By John D. Pickard

This sequence, backed via the eu organization of Neurosurgical Societies, has already turn into a vintage. ordinarily, one quantity is released according to 12 months. The Advances part offers fields of neurosurgery and similar parts during which vital contemporary development has been made. The Technical criteria part positive aspects unique descriptions of ordinary systems to aid younger neurosurgeons of their post-graduate education. The contributions are written via skilled clinicians and are reviewed by way of all individuals of the Editorial Board.

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However this situation is rapidly changing. The editors of some of the most prestigious international medical journals [48] (such as Lancet, JAMA, Conflicts of interest in medical practice 35 New England Journal of Medicine) have proposed new guidelines to correct a situation that was challenging the credibility of scientific communication in clinical medicine. In fact, an interesting study by Chaudhry et al. [49] analyzing whether the disclosure of conflict of interest affected the evaluation by the readers of the reliability of the results, seems to confirm that trust was a diminished when the authors were financed by the industry, in the case of this article, a fictious company.

References 1. Hazard GC Jr (1996) Conflicts of interest in the classic professions. In: Spece Jr RG, Shim DS, Buchanan AE (eds) Conflicts of interest in clinical practice and research. Oxford University Press, pp 85–104 2. Medical professionalism in the new millennium: a physicians’ charter. Lancet 359: 520–522, 2002 3. Rothman DJ (2000) Medical professionalism – focusing on the real issues. N Engl J Med 342: 1284–1286 4. Swick HM (2000) Toward a normative definition of medical professionalism. Acad Med 75: 612–616 5.

These results highlight the fact that complications of treatment play a major role on adult outcome. Table 1. 001. GOS Glasgow Outcome Score; NS not statistically significant. These data show that the prognosis is mostly dependent on the cause of hydrocephalus, but also on complications of treatment like shunt infection. The transition from child to adult in neurosurgery 17 Discussion Shunt outcome The risk of shunt obstruction is the main burden for shunted patients who otherwise do well. It may be the cause of sudden death, with a risk estimated as high as 1% a year [29].

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