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An International Conference on "Neurosurgical Training and
Reserach" was held in Munich from October 6 - 9, 1996, under the
auspices of the EANS, and organized by H.-J. Reulen and H.-J.
Steiger. Experts from different countries and neurosurgical
organizations have collected information on the present status of
resident training in neurosurgery and the mechanisms involved with
the training. Various aspects, the recruitment process, the
criteria used for selection, the contents and structure of a
program, the continuous quality control, exposition to the art of
research, fellowships and subspeciality training, etc. have been
covered. The present book contains this material and thus provides
a unique and comprehensive source of information on the complex of
modern neurosurgical training. " ... The beauty of this work is
that it puts in one place the many varied aspects of a
neurosurgical training program that one needs to be aware of ...
should be required reading for the faculty of any academic training
program as well as for others who may have a misconception of what
residency training is ... an excellent book for any program
director or active faculty member. It should be required reading
for all faculty members before the next round of resident
interviews ..." Neurosurgery "... well edited, published to a high
standard and will naturally be of interest to those specifically
involved in the areas of selection and training ... a useful text
for aspirants to surgical training posts ..." British Journal of
Neurosurgery
During the last meeting of the European Association of
Neurosurgical Societies (Barcelona 7-16 September 1987), a
Symposium was devoted to the use of calcium antagonists in cerebral
vasospasm. As shown by its title "Prevention and treatment of
delayed ischaemic dysfunction in patients with subarachnoid
haemorrhage: an update," papers presented at the Symposium covered
a broad spectrum from some basic data on pathophysiology of
subarachnoid haemorrhage (SAH) and delayed ischaemic dysfunction,
to the clinical use of nimodipine, which has been largely
documented among calcium inhibitors for its cerebrovascular
properties. This supplementum of Acta Neurochirurgica is based upon
the papers presented. Some articles, however, have been extended to
take into account further results in order to present a broad view
of the subject. The Symposium started with two presentations
concerning general aspects of SAH: in the first one, B. Voldby
reviewed the pathophysiological events following SAH: if
modifications of intracranial pressure (ICP) and decrease of
cerebral blood flow (CBF) are the primary alterations, metabolic
changes (particularly reduction in CMR0 ) 2 contribute rapidly to
disturbances of brain circulation. A variety of mechanisms may be
responsible for the neurological dysfunction: most of them are
directly related to the reduction in cerebral perfusion pressure
(CPP) which may result in ischaemia. This fall in CPP (either due
to elevation of ICP or reduction of mean arterial blood pressure)
is observed under different pathophysiological conditions,
discussed in the paper by A. D. Mendelow.
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