Search for: "trauma" - 551 articles found

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Sponsored • Hip arthroplasty

Endoprostheses for elderly and frail patients: Preparation is half the battle

An ageing population and modern lifestyle conditions have greatly increased the case numbers for hip arthroplasty. To prevent complications, it is important for orthopaedic surgeons to identify high-risk patients and take proper precautions. At the Heraeus symposium at DKOU, two experts explored the special measures that should be taken to ensure better outcomes for elderly and frail patients.

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Article • Point-of-care ultrasound in trauma

Returning e-FAST ‘to its roots’

Stagnation, under-use, unfulfilled potential: At the EUSEM congress in Barcelona, leading emergency physician Dr Joseph Osterwalder describes how e-FAST (Extended Focused Assessment with Sonography for Trauma) – a key point-of-care ultrasound technique for trauma – has changed over the last two decades, and not necessarily for the better.

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Surgical Flat Panel C-Arms

Vision RFD 3D

HighlightsBundling 2D and 3D functionality for greater intraoperative control, the Ziehm­ ­Vision RFD 3D reduces the need for postoperative CT scans and costly corrective surgeries. It is equipped with Ziehm Iterative Reconstruction to minimize fan and metal artifacts in 3D reconstruction, so far only known from CT imaging. This makes the Ziehm Vision RFD 3D ideal for high-end orthopedic,…

Surgical Flat Panel C-Arms

CIARTIC Move

Highlights:CIARTIC Move is a new class of self-driving mobile 3D C-arm that addresses the challenges of staff shortages and overloaded surgical teams in the OR. Move automatically Accelerate* and standardize 2D and 3D imaging in the OR.Move independently Avoid idle times and delays in the OR.Move effortlessly-Reduce the physical burden of working in the OR. * Proven in a cadaveric…

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Article • During lumpectomy

Fluorescence-guided surgery identifies breast cancer in margins

Breast surgery is a traumatic experience for a woman, no matter whether breast-conservation surgery (BCS) or a mastectomy. Trauma levels are greatly enhanced, if pathological evaluation findings of an excised breast tumour following a lumpectomy suggest that additional cancer may still be in the margins, and a second surgical procedure is required. A new system with the ability to accurately…

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Multitom Rax

HighlightsThe world's first Twin Robotic X-ray scannerSet new standards in advanced musculoskeletal and trauma imagingOptional with Real3D and True2scale Body ScanPrecise insights through unique automationEfficient workflows around your patientsComprehensive diagnoses with multiple proceduresDetector size:43 × 43 cm (RAX detector)35 × 43 cm (MAX wi-D)24 × 30 cm (MAX mini)

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Flatpanel Fluoro

Multitom Rax

HighlightsThe world's first Twin Robotic X-ray scannerSet new standards in advanced musculoskeletal and trauma imagingOptional with Real3D and True2scale Body ScanPrecise insights through unique automationEfficient workflows around your patientsComprehensive diagnoses with multiple proceduresDetector size:43 × 43 cm (RAX detector)35 × 43 cm (MAX wi-D)24 × 30 cm (MAX mini)

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Article • Portable imaging

Going mobile: advances in point-of-care ultrasound

Ultrasound technology now plays a vital role in clinical diagnosis and management. Significant advances in point-of-care ultrasound (POCUS) have made it a versatile tool for assessment, diagnosis, and follow-up across various fields. New developments continue to expand its applications, improving patient care and outcomes.

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Article • Disaster victim identification

Radiology in DVI: distressing insights and “hidden gems”

Identifying victims of major disasters remains a significant challenge for investigators. Often, identification can take weeks or longer but new approaches are paving the way for greater accuracy and quicker identification whilst preserving the body without unnecessary invasive investigation. An expert session at ECR heard about how new imaging technology can help with disaster victim…

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Article • Cancer patients at risk

Blood test detects risk of neurotoxicity from CAR T-cell therapy

Chimeric antigen receptor (CAR) T-cell therapy is an immunotherapy treatment that re-engineers a patient’s own T-cells to help them attack malignant tumour cells. It has been very effective in the treatment of blood cancers, including certain types of leukaemia and lymphoma. However, two serious side effects are common as a result of the treatment: cytokine release syndrome (CRS) and immune…

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Article • RESTORE hospital programme

Facilitate recovery from hip fracture surgery by geriatric patients

Caregivers at the University of Texas Southwestern Medical Center in Dallas, Texas, have developed a programme designed to facilitate recovery by geriatric patients following hip fracture surgery. The Returning Seniors to Orthopedic Excellence (RESTORE) programme is designed to provide stellar comprehensive collaborative co-managed care for older adults with orthopaedic injuries.

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Article • Patient-specific parameters in ionizing radiation usage

A more tailored approach to dose reduction

Radiation exposure in diagnostic and interventional radiology is steadily being reduced, but some important parameters have hardly been taken into account so far, says Dr Kerstin Jungnickel. The medical physics expert explains how patient-specific protocols can improve radiation protection and outlined new findings on the radiosensitivity of certain body regions and their impact.

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Sponsored • Periprosthetic protection

Bone cements containing antibiotics for infection prophylaxis – quo vadis?

Periprosthetic infections and revisions are on the rise in Germany and worldwide, with significant consequences for affected patients as well as for the healthcare systems. Precisely because the number of patients at higher risk of infection in arthroplasty continues to rise, attention is increasingly focused on how this dreaded complication can be avoided.

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Sponsored • A tool to empower healthcare organizations

Eliminating silos and improving patient outcomes

Clinician and nurse burnout is a frequently discussed topic in the healthcare community in the wake of the Covid-19 pandemic. According to an analysis of the NHS published earlier this year, more than 400 workers in England have left the NHS to restore work-life balance within this past year. Burnout and cases of post-traumatic stress disorder after working through the Covid-19 pandemic are major…

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Article • Extended reality

The application of XR in mental health care

Mental disorders are among the leading causes of ill-health and disability worldwide, and the demand for a viable solution to battle the mental health crisis has risen. The past two decades have witnessed the emergence of extended reality (XR) as a tool for investigation, assessment, and management in mental healthcare.

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Article • Bioprinting

3D biocomposites can repair large bone defects

Loosening hip implants can cause major damage to the bone and a simple replacement won’t suffice to carry the load during movements. “To solve this problem we have to turn to innovative technologies such as bioprinting. Scaffolds are required that – while adapting slowly – offer long-term stability,” says Professor Dr Dieter Wirtz, Director of the Department of Orthopaedics and Trauma…

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Article • Radiology approach

Watch your back! Spinal imaging in trauma

At the BIR virtual congress, spinal imaging specialist Professor Elizabeth Dick focused on approaches and protocols for a range of spinal injuries and discussed assessment and imaging strategies, choice of modalities, and other key factors.

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Article • Tradefair trends and topics

Taiwan goes face-to-face at Medica 2021

Virtual insights, telehealth devices portable imaging solutions and innovative approaches to endoscopy - at this year's Medica, Taiwanese companies again showcased their latest products. Even with a slightly reduced attendance due to the pandemic, the exhibitors found ingenious ways to promote their merchandise and attract the attention of potential business partners.

