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Epilepsia
Epilepsia CONFLICT OF INTEREST DISCLOSURE In recent years, the epilepsy field has undergone a rapid evolution and continues to become more complex and sophisticated. These changes have brought about new challenges and complexities in the activities and administration of Epilepsia. To meet these challenges and complexities, the adoption of policies dealing with conflicts of interest is in the best interest of the Journal. Toward that end, Epilepsia will follow the following procedures: 1. Any editor, editorial board member, or manuscript reviewer shall recuse himself or herself on any matter in which he or she may have a conflict of interest. A conflict of interest shall be deemed to arise when:
a) any such person, assisting in the choice of content for Epilepsia, has personal and/or institutional ties with the author(s) of a manuscript under consideration that make it impossible to provide an objective review of that manuscript. Such ties include (but are not limited to) recent collaborative interactions on a thematically-related project, recent mentor-trainee activities, and antagonistic competitive relationships. b) any such person who, in the discharge of Epilepsia work, would be required to take an action that could, directly or indirectly, affect: i) a financial interest of himself or herself; ii) a business or other entity with which the person, and/or his or her partner, and/or a member of said person’s immediate household are associated (including associations resulting in payment of honoraria), other than an interest of a de minimis nature or an interest that is not distinct from that of a substantial segment of his/her peers.
2. Each editor and editorial board member shall disclose any financial conflict of interest, along with a description of any personal business interests, affiliations, or activities with any entity whether or not active in the epilepsy field, which may give rise to the conflict of interest. Disclosure statements shall be updated yearly and posted on the Epilepsia website.
Financial disclosure for the current year, for the editors and editorial board of Epilepsia, follow below.
Disclosure of Conflict of Interest Statement
For Use by the Editors and Editorial Board Members of Epilepsia
September, 2019 – September 2020
I have read and agree to abide by the Epilepsia Conflict of Interest policy. I acknowledge that I must disclose any conflict of interest, along with a description of any personal business interest, affiliation, or activity with any entity, whether or not active in the epilepsy field, which may give rise to a conflict of interest. I acknowledge that I understand that the Epilepsia Conflict of Interest policy extends to my partner, a business or other entity with which I am associated and all members of my immediate household. I also understand that it is my obligation to promptly reveal any changes in my personal business interests, affiliations or activities which may give rise to a conflict of interest, by updating my Disclosure Statement.
Check appropriate box and complete as applicable:
I have no conflicts of interest. x I have interests or commitments to disclose, as described below.
Name: _Danielle M. Andrade________________ Date: _October 17, 2019_______
Signature:
_____ ________________________________________________________
DISCLOSURE LISTING OF INTERESTS/ COMMITMENTS.
Add more Lines if needed. Listing of Interests/ Commitments
(over the last 12 months) Specify whether the interests are
consulting, speaking, research support, clinical trials, membership on Board of
Directors, or ownership of stock. Stoke Therapeutics Medical Advisory Board
UptoDate Author of a chapter (royalties)
Danielle Andrade - Editorial Board Member
Marion Bankstahl - Editorial Board Member
Ettore Beghi - Editorial Board Member
Disclosure of Conflict of Interest Statement
For Use by the Editors and Editorial Board Members of Epilepsia
September, 2019 – September 2020
I have read and agree to abide by the Epilepsia Conflict of Interest policy. I acknowledge that I must
disclose any conflict of interest, along with a description of any personal business interest, affiliation,
or activity with any entity, whether or not active in the epilepsy field, which may give rise to a conflict
of interest. I acknowledge that I understand that the Epilepsia Conflict of Interest policy extends to my
partner, a business or other entity with which I am associated and all members of my immediate
household. I also understand that it is my obligation to promptly reveal any changes in my personal
business interests, affiliations or activities which may give rise to a conflict of interest, by updating my
Disclosure Statement.
Check appropriate box and complete as applicable:
X I have interests or commitments to disclose, as described below.
Name: _Sandor Beniczky_________________________________ Date: 11.09.2019______
Signature:
_______ _____________________________________________________
_
DISCLOSURE LISTING OF INTERESTS/ COMMITMENTS.
