83rd AANS Annual Scientific Meeting

The 2015 American Association of Neurological Surgeons (AANS) Annual Scientific Meeting in Washington, D.C., features the latest in scientific research and clinical practice. It’s also an opportunity to reconnect with colleagues and to learn from influential thinkers outside the realm of neurosurgery.

Here are five reasons why the 83rd AANS Annual Scientific Meeting is not-to-be-missed:

Cutting-edge Science
Through plenary and subspecialty tracks, listen to talks from leaders in neurosurgery and enjoy presentations of top-rated scientific abstracts.

Global Perspective
Both at the full-day International Symposia on Sunday and throughout the scientific program, learn from top neurosurgeons from around the globe.

Practical Education
Choose from more than 100 scientific sessions and tailor your meeting experience to match your interests and needs.

Camaraderie and Events
Reconnect with fellow neurosurgeons from around the world through dinners and social events, including the AANS Opening Reception and International Reception. Note: Pre-registration is required to attend the International Reception.

Influential Speakers
Hear the inspiring perspectives of leaders in sports, politics, law, journalism and science, as they share their experiences with meeting attendees.

Register Online by April 6, 2015
Visit online for more information. Then, register before advance registration ends on April 6, 2015. When you register, be sure to reserve your space at your first choice of Practical Clinics and Breakfast Seminars, as limited seats remain.

Respect | Autonomy | Integrity | Innovation | Dedication

Registration is Open for Oral Board Exam Live Webinar Series 

Neurosurgeons preparing for the hurdles of the ABNS Oral Board Examination in May will find the CNS Oral Board Review Webinars series a valuable study aid. Held just days before the exam, the CNS provides seven live webinars that contain critical information for academic preparation.

Join our subspecialty experts for these 60- to 90-minute webinars, offered in two series. The first series runs May 4–7 and covers Functional, Neuro-oncology, Spine, and Trauma. The second series runs May 11–13 and covers Peripheral Nerve, Cerebrovascular, and Pediatric.

Please visit our upcoming webinars page to learn more and register.

SGR Repeal Legislation Passes House of Representatives
After nearly 14 years of advocacy and 17 temporary “patches,” today, by an overwhelming vote of 392-37, the U.S. House of Representatives passed H.R. 2, the Medicare Access and CHIP Reauthorization Act, which repeals Medicare’s sustainable growth rate (SGR) payment system. The legislation:

  • Repeals the SGR, prevents the 21 percent Medicare pay cut and provides physicians a period of payment stability with positive updates;
  • Consolidates the current Physician Quality Reporting System (PQRS), Electronic Health Record (EHR) and Value-Based Payment Modifier (VM) programs and eliminates the penalties associated with these programs;
  • Includes positive incentives for quality improvement payment programs that allow all physicians the opportunity to earn bonus payments;
  • Enhances the ability of physicians, rather than the government, to develop quality measures and clinical practice improvement activities;
  • Clarifies that quality improvement program requirements do not create new standards of care for purposes of medical malpractice lawsuits;
  • Reverses the CMS decision to eliminate the 10- and 90-day global surgery payments.; and
  • Extends the Children’s Health Insurance Program (CHIP) for two years.

The bill now goes to the Senate for consideration. At present, the Senate is unlikely to take up the bill before they adjourn for a two-week recess on March 27, 2015, but will do so upon their return in April. The Centers for Medicare and Medicaid Services (CMS) has announced that the agency can hold Medicare claims for two weeks before they are forced to process post-April 1, 2015 claims reflecting the 21 percent cut.  The president has stated that he would sign this bipartisan legislation if it got to his desk, leaving the Senate as the last hurdle.

Neurosurgeons are, therefore, encouraged to contact their senators urging them to act now and repeal the SGR once and for all. Click here to send an email message to Congress via the AANS/CNS Legislative Action Center. We have created a letter that you can use as is or edit to add a personal touch (this is always recommended). It takes less than 5 minutes to let your voice be heard, so we hope you will act today!

If you have any questions, please don’t hesitate to contact Katie O. Orrico, director of the AANS/CNS Washington Office at korrico@neurosurgery.org.

Read the full post on Neurosurgery Blog: More than Just Brain Surgery.

Los ancianos tratados en neurocirugía se duplican en diez años

El neurocirujano del Hospital General Universitari de Castelló (HGUCS) Luis González, ha presentado recientemente su tesis doctoral sobre el paciente anciano en la especialidad de Neurocirugía en la Universidad Jaume I de Castellón. El estudio presentado demuestra que en la última década casi se ha duplicado el número de pacientes mayores de 70 años atendidos con patología neuroquirúrgica en la provincia de Castellón.