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Article • Pre-, post- and interoperative

Wearable devices in the surgical environment

Wearable technology has become an important part of medicine, from tracking vital signs to disease diagnosis. In surgery, wearable technologies can now assist, augment, and provide a means of patient assessment before, during and after surgical procedures. Wearable technologies are applied before the patient even reaches the operating room, for example in prehabilitation, i.e. pre-treatment…

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Sponsored • Trade fair presence

A myriad of French innovations at Medica 2021

This year as every year, the very best in global HealthTech will be converging on Dusseldorf for the Medica trade fair. With more than 127 companies attending the event from November 15-18, France will have one of the largest contingents there. Grouped together under the brand umbrella of “French Healthcare”, the French MedTech companies will be presenting their many innovations to industry…

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News • Multiple biomarker detection

Smart bandage shows promise for chronic wound monitoring

A research team led by Professor Lim Chwee Teck from the National University of Singapore’s (NUS) Department of Biomedical Engineering and Institute for Health Innovation & Technology (iHealthtech), in collaboration with clinical partners from Singapore General Hospital, has developed a smart wearable sensor that can conduct real-time, point-of-care assessment of chronic wounds wirelessly…

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Article • Healthcare among the stars

Taking French interventional radiology to space

French interventional radiologists are pushing the frontier by looking at opportunities to perform minimally invasive procedures in manned space flights. A new strategy explored by the French Society of Radiology (SFR) is to equip astronauts with an interventional kit when flying outside of the earth’s orbit, a leading interventional radiologist explained ahead of the JFR, the SFR’s annual…

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News • Brain stimulation

Infrared light helmet might aid dementia patients

Researchers at Durham University are working on a new infrared light therapy that might have the potential to help people with dementia. In the approach, people wear a specially adapted helmet which delivers infrared light deep into the brain for six-minutes per treatment. This stimulates mitochondria that generate most of the chemical energy needed to power the biochemical reaction in the…

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Article • Disaster victim identification

Will CT scanning in post-mortem examinations mark the end of the scalpel?

Post-mortem CT (PMCT) increasingly supports pathologists, radiologists and forensic investigators particularly in cases of gunshot fatalities, mass casualties, decomposed and concealed bodies, fire deaths, diving deaths, non-accidental injury cases, and road traffic deaths, in which CT can indicate a pattern of injuries. In Dublin this August, the post-mortem (autopsy) technique was discussed…

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News • Negative volume segmentation

Novel 3D image segmentation for literal ‘jaw-dropping’

Researchers at the Skolkovo Institute of Science and Technology (Skoltech) led by Professor Dylov and their colleagues from First Pavlov State Medical University of St. Petersburg, Russia, have developed a brand-new approach to the task of 3D image segmentation — figuring out the contours of the constituent parts in a complex structure. While their so-called negative volume segmentation…

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News • Photon counting

Major CT advancement receives FDA clearance

The U.S. Food and Drug Administration (FDA) cleared the first new major technological improvement for Computed Tomography (CT) imaging in nearly a decade. “Computed tomography is an important medical imaging tool that can aid in diagnosing disease, trauma or abnormality; planning and guiding interventional or therapeutic procedures; and monitoring the effectiveness of certain therapies,” said…

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News • Scaffold-free approach

Researchers create cartilage tissue out of stem cells

Researchers at the University of Southampton have invented a new way to generate human cartilage tissue from stem cells. The technique could pave the way for the development of a much-needed new treatment for people with cartilage damage. Cartilage acts as a shock absorber in joints, but it is susceptible to damage through daily wear-and-tear, or trauma from sports injuries and falls.

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Article • Orthopaedic advances

Virtual training by hip implant simulator

Trainee trauma or orthopaedic surgeons have limited chances to practice hip replacement surgery before their first hands-on case. To change this, a team in the Dynamic HIPS project aim to improve this by creating a dynamic hip replacement simulator for future surgeons to practice the intervention and develop a reality-based feel for the procedure.

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News • Orthopaedics

Iliac crest reconstruction: 15 patients recruited into GreenBRIC study

GreenBone Ortho, a company specialising in bone regeneration, announces that it has achieved its aim of recruiting 15 patients into the GreenBRIC study. GreenBRIC study is a prospective, open label, single-arm, First-in-Human clinical investigation, in male and female patients, aged between 18 and 70 years, undergoing surgery to correct bone defects using GreenBone Implant, specifically for iliac…

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Article • Women in surgery

Skull & bones? Female specialists fear not

Currently, 25 percent of the junior physicians in Germany are female – which in international comparison puts the country in one of the top spots. However, only five percent of head of department positions in German university hospitals are held by women and not even 10 percent of orthopaedics professors are women.

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News • Stress, depression, anxiety

Suppress or sustain? How our brain handles traumatic memories

Two clusters of brain cells compete to promote either the persistence or disappearance of traumatic memories, according to a new study conducted in mice. The findings could provide important insights into human conditions such as post-traumatic stress disorder (PTSD), anxiety disorders, and associated problems such as alcohol use disorder (AUD) that can arise from the persistence of traumatic…

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News • Robotic navigation

Helping robots find their way in crowded emergency rooms

Computer scientists at the University of California San Diego have developed a more accurate navigation system that will allow robots to better negotiate busy clinical environments in general and emergency departments more specifically. The researchers have also developed a dataset of open source videos to help train robotic navigation systems in the future. The team, led by Professor Laurel Riek…

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News • Post-traumatic stress disorder

Is PTSD on the rise - or just overdiagnosed?

Some clinicians are concerned that post-traumatic stress disorder (PTSD) diagnosis has risen throughout Western society since the late 1980s. Is this correct? And if so, has the true incidence of PTSD really spiralled out of control, or has it simply become overdiagnosed? Experts debate the issue in The BMJ this week. PTSD is a serious and uncommon condition resulting from severe trauma, but it…

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News • Sex differences in medication

A drug that could help men help cope with fear (but might make things worse for women)

A research team from the Institut de Neurociències at the Universitat Autònoma de Barcelona (INc-UAB) has showed that inhibition through a drug of the Tac2 neuronal circuit, involved in the formation of the memory of fear, has opposite effects on the ability to remember aversive events in mice according to sex: it is reduced in male mice and increased in female mice.

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Video • Reparative hydrogel

Fixing traumatic head injury with 'brain glue'

At a cost of $38 billion a year, an estimated 5.3 million people are living with a permanent disability related to traumatic brain injury (TBI) in the United States today, according to the Centers for Disease Control and Prevention. The physical, mental and financial toll of a TBI can be enormous, but new research from the University of Georgia provides promise. In a new study, researchers at…

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Article • Post-hospitalisation

New study reveals impact of 'Long Covid'

Recovery duration, co-morbidities, mortality, risk groups: A large UK study reports in detail on 'Long Covid'. We spoke with two of the study's co-investigators about why so many patients are still affected after a coronavirus infection.

