus+ Knowledge Alliance (612444-EPP-1-2019-1-CY-EPPKA2-KA) and the InAdvance Horizon 2020 project (H2020-SC1-BHC-2018-2020 No. 825750)
Importance of Neurobiofeedback Treatment in Alcohol and Substance Abuse
Tanju Surmeli, MD, BCN, IBQE-D, QEEG-D Psychiatrist
Substance Use Disorders (SUDs) include disorders related to the taking of a drug(s) of abuse (including alcohol). QEEG biomarkers has been shown to have good differential diagnostic capability for SUDs. Among the medical treatment methods used in the treatment of SUDs., medical drugs, psychotherapies, and detox programs are the most frequently used, but there is no cure. Alcohol and drug/addiction are registered in the regions of the brain with deep mechanisms by the conditioning method. When the person sees and thinks, or when he is stressed, it creates desire. The nucleus accumbens, the center of the brain’s reward system, is overfilled with dopamine. The hippocampus briefly remembers this pleasurable event, and records it with the amygdala conditioning method. If a multi-faceted treatment view is not exhibited, problems of recurrence and inability to produce permanent solutions arise.
NF has been used successfully in numerous psychiatric disorders of ADHD, depression, anxiety, mTBI, Alcohol and Substance Abuse. The addict’s brain is conditioned with the Neurobiofeedback treatment method, reducing the desire for the substance or completely eliminating the desire and use of the substance by ensuring that it is completely under control.
Learn the fundamentals of biomarkers findings in SUDs and be able to recognize characteristic marker analysis before neurofeedback treatment and during neurofeedback treatment. Develop a rationale intervention based on this assessment data which develops baseline NF treatment protocols for personalized medicine treatment model in SUDs.
To be able to use one of the non-medication treatments for Alcohol and Substance Abuse such as neurofeedback. If SUD patients don’t get better with medication or other treatments, to learn more effective ways of treating SUDs. Learn how to use neurobiofeedback as a therapeutic tool.
Time of workshop: Half day (3 hours) (9 am to 12 pm)
Chair and Presenter: Tanju Surmeli, MD, BCN, IBQE-D, QEEG-D Psychiatrist
Title: Importance of Neurobiofeedback Treatment in Alcohol and Substance Abuse (SUDs)
Workshop Sub Topics:
1. General introduction
2. QEEG biomarkers for good differential diagnostic capability for SUDs
3. Role of craving in relapse of SUDs
4. The medical treatment methods used in the treatment of SUDs
5. Importance of Neurobiofeedback Treatment in SUDs
6. Importance of QEEG biomarkers and Neurobiofeedback Treatment in Dual diagnosis
7. Literature review of Neurofeedback studies in SUDs
8. Protocol development examples from literatüre and our clinical cases
9. Questions and Answers
2nd Edition of Neurofeedback and Neuromodulation Techniques and Applications, Edited by Robert Cohen and James R. Evans, Chapter 11: Evidence supporting neurofeedback for adult psychiatric disorders, including Alcohol and Substance Abuse research by Tanju Surmeli for Elsevier (2022; in review)
Dr. Tanju Sürmeli, Psychiatrist
Director Healthy Living Center for Research and Education
Istanbul, Turkey 34394 Tel: 00902123472208
Dr. Tanju Sürmeli received his Medical Doctor degree from Dokuz Eylül University in 1984 in Izmir, Turkey. He has completed Harvard Medical School’s Global Clinical Scholars Research Training Program. He also completed a Research Fellowship in EEG and psychopharmacology at New York Medical College. He did post doctorate training in Family therapy at the Ackerman Institute for Family Therapy. He also worked at the Manic depression Foundation and Colombia-NYSPI under Prof Dr.
Ronald Fieve. He learned Hypnosis at the Milton Ericson Hypnosis Institute. He did his residency training in Psychiatry and Neurology at University of Connecticut/Institute of Living, Yale, and University of Texas, San Antonio. He is a board and ECFM certified psychiatrist. His associate professorship application is under review by the Turkish Higher Education Board’s appointed jury for works reviewal. Upon returning to Turkey in 2001, he founded the Healthy Living Center for Research and Education. He is the founder of the Biofeedback, Neurofeedback and QEEG/ERP use in Psychiatry Foundation. He is the only BCN and QEEG certified psychiatrist in Turkey.