La tesis de González, que ha sido dirigida por el director de la Unidad Docente Multidisciplinar de Atención Familiar y Comunitaria del Departament de Salut de Castelló, Luis Lizán, aborda cómo afecta el envejecimiento de la población a la especialidad, dado que en la actualidad no existían estudios en castellano que lo valoraran.

González asegura que la Organización Mundial de la Salud establece que entre el año 2000 y el 2050 se duplicará la población mayor de 65 años y se cuadruplicará la población mayor de 80 años. “Esto hecho constituye un reto para la sociedad en general y para la medicina en particular” ha indicado.

Esta población, prosigue, presenta en la actualidad un mayor número de patologías asociadas a la patología neuroquirúrgica y un nivel de conciencia más bajo en el momento del ingreso hospitalario.

A pesar de ello, “no se aprecia un aumento en la mortalidad durante el ingreso o al año del alta médica”, al tiempo que tampoco se aprecian diferencias en la funcionalidad al alta del paciente.

Según González, sí que se puede observar una disminución en la estancia hospitalaria en el HGUCS gracias a un planteamiento multidisciplinar de la atención al paciente y la ayuda de otras unidades médicas como la Unidad de Corta Estancia, la Unidad de Cuidados Intensivos y el Servicio de Medicina Interna con su Unidad del Paciente Complejo.

La tesis doctoral presenta bajo el título “Neurocirugía Geriátrica: análisis de la patología neuroquirúrgica en el paciente mayor de 70 años en la provincia de Castellón durante los últimos 10 años” ha sido presentada en Universidad Jaume I de Castellón en el Área Predepartamental de Medicina y ha obtenido la máxima calificación de sobresaliente cum laude.

Google construirá una plataforma robótica de cirugía

Así es, Google se va a asociar con Ethicon (filial de Johnson & Johnson) para crear una plataforma que use robots para realizar cirugías.

La noticia, que leemos en esta nota, comenta pocos detalles sobre la plataforma de cirugía asistida en la que están pensando, pero deja claro que se trata de un proyecto que ayude a los cirujanos (humanos) a realizar su trabajo, no a sustituirlos.

El objetivo es aumentar el control y precisión de los instrumentos, siempre buscando disminuir los riesgos y los tiempos de recuperación.

Seguramente se usará también para recopilar y analizar datos relacionados con los procedimientos, con el objetivo de mejorar el tratamiento y las prácticas de cirugía a largo plazo.

Recordemos que uno de los proyectos en los que Google Glass estuvo presente tenía a la cirugía como protagonista, donde los médicos compartían y consultaban información en tiempo real, por lo que no es la primera vez que Google entra en esta área.

La asociación permitirá compartir tanto capacidades como propiedad intelectual y conocimientos, pero tendremos que esperar hasta conocer más detalles sobre el proyecto. Ethicon lleva 60 años trabajando con este tipo de máquinas, y Google lo sabe todo en el mundo de los datos, por lo que seguramente saldrán buenos resultados en poco tiempo.

Book: Neurosurgery: Concerns and Issues

Neurosurgery: Concerns and IssuesNeurosurgery: Concerns and Issues

List Price: $114.00

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Neurosurgery is a field of medical study which is growing at a steady speed. Therefore, it is imperative for trainers, as well as neurosurgeons to keep themselves updated with new discoveries and developments occurring in this field. Functional neurosurgery, advanced techniques and hemostatic agents in neurosurgery are some of the topics discussed. This book is an attempt to provide knowledge to all those who are interested in the field of neurosurgery.


Product Details

  • Published on: 2015-03-28
  • Original language: English
  • Number of items: 1
  • Dimensions: 9.02″ h x .56″ w x 5.98″ l, 1.05 pounds
  • Binding: Hardcover
  • 228 pages

Off road motorcycling

Motocross is a popular sport and at times has unacceptable risks of injury in organised competitions, especially with regards to paediatric injuries. Better course design, restrictions on participant age and limitations in vehicle speeds may help reduce the number of severe injuries. These events can also generate a sudden trauma burden to local hospital facilities with knock on effects on waiting times for theatre and potentially compromising not only treatment of the injured participants but also the treatment of other patients in the hospital. Cooperation with event organisers may enable extra staff and theatre time to be arranged in advance but at increased cost to the local health services 1).

CNS trauma

Nearly half of all motocross competitors under the age of 18 reported concussion symptoms 2).