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News • Hybrid learning startegy

Digital platform for on-demand EHR system training adopted

The Elisabeth-TweeSteden Hospital (ETZ) based in Tilburg and Waalwijk in the Netherlands is adopting a new digital training platform. It helps clinical staff optimize the use of its electronic patient dossier (EPD) system, Epic. The healthcare organization is rolling out Ancile Solutions’ uPerform platform after successful completion of an initial project in 2020. ETZ is a leading clinical…

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Article • Portable ultrasound demonstrates versatility in all specialties

Covid-19 – Testing time for people and devices

Due to the coronavirus, hospitals and medical staff developed new work practices involving, in acute settings, social distancing, rigid use of personal protective equipment (PPE), handwashing, and disinfection of equipment every day. Additionally, portable, highly-mobile and versatile equipment came to the fore in point-of-care (POC) – particularly when wards and operating theatres are spread…

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Article • Implantation of cartilage or stem cells

Remarkable cartilage regeneration

Joint cartilage usually regenerates very poorly. The matrix of cartilage (scaffolding) contains very few cells in deep layers. Moreover, joint cartilage is highly isolated: there are neither regenerative cells in the immediate vicinity that could migrate into the site of the defect and trigger repair, nor vessels that could transport regenerative cells to the cartilage. Unsurprisingly,…

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News • Biological evidence

Scalp cooling protects hair from chemotherapy

A study reveals that scalp cooling physically protects hair follicles from chemotherapy drugs. It is the world’s first piece of biological evidence that explains how scalp cooling actually works and the mechanism behind its protection of the hair follicle. The data was part of an innovative hair follicle research project carried out by the dedicated Scalp Cooling Research Centre based at the…

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News • New regeneration method

Healing skeletal injuries with synthetic bone

Researchers at Lund University in Sweden, in collaboration with colleagues in Dresden, Germany, have developed a way of combining a bone substitute and drugs to regenerate bone and heal severe fractures in the thigh or shin bone. The study, published in the research journal Science Advances, was conducted on rats, but the researchers think that the method in various combinations will soon be…

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Interview • IT analysis and study

Optimising OR procedures in orthopaedic surgery

Could surgical procedures for hip or knee arthritis be improved? IT specialists at Leipzig University Hospital’s Innovation Center for Computer-Assisted Surgery (ICCAS), and physicians in the Department of Orthopaedic, Trauma and Plastic Surgery department, analysed and optimised the operating room (OR) setup, legwork and instruments handling. We asked project manager Juliane Neumann, at…

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News • Osteoarthritis research

New treatment target could halt knee cartilage degeneration

There is currently no cure for osteoarthritis, but a group of scientists believe they’ve discovered a method through which a simple knee injection could potentially stop the disease’s effects. These researchers showed that they could target a specific protein pathway in mice, put it into overdrive and halt cartilage degeneration over time. Building on that finding, they were able to show that…

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News • Detection of traumatic brain injury (TBI)

First rapid handheld blood test for concussions receives FDA clearance

Abbott has received 510(k) clearance for the first rapid handheld traumatic brain injury (TBI) blood test, which will help clinicians assess individuals with suspected mild TBIs, including concussions. The test will run on Abbott's handheld i-STAT Alinity platform. Tests results are available within 15 minutes after plasma is placed in the test cartridge. TBIs, including concussions, are an…

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News • Crossing the blood-brain barrier

Nanoparticle drug-delivery system to treat brain disorders

In the past few decades, researchers have identified biological pathways leading to neurodegenerative diseases and developed promising molecular agents to target them. However, the translation of these findings into clinically approved treatments has progressed at a much slower rate, in part because of the challenges scientists face in delivering therapeutics across the blood-brain barrier (BBB)…

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Sponsored • Ready to face the pandemic

Sonosite PX launches in a moment of crisis

This July, Fujifilm Sonosite launched Sonosite PX, its newest ultrasound system, in the midst of the Covid-19 pandemic. Diku Mandavia, M.D., Chief Medical Officer of Fujifilm Sonosite, sat down with sonographer and Sonosite’s Director of Marketing Development Jodi Miller to discuss how Sonosite’s newest ultrasound system can help frontline health care workers combat the pandemic and why…

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Video • "InnerEye" Artificial Intelligence

AI could help cut waiting times for cancer radiotherapy

Doctors at Addenbrooke’s Hospital in Cambridge aim to drastically cut cancer waiting times by using artificial intelligence (AI) to automate lengthy radiotherapy preparations. The AI technology, known as InnerEye, is the result of an eight-year collaboration between researchers at Cambridge-based Microsoft Research, Addenbrooke’s Hospital and the University of Cambridge.

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News • Simulated system

New AI approach to find treatments for brain disorders

Getting computers to “think” like humans is the holy grail of artificial intelligence, but human brains turn out to be tough acts to follow. The human brain is a master of applying previously learned knowledge to new situations and constantly refining what’s been learned. This ability to be adaptive has been hard to replicate in machines. Now, researchers at the Salk Institute have used a…

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News • Brain rejuvenation

Drug reverses age-related mental decline within days

Just a few doses of an experimental drug can reverse age-related declines in memory and mental flexibility in mice, according to a new study by UC San Francisco scientists. The drug, called ISRIB, has already been shown in laboratory studies to restore memory function months after traumatic brain injury (TBI), reverse cognitive impairments in Down Syndrome, prevent noise-related hearing loss,…

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Article • Pandemic management

How the Covid-19 crisis defines good leadership

A senior UK health figure has highlighted how contrasting leadership approaches are impacting the response to the global coronavirus crisis. Dr Clare Gerada also fears that response is affecting health professionals and leaders within the sector, with a significant rise numbers seeking help for mental health issues. Delivering the prestigious Sir Godfrey Hounsfield Lecture to the 2020 British…

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News • Mobile hybrid imaging, image fusion, endovascular 3D navigation

Ziehm and Therenva present imaging solutions at RSNA 2020

At this year's virtual RSNA congress, Ziehm Imaging showcases its leading portfolio of mobile C-arms and advanced imaging solutions. Highlights on display include the Ziehm Vision RFD Hybrid Edition in combination with Therenva’s EndoNaut solution for advanced endovascular 3D intraoperative navigation as well as the Ziehm Vision RFD 3D, one of the most successful 3D mobile imaging solutions in…

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Sponsored • The most compact .55-T full body scanner

Lungs plus A&E MRI scans – no problem

Low, light and with a field strength: 0.55-tesla with added new digital technologies. Indeed, this is a very new class of MRI scanner created by Siemens Healthineers. We interviewed Christiane Bernhardt, Vice President of Magnetic Resonance Marketing & Sales, Business Line MR, at Siemens Healthineers, about the technologies behind this development, plus its advantages and applications.

