The majority (60%) either agreed or strongly agreed that there are problems with neurosurgery emergency coverage in their region. Before the session, 89% were opposed to the acute care surgery initiative as a solution for neurosurgery emergency coverage and 85% favored regionalization of emergency care. Opinions did not change significantly following expert presentations and discussion.
CONCLUSION:
Neurosurgeons polled during a 2008 CNS consensus session opposed creation of an acute care surgery specialty within general surgery that covers see more neurosurgical emergencies, but they favored neurosurgical emergency care regionalization. The CNS consensus sessions provide a forum for discussing socioeconomic and professional issues important to neurological surgery and for formulating preliminary information and strategies of use to regulatory stakeholders in addressing these issues.”
“Purpose: We determined factors associated with bother, the distress patients experience as a result of functional detriments after treatment for localized prostate cancer.
Materials and Methods: A prospective cohort of men treated for clinically localized prostate cancer find more completed a questionnaire comprising the UCLA-PCI, Medical Outcomes Study Short Form-36, American Urological Association Symptom Index and Memorial Anxiety Scale for Prostate Cancer fear of recurrence subscale. We used nonlinear
mixed models to identify factors associated with severe urinary, sexual and bowel bother.
Results: Worse function scores were associated with severe urinary, sexual and bowel bother following treatment (OR 0.88-0.94, p < 0.001). Worse American Urological Association Symptom Index score was associated with severe urinary bother (OR 1.22, 95% CI 1.16-1.28). Time since treatment was inversely associated with urinary (OR MTMR9 0.68, 95% CI
0.54-0.83) and bowel bother (OR 0.63, 95% CI 0.47-0.80) early after treatment but not for the entire 48-month study period. Receipt of concomitant androgen deprivation therapy was not associated with bother 48 months after radiation.
Conclusions: Addressing functional detriment may confer improvement in urinary, sexual and bowel bother. Patient distress related to dysfunction improves with time. Measuring health related quality of life after prostate cancer treatment should incorporate functional and bother assessments.”
“BACKGROUND: Deep brain stimulation (DBS) has been proven to alleviate tremor of various origins. Distinct regions have been targeted. One explanation for good clinical tremor control might be the involvement of the dentatorubrothalamic tract (DRT) as has been suggested in superficial (thalamic) and inferior (posterior subthalamic) target regions. Beyond a correlation with atlas data and the postmortem evaluation of patients treated with lesion surgery, proof for the involvement of DRT in tremor reduction in the living, the scope of this work, is elusive.