Add more Lines if needed.
Listing of Interests/ Commitments
(over the last 12 months)
Specify whether the interests are
consulting, speaking, research support,
clinical trials, membership on Board of
Directors, or ownership of stock.
UCB, Eisai, GW Pharma Speaker
Brain Sentinel, Epihunter, Philips Consulting
Sándor Beniczky - Editorial Board Member
Disclosure of Conflict of Interest Statement
For Use by the Editors and Editorial Board Members of Epilepsia
September, 2019 – September 2020
I have read and agree to abide by the Epilepsia Conflict of Interest policy. I acknowledge that I must disclose any conflict of interest, along with a description of any personal business interest, affiliation, or activity with any entity, whether or not active in the epilepsy field, which may give rise to a conflict of interest. I acknowledge that I understand that the Epilepsia Conflict of Interest policy extends to my partner, a business or other entity with which I am associated and all members of my immediate household. I also understand that it is my obligation to promptly reveal any changes in my personal business interests, affiliations or activities which may give rise to a conflict of interest, by updating my Disclosure Statement.
Check appropriate box and complete as applicable:
I have no conflicts of interest. X I have interests or commitments to disclose, as described below.
Name: __Leonardo Bonilha_______________________ Date: __2/20/2020____________
Signature: ____ ______________________________________
DISCLOSURE LISTING OF INTERESTS/ COMMITMENTS.
Add more Lines if needed. Listing of Interests/ Commitments
(over the last 12 months) Specify whether the interests are
consulting, speaking, research support, clinical trials, membership on Board of
Directors, or ownership of stock. Medtronic Partial salary support for a research assistant
in my research laboratory, as part of a study to assess neuroimaging of laser ablation to treat temporal lobe epilepsy entitled Stereotactic Laser Ablation for Temporal Lobe Epilepsy [SLATE]– PI Daniel Drane at Emory University.
Leonardo Bonilha - Editorial Board Member
Disclosure of Conflict of Interest Statement
For Use by the Editors and Editorial Board Members of Epilepsia
September, 2019 – September 2020
I have read and agree to abide by the Epilepsia Conflict of Interest policy. I acknowledge that I must disclose any conflict of interest, along with a description of any personal business interest, affiliation, or activity with any entity, whether or not active in the epilepsy field, which may give rise to a conflict of interest. I acknowledge that I understand that the Epilepsia Conflict of Interest policy extends to my partner, a business or other entity with which I am associated and all members of my immediate household. I also understand that it is my obligation to promptly reveal any changes in my personal business interests, affiliations or activities which may give rise to a conflict of interest, by updating my Disclosure Statement.
Check appropriate box and complete as applicable:
x I have no conflicts of interest. I have interests or commitments to disclose, as described below.
Name: __Karin Borges____________________________ Date: ___18/9/2019___________
Signature:
________ _____________________________________________________
DISCLOSURE LISTING OF INTERESTS/ COMMITMENTS.
Add more Lines if needed. Listing of Interests/ Commitments
(over the last 12 months) Specify whether the interests are
consulting, speaking, research support, clinical trials, membership on Board of
Directors, or ownership of stock.
Karen Borges - Editorial Board Member
Disclosure of Conflict of Interest Statement
For Use by the Editors and Editorial Board Members of Epilepsia
September, 2019 – September 2020
I have read and agree to abide by the Epilepsia Conflict of Interest policy. I acknowledge that I must disclose any conflict of interest, along with a description of any personal business interest, affiliation, or activity with any entity, whether or not active in the epilepsy field, which may give rise to a conflict of interest. I acknowledge that I understand that the Epilepsia Conflict of Interest policy extends to my partner, a business or other entity with which I am associated and all members of my immediate household. I also understand that it is my obligation to promptly reveal any changes in my personal business interests, affiliations or activities which may give rise to a conflict of interest, by updating my Disclosure Statement.
Check appropriate box and complete as applicable:
X I have no conflicts of interest. I have interests or commitments to disclose, as described below.
