Educating the Next Generation of Global Neurosurgeons: Competencies, Skills, and Resources for Medical Students Interested in Global Neurosurgery

Shlobin, Nathan A.; Kanmounye, Ulrick Sidney; Ozair, Ahmad; Koning, Rosaline de; Zolo, Yvan; Živković, Irena; Niquen-Jimenez, Milagros; Affana, Clémentine K.; Jogo, Leslie; Abongha, Gobti Beltus; Garba, Deen L.; Rosseau, Gail

doi:10.1016/j.wneu.2021.08.091

Cited by 21 publications

(19 citation statements)

References 58 publications

(77 reference statements)

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“…4 Advocacy may occur through neurosurgery-specific organizations, combined approaches with other surgical disciplines, and advocacy through collaborations of various clinical and research personnel. 45 NTDs represent one of the main foci for pediatric neurosurgical advocacy. 46 Although advocacy efforts regarding NTDs have focused on folate fortification and supplementation, advocacy for increasing inositol intake is worthwhile, provided that a series of considerations are met.…”

Section: Possible Role Of Inositol In Ntd Prevention Efforts In Pedia...mentioning

confidence: 99%

“…46 Although advocacy efforts regarding NTDs have focused on folate fortification and supplementation, advocacy for increasing inositol intake is worthwhile, provided that a series of considerations are met. 45 First, the weight of evidence must favor increasing inositol intake. The evidence basis may be divided into evidence for specific interventions and evidence supporting public health approaches.…”

Section: Possible Role Of Inositol In Ntd Prevention Efforts In Pedia...mentioning

confidence: 99%

“…The evidence basis may be divided into evidence for specific interventions and evidence supporting public health approaches. 45 At present, evidence regarding the effect of inositol in preventing NTDs is limited, though existing evidence demonstrates no increase in risk of adverse pregnancy outcomes. 14 Evidence for implementing policy to increase inositol intake is nonexistent.…”

Section: Possible Role Of Inositol In Ntd Prevention Efforts In Pedia...mentioning

confidence: 99%

See 2 more Smart Citations

Inositol for the Prevention of Neural Tube Defects: A Potential Opportunity for Advocacy in Global Pediatric Neurosurgery

Shlobin

Winterhalter

DeCuypere

et al. 2022

JGNS

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Objetivo: Aproximadamente el 70-80% de los defectos del tubo neural (DTN) responden al folato. El mioinositol se ha identificado cada vez más como una posible solución para tratar los defectos del tubo neural que no responden al folato. Brindamos una breve reseña de la evidencia existente sobre el papel del mioinositol en la prevención de los NTD y describimos su papel en los esfuerzos de promoción centrados en la prevención de los NTD. Métodos: Se realizó una revisión narrativa. Resultados:Los datos existentes sobre la eficacia de la suplementación con inositol están limitados por los tamaños de muestra bajos y los diseños de estudio principalmente observacionales. Aunque los esfuerzos de promoción con respecto a las NTD se han centrado en la fortificación y la suplementación con folato, vale la pena examinar los datos sobre la ingesta de inositol. Después de revisar los datos, planteamos que sería necesario cumplir una serie de criterios incluso antes de considerar la promoción y la política. Primero, el peso de la evidencia debe favorecer el aumento de la ingesta de inositol. En segundo lugar, debe demostrarse la rentabilidad de la política de inositol. Tercero, la política debe ser políticamente viable. En cuarto lugar, se debe generar prioridad política para la política. En quinto lugar, se debe generar una sinergia entre los esfuerzos de política de folato existentes y los esfuerzos de política de inositol. Después de examinar esa serie de criterios, Conclusión: el inositol puede representar una vía para reducir la prevalencia de nacimientos de defectos del tubo neural que no responden al folato. Dadas sus funciones clínicas en el tratamiento de la espina bífida y los defectos del tubo neural, los neurocirujanos también son fundamentales para los esfuerzos de promoción en la prevención.

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Section: Possible Role Of Inositol In Ntd Prevention Efforts In Pedia...mentioning

confidence: 99%

Section: Possible Role Of Inositol In Ntd Prevention Efforts In Pedia...mentioning

confidence: 99%

Section: Possible Role Of Inositol In Ntd Prevention Efforts In Pedia...mentioning

confidence: 99%

See 1 more Smart Citation

Inositol for the Prevention of Neural Tube Defects: A Potential Opportunity for Advocacy in Global Pediatric Neurosurgery

Shlobin

Winterhalter

DeCuypere

et al. 2022

JGNS

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“…Global Neurosurgery (GN) is a multidisciplinary subspecialty of global surgery that sits at the nexus of neurosurgery and public health, and aims to remedy the world's unmet need for neurosurgical care. Grounded in health equity, GN aims to overcome the impact of sociohistorical phenomena that have generated disparities between people who can access essential neurosurgical care, and those who cannot [1,2]. The public health community is currently experiencing an intensifying call to "decolonize" global health (GH) as the COVID-19 pandemic has coincided with a contemporaneous public health crisis of systemic racism [3][4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Historical determinants of neurosurgical inequities in Africa and the African diaspora: A review and analysis of coloniality

Barthélemy

Diouf

Silva

et al. 2023

PLOS Glob Public Health

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The movement to decolonize global health challenges clinicians and researchers of sub-disciplines, like global neurosurgery, to redefine their field. As an era of racial reckoning recentres the colonial roots of modern health disparities, reviewing the historical determinants of these disparities can constructively inform decolonization. This article presents a review and analysis of the historical determinants of neurosurgical inequities as understood by a group of scholars who share Sub-Saharan African descent. Vignettes profiling the colonial histories of Cape Verde, Rwanda, Cameroon, Ghana, Brazil, and Haiti illustrate the role of the colonial legacy in the currently unmet need for neurosurgical care in each of these nations. Following this review, a bibliographic lexical analysis of relevant terms then introduces a discussion of converging historical themes, and practical suggestions for transforming global neurosurgery through the decolonial humanism promulgated by anti-racist practices and the dialogic frameworks of conscientization.

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“…Government policies and hospital management can conflict with patient preferences and/or resource constraints and ultimately undermine traditional medical practice and education (1). To avoid creating global disparities in neurosurgery, trainees must have to understand the ethical dimensions of power imbalances, priority settings, the role of funding mechanisms in driving clinical care and research (22).…”

Section: Introductionmentioning

confidence: 99%

The crucial role of ethical hospital administration in neurosurgery education

Balak

Shrestha²,

Agboola³

2022

Front.Health Serv.

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Educating the Next Generation of Global Neurosurgeons: Competencies, Skills, and Resources for Medical Students Interested in Global Neurosurgery

Cited by 21 publications

References 58 publications

Inositol for the Prevention of Neural Tube Defects: A Potential Opportunity for Advocacy in Global Pediatric Neurosurgery

Inositol for the Prevention of Neural Tube Defects: A Potential Opportunity for Advocacy in Global Pediatric Neurosurgery

Historical determinants of neurosurgical inequities in Africa and the African diaspora: A review and analysis of coloniality

The crucial role of ethical hospital administration in neurosurgery education

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