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The first round of the Forum on accurate assessment and clinical application of consciousness disord On February 28, 2021, the first round of Forum on accurate assessment and clinical application of disturbance of consciousness and key international (regional) cooperative research projects of National Natural Science Foundation of China, sponsored by International Institute of plant state and consciousness science of Hangzhou Normal University, was held online and offline at the same time. The online conference is synchronously broadcast by Shenwai information platform, and the number of online viewers has reached 15023 during the live broadcast period. The conference received extensive attention, and online reviews were interactive, especially in the field of neurosurgery. The clinical management of patients with consciousness disorders is facing great challenges. It is of great scientific and practical significance to explore the mechanism of consciousness and the accurate evaluation, treatment and rehabilitation management of consciousness disorders. This conference focuses on the latest progress and development trend of basic research and clinical diagnosis and treatment in the field of consciousness disorders. Professor Di Haibo, director of International Institute of plant state and consciousness science, Hangzhou Normal University, he Jianghong, chief physician of Beijing Tiantan Hospital Affiliated to Capital Medical University, and Professor Gao Guoyi, first people's Hospital Affiliated to Shanghai Jiaotong University, are invited to co chair the conference The participation of many well-known experts in the field of consciousness disorders has brought us a wonderful academic feast.  Professor Hu Hua, vice president of Hangzhou Normal University, delivered an opening speech. First of all, President Hu extended a warm welcome to the experts and colleagues who attended the meeting. He pointed out that with the progress of science and technology, the world's population base continues to increase, human life expectancy continues to extend, and consciousness disorders and coma have gradually become the focus of attention. Based on the scientific research achievements of Professor Di Haibo's team and international cooperation projects, this conference hopes that the experts and scholars participating in this forum can share their research achievements and produce more sparks of ideas.  Professor Tang Xiaowei, academician of the Chinese Academy of Sciences, also made a special speech for the meeting. First of all, academician Tang congratulated the opening of the forum. The meeting provided an opportunity for experts from the field of consciousness disorders and coma at home and abroad to gather together to discuss the latest research progress and challenges in the field. Through this seminar, we will further strengthen international cooperation, promote achievement sharing, and promote the clinical implementation of basic research. At the same time, the efforts of Professor Di Haibo's team and its cooperative institutions will certainly promote the development of consciousness science and provide gospel for patients with consciousness disorders in China. Meeting Review  Professor Steven Laureys, President of the International Association for the study of consciousness (ASSC), head of coma science group and Giga consciousness research group, University of Liege, Belgium, reported on the theme of "the latest progress in coma medicine":In this report, Professor Laureys introduced the main progress in the field of international consciousness in recent years and the achievements of cooperation with domestic counterparts. Especially with Hangzhou International Plant state and Consciousness Research Institute, which has a 15 year history of cooperation, so far more than 20 papers have been published.  Professor Claude Hemphill, Professor of Neurology and neurosurgery at the University of California, San Francisco, and director of Neurology and neuro intensive care at Zuckerberg San Francisco General Hospital, reported on the theme of "treatment of comatose patients in ICU"Objective: Professor Hemphill shared with you the preliminary experience from track-tbi and coma treatment movement, discussed how to better treat coma patients in ICU, and introduced the clinical effect of track-tbi.  Professor Adrian Owen, Professor of cognitive neuroscience and imaging, University of Western Ontario, Canada, presented a report entitled "functional neuroimaging in the state of acute brain injury":In the report, Professor Owen analyzed the significance of functional neuroimaging in the prognosis and diagnosis of DOC, and pointed out that the introduction of imaging methods, especially fMRI and fntrs, can determine whether patients still have residual cortical function, which is an important means to detect consciousness and perception, and has important predictive value for patients with doc.  g. Dr. Christoph guger, founder of Tec, reported on the topic of "brain computer interface research of DOC: from laboratory to clinic":Dr. Guger introduced his team's participation in many international research projects involving brain computer interface, neural regulation, stroke rehabilitation, assessment and communication of patients with consciousness disorders, as well as high-frequency gamma positioning of patients with epilepsy and cancer, and also shared the application of brain computer interface in coma patients.  Dr. Olivia gosseries, CO director of coma science team, Giga consciousness research group, University of Liege, Belgium, reported on the theme "diagnosis and treatment of disturbance of consciousness":In the lecture, Dr. gosseries first introduced the different categories of consciousness disorders in detail, shared his team's experience in patient evaluation, judged the patient's consciousness signs through clinical manifestations, and how to use brain imaging and electrophysiology to diagnose the level of consciousness. At the same time, he introduced specific treatment strategies.  Ms. Qian Li, project management manager of dim3 company, reported on the theme of "the importance of nutrition optimization for DOC patients":She pointed out that nutritional support is very important for the prognosis of patients, especially for comatose patients. At present, the domestic clinical nutrition problems have been ignored for a long time and no one manages them. Dim3 company provides scientific and professional management system and monitoring equipment, which is helpful to optimize the nutrition of patients with consciousness disorders.  