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60年的全球神经外科:概念基础、时间参照、新兴坐标以及低收入和中等收入国家合作干预的前景

Global neurosurgery over a 60-year period: Conceptual foundations, time reference, emerging Co-ordinates and prospects for collaborative interventions in low and middle income countries.

作者信息

Uche E O, Sundblom Jimmy, Uko Uko Kalu, Kamalo Patrick, Nah Doe Alvin, Eriksson Linn, Sandvik Ulrika, Revesz David F, Ryttlefors Mats, Tisell Magnus

机构信息

Neurosurgery Unit, Faculty of Medical Sciences, University of Nigeria Teaching Hospital Ituku/Ozalla, Enugu, Nigeria.

Department of Neurosurgery, Uppsala University Hospital, 751 85, Uppsala, Sweden.

出版信息

Brain Spine. 2022 Oct 8;2:101187. doi: 10.1016/j.bas.2022.101187. eCollection 2022.

DOI:10.1016/j.bas.2022.101187
PMID:36506294
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9729807/
Abstract

INTRODUCTION

We evaluated salient initiatives invested in global neurosurgery over a 60-year period.

RESEARCH QUESTION

What are the Phases, Achievements, Challenges, and Lessons of Global Neurosurgery.

METHODS

A 60-year retrospective study from 1960 to 2020 analyzing the major phases, lessons, and progress notes. We reviewed the foundational need questions and innovated tools used to answer them.

RESULTS

Three phases defining our study period were identified. In the early phase, birthing academic units and the onset of individual volunteerism were dominant concepts. The 2nd phase is summarized by the rise of volunteerism and surgical camps.The third phase is heralded by advocacy and strategies for achieving care equity. The defining moment is the Lancet commission for global surgery summit in 2015. Lessons include the need for evaluation of the resources of recipient and donor locations using novel global surgery tools.

CONCLUSION

Global neurosurgery over the 60-year study period is summarized by indelible touchstones of personal and group efforts as well as triumphs derived from innovations in the face of formidable challenges.

摘要

引言

我们评估了60年间在全球神经外科领域投入的重大举措。

研究问题

全球神经外科的阶段、成就、挑战及经验教训有哪些?

方法

一项从1960年至2020年的60年回顾性研究,分析主要阶段、经验教训及进展记录。我们回顾了基础需求问题以及用于解答这些问题的创新工具。

结果

确定了定义我们研究时期的三个阶段。在早期阶段,建立学术单位和个人志愿服务的兴起是主要概念。第二阶段以志愿服务和手术营的兴起为总结。第三阶段以倡导和实现医疗公平的策略为先导。决定性时刻是2015年《柳叶刀》全球外科委员会峰会。经验教训包括需要使用新型全球外科工具评估受援地和捐助地的资源。

结论

在60年的研究期内,全球神经外科以个人和团体努力的不可磨灭的试金石以及面对巨大挑战时创新带来的成功为总结。

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