All patients aged 18 years or less who were treated for a motorbike injury at a Level 1 regional trauma center between 2000 and 2007 were identified through in-house surgical and trauma registries. Type, mechanism, and severity of CNS-related injuries were assessed, including: incidence of traumatic brain injury (TBI), loss of consciousness (LOC), Glasgow Coma Scale (GCS) score, head CT findings, neurological deficits, spinal fractures, cervical strain, and use of protective gear, including helmets.

During the 8-year period of study, 298 accidents were evaluated in 248 patients. The patients’ mean age at the time of injury was 14.2 ± 2.7 years. Head injury or TBI was identified in 60 (20.1%) of 298 cases (involving 58 of 248 patients). Fifty-seven cases were associated with LOC, and abnormalities were identified on head CT in 10 patients; these abnormalities included skull fractures and epidural, subdural, subarachnoid, and intraparenchymal hemorrhages. The GCS score was abnormal in 11 cases and ranged from 3 to 15, with an overall mean of 14.5. No patients required cranial surgery. Helmet use was confirmed in 43 (71.6%) of the cases involving TBI. Spine fractures were identified in 13 patients (4.3%) and 5 required surgical fixation for their injury. CONCLUSIONS The authors found a high occurrence of head injuries following pediatric off-road motorcycle riding or motocross accidents despite the use of helmets. Additionally, this study severely underestimates the rate of mild TBIs in this patient population.

The data indicate that motocross is a high-risk sport despite the use of protective gear. Riders and parents should be counseled accordingly about the risks prior to participation. 3).


1) Dick CG, White S, Bopf D. A review of the number and severity of injuries sustained following a single motocross event. J Orthop. 2014 Mar 26;11(1):23-7. doi: 10.1016/j.jor.2013.12.012. eCollection 2014 Mar. PubMed PMID: 24719530; PubMed Central PMCID: PMC3978741.
2) Luo TD, Clarke MJ, Zimmerman AK, Quinn M, Daniels DJ, McIntosh AL. Concussion symptoms in youth motocross riders: a prospective, observational study. J Neurosurg Pediatr. 2015 Mar;15(3):255-60. doi: 10.3171/2014.11.PEDS14127. Epub 2015 Jan 2. PubMed PMID: 25555121.
3) Daniels DJ, Clarke MJ, Puffer R, Luo TD, McIntosh AL, Wetjen NM. High occurrence of head and spine injuries in the pediatric population following motocross accidents. J Neurosurg Pediatr. 2015 Mar;15(3):261-5. doi: 10.3171/2014.9.PEDS14149. Epub 2015 Jan 2. PubMed PMID: 25555116.

Book: Ben Carson: The Inspirational Life Story of Ben Carson M.D

Ben Carson: The Inspirational Life Story of Ben Carson M.D.; Doctor, Humanitarian, and One of Americas Top Political Leadership FiguresBen Carson: The Inspirational Life Story of Ben Carson M.D.; Doctor, Humanitarian, and One of Americas Top Political Leadership Figures
By Patrick Bunker

 

Discover the Inspirational Life of Ben Carson and Learn What Makes A Leader

List Price $2.99

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Life is a twisted event. Sometimes, the hand a person is dealt can truly bring a person to their knees and deny them the pleasures of seeing blue skies and rainbows. For some, that denial fills their bellies with a raging fire that propels them forth from uncertainty into assured blessings. Sometimes, the mighty phoenix must rise from its ashes only to soar higher and higher with no mind to the risk of falling. While some dream to be lawyers or dancers or astronauts, some dream to heal the sick and tend to the wounded. To be a physician, one must take on many hours and years of post-secondary education. To become a surgeon requires not only a sharp mind but also a steady hand. Surgeons must spend between eleven to eighteen years of their time to be able to work on their own in order to perform operations and medical procedures as well as treat injuries, deformities, and diseases. This length of time does not even include what is known in the medical field as ‘continuing education credits’ or CEC’s. Most surgeons have a specialty such as gastroenterology or neurology in order to become experts in their field.

• The Childhood Event That Caused Ben Carson To Change His Life

• Why Ben Carson Moved To Australia

• How Ben Carson Became One Of The Worlds Greatest Surgeons

• Ben Carson’s personal trials and tribulations

• How Ben Carson Thinks On Politics And Leadership In America

• His Most Memorable Surgeries

The contents of this book are easily worth over $5, but for a limited time you can download “Ben Carson: The Inspirational Life Story of Ben Carson at a special discounted price of only $2.99

  • Published on: 2015-03-27
  • Released on: 2015-03-27
  • Format: Kindle eBook

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