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Melissa LoPresti, Sandi Lam, Katie Orrico, Samuel R. Browd, Richard G. Ellenbogen and Jonathan Martin

A dvocacy is intimately associated with the practice of pediatric neurosurgery. At the core of this specialty are disease processes that impact a young and vulnerable population. Many pediatric neurosurgeons act locally and regionally to benefit their patients through efforts to improve the lives of children and their families, as well as the health care systems in which these surgeons practice. Numerous examples of national 6 and international 1 , 10 , 12 efforts by individual practitioners can be identified. Conversely, collective advocacy efforts by

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Dagoberto Estevez-Ordonez, Matthew C. Davis, Betsy Hopson, MSHA, Anastasia Arynchyna, Brandon G. Rocque, Graham Fieggen, Gail Rosseau, Godfrey Oakley, MSPM and Jeffrey P. Blount

from the PUSH! Global Health Alliance ( http://pu-sh.org/global-report-cards ). For more details on the PUSH! methodology, indicators, scoring criteria, and full recommendations, visit www.pu-sh.org . 39 Sixth, neurosurgeons should support the establishment of comprehensive countrywide MMC centers of excellence through a combination of advocacy, international collaboration, and funding. Seventh, SB advocacy organizations and organized neurosurgical groups such as the World Federation of Neurological Societies, the Foundation for International Education in

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Rebecca Y. Du, Melissa A. LoPresti, Roxanna M. García and Sandi Lam

was conducted to answer the following question: “Are helmet laws correlated with decreased incidence of TBI from RTAs among younger populations worldwide?” Because TBI from RTAs tends to disproportionately affect pediatric and young adults, and is a leading cause for morbidity and mortality, 60 this review focuses on the population ≤ 25 years of age. The aims of the study were as follows: 1) to identify existing evidence to support helmet advocacy and legislation; and 2) to provide a summary of the components of a successful helmet policy. The results of this study

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Gail Rosseau, Walter D. Johnson, Kee B. Park, Peter J. Hutchinson, Laura Lippa, Russell Andrews, Franco Servadei and Roxanna M. Garcia

(WFNS; www.wfns.org ) coordinated a neurosurgical delegation composed of 15 volunteer international neurosurgeons to advocate for universal access to lifesaving or disability-averting neurosurgical care. The following report highlights the participation of this neurosurgical delegation at the 72nd WHA in advocacy of global neurosurgery. Political leaders in all United Nations Member States consider strengthening surgical systems in the developing world to be essential in order to reach the 17 agreed-upon United Nations Sustainable Development Goals (SDGs) and their

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Duke S. Samson, Richard M. Hodosh and W. Kemp Clark

population at risk. In light of this uncertain natural history and the significant therapeutic hazards historically involved in aneurysm surgery, neurosurgeons confronted with unruptured multiple or incidental aneurysms have varied in their advocacy of surgical therapy as regards patient population and aneurysm site. Heiskanen and Marttila, 3 and McKissock, et al. , 7 believe risk of SAH is less than that of surgery, while Pool and Potts, 10 Mount and Brisman, 8 and Moyes, 9 reflect with varying amounts of enthusiasm a more aggressive approach, usually “if the

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William Gump

time that elective skull deformity procedures have been applied to adults. These ideas include the concept of extreme body modification, and the position promoted by the International Trepanation Advocacy Group. Both movements have relatively well-defined modern histories. Body Modification Deliberate alteration of the human body for nonmedical reasons has a lengthy and rich history in human culture. 3 These practices can be carried out for religious reasons, aesthetic purposes, sexual enhancement, as a rite of passage, to denote affiliation, or for shock

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Global neurosurgery: innovators, strategies, and the way forward

JNSPG 75th Anniversary Invited Review Article

Michael M. Haglund and Anthony T. Fuller

continue to do, amazing work in global neurosurgery. FIG. 1. Representation of different strategies used in global neurosurgery. Global Neurosurgery Strategies Global neurosurgery has been defined as “an area for study, research, practice, and advocacy that places priority on improving health outcomes and achieving health equity for all people worldwide who are affected by neurosurgical conditions or have a need for neurosurgical care.” 12 , 46 Recently, the Global Neurosurgery Initiative (GNI) at the Program in Global Surgery and Social Change (PGSSC) at Harvard

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Alex B. Valadka, Jaclyn S. Valadka, Patrick R. Valadka and Patricia C. Valadka

trainees, our colleagues, and our community. The result is a diminishing of the good that we can do as neurosurgeons. Instead, teamwork and service define the new skills that we will need and roles that we will play if we are to survive and thrive in the future not just in our individual practices, but as a specialty. Those who master these new skills make up a new triple threat that runs in parallel to the classic one. These three new areas that we need to master are the three A’s: administration, advocacy, and altruism. Administration The first of these new areas is

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Michael Schulder, Jay S. Loeffler, Anthony E. Howes, Eben Alexander III and Peter McL. Black

✓ Harvey Cushing performed over 2000 operations on patients with brain tumors, including 832 for gliomas. He implanted radioactive radium needles, known as a “radium bomb,” in a small number of these patients. He was not impressed with the results and did not pursue this method of treatment in a serious way. The authors present here Cushing's little-known experience with brachytherapy and discuss the reasons for his lack of interest in this technique, despite his advocacy of radiotherapy for certain lesions. An interesting perspective is offered for contemporary neurosurgeons involved in the treatment of brain tumors with cranial irradiation.

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Neurosurgery and spine: a vital synergy

Chairperson Address, 2007 Annual Meeting of Section of Disorders of Spine and Peripheral Nerves

Charles L. Branch Jr.

spine in these two missions is real and visible as has been articulated this morning. Yet, a third great mission or need has arisen and is critical to our survival. This mission is advocacy. Advocacy: the act of pleading or arguing in favor of something such as a cause, idea, or policy; it is active support. In this increasingly crowded and skeptical world, research and development establishes our value, education disseminates that value throughout the profession, and advocacy keeps that value in front of the public, regulatory, and economic entities where