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News • Downsized imaging

Signals from a miniature MRI unit

Magnetic resonance imaging (MRI) is indispensable in medical diagnostics. However, MRI units are large and expensive to acquire and operate. With smaller and cost-efficient systems, MRI would be more flexible and more people could benefit from the technique. Such miniature MRI units generate a much weaker signal that is difficult to analyze, though. Researchers at the Göttingen Max Planck…

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Interview • Quality aspects

Lab automation – economic aspects and Covid-19

The academic teaching Karlsruhe Hospital, at the University of Freiburg, is the largest hospital providing tertiary care in the Middle Upper Rhine Valley. Every year, 63,000 in-patients and 180,000 out-patients are treated in the 1,500-bed facility with 50 departments and 30 out-patient clinics. Inevitably, a hospital of this size has a central lab. We spoke with Dr Horst Mayer, managing senior…

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Sponsored • Challenges in acute care

POCT: Understanding sources of error

In an emergency, point-of-care-testing can provide results in minutes. However, sources of error must be understood to ensure result accuracy and confident diagnosis (particularly important during the current pandemic). Medical teams frequently use POCT devices to assess acutely ill patients; a hospital’s diagnostic laboratory is responsible for the analysers, plus training non-laboratory…

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Video • List by top clinicians and researchers

Top 10 medical innovations for 2021

An up-and-coming gene therapy for blood disorders. A new class of medications for cystic fibrosis. Increased access to telemedicine. These are some of the innovations that will enhance healing and change healthcare in the coming year, according to a distinguished panel of clinicians and researchers from Cleveland Clinic. In conjunction with the 2020 Medical Innovation Summit, Cleveland Clinic…

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News • POCT for the head

New device detects traumatic brain injury 'on the spot'

A method for detecting traumatic brain injury at the point of care has been developed by scientists at the University of Birmingham. Using chemical biomarkers released by the brain immediately after a head injury occurs, researchers are able to pinpoint when patients need urgent medical attention. This saves time in delivering vital treatment and avoids patients undergoing unnecessary tests where…

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Article • Blood poisoning

Exploring the importance and challenges of early sepsis diagnosis

On the occasion of this year's World Sepsis Day, we spoke with Elena Sukhacheva, Ph.D., director of medical and scientific affairs at Beckman Coulter, about the status quo and outlook on sepsis diagnostics. With the severity of sepsis symptoms, it’s easy to comprehend why it is invaluable to diagnose this disease properly and in a timely manner. Dr Sukhacheva takes an in-depth look at…

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News • Psychotherapy delivery

Chatbots can 'nudge' patients away from opioid use after surgery

Patients who need surgery to fix major bone fractures use fewer opioid pills after their procedure if they're reminded of their values – and those reminders don't necessarily need to come from a doctor, according to a new study published in the Journal of Medical Internet Research. “We showed that opioid medication utilization could be decreased by more than a third in an at-risk patient…

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News • Prevention research

These 10 risk factors must be tackled to prevent Alzheimer's

There are at least 10 risk factors that appear to have a significant impact on a person’s likelihood of developing Alzheimer’s disease that could be targeted with preventative steps, new research suggests. Focusing on these factors, which include cognitive activity, high body mass index in late life, depression, diabetes, and high blood pressure, could provide clinicians with an evidence…

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Article • Preparing for the unpredictable

The role of radiology in mass casualty incidents

CT has a critical role to play in management of mass casualty incidents with the ability to image patients from head to toe, offering a rapid overview for clinicians. The benefits of CT were outlined by Dr Elizabeth Dick during an ECR session examining the role of radiology in the management of mass casualty incidents, terror attacks and assaults.

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News • Neurodegeneration

Alzheimer research: Noise-inducing neurons shut down memories

Neurons that are responsible for new experiences interfere with the signals of neurons that contain memories and thereby disturb the recall of memories – at least in mice. The research group of Martin Fuhrmann of the German Center for Neurodegenerative Diseases (DZNE) reports this phenomenon in the scientific journal “Nature Neuroscience“. The results of this study potentially shed new…

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News • Antithrombotic approach

A new way to detect blood clots

Biomedical engineering researchers at Texas A&M University designed a medical device that mimics blood vessels to design and monitor drugs for patients with clotting disorders. This approach could be especially beneficial for pediatric patients. Unlike what a biology textbook may show, blood vessels are not straight cylinders. They are tortuous, meaning they have complex curves, spirals and…

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News • Frac­tures of the hu­meral shaft

Surgical patients recover faster

A finnish study compared functional bracing, the non-operative treatment of humeral shaft fractures, with surgical treatment of similar fractures in adult patients. In the study, patient recovery was monitored for a year.

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News • Post-intensive care syndrome (PICS)

How physical therapists can aid COVID-19 patients' recovery after ICU

At least half of all patients who survive treatment in an intensive care unit will experience at least one of a triad of problems associated with post-intensive care syndrome, or PICS, and this may be true for people recovering from COVID-19 following ICU care. PICS can manifest as problems with physical function, cognition and mental health, according to a fact sheet from the American Thoracic…

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Article • Orthopaedics

VR training to improve hip replacement surgery

More than 200,000 patients undergo hip replacement surgery in Germany each year. To avoid complications and extend the lifespan of the artificial joint, the implants must be fitted precisely in the acetabulum (hip socket). The procedure, particularly milling the acetabulum, is not only difficult but also the technique is difficult to teach and train.

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News • Smart algorithm

Automated analysis of whole brain vasculature

Diseases of the brain are often associated with typical vascular changes. Now, scientists at LMU University Hospital Munich, Helmholtz Research Centre for Environmental Health and the Technical University of Munich (TUM) have come up with a technique for visualising the structures of all the brain's blood vessels – right down to the finest capillaries – including any pathological changes. So…

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News • Automated helper

Robot uses AI and imaging to draw blood

Engineers at Rutgers University have created a tabletop device that combines a robot, artificial intelligence and near-infrared and ultrasound imaging to draw blood or insert catheters to deliver fluids and drugs. Their most recent research results, published in the journal Nature Machine Intelligence, suggest that autonomous systems like the image-guided robotic device could outperform people on…

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News • 3D radiography extension

FDA clearance for Digital Tomosynthesis

Carestream’s Digital Tomosynthesis (DT) functionality—a three-dimensional extension of general radiography—has received 510(k) clearance from the U.S. Food and Drug Administration (FDA). Simplifying workflow and reducing exam time, DT technology is an upgradable option on the Carestream DRX-Evolution Plus System, a versatile digital radiography system that can perform a wide range of…

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News • Dementia diagnostics

Lack of sleep might throw off Alzheimer’s test

A preliminary study has found that when young, healthy men were deprived of just one night of sleep, they had higher levels of tau, a biomarker for Alzheimer’s disease, in their blood than when they had a full, uninterrupted night of rest. The study is published in the January 8, 2020, online issue of Neurology, the medical journal of the American Academy of Neurology. Tau is a protein found in…

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Sponsored • The Heraeus Symposium at DKOU

Challenges of periprosthetic infection

Periprosthetic joint infection (PJI) is on the increase internationally. In Germany, for example, around 14,500 cases of PJI in hip and knee replacements occur annually. 5,100 of those are caused by multidrug resistant pathogens. ‘Eighty-seven percent of those affected die within five years,’ orthopaedic surgeon Professor Rudolf Ascherl MD pointed out during the Heraeus Symposium held at the…

