{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T00:43:16Z","timestamp":1778892196739,"version":"3.51.4"},"reference-count":3,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2021,8,24]],"date-time":"2021-08-24T00:00:00Z","timestamp":1629763200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,8,24]],"date-time":"2021-08-24T00:00:00Z","timestamp":1629763200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Childs Nerv Syst"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>With respect to the tremendous deficit in surgical care plaguing developing nations, it is critical that medical outreach models be organized in such a fashion that sustainable advancements can be durably imparted beyond the duration of targeted missions. Using a didactic framework focused on empowering host neurosurgeons with an enhanced surgical skillset, a mission was launched in Managua, Nicaragua, after previous success in Kiev, Ukraine, and Lima, Peru. Unfortunately, the failure to critically assess the internal and external state of affairs of the region\u2019s medical center compromised the outreach mission. Herein lies the visiting team\u2019s lessons from failure and insights on facilitating effective communication with host institutions, circumventing geopolitical instability, and utilizing digital collaboration and video-conferencing tools in the post-COVID-19 era to advance the surgical care of developing regions in a fashion that can be generationally felt.<\/jats:p>","DOI":"10.1007\/s00381-021-05141-8","type":"journal-article","created":{"date-parts":[[2021,8,24]],"date-time":"2021-08-24T05:03:33Z","timestamp":1629781413000},"page":"3083-3087","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Lessons from failure: neurosurgical outreach in Managua, Nicaragua"],"prefix":"10.1007","volume":"37","author":[{"given":"Rahul","family":"Jandial","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pranay","family":"Narang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge Daniel Brun","family":"Aramayo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Levy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,8,24]]},"reference":[{"key":"5141_CR1","doi-asserted-by":"publisher","first-page":"599","DOI":"10.1016\/j.wneu.2020.07.216","volume":"143","author":"N Goyal","year":"2020","unstructured":"Goyal N, Venkataram T, Dash C, Chandra PP (2020) Letter to the editor regarding: \u2018Impact of COVID-19 on an academic neurosurgery department: The Johns Hopkins experience\u2019. World Neurosurg 143:599\u2013600. https:\/\/doi.org\/10.1016\/j.wneu.2020.07.216","journal-title":"World Neurosurg"},{"issue":"4","key":"5141_CR2","doi-asserted-by":"publisher","first-page":"254","DOI":"10.2471\/blt.18.216028","volume":"97","author":"B Mullapudi","year":"2019","unstructured":"Mullapudi B, Grabski D, Ameh E, Ozgediz D, Thangarajah H, Kling K, Alkire B, Meara JG, Bickler S (2019) Estimates of number of children and adolescents without access to surgical care. Bull World Health Organ 97(4):254\u2013258. https:\/\/doi.org\/10.2471\/blt.18.216028","journal-title":"Bull World Health Organ"},{"key":"5141_CR3","unstructured":"Nicaragua - United States Department of State. (2020), from https:\/\/www.state.gov\/reports\/2018-country-reports-on-human-rights-practices\/nicaragua\/. Accessed 20 Dec 2020"}],"container-title":["Child's Nervous System"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00381-021-05141-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00381-021-05141-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00381-021-05141-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,13]],"date-time":"2021-10-13T05:13:08Z","timestamp":1634101988000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00381-021-05141-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,24]]},"references-count":3,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2021,10]]}},"alternative-id":["5141"],"URL":"https:\/\/doi.org\/10.1007\/s00381-021-05141-8","relation":{},"ISSN":["0256-7040","1433-0350"],"issn-type":[{"value":"0256-7040","type":"print"},{"value":"1433-0350","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8,24]]},"assertion":[{"value":"9 February 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 March 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 August 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"On behalf of all authors, the corresponding author states that there is no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}