Name: Roberto Caraballo Date: Sept 16 2019
Signature: __________________ ___________________________________________
DISCLOSURE LISTING OF INTERESTS/ COMMITMENTS.
Add more Lines if needed. Listing of Interests/ Commitments
(over the last 12 months) Specify whether the interests are
consulting, speaking, research support, clinical trials, membership on Board of
Directors, or ownership of stock.
Roberto Caraballo - Editorial Board Member
Disclosure of Conflict of Interest Statement
For Use by the Editors and Editorial Board Members of Epilepsia
September, 2019 – September 2020
I have read and agree to abide by the Epilepsia Conflict of Interest policy. I acknowledge that I must disclose any conflict of interest, along with a description of any personal business interest, affiliation, or activity with any entity, whether or not active in the epilepsy field, which may give rise to a conflict of interest. I acknowledge that I understand that the Epilepsia Conflict of Interest policy extends to my partner, a business or other entity with which I am associated and all members of my immediate household. I also understand that it is my obligation to promptly reveal any changes in my personal business interests, affiliations or activities which may give rise to a conflict of interest, by updating my Disclosure Statement.
Check appropriate box and complete as applicable:
x I have no conflicts of interest. � I have interests or commitments to disclose, as described below.
Name: ___Patrick A. Forcelli_____________________________ Date: 24 February 2020
Signature: _____________________________________________________________
DISCLOSURE LISTING OF INTERESTS/ COMMITMENTS.
Add more Lines if needed. Listing of Interests/ Commitments
(over the last 12 months) Specify whether the interests are
consulting, speaking, research support, clinical trials, membership on Board of
Directors, or ownership of stock.
Patrick Forcelli - Editorial Board Member
W. Allen Hauser - Editorial Board member
Disclosure of Conflict of Interest Statement
For Use by the Editors and Editorial Board Members of Epilepsia
September, 2019 – September 2020
I have read and agree to abide by the Epilepsia Conflict of Interest policy. I acknowledge that I must disclose any conflict of interest, along with a description of any personal business interest, affiliation, or activity with any entity, whether or not active in the epilepsy field, which may give rise to a conflict of interest. I acknowledge that I understand that the Epilepsia Conflict of Interest policy extends to my partner, a business or other entity with which I am associated and all members of my immediate household. I also understand that it is my obligation to promptly reveal any changes in my personal business interests, affiliations or activities which may give rise to a conflict of interest, by updating my Disclosure Statement.
Check appropriate box and complete as applicable:
I have no conflicts of interest. X I have interests or commitments to disclose, as described below.
Name: Martin Holtkamp Date: October, 4th, 2019
Signature:
DISCLOSURE LISTING OF INTERESTS/ COMMITMENTS.
Add more Lines if needed. Listing of Interests/ Commitments
(over the last 12 months) Specify whether the interests are
consulting, speaking, research support, clinical trials, membership on Board of
Directors, or ownership of stock. Bial Consulting, speaking
Eisai Consulting, speaking
GW Pharmaceuticals Consulting
LivaNova Consulting
UCB Consulting, speaking
Martin Holtkamp - Editorial Board Member
Disclosure of Conflict of Interest Statement
For Use by the Editors and Editorial Board Members of Epilepsia
September, 2019 – September 2020
I have read and agree to abide by the Epilepsia Conflict of Interest policy. I acknowledge that I must disclose any conflict of interest, along with a description of any personal business interest, affiliation, or activity with any entity, whether or not active in the epilepsy field, which may give rise to a conflict of interest. I acknowledge that I understand that the Epilepsia Conflict of Interest policy extends to my partner, a business or other entity with which I am associated and all members of my immediate household. I also understand that it is my obligation to promptly reveal any changes in my personal business interests, affiliations or activities which may give rise to a conflict of interest, by updating my Disclosure Statement.
Check appropriate box and complete as applicable:
I have no conflicts of interest. x I have interests or commitments to disclose, as described below.
Name: Barbara C. Jobst Date: 10/23/19
Signature:
DISCLOSURE LISTING OF INTERESTS/ COMMITMENTS.
Add more Lines if needed.
