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Currently neurosurgery capacity in low- and middle-income countries is far from adequate due to staffing shortages, limited resources and poor bed space. There are about 33,000 neurosurgeons around the world, but more 91,000 will be needed to manage the 14 million additional patients who need neurosurgical treatment every day. This paper describes an ongoing collaboration between the Mulago Hospital Department of Neurosurgery (Kampala, Uganda) and Duke University Medical Center (Durham, NC, USA) as a replicable model to meet the needs of developing and developed countries.

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Tuesday, 22 August 2017 17:02

WFNS XVI World Congress of Neurosurgery

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The World Federation of Neurosurgical Societies (WFNS) is a professional, scientific, non-governmental organization comprising  5 Continental Associations, 115 National Neurosurgical Societies, and represents some 30,000 neurosurgeons worldwide.

The World Federation of Neurosurgical Societies aspires to promote global improvement in neurosurgical care. The mission of the WFNS is to work together with member societies to improve worldwide neurosurgical care, training and research to benefit the patients.

The goals of the WFNS are deliberated and pursued through scientific, standing and ad-hoc committees and during the International Congress of Neurosurgery which takes place every four years.

The WFNS works to increase visibility and credibility of its activities among neurosurgeons, researchers, other health professionals, international professional organizations and the general public. This is accomplished through publications, surveys, campaigns, a website and cooperation with other medical and lay organization.

Resembling Istanbul’s harmonic blend of cultures, this year’s hosts aim to make “WFNS XVI. World Congress of Neurosurgery” a great opportunity to gather neurosurgeons from all around the world.

Explore the event

WHO statistics demonstrate that TBI (traumatic brain injury) incidence is higher in low-middle income nations than those with a high income. Furthermore, TBI treatment is in the hands of many specialists and the patient passes through different clinical evaluations threatening to break the “chain of care” that is crucial for successful management. In some hospitals there are major violations or omissions of different protocols. A way to improve the acute care of patients suffering from TBI is to develop new protocols and strengthen those that already exist. However,  the lack of resources is a problem that must be resolved to provide an environment encouraging more appropriate patient management.

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Surgery is a heterogeneous field with varying groups of specialties involved, each associated with their own profile of patients and workload burden. With the introduction of the Global Surgery project, it is imperative to define surgical facilities that are most critical for patients to access so that efforts can be intelligently targeted and accurately assessed. The aim of this article was to propose ‘bellwether’ surgical procedures - a small number of operations which could be used to appreciate a trend in surgery as a whole. Just as a representative sample demonstrates patterns in a target population, trends regarding these bellwether procedures should exhibit patterns found across surgery.

The procedures were initially suggested by an expert panel, and then tested for their predictive capacity. This analysis determined that caesarean delivery, emergency laparotomy and open fracture fixation were all associated with highly statistically significant trends in provision of other surgical facilities.

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With the establishment of the United Nations Millennium Development Goals (MDGs), a major progression has been made to identify the most prevalent public health challenges affecting low-middle income countries (LMICs) and the possible strategies for overcoming them. The priorities in surgical advancement have been stratified according to urgency ("must do", "should do" and "can do") based on a context-dependent framework.

In the case of neurosurgery and its global advancement, we must take into account the various issues in LMICs, such as low staffing, poor resources and lack of bed space. Initially, global neurosurgery has sought to make neurosurgical care accessible for common specific conditions such as pediatric hydrocephalus and intraventricular hemorrhage among premature infants.

However, significant gaps remain in the provision of neurosurgical care for the majority of surgically-amenable conditions. To address these problems, collaboration between neurosurgeons, health economists and public health officials is needed to find the most appropriate solution. In this way, the development of high-priority procedures and strategies that are relevant and achievable by various LMICs in the neurosurgical field can be ensured.

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This book focuses mainly on social and rehabilitative issues related to many forms of serious brain injury. While not addressing the aspects of neurosurgical practices of traumatic brain injuries, in my opinion this is an essential read for all neurosurgeons to develop an understanding of psychological and behavioral considerations. Neurobehavioural Disability and Social Handicap Following Traumatic Brain Injury offers the possibility to comprehend the pre- and post-operative problems of the patient, with a detailed assessment of the aspects related to social, behavioral, rehabilitative and family education.

 Author:
Tom M. McMillan, Rodger Ll. Wood

 Editor:
Psychology Press

 Publication date:
17 feb 2017

 Buy the book

August 30 – September 1, 2017

Pecs, Hungary

 

*25% Discount for EANS Members!*

 

 

Previous Pannonian CNS Injury Symposia sought to provide a unique environment for evaluation of translational research in traumatic brain injury.

Contemporary thought now appreciates that communication between basic scientists and clinicians is essential to improve the relevance and impact of advances as well as the quality of patient care and management - a major goal that the Pannonian symposia has embraced for more than 15 years.

There will be presentations from worldwide experts on brain injury research with a focus on pathobiology and applied clinical research. The application of this to patient care will also be discussed, ultimately leading to better treatments for our brain-injured population.

This review lends an insight into the use of cerebral microdialysis in patients with traumatic brain injury and subarachnoid haemorrhage. Developed in the 1970s, the technique involves the placement of a fenestrated microcatheter into the brain parenchyma - conclusions can then be drawn from analysis of the returned dialysate regarding the physiological state of the brain.

 

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Monday, 07 August 2017 09:34

Brain Trauma Foundation

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Brain Trauma Foundation (BTF) was created in 1986 by Dr. Jamshid Ghajar and the board of the Sunny von Bulow Coma and Head Trauma Research Foundation. The purpose was to support research about traumatic brain injuries. Nowadays, BTF continues in the research field but first of all it is known for its evidence-based guidelines. The aim is to improve the outcome of patients suffering from traumatic brain injuries.

 

Visit the website

Monday, 07 August 2017 09:28

Neurotrauma Essentials

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Neurotrauma is a critical public health problem that should be managed in an appropriate manner and time. These conditions result in a large number of deaths and impairments leading to permanent disabilities. That is why it is important not only for neurosurgeons, but also for every physician to know the symptoms and initial management of brain and spinal cord injuries. This video presents basic knowledge and techniques on how to cope with them. Dr. Patel explains how to diagnose and treat the most commonly seen neurological injuries.

 

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