功能性神经外科手术在中低收入国家 (LMICs) 的现状:基于多国横截面调查的暴露,利用和感知障碍的分析

相关实验视频

Updated: Jun 18, 2025

Neuroimaging Field Methods Using Functional Near Infrared Spectroscopy NIRS Neuroimaging to Study Global Child Development: Rural Sub-Saharan Africa

Neuroimaging Field Methods Using Functional Near Infrared Spectroscopy NIRS Neuroimaging to Study Global Child Development: Rural Sub-Saharan Africa

Published on: February 2, 2018

Sukriti Asija¹, Bhavya Pahwa², Aman Agarwal³

¹Government Medical College, Amritsar 143001, India.

Clinical neurology and neurosurgery

|August 1, 2024

概括

在中低收入国家 (LMICs) 的功能神经外科 (FNS) 获取是有限的. 提高FNS的可用性需要国际合作和政策变化,以解决培训和资源障碍,特别是深度大脑刺激 (DBS).

科学领域:

神经外科神经外科
全球健康全球健康
医疗技术访问医疗技术访问

背景情况:

功能性神经外科 (FNS) 提供有效的,非侵入性治疗,但在中低收入国家 (LMICs) 面临着重大访问和可用性挑战.
关键的FNS模式包括深度大脑刺激 (DBS),阴道神经刺激 (VNS),立体射线手术 (SRS),MRI指导的聚焦超声波 (MRgFUS) 和皮肤穿.

研究的目的:

评估在LMICs的主要FNS模式的可用性,暴露,利用和感知障碍.
确定阻碍FNS采用的因素,并为改善接入提供信息的策略.

主要方法:

使用谷歌表格设计了一个调查,遵循CHERRIES的指导方针.
收集了神经外科医生,研究员和LMIC居民的反应,并使用SPSS进行了统计分析.
分析了100个答案,详细说明了暴露水平和对各种FNS技术的信心.

主要成果:

立体射线手术 (SRS) 和深度大脑刺激 (DBS) 在受访者中暴露率最高,而MRI引导聚焦超声波 (MRgFUS) 暴露率最低.
受访者对大多数模式表示信心,除了MRgFUS. 可用性与工作设置类型没有明显的关联.
可访问性,可负担性和缺乏培训主要是DBS的重大障碍,而法律问题和患者偏好并未被视为主要障碍.

结论:

涉及国际合作,旅行奖学金和新政策的综合方法对于增强FNS在LMICs中的影响力至关重要.
这些策略旨在减轻神经外科的负担,并在资源有限的环境中改善决策.
解决培训和成本等特定障碍对于公平的FNS分配至关重要.

关键词:

功能性神经外科手术全球神经外科全球神经外科全球手术全球手术全球手术低收入和中等收入国家 (LMICs).

更多相关视频

Mixed Reality Assisted Radical Endoscopic Thyroidectomy

Mixed Reality Assisted Radical Endoscopic Thyroidectomy

Published on: January 31, 2025

Author Spotlight: Unveiling the Potential of TUBE Technique in Spinal Surgery

Author Spotlight: Unveiling the Potential of TUBE Technique in Spinal Surgery

Published on: November 17, 2023

相关概念视频

Psychosurgery

Psychosurgery

Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...

Local Anesthetics: Clinical Application as Spinal Anesthesia

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...