Listing of Interests/ Commitments (over the last 12 months)
Specify whether the interests are consulting, speaking, research support, clinical trials,
membership on Board of Directors, or ownership of stock.
Neuropace Research, Commercial Medtronic Research, Commercial Eisai Research, Commercial Harvard Pilgrim Research, Commercial NIH Research, Government CDC Research, Government NSF Research, Government DARPA Research, Government Neurology Journal, Editor Epilepsia Journal, Editor
Barbara Jobst - Editorial Board Member
Disclosure of Conflict of Interest Statement
For Use by the Editors and Editorial Board Members of Epilepsia
September, 2019 – September 2020
I have read and agree to abide by the Epilepsia Conflict of Interest policy. I acknowledge that I must disclose any conflict of interest, along with a description of any personal business interest, affiliation, or activity with any entity, whether or not active in the epilepsy field, which may give rise to a conflict of interest. I acknowledge that I understand that the Epilepsia Conflict of Interest policy extends to my partner, a business or other entity with which I am associated and all members of my immediate household. I also understand that it is my obligation to promptly reveal any changes in my personal business interests, affiliations or activities which may give rise to a conflict of interest, by updating my Disclosure Statement.
Check appropriate box and complete as applicable:
x I have no conflicts of interest. I have interests or commitments to disclose, as described below.
Name: ____Nigel Jones_________________________ Date: ___February 21, 2020
Signature:
_____ ________________________________________________________
DISCLOSURE LISTING OF INTERESTS/ COMMITMENTS.
Add more Lines if needed. Listing of Interests/ Commitments
(over the last 12 months) Specify whether the interests are
consulting, speaking, research support, clinical trials, membership on Board of
Directors, or ownership of stock.
Nigel Jones - Editorial Board Member
Csaba Juhasz - Editorial Board Member
Disclosure of Conflict of Interest Statement
For Use by the Editors and Editorial Board Members of Epilepsia
September, 2019 – September 2020
I have read and agree to abide by the Epilepsia Conflict of Interest policy. I acknowledge that I must disclose any conflict of interest, along with a description of any personal business interest, affiliation, or activity with any entity, whether or not active in the epilepsy field, which may give rise to a conflict of interest. I acknowledge that I understand that the Epilepsia Conflict of Interest policy extends to my partner, a business or other entity with which I am associated and all members of my immediate household. I also understand that it is my obligation to promptly reveal any changes in my personal business interests, affiliations or activities which may give rise to a conflict of interest, by updating my Disclosure Statement.
Check appropriate box and complete as applicable:
I have no conflicts of interest. x I have interests or commitments to disclose, as described below.
Name: Dorothee Kasteleijn- Nolst Trenite Date: 9/11/2019
Signature:
DISCLOSURE LISTING OF INTERESTS/ COMMITMENTS.
Add more Lines if needed. Listing of Interests/ Commitments
(over the last 12 months) Specify whether the interests are
consulting, speaking, research support, clinical trials, membership on Board of
Directors, or ownership of stock. Investigator Initiated Study sponsored by UCB Pharma
Clinical trial
Otsuka Pharmaceutical Company Consulting
Actelion Pharma Consulting
SK pharmaceuticals Consulting
Dorothee Kasteleijn-Noslt Trenite - Editorial Board Member
Guest Professorship Sapienza University, Rome, Italy
Research support since 2006 thanks to FP6 European Marie Curie Excellence Chair
Cornell University in Doha, Qatar Invitations for lecturing at the Epilepsy Symposia
Disclosure of Conflict of Interest Statement
For Use by the Editors and Editorial Board Members of Epilepsia
Septem ber. 2019 — Septem ber 2020
I have read and agree to abide by the Epilepsia Conflict of Interest policy. I acknowledge that I mustdisclose any conflict of interest, along with a description of any personal business interest, affiliation,or activity with any entity, whether or not active in the epilepsy field, which may give rise to a conflictof interest. I acknowledge that I understand that the Epilepsia Conflict of Interest policy extends to mypartner, a business or other entity with which I am associated and all members of my immediatehousehold. I also understand that it is my obligation to promptly reveal any changes in my personalbusiness interests, affiliations or activities which may give rise to a conflict of interest, by updating myDisclosure Statement.
