Search Results

You are looking at 1 - 10 of 585 items for :

  • "socioeconomic" x
Clear All
Restricted access

Report of Head Injury Conference

University of Chicago, February 6–9, 1966

Joseph P. Evans

specifically involved in such activities and it was fully recognized that the depth of conviction and of commitment of those individuals involved at the local level was crucial to the work of the individual facilities. It was agreed that maximum use should be made of military experience and that, within the limits of informed military needs, every effort be made to utilize clinical opportunities for study occasioned by warfare. The importance of physical rehabilitation and of socioeconomic readjustments was recognized. Finally, the need for the dissemination of information

Restricted access

William L. Kissick

manpower and a convergence of the settings in which services are delivered. Organization becomes the ranking imperative, but is hardly the full solution to the problem. Requirements and Resources The increased demand for and changes in medical services may be attributed to the following: 1) over-all increase in population, 2) increase in the over-65 population, 3) the rising proportion of non-whites in the population accompanied by their improved socioeconomic status, 4) increasing proportion of women in the population, 5) steady increase in urbanization and

Restricted access

Otto Appenzeller and James H. Salmon

D ementia of the elderly has, until now, been considered a hopeless condition. The socio-economic factors of the institutional care of these patients in an increasingly elderly population make this a problem worthy of intensive study. Recently, some cases of dementia with psychomotor retardation and ataxia associated with “normal cerebrospinal fluid pressure” and enlarged ventricular systems have been described in which ventriculoatrial shunting of the cerebrospinal fluid has led to dramatic improvement in mental function. In these rare patients, there was

Restricted access

Donald D. Matson

illustrated and adopt specific modifications for the individual patient. Each patient with a myelomeningocele should be assessed carefully. Various considerations determine the type of operative procedure and the optimal time to carry it out. These include such variables as the spinal level of the lesion, size and shape of the lesion, the condition of the surrounding skin, the age of the patient, the neurological status, the adequacy of cerebrospinal fluid circulation, the presence of other congenital anomalies, the past family history, and the socio-economic status of

Restricted access

Anthony J. Raimondi

of research and clinical centers for the study and treatment of special disease problems, an ever increasing number of full time neurosurgeons, and an almost unbelieveable accumulation of new information, encourage the trend toward specialization, encourage the trend toward specialization. These pressures for individuals to devote themselves primarily, or exclusively, to an area of specialization gain momentum from such diverse socio-economic factors as an increasing urbanization of the nation's population, and the opinion of the citizenry that the utmost in

Restricted access

Biomedical research support today

The 1972 Harvey Cushing oration

Robert Q. Marston

upper third of the socioeconomic strata of this nation?” While I have not seen the results of this analysis yet, I strongly suspect that there will emerge in some areas, at least, essentially impossible resource constraints. Looking only at biomedical research, while I hope that we do not repeat the decline in growth and ultimate decrease that characterized the late 60's through 1970, I do not for the moment believe that we shall continue to have a 40% increase every 2 years indefinitely. It is against this background of the presumed inevitability of resource

Restricted access

William F. Meacham

to follow the counsel of Thomas Paine who advised that “those who expect to reap the blessings of freedom must, like men, undergo the fatigue of supporting it.” How do these political and social philosophies concern us as neurosurgeons? Just what are the issues that may prevail and influence our professional activities? While I do not pretend to pose as a political or socioeconomic pundit, I do know something about neurosurgeons. I know that they are usually individualistic, that they cherish freedom of action, and, for the most part, avoid the mechanistic

Restricted access

Bryan Jennett, J. Douglas Miller and Reinder Braakman

obvious effect on the incidence of epilepsy and it seems unlikely that the frequency of traumatic epilepsy could be reduced by improved or different management of depressed fracture. In these circumstances the most useful contribution is to discover predictive criteria, so that patients with a high risk can be advised appropriately, and those in whom the risk is low can be reassured. The socioeconomic consequences of epilepsy should not be underestimated because these are still considerable, in spite of lessening stigma and the liberalizing of regulations such as those

Restricted access

John M. Van Buren, Cosimo Ajmone Marsan and Naomi Mutsuga

T emporal-lobe epilepsy is often considered a well-defined entity which is characterized by epileptic automatisms following a visceral or psychical aura with an epileptic focus localized in one temporal lobe on the electroencephalogram (EEG). Since the automatisms provide a serious socioeconomic handicap and often are resistant to medication, 12, 21 surgical therapy should be considered. In these otherwise untreatable patients, temporal lobectomy in properly selected cases is followed by a substantial number of instances of cure or improvement with a low rate

Restricted access

The “future trends” in neurosurgery are here

The 1975 AANS presidential address

Richard C. Schneider

should serve in the role of “Spokesman for Neurosurgery,” or the “Voice of Neurosurgery.” The Federal Government could then relate to a single organization regarding such items as training grants and fellowships. Through the years many problems of great importance in our field have been referred to it. The AANS has recognized its complex position and with the aid of its representative organizations has served as spokesman for the specialty, continually working to bind together the patient care, educational, and socioeconomic aspects. This year there has been a