As well, he has numerous memberships (AMA, APA , AAPB, ISNR, SAN, BFE, ECNS) and teaching positions in international medical societies’ workshops. He is also a reviewer for the Journal of Clinical EEG and Neurosciences, Psychiatry Research, Behavioural Neurology, Schizophrenia Research, and Journal of Child Psychology and Psychiatry, Neuro Biobehavioral reviews, Nature Scientific Reports,
NeuroImage, Journal of Alzheimer’s Disease and Journal of Child Psychology and Psychiatry. Upon the request of the Swiss National Science Foundation, he reviewed as an expert reviewer, scientists’ placebo controlled grant applications; in 2015 “Neurofeedback in Schizophrenia”, in 2017 “Neurofeedback in Bipolar Disorder and Borderline Disorder”, in 2018 scientists’ “Neurofeedback in residual symptoms of Bipolar Disorder.”
He is a board member for International QEEG Certification in US, was invited by the International Quantitative Board of Electrophysiology in US to be a QEEG board member for the 2015-2016 term and extended for 4 more years and elected as a president and a former Board member for the International Society for Neurofeedback and Research in US, and Board member for the Society of Applied Neuroscience in Europe. His Schizophrenia Case Study paper was awarded as a publication that, “in its consideration, has most significantly advanced the field of Neurofeedback in 2013.”
He has authored textbooks or chapters on Psychiatry, QEEG and Neurofeedback, such as 2nd Edition of Neurofeedback and Neuromodulation Techniques and Applications, Edited by Robert Cohen and James R. Evans, Chapter 11: Evidence supporting neurofeedback for adult psychiatric disorders, including Alcohol and Substance Abuse research by Tanju Surmeli for Elsevier (2022; in review) and
papers published in International Journals.
His research interests include QEEG, Neurofeedback in Substance abuse, MCI, Alzheimer’s Disease, Vasculer Dementia, Down Syndrome, Mental Disability and Schizophrenia. He took part in the Turkey branch of the European Union’s COST B27 proposal for the Electric Neuronal Oscillations (ENOC) and Cognition action program.
International Workshops, Symposiums/Workshop and Symposiums Faculty Positions
- Clinical Electrophysiology as a biomarker diagnostic and treatment in Psychiatric setting; ECNS, Sept. 2018, Pittsburgh
- QEEG and EEG Feedback in Psychiatry: Clinical Applications. Symposium, APA Yearly Meeting, San Diego, CA, 2012
- QEEG Guided Neurofeedback Training Seminar. BFE Annual Meeting Eindhoven, NL 2009
- Psychopharmacology and EEG; QEEG Guided Neurofeedback Training, SAN and COST B27 Electric Neuronal Oscillations and Cognition 2nd Yearly Conference Seville, 2008.
- QEEG Guided Neurofeedback Training. APA Yearly Meeting, San Diego, CA, 2007.
- QEEG Workshop in the Neurofeedback Social Education Center. Starnberg, Munich 2004.
Interprofessional Training for Tinnitus Researchers and Clinicians- Tin-TRAC Training
E. Vellidou, D. Kikidis, E. Romanopoulou, S. Gilou, S. Triaridis, P. D. Bamidis, E. Paraskevopoulos
Tinnitus is defined as the sensation of noise in the absence of a corresponding external sound. It consists of two parameters, a phantom ringing, hissing or buzzing in the ears or head and the degree of emotional reaction to this percept. Epidemiological studies suggest that it affects 10-30% of adult population in EU countries, while its incidence reaches 5.4 new cases /10000 inhabitants.