Check appropriate box and complete as applicable:
I have no conflicts of interest.have interests or commitments to disclose, as described below.
Name:
Signature:
DISCLOSURE LIST
Add more Lines if needed.
Listing of Interests/ Commitments(over the last 12 months)
UCB Canada and Eisai (awarded in 2019 and
2020)
UCB Canada (awarded in 2019 and ongoing)
Eisai (awarded in 2019 and ongoing)
Date: l z -zozo-
TERESTS/ COMMITMENTS.
Specify whether the interests areconsulting, speaking, research support,clinical trials, membership on Board of
Directors, or ownershi of stock.
Unrestricted educational grant to support anational course in epilepsy for all Canadiansenior neurology residents.
Research support for an investigator-initiatedstudy of brivaracetam.
Research support for an investigator-initiatedstudy of frailty in older adults with epilepsy.
Mark Keezer - Editorial Board Member
Katja Kobow - Editorial Board Member
Disclosure of Conflict of Interest Statement
For Use by the Editors and Editorial Board Members of Epilepsia
September, 2019 – September 2020
I have read and agree to abide by the Epilepsia Conflict of Interest policy. I acknowledge that I must disclose any conflict of interest, along with a description of any personal business interest, affiliation, or activity with any entity, whether or not active in the epilepsy field, which may give rise to a conflict of interest. I acknowledge that I understand that the Epilepsia Conflict of Interest policy extends to my partner, a business or other entity with which I am associated and all members of my immediate household. I also understand that it is my obligation to promptly reveal any changes in my personal business interests, affiliations or activities which may give rise to a conflict of interest, by updating my Disclosure Statement.
Check appropriate box and complete as applicable:
I have no conflicts of interest. X I have interests or commitments to disclose, as described below.
Name: __Holger Lerche_______________________ Date: __22-Oct-2019_______
Signature: _______ ___________________________________________
DISCLOSURE LISTING OF INTERESTS/ COMMITMENTS.
Add more Lines if needed. Listing of Interests/ Commitments
(over the last 12 months) Specify whether the interests are
consulting, speaking, research support, clinical trials, membership on Board of
Directors, or ownership of stock. Arvelle, Bial, Esai, UCB Consulting
Bial, Desitin, Esai, UCB Speaking
Bial Research Support
Holger Lerche - Editorial Board Member
Nicola Marchi - Editorial Board Member
Disclosure of Conflict of Interest Statement
For Use by the Editors and Editorial Board Members of Epilepsia
September, 2019 – September 2020
I have read and agree to abide by the Epilepsia Conflict of Interest policy. I acknowledge that I must disclose any conflict of interest, along with a description of any personal business interest, affiliation, or activity with any entity, whether or not active in the epilepsy field, which may give rise to a conflict of interest. I acknowledge that I understand that the Epilepsia Conflict of Interest policy extends to my partner, a business or other entity with which I am associated and all members of my immediate household. I also understand that it is my obligation to promptly reveal any changes in my personal business interests, affiliations or activities which may give rise to a conflict of interest, by updating my Disclosure Statement.
Check appropriate box and complete as applicable:
I have no conflicts of interest. X I have interests or commitments to disclose, as described below.
Name: _MILH____________________________________ Date: _01 MAR 2020_
Signature: _____________________________________________________________
DISCLOSURE LISTING OF INTERESTS/ COMMITMENTS.