Professor Nicholas Schiff, head of cognitive neuromodulation laboratory, Phil Family Institute of brain and mind, Cornell University School of medicine, reports on the theme of "the effect of deep brain stimulation of central thalamus on late functional recovery of patients with structural brain injury":In the report, Professor Schiff explained three specific cases, and introduced how to use central thalamus DBS to realize the recovery of comprehensive brain function in patients with multiple lesions brain injury under the background of mesoscopic circuit model.  Dr. Aurore thibaut, CO director and researcher of coma science team, Giga consciousness research group, University of Liege, Belgium, reported on the theme of "non invasive brain stimulation research in patients with consciousness disorders":Dr. thibaut introduced how non-invasive brain stimulation stimulates the brain to enhance brain plasticity and nerve excitability, and how this technology can really promote the rehabilitation of patients with severe brain injury。   Dr. Oded Meiron, head of electrophysiology and neurocognitive Laboratory of brain clinical research center of Herzog hospital, Israel, director of non-invasive brain stimulation Department of Herzog hospital, and MS. Lior molcho, clinical trial manager of neurosteer company, jointly published a report entitled "Research on tDCS targeting prefrontal lobe combined with single channel EEG monitoring system"They hope to study a new method of intervention for patients with consciousness disorders, and to evaluate the neurological status and recovery of patients through neurosteer EEG.   Dr. Edward schiettecatte, co-founder and CEO of trainm, and Mr. gertjan Pauwels, chief physiotherapist of trainm, jointly published a report on the theme of "challenges of DOC neurological rehabilitation clinic: professional experience from trainm":In the report, they discussed the challenges encountered in the neurological rehabilitation of outpatients with consciousness disorders, and shared trainm's professional experience in the treatment of nervous system diseases using technologies such as virtual reality, neural games, brain computer interface and non-invasive neural regulation.  Finally，Professor Steven Laureys brings "optimizing brain injury clinic with neuroscience"In the report, Professor Laureys believes that how to transform the knowledge of neuroscience into better clinical nursing strategies for brain injury is still a major challenge. With the development of science and technology, robot technology, brain computer interface, advanced EEG detection means, development of new drugs and application of electrical stimulation will help us further understand human consciousness, improve the clinical diagnosis and treatment effect of patients with brain injury, and benefit more patients.  Then the meeting entered the offline interactive discussion. This offline interactive meeting is specially invited toProfessor Hu guohan of Changzheng Hospital Affiliated to Naval Medical University, Professor Gong Ye of Huashan Hospital Affiliated to Fudan University, Professor Sun Bomin of Ruijin Hospital Affiliated to Medical College of Shanghai Jiaotong University, Professor Yang Xiaofeng of the First Affiliated Hospital of Zhejiang University, Professor Gao Guoyi of the First Affiliated People's Hospital of Shanghai Jiaotong University, Professor Wu Xuehai of Huashan Hospital Affiliated to Fudan University, and Professor Shu of Shanghai University of traditional Chinese medicine Fei Zhimin, director of Guangguang hospital, Ding Wanhai, director of Shanghai Sixth People's Hospital Zeng ran, director of Shanghai Donglei Brain Hospital; Yan tiebin, Professor of the Fifth Affiliated Hospital of Xiamen University; Gao Li, Professor of Chengdu Third People's Hospital; Ni Yingying, director of Guangdong Sanjiu Brain Hospital; Zhang Yao, director and Liu Wenbin, director of qiandie medical brain rehabilitation center; Jing Shan, director of Hangzhou Fuyang shukangfu Hospital; Shen Xudong, director of Yongci rehabilitation hospital; Cui hengwu, Professor of qiandie medical brain rehabilitation center; and hang Wenbin, director of Hangzhou Fuyang shukangfu hospital Online interaction between Prof. Di Haibo and Prof. Steven Laureys of International Institute of plant state and consciousness science, Guangzhou Normal University(some experts were unable to attend the meeting due to work reasons and sent representatives to attend the meeting). These are authoritative experts and scholars with rich clinical and research experience in the field of consciousness disorders in China. They fully discussed with Professor Steven Laureys about the types of patients who benefit most from coma treatment intervention in intensive care unit, the current research stage of brain computer interface, all current treatment methods, and the most appropriate continuous treatment time, which benefited the participants a lot.  In addition to interaction,Professor Di Haibo, International Institute of plant state and consciousness science, Hangzhou Normal University, also published a special topic entitled "preliminary clinical application of DOC precise assessment"report.Professor Di specially stressed that the accurate assessment of DOC provides the basis for the accurate diagnosis, treatment and prognosis of patients, provides the management standard for consciousness rehabilitation in rehabilitation medicine, and provides the management model for disabled patients in the combination of medicine and nursing. Professor Di also called on more experts to participate in this important work.  At the end of the forum, Professor Di Haibo pointed out that the theme of the forum was accurate assessment and clinical application of consciousness disorders. He hoped that on the basis of the existing technical level, workers in the field of consciousness disorders could continue to iterate, integrate and innovate, and benefit more clinical patients. Domestic neurosurgeons have been paying close attention to the latest research results in the field of consciousness disorders. They have very rich clinical practice in surgical treatment and wake-up treatment of patients with consciousness disorders. We hope that scientific researchers and clinicians in the field of consciousness can work together to give full play to their professional advantages, and further achieve accurate treatment and improve the diagnosis and treatment effect of patients on the basis of standard consciousness evaluation.
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