Interdisciplinary approach and individualized treatment plan are key points for successful management, due to the great heterogeneity of symptoms. Interprofessional Training for Tinnitus Researchers and Clinicians (Tin-TRAC) will create digital resources that are going to be available to a wide audience of healthcare professionals, clinicians and researchers for the purpose of integrating tinnitus assessment and management in terms of clinical and research practice throughout EU. Tin -TRAC’s co- creative health culture and audio-visual resources aim to be understandable from patients and professionals from varied background, via a horizontal thematic approach to exploit recent (neuro)scientific advances on the field and acquire tinnitus specialized skills, through webinars, workshops, scientific exchange and innovative learning objectives.
Teaching staff, researchers, academics, clinical skills experts, learning technologists and IT specialists are invited to participate to the workshop and collaboratively train on co-design and implementation of RLOs, combining theoretical and hands on training.
The Institute of Communication and Computer Systems (ICCS) will implement the activity leading a learning path with the following objectives:
- demonstrate understanding of the co-design methodologies for Open Education Resources (OER) with emphasis on the ASPIRE framework (“Aims, Storyboarding, Population, implementation, Release, and Evaluation“).
- demonstrate knowledge of the user-centre development approach
- organize and facilitate participatory workshops with stakeholders in order to enable the co-design and user-centre approaches
- transfer workshops outcomes into formal specifications for RLOs development.
- understand what an RLO is and tis pedagogical value
Via this action, the participants will co-creatively prepare the form of the RLOs, that will be integrated in the EU-wide e-Learning platform, supporting a multidisciplinary applicable, standardized curriculum on Tinnitus assessment procedures and treatment recommendations, by a variety of videos, webinars, quiz, playful learning activities. The goal is to design a set of interactive, visual, small in size and highly aligned with perceived learning needs RLOs, targeting tinnitus.
This work is supported by the Erasmus+ 2021 Programme, Key Action 2 – KA220-VET – Cooperation partnerships in vocational education and training (2021-1-CY01-KA220-VET-000025455)
Basic Neuranatomy Tutorial; Merging the Tangible with the Virtual
G. Paraskevas, P.E. Antoniou, A. Athanasiou,
I. Asouhidou, D. Anestis, P. David, K. Tagaras,
E. Babatsikos, P.D.Bamidis
Anatomy is the first experientially taught topic in human history. Preparing and demonstration of specific anatomical structures from cadavers dates far before the first science experiment. One part of anatomy, though, Neuroanatomy, is rather challenging to teach solely through cadavers. In other anatomical structures their positions are apparent in an appropriately prepared cadaver. Neuroanatomy has several distinct structures, especially in the Central Nervous System (CNS) that are not histologically varied but are distinct enough, evolutionary and functionally, to be differentiated anatomically. This situation leads to challenges when aiming to demonstrate the structure of the brain and specific neural pathways in the CNS.
Virtual and Augmented Reality, the cutting edge of contemporary experiential media can readily alleviate these challenges in Neuroanatomy teaching. Through 3d modelling, different CNS structures can be made visually distinct. Different colours, different textures and animations, can create an interactive virtual CNS anatomical preparation that is far more readily available in digital form. Adding «just in time» information in this experience with concise info-panels along each structure can help the medical student to build a solid neuroanatomical paradigm that will support further studies further down, along their curricular schedule.
This workshop aims to bring to the forefront, for its participants, this duality between the tangible and the virtual in neuroanatomy education. Tangible anatomical preparations, in the form of plastic and real tissue brains, will be utilized by expert anatomy teachers to demonstrate contemporary neuroanatomy teaching. In Tandem, a VR neuroanatomy station will be demonstrating a similar part of neuroanatomical teaching using immersive headsets.
The first 15 minutes of the workshop will comprise a brief introduction of the presenters, as well as the tangible and virtual resources. After this introduction, the participants will participate in an interactive demonstration of neuroanatomy topics in each of the three stations (Plastic, real tissue anatomical preparation, VR headset station). The expected duration of each station’s demonstration will be 30 minutes. In the remaining time, the participants will participate in an open-ended Q&A with the facilitators of the workshop regarding their experience.
This work was supported by the ENTICE Erasmus+ Knowledge Alliance