Add more Lines if needed. Listing of Interests/ Commitments
(over the last 12 months) Specify whether the interests are
consulting, speaking, research support, clinical trials, membership on Board of
Directors, or ownership of stock. GW PHARMA Speaker for a Symposium
LIVANOVA Speaker for a Symposium
EISAI Clinical trial (PI)
UCB Clinical trial (PI)
Mathieu Milh - Editorial Board Member
ZOGENIX Clinical trial
Maromi Nei - Editorial Board Member
Disclosure of Conflict of interest Statement
For Use by the Editors and Editorial Board Members of Epilepsia
September, 2019 - September 2020
I have read and agree to abide by the Epilepsia Conflict of interest policy. I acknowledge that I mustdisclose any conflict of interest, along with a description of any personal business interest, affıliation,ör activity with any entity, \vhether ör not active in the epilepsy fıeld, which may give rise to a conflictof interest. I acknowledge that I understand that the Epilepsia Conflict of interest policy extends to mypartner, a business ör other entity with which I anı associated and ali members of my immediatehousehold. I also understand that it is my obligation to promptly reveal any changes in my personalbusiness interests, affıliations ör activities which may give rise to a conflict of interest, by updating myDisclosure Statement.
Check appropriate box and complete as applicable:
4
I nave no conflicts of interest.D I have interests ör commitments to disclose, as described belovv.
Name: OH AT Date:
Signature:
DİSCLOSURE LISTING OF İNTERESTS/ COMMİTMENTS.
Add more Lines if needed.Listing of interests/ Commitments
(över the last 12 months)Specify whether the interests are
consulting, speaking, research support,clinical trials, mernbership on Board of
Directors, ör ownership of stock.
Filiz Onat - Editorial Board Member
Pasquale Parisi - Editorial Board Member
Disclosure of Conflict of Interest Statement
For Use by the Editors and Editorial Board Members of Epilepsia
September, 2019 – September 2020
I have read and agree to abide by the Epilepsia Conflict of Interest policy. I acknowledge that I must disclose any conflict of interest, along with a description of any personal business interest, affiliation, or activity with any entity, whether or not active in the epilepsy field, which may give rise to a conflict of interest. I acknowledge that I understand that the Epilepsia Conflict of Interest policy extends to my partner, a business or other entity with which I am associated and all members of my immediate household. I also understand that it is my obligation to promptly reveal any changes in my personal business interests, affiliations or activities which may give rise to a conflict of interest, by updating my Disclosure Statement.
Check appropriate box and complete as applicable:
� I have no conflicts of interest. X I have interests or commitments to disclose, as described below.
Name: Sylvain RHEIMS Date: 30 September 2019
Signature:
_________ ____________________________________________________
DISCLOSURE LISTING OF INTERESTS/ COMMITMENTS.
Add more Lines if needed. Listing of Interests/ Commitments
(over the last 12 months) Specify whether the interests are
consulting, speaking, research support, clinical trials, membership on Board of
Directors, or ownership of stock. UCB Pharma Speaker fees
LIVANOVA Consultant fees
EISAI Speaker fees
Sylvain Rheims - Editorial Board Member
IDORSIA Consultant fees
NOVARTIS Speaker fees
ADVICENNE Speaker fees
Disclosure of Conflict of Interest Statement
For Use by the Editors and Editorial Board Members of Epilepsia
September, 2019 – September 2020
I have read and agree to abide by the Epilepsia Conflict of Interest policy. I acknowledge that I must disclose any conflict of interest, along with a description of any personal business interest, affiliation, or activity with any entity, whether or not active in the epilepsy field, which may give rise to a conflict of interest. I acknowledge that I understand that the Epilepsia Conflict of Interest policy extends to my partner, a business or other entity with which I am associated and all members of my immediate household. I also understand that it is my obligation to promptly reveal any changes in my personal business interests, affiliations or activities which may give rise to a conflict of interest, by updating my Disclosure Statement.
Check appropriate box and complete as applicable:
I have no conflicts of interest. I have interests or commitments to disclose, as described below.
Name: Andreas Schulze-Bonhage Date: 3-10-2019
Signature: _____________________________________________________________
DISCLOSURE LISTING OF INTERESTS/ COMMITMENTS.