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Article • Healthcare in a conflict zone

Wound care in wars

War wounds sustained by frontline soldiers or civilians usually need urgent, specialist, trauma surgery. Over the last two decades much has been learned from injuries sustained during conflicts in, for example, Afghanistan and Iraq. In early June, during a Catastrophe and War Wound key session at the European Wound Management Association conference in Gothenburg, specific remedial approaches to…

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News • Personalised prevention

‘Liquid health check’ could predict disease risk

Proteins in our blood could in future help provide a comprehensive ‘liquid health check’, assessing our health and predicting the likelihood that we will we will develop a range of diseases. Preventative medicine programmes such as the UK National Health Service’s Health Check and Healthier You programmes are aimed at improving our health and reducing our risk of developing diseases. While…

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News • Surgical planning, medical training, patient education

Mixed reality anatomy viewer released

Digital medical technology company Brainlab announced the launch of Mixed Reality Viewer, which brings spatial computing into daily clinical practice for surgical plan review, medical student training and patient consultation. Brainlab Mixed Reality (MR) Viewer uses the head-mounted display Magic Leap One from Brainlab strategic development partner Magic Leap to add a new dimension to patient…

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Sponsored • In-depth exams for injured mountaineers

Ultrasound climbs the heights

Dr Philippe Mahiou practices anaesthesia in the Grenoble area, splitting his time between a private clinic and working as a helicopter doctor to attend mountaineering accidents. As part of his work, Mahiou routinely uses ultrasound, and understands the importance of the technology to guide anaesthesia in the operating room and assess patients in the field. When anaesthetist Dr Philippe Mahiou…

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Article • Ultrasound in intracranial injuries

A future gold standard tool

Whilst researchers acknowledge ultrasound, when used as a tool to assess intracranial pressure in an emergency, is not a replacement for current gold standard invasive approaches, they believe it has enormous potential as a non-invasive and fast, cost-effective, and patient-friendly way to assess possible brain injury at a patient’s bedside. Consultant anaesthetist Dr Chiara Robba, a specialist…

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Sponsored • A country encouraging intelligent medical innovations

Taiwan innovators shine at Medica

Health tech Made in Taiwan is among the mainstays of every MEDICA; this year’s fair is no exception. In co-operation with the Bureau of Foreign Trade (BOFT) of the Taiwanese Ministry of Economics and the Taiwan External Trade Development Council (TAITRA), 20 world-class healthcare companies are demonstrating innovative medical solutions based on national advances in Artificial Intelligence…

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Sponsored • Digitalization

Healthcare: confidence in cloud computing grows

Consider the diagnostic and therapeutic possibilities resulting from access to pertinent data from thousands of anonymized patient medical scans. What new patterns, options, or evidence for actionable insights could be derived from all this information? Cloud-based data is easily accessible via computer, smartphone, or tablet and is a valuable complement to the insights from the millions of…

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News • Digital tomosynthesis

Carestream previews DT innovations at RSNA

Carestream will introduce a three-dimensional extension of general radiography through its Digital Tomosynthesis (DT) functionality (Pending FDA 510(k) clearance) at this year’s Radiological Society of North America conference in booth #7513, North Hall. Simplifying workflow and reducing exam time, Carestream’s DT technology is an upgradable option on the DRX-Evolution Plus System. This DT…

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Article • Robotic assistance for middle and inner ear procedures

Cochlear implant microsurgery progresses

Unlike other surgical specialties, ear nose and throat (ENT) has been poorly served by the introduction of robotic platforms to enhance procedures. Since the da Vinci system first gained FDA approval in 2000, robot-assisted surgery has become commonplace in many specialties, including neurology, urology, etc. with numerous other general surgical applications. However, existing systems including…

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News • Surgical breakthrough in France

Robot enables lumbar spine repair

Is it possible to repair the rachis without having to open the abdomen or the back? A team of French surgeons has done just that. Thanks to minimally invasive robotic surgery, exposing the patient to risky spine interventions may soon be avoidable, a leading surgeon explained. The team of neurosurgeons and vascular surgeons has, for the first time, successfully repaired the lumbar spine with the…

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News • Rehabilitation

Hope for patients in vegetative and minimally conscious states

Non-invasive brain stimulation is to be trialed for the first time alongside advanced brain imaging techniques in patients who are minimally conscious or in a vegetative state. The study builds on promising results from the Centre for Human Brain Health at the University of Birmingham which suggested that non-invasive brain stimulation can improve the success of rehabilitation for non-responsive…

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News • Psychological treatment

New PTSD meds take advantage of body's own cannabinoids

A medication that boosts the body’s own cannabis-like substances, endocannabinoids, shows promise to help the brain un-learn fear memories when these are no longer meaningful. This according to an early-stage, experimental study on healthy volunteers at Linköping University. The new findings give hope that a new treatment can be developed for post-traumatic stress disorder, PTSD. “We have…

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Article • PRIMAGE project

Aiming AI at lethal paediatric tumours

La Fe University and Polytechnic Hospital in Valencia, Spain, is coordinating EU-funded program PRIMAGE, which uses precision information from medical imaging to advance knowledge of the most lethal paediatric tumours, by establishing their prognosis and expected treatment response using radiomics, imaging biomarkers and artificial intelligence (AI).

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Article • 100th birthday of Sir Godfrey Newbold Hounsfield

The legacy of the man who pioneered computed tomography

On the centenary of his birth, Mark Nicholls reflects on the life and legacy of Nobel laureate Sir Godfrey Newbold Hounsfield, the man who pioneered computed tomography. It was a discovery that came from a moment of inspiration during a country walking holiday; the idea that one could determine what was inside a box by taking X-ray readings at all angles around the object. From that, Sir Godfrey…

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Video • VR simulator "HIPS"

Hip joint implantation in virtual reality

Researchers from Chemnitz and Bremen are developing a virtual reality simulator for a particularly critical step in hip joint implantation. Each year, more than 200,000 people receive a prosthetic hip in Germany. The success of these operations has a major impact on the quality of life of those affected. However, the procedure is often difficult, particularly the step that involves the so-called…

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News • Diagnostic disorder

Psychiatric diagnosis ‘scientifically worthless’, says study

A new study has concluded that psychiatric diagnoses are scientifically worthless as tools to identify discrete mental health disorders. The study, published in Psychiatry Research and led by researchers from the University of Liverpool, involved a detailed analysis of five key chapters of the latest edition of the widely used Diagnostic and Statistical Manual (DSM), on ‘schizophrenia’,…

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Article • Point-of-Care Testing

POCT: A coordination office is necessary

Point-of-care testing (POCT) is complex and its development continues due to digitisation in healthcare and increasing international partnerships among the healthcare actors. In a hospital, a number of factors need consideration to fully exploit the potential of bedside testing. POCT instruments and analysis methods must be thoroughly validated and quality assurance processes be in place.…

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News • Health Innovation Night

Digitization: New therapy approaches for the patient 'hospital'

Digitalization offers great potential for hospitals: diseases can be detected earlier, internal processes more efficiently organized, health expenditure reduced and patients better cared for. Artificial intelligence, robotics, sensor technology, big data, additive manufacturing or augmented reality - the technologies for this have long been available.

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News • Building a risk profile

Audiologists seek genetic link to tinnitus

Tinnitus, more commonly known as ringing in the ears, is a serious audiological and neurological condition affecting nearly 50 million Americans. Noise and music exposure are the predominant environmental risk factors for tinnitus. There is no known cure, and there are no FDA-approved medications developed specifically to treat it. The fact is, tinnitus is very common but not well understood. A…

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Article • T-2-weighted imaging

When the brain turns white

White matter on the brain is a difficult subject. Even the terminology is varied, making differential diagnosis complex. An understanding of prevalence and of the tools available to facilitate the diagnosis of individual diseases is important, Dr Gunther Fesl, radiologist at Praxis Radiologie Augsburg, explains.

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Interview • Drones or data cables?

Are humans too slow for digitalisation?

Today the impressive development of drones by some people is happily regarded as the pinnacle of digitalisation in healthcare. Some groups are testing whether drones can quickly and safely deliver defibrillators to patients in need or whether they can transport laboratory samples or blood products. These developments catch lots of attention, but PD Dr Dominik Pförringer, trauma and orthopaedic…

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News • Biosensor

New rapid test for sepsis could save thousands of lives

Researchers at the University of Strathclyde have developed an innovative, low cost test for earlier diagnosis of sepsis which could save thousands of lives. The simple system for sensitive real-time measurement of the life threatening condition is much quicker than existing hospital tests, which can take up to 72 hours to process. Using a microelectrode, a biosensor device is used to detect if…

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News • Repetitive stress injuries

Selfie elbow – yes, this is actually a thing

Specialists are seeing more and more repetitive stress injuries (RSI) from overuse of smartphones and tablets ­– the main instigators of emerging conditions like texting thumb and selfie elbow, notes UT Southwestern rehabilitation specialist Dr. Renee Enriquez. “With all overuse injuries, rest is the most important part of recovery. Complete rest is best, but since technology is a required…

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Article • Wound care

Healing helped by fish skin or bio-ink

Many methods to treat current or chronic wounds are available. However, the differences in general conditions prevailing in hospital, or for out-patient care, make effective therapy more difficult. Each patient also has other preconditions for healing. Improved communication between everyone involved in the treatment would benefit patients. We see a lot of progress with the issue of “wounds”,…

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Article • Orthopedic surgery

The knee – correlations of MRI and arthroscopy

Magnetic resonance imaging (MRI) exams of the knee are essential to orthopedic surgeons for diagnosing the cause of symptoms in patients with knee pain and planning arthroscopic treatment. Yet the surgeons who treat patients based on knee MRIs and the radiologists who interpret those knee MRIs often work in their own silos of specialization, rarely communicating and sharing information, according…

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Sponsored • Equipment for Iraq

Fulfilling a promise to Mosul with point-of-care ultrasound

Mosul, Iraq’s second city, is slowly rebuilding its healthcare infrastructure after years of war and destruction. Dr Henryk Pich, a consultant anaesthetist and intensive care physician at the University of Dresden, Germany, visited the region soon after the fighting had ended, supported by the independent aid organisation CADUS. Moved by the makeshift treatment centres he witnessed in the…

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News • Brain health after surgery

Post-operative cognitive decline: mostly a myth, says study

Patients who undergo heart surgery do not experience major memory changes—either better or worse—when compared with those who have a much less invasive, catheter-based procedure, according to a study published online in The Annals of Thoracic Surgery. “It was comforting to see that the differences in cognitive decline between the two heart procedures are small, even though one involves…

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Article • Aftercare

Discharged ICU patients need careful rehabilitation

Care models that go beyond rehabilitation services and are aimed at a smooth transition from intensive to aftercare are not established in Germany. A working group around Professor Dr Christian Apfelbacher at the Institute for Epidemiology and Preventive Medicine, Regensburg University, is currently developing a concept for intensive out-patient aftercare. ‘The project is to help improve the…

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Article • Medica 2018

The Czech med-tech market is thriving

The Czech Republic has a long tradition of ground-breaking medical innovations. At Medica 2018, the presence of Czech companies and traders underlined that medical devices and technologies from this country have continuing strength and value. Having recorded steady growth over the past few years, the Czech medical technology sector now produces a volume of around €870 million. 13,400 people…

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News • Traumatized patients

Improving treatment of anxiety disorders

Traumatic experiences can become deeply entrenched in a person's memory. How can fears following a traumatic event be reduced in the long term and prevented from becoming a permanent stress-related disorder? Researchers at the Mainz University Medical Center have recently shed new light on these questions. The key to their approach lies in firmly anchoring new, positive experiences in the…

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Article • Infection control

Local antibiotics improve results

Hip and knee joint surgeries are among the most common procedures in orthopaedics and trauma surgery and complications can occur. Rare, but serious, among these is periprosthetic joint infection (PJI), which causes high costs in healthcare and stress for patients. PJI is caused by microorganisms that form a biofilm on the surface of the implant and, in this sessile state, they are difficult to…

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Article • Neurosurgical operating theatre

Neurosurgery taught via Virtual Reality

Virtual Reality (VR) technology is aiding trainee surgeons to practise complex procedures in a simulated setting, rather than learning skills on real patients. VR is also helping to demystify neurosurgery in that it enables medical students and patients to ‘enter’ and experience a neurosurgical operating theatre. Alex Alamri, a trainee neurosurgeon at Barts Health NHS Trust in London, UK,…

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Article • Japanese and German surgeons seek answers

Smiles solidify a surgical team

Surgeons are growing older and the lack of junior surgeons is widespread – a situation acknowledged by most experts at the annual congress of the German Society of Surgery (DGCH) in Berlin, who debated whether the need is greater to increase specialists or, on the other hand, generalists. Both sides produced convincing arguments, but a third group took an entirely different tack. In the session…

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Article • Cancer management

The enormous potential of liquid biopsy

It is non-invasive, delivers a chance of early diagnosis, prognostic information and sequential monitoring, and, believes Professor Francesco Salvatore, the enormous potential of liquid biopsies has still to be reached. However, the positive results obtained so far have ‘opened the door to a promising new multi-faceted group of tumour markers, at present collectively designated “liquid…

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Sponsored • Testing technology

Vitamin D testing: LC-MS outperforms immunoassays

In recent years, clinicians have increasingly focused on vitamin D deficiency. Studies show that previous reference values – particularly for Vitamin D3 – were most probably set too high. Liquid chromatography with mass spectrometry (LC-MS) can help achieve more precise measurements of vitamin D levels than previously established immunoassay procedures, explains Dr Torsten Binscheck-Domass,…

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Sponsored • Point-of-care ultrasound

POCUS: Nothing gives so much info so quickly

Doctors working in the eight-bed Paediatric Intensive Care Unit (PICU) at the Ramón y Cajal University Hospital in Madrid extensively use point-of-care ultrasound to evaluate the condition of critically ill children, and they find it essential in their work, as Dr José Luis Vázquez Martínez, Head of PICU at Hospital Ramón y Cajal, with over 25 years’ experience in paediatric intensive care…

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News • Tech from Taiwan

Augmented reality is the future of surgery

Physicians have been performing surgery with the assistance of x-ray technology for almost half a century. While this technology has been progressing steadily, its limitations continue to be a major challenge. Thus, many professionals agree: it's time for our method to be changed. Taiwan Main Orthopaedics Biotechnology introduced the worldwide first smart surgical glasses.

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News • bioengineering

Advancing technique for of personalied bone grafts

Scientists have developed a new bone engineering technique called Segmental Additive Tissue Engineering (SATE). The technique allows researchers to combine segments of bone engineered from stem cells to create large scale, personalized grafts that will enhance treatment for those suffering from bone disease or injury through regenerative medicine.

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Article • Gaining ground

MRI advances approach the realm of precision medicine

MRI has developed rapidly over the past decade in Poland, where clinicians are combining MRI with PET and CT to highlight tumour growth or regression and perfusion. ‘The fact that MRI offers new software and programmes means we can diagnose pathologies more precisely and make a diagnosis faster than a few years ago,’ explained Poland’s national advisor on radiology and diagnostic imaging…

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Sponsored • Breast cancer patients

Study confirms: Scalp Cooler prevents alopecia

‘Scalp cooling successfully prevents alopecia in breast cancer patients undergoing anthracycline or taxane-based chemotherapy’, according to the latest clinical data published in The Breast. The paper, written by clinicians from the Berlin Oncology Center, Germany, revealed that 71% of women who took part on the study retained their hair as a result of using the Paxman Scalp Cooler. Scalp…

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News • Surgical implant for damaged eyes

FDA approves first artificial iris

The U.S. Food and Drug Administration approved the first stand-alone prosthetic iris in the United States, a surgically implanted device to treat adults and children whose iris is completely missing or damaged due to a congenital condition called aniridia or other damage to the eye. The iris is made of thin, foldable medical-grade silicone and is custom-sized and colored for each individual…

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Sponsored • Technology benefits

Driving regional anaesthesia forward with point-of-care ultrasound

Point-of-care ultrasound is playing an important role in the anaesthesiology department at Spain’s Hospital Clinic of Barcelona. Dr Xavier Sala-Blanch, Senior Doctor and Head of Section in the hospital’s Department of Anaesthesiology and Resuscitation and Associate Professor of Anatomy in the Faculty of Medicine at the University of Barcelona, discussed how the use of ultrasound technology…

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News • Against the noise

Minimizing hearing loss triggered by loud noises

It’s well known that exposure to extremely loud noises — whether it’s an explosion, a firecracker or even a concert — can lead to permanent hearing loss. But knowing how to treat noise-induced hearing loss, which affects about 15 percent of Americans, has largely remained a mystery. That may eventually change, thanks to new research from the Keck School of Medicine of USC, which sheds…

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News • Bone health

Osteoporosis defined: causes, symptoms and treatments

Weak, easily broken bones are an epidemic in the United States. They’re often tied to osteoporosis, a disease that causes bones to degenerate over time. This makes them less flexible, more brittle, and easier to break. According to the International Osteoporosis Foundation, more than 44 million Americans aged 50 and older either have or face the threat of developing osteoporosis due to low bone…

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News • Benefits of country life

Kids with pets, rural upbringing become stress-resilient adults

Children raised in a rural environment, surrounded by animals and bacteria-laden dust, grow up to have more stress-resilient immune systems and might be at lower risk of mental illness than pet-free city dwellers, according to new research published this week in the Proceedings of the National Academy of Sciences (PNAS). The study, co-authored by researchers from the University of Ulm in Germany…

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News • The science of sleep

Remember your dreams - with vitamin B6

New research from the University of Adelaide has found that taking vitamin B6 could help people to recall their dreams. The study published online ahead of print in Perceptual and Motor Skills, included 100 participants from around Australia taking high-dose vitamin B6 supplements before going to bed for five consecutive days. "Our results show that taking vitamin B6 improved people’s…

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News • Research support

Stem cell therapy for traumatic injury on the horizon

The University of Texas Health Science Center at Houston (UTHealth) has received funding through a public/private partnership for the first-ever clinical trial investigating a stem cell therapy for early treatment and prevention of complications after severe traumatic injury. The proposed Phase 2 trial is underwritten with $2 million from the Medical Technology Consortium (MTEC) and $1.5 million…

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News • Joint disease

Nanotechnology detects molecular biomarker for osteoarthritis

For the first time, scientists at Wake Forest Baptist Medical Center have been able to measure a specific molecule indicative of osteoarthritis and a number of other inflammatory diseases using a newly developed technology. This preclinical study used a solid-state nanopore sensor as a tool for the analysis of hyaluronic acid (HA). HA is a naturally occurring molecule that is involved in tissue…

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Sponsored • Artificial lungs

Easing ARDS and AECOPD

Innovative ‘artificial lungs’, which help the patients to breathe, offer less traumatic treatment for severe diseases such as acute respiratory distress syndrome (ARDS) or chronic obstructive pulmonary disease (COPD/AECOPD). Respiratory failure is one of the most frequent causes of ICU admission. It may occur inter alia in patients with ARDS, a dangerous condition when the respiratory system…

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Interview • Challenging, but rewarding

Emergency radiology advances – despite shortages and low recognition

Emergency radiology is no longer a babbling field; professionalisation will bring more recognition to this young subspecialty, according to Elizabeth Dick, a London-based consultant, who will coordinate part of the new European Diploma in Emergency Radiology (EDER), the European Society of Radiology’s new tool. We interviewed the radiologist, who spoke of her daily practice and why she loves…

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News • TV vs reality

Grey’s Anatomy may be distorting public expectations of trauma care

The television drama, Grey’s Anatomy, may be giving viewers a false impression of the realities of trauma care, including the speed at which patients recover after sustaining serious injuries, finds research published in the online journal Trauma Surgery & Acute Care Open. Unrealistic expectations of healthcare may be important in an era in which patient satisfaction is a key component of…

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News • In wine, there’s health

Low levels of alcohol might actually be good for your brain

While a couple of glasses of wine can help clear the mind after a busy day, new research shows that it may actually help clean the mind as well. The new study, which appears in the journal Scientific Reports, shows that low levels of alcohol consumption tamp down inflammation and helps the brain clear away toxins, including those associated with Alzheimer’s disease. “Prolonged intake of…

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Article • Virtual reality

VR glasses could ease trauma of waking up in an ICU

A patient walks slowly into the Intensive Care Unit (ICU). He sits on a hospital bed, hears unfamiliar beeps and other sounds. Doctors and nurses arrive to talk about all the surrounding machines and how things work in an ICU. Everything is calm and without stress for the patient as he listens to them. Then the virtual reality (VR) glasses he is wearing are removed, and he returns to reality. The…

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Article • Diverse benefits

Experts present CEUS insights

In April 2016 CEUS received the USA’s FDA approval. This year‘s RSNA Samsung Symposium ‘Contrast-Enhanced Ultrasound (CEUS): Innovations and a Problem-Solving Tool in Clinical Practice’ provided an opportunity to take stock. For European Hospital, Professor André Clevert, Director of the Interdisciplinary Centre for Ultrasound at University Hospital Munich, Germany, describes the current…

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Video • Emergency care

Point-of-care ultrasound helps save time and lives

Time is of the essence in an emergency situation, and may be the difference between life and death. Ambulance crews on the front line must decide rapidly whether or not a patient is suffering from a life-threatening condition requiring specialist treatment, and point-of-care ultrasound can provide vital guidance. Geert-Jan Deddens, a nurse practitioner in emergency care with the Rotterdam…

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Article • Infection - defect - regeneration

Challenges in septic bone surgery

Infections associated with osteosynthesis and prostheses are not to be underestimated: the infection rate is reported to be one to three percent after joint prosthetic surgery and five to 10 percent after osteosyntheses. ‘When you include later infections, the rate is twice as high,’ says Professor Andrej Trampuz, infectologist and Head of the Centre for Septic Surgery at the Centre of…

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News • Ventricular tachycardia

Deadly heart rhythm halted by noninvasive radiation therapy

Radiation therapy often is used to treat cancer patients. Now, doctors at Washington University School of Medicine in St. Louis have shown that radiation therapy — aimed directly at the heart — can be used to treat patients with a life-threatening heart rhythm. They treated five patients who had irregular heart rhythms, called ventricular tachycardia, at the School of Medicine. The patients…

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Video • Digital and real world combine

World premiere for mixed reality surgery

The Assistance Publique Hôpitaux de Paris (AP-HP) has organized, in partnership with TeraRecon, Vizua, Microsoft and Digital Evolutis, the live broadcast of the first surgery performed in the world with a collaborative platform of mixed reality at the Avicenne Hospital AP-HP, and interacting with remote doctors. Dr. Gregory Thomas, Head of Orthopedic Surgery and Traumatology Hospital Avicenne…

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News • Innovative technology

3-D-printed prosthetic implants could improve hearing loss treatment

Researchers using CT scans and 3-D printing have created accurate, custom-designed prosthetic replacements for damaged parts of the middle ear, according to a study being presented at the annual meeting of the Radiological Society of North America (RSNA). The technique has the potential to improve a surgical procedure that often fails because of incorrectly sized prosthetic implants, researchers…

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Article • Smart phone sized ultrasound

Emergency ultrasound training

Training was at the heart of the biggest annual fair in the world, thanks to the newly introduced Medica Academy sessions, i.e. full-day seminars that dealt with practical questions, current techniques and advances in medicine. One of the hot topics tackled by the new format was emergency ultrasound, as renowned experts such as Dr Wolfgang Heinz from Stuttgart gave hands-on training on this…

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Article • The interdisciplinary challenge

Evaluating ICU care for cancer patients

Progressive treatments offer new chances for cancer patients, but also could result in as yet unknown complications. The number of cancer patients transferred to the ICU for cancer-specific and internal medicine related reasons is on the increase. Caring for them on the ICU is a complex challenge, with interdisciplinary cooperation playing an essential part. Certain criteria need to be met for…

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Article • Emergency medicine

Ultrasound can save lives

‘Ultrasound plays a key role in diagnosis and monitoring of treatment in the A&E department,’ emphasises Professor Joseph Osterwalder, Medical Director of the Cantonal Hospital in Appenzell, Switzerland. ‘I cannot imagine emergency medicine without ultrasound.’

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Sponsored • Non-invasive sensors

Manometry v. BioBeat

A preliminary human study was conducted to validate an advanced wearable sensor which has been developed by the start-up company BioBeat Technologies Ltd, comparing it to the common manometry method. The 2015 guidelines of the European Society of Hypertension on The requirements of the International Protocol (revision 2010) were used to define the difference between the commonly used device and…

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Sponsored • Individuals for individuals

Printing 3-D human parts

Everyone is unique – and so is human anatomy. Thus orthopaedics or implantology call for medical products that provide a perfect fit and demand is high for one-off components, or small production runs. At the same time, the materials used and manufacturing standards applied must fulfil extremely stringent quality control. This also holds for specialised surgical instruments and medical devices,…

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News • Widening the pool

Older donor lungs should be considered for transplantation

With a scarcity of lungs available for transplantation, the use of lungs from donors older than age 60 has been shown to achieve reasonable outcomes and should be considered as a viable option, according to research published online in The Annals of Thoracic Surgery. “The availability of suitable donor lungs for transplantation continues to be a major obstacle to increasing the number of lung…

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News • Study

Mapping brain connectivity with MRI may predict cardiac arrest survival

A new study led by Johns Hopkins researchers found that measures of connectivity within specific cerebral networks were strongly linked to long-term functional outcomes in patients who had suffered severe brain injury following a cardiac arrest. A description of the findings, published in October in the journal Radiology, suggests that mapping and measuring such connectivity may result in highly…

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Video • Annual event

International Day of Radiology 2017 to focus on emergency radiology

The International Day of Radiology (IDoR) will be celebrated for the sixth time on November 8, this year focusing on emergency radiology. As in previous years, more than 150 radiology-related professional societies from around the world will participate in the International Day of Radiology, holding a range of different events to celebrate, such as public lectures, department open days, national…

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News • Regeneration

Immune cells help rebuild damaged nerves

Immune cells are normally associated with fighting infection but in a new study, scientists have discovered how they also help the nervous system clear debris, making way for nerve regeneration after injury. In a study published in the Journal of Neuroscience, researchers from Case Western Reserve University School of Medicine showed certain immune cells—neutrophils—can clean up nerve debris,…

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Article • Handheld devices

Is 'Bring your own ultrasound' really such a good thing?

Pocket ultrasound accelerates diagnosis at the point-of-care reducing the role of the radiologist. You can buy a pocket ultrasound probe online, download an app to your smart phone and start making your own diagnoses of joints and organs. ‘It’s popping up everywhere. But is this a good thing?’ asked Michael Bachmann Nielsen, a radiologist at the Rigshospitalet in Copenhagen, during a…

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Video • Cell signals

Wound healing: more complex than you think

In a sharp and pointy world, wound healing is a critical and marvelous process. Despite a tremendous amount of scientific study, many outstanding mysteries still surround the way in which cells in living tissue respond to and repair physical damage. One prominent mystery is exactly how wound-healing is triggered: A better understanding of this process is essential for developing new and improved…

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Sponsored • Emergency medicine

Streamlining management of cardiac arrest with the aid of point-of-care ultrasound

Point-of-care ultrasound plays an important role in the emergency sector, enabling hospital clinicians and paramedics responding to an urgent call for medical assistance to assess a patient’s condition. Dr Matthew Reed, an Emergency Medicine consultant at the Royal Infirmary of Edinburgh, explained how ultrasound contributes to the management of cardiac arrest.

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News • Caudate nucleus

How Alzheimer's puts your brain on autopilot - in a good way

