Download Advances and Technical Standards in Neurosurgery by John D. Pickard PDF

By John D. Pickard

This sequence, backed by way of the ecu organization of Neurosurgical Societies, has already turn into a vintage. often, one quantity is released in line with 12 months. The Advances part offers fields of neurosurgery and similar components during which vital fresh development has been made. The Technical criteria part gains certain descriptions of normal methods to help younger neurosurgeons of their post-graduate education. The contributions are written by way of skilled clinicians and are reviewed via all contributors of the Editorial Board.

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Arch Intern Med 161: 1261–1266 16. Grumbach K, Osmond D, Uranizan K et al. (1998) Primary care physicians’ experience of financial incentives in managed – care systems. N Engl J Med 339: 1516–1521 17. Mitchell JM (1996) Physician joint ventures and self-referral: an empirical perspective. In: Spece RG Jr, Shim DS, Buchanan AE (eds) Conflicts of interest in clinical practice and research. Oxford University Press 18. Marshall E (1992) When does intellectual passion become conflict of interest? Science 257: 620–622 19.

As is the case for many chronic diseases, the transition from child to adult has become a major problem in neurosurgery. In her paper on long-term follow-up of spina bifida, R. Bowman stated that ‘‘one of the greatest challenges in medicine today is to establish a network of care for these adults with spina bifida’’ [4]. Although the same can be said of many other pediatric diseases, we neurosurgeons must be part this endeavor. In the majority of neurosurgical centers in France, neurosurgeons are not age-specialized.

In non-specialized centers, generally one adult neurosurgeon in the team is designated to take care of most pediatric cases (especially urgent cases), while more specifically pediatric (and non-urgent) cases are referred to another, more specialized centre. In specialized centers (like ours), the segregation is not complete, pediatric neurosurgeons having a ‘‘double citizenship’’ which allows them to continue to take care of their patients beyond their entry into adulthood, ensuring a relatively smooth transition.

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Categories: Neurosurgery