Add more Lines if needed. Listing of Interests/ Commitments
(over the last 12 months) Specify whether the interests are
consulting, speaking, research support, clinical trials, membership on Board of
Directors, or ownership of stock. BIAL, EISAI, UCB Speaker Honoraria
GW, Arvelle, Synergia Consulting
BIAL, DFG, EU, NIH, BMBF, Epilepsy Foundation
Research Support
Andreas Schulze-Bonhage - Editorial Board Member
Disclosure of Conflict of Interest Statement
For Use by the Editors and Editorial Board Members of Epilepsia
September, 2019 – September 2020
I have read and agree to abide by the Epilepsia Conflict of Interest policy. I acknowledge that I must
disclose any conflict of interest, along with a description of any personal business interest, affiliation,
or activity with any entity, whether or not active in the epilepsy field, which may give rise to a conflict
of interest. I acknowledge that I understand that the Epilepsia Conflict of Interest policy extends to my
partner, a business or other entity with which I am associated and all members of my immediate
household. I also understand that it is my obligation to promptly reveal any changes in my personal
business interests, affiliations or active ities which may give rise to a conflict of interest, by updating
my Disclosure Statement.
Check appropriate box and complete as applicable:
I have no conflicts of interest.
X I have interests or commitments to disclose, as described below.
Name: Roland Thijs Date: 20 Feb 2020
Signature:
DISCLOSURE LISTING OF INTERESTS/ COMMITMENTS.
Add more Lines if needed.
Listing of Interests/ Commitments
(over the last 12 months)
Specify whether the interests are
consulting, speaking, research support,
clinical trials, membership on Board of
Directors, or ownership of stock.
Theravance Fee for consultancy
Novartis Fee for lecturing
Roland Thijs - Editorial Board Member
Manjari Tripathi - Editorial Board Member
Disclosure of Conflict of Interest Statement
For Use by the Editors and Editorial Board Members of Epilepsia
September, 2019 – September 2020
I have read and agree to abide by the Epilepsia Conflict of Interest policy. I acknowledge that I must
disclose any conflict of interest, along with a description of any personal business interest, affiliation,
or activity with any entity, whether or not active in the epilepsy field, which may give rise to a conflict
of interest. I acknowledge that I understand that the Epilepsia Conflict of Interest policy extends to my
partner, a business or other entity with which I am associated and all members of my immediate
household. I also understand that it is my obligation to promptly reveal any changes in my personal
business interests, affiliations or activities which may give rise to a conflict of interest, by updating my
Disclosure Statement.
Check appropriate box and complete as applicable:
x I have no conflicts of interest.
I have interests or commitments to disclose, as described below.
Name: ___Jana Veliskova________________________ Date: ____3/4/2020__________
Signature:_________ ___________________________________________
_________
DISCLOSURE LISTING OF INTERESTS/ COMMITMENTS.
Add more Lines if needed.
Listing of Interests/ Commitments
(over the last 12 months)
Specify whether the interests are
consulting, speaking, research support,
clinical trials, membership on Board of
Directors, or ownership of stock.
Jana Veliskova - Editorial Board Member
Disclosure of Conflict of Interest Statement
For Use by the Editors and Editorial Board Members of Epilepsia
September, 2019 – September 2020
I have read and agree to abide by the Epilepsia Conflict of Interest policy. I acknowledge that I must disclose any conflict of interest, along with a description of any personal business interest, affiliation, or activity with any entity, whether or not active in the epilepsy field, which may give rise to a conflict of interest. I acknowledge that I understand that the Epilepsia Conflict of Interest policy extends to my partner, a business or other entity with which I am associated and all members of my immediate household. I also understand that it is my obligation to promptly reveal any changes in my personal business interests, affiliations or activities which may give rise to a conflict of interest, by updating my Disclosure Statement.
Check appropriate box and complete as applicable:
I have no conflicts of interest. x I have interests or commitments to disclose, as described below.
Name: ___Elaine Wirrell_________________________ Date: ___September 9, 2019_____
Signature: _________/elainewirrell/____________________________________________________
DISCLOSURE LISTING OF INTERESTS/ COMMITMENTS.
Add more Lines if needed. Listing of Interests/ Commitments
(over the last 12 months) Specify whether the interests are
consulting, speaking, research support, clinical trials, membership on Board of
Directors, or ownership of stock. Biocodex Consulting
Amicus Pharma Consulting
Mallinckrodt Consulting
Elaine Wirrell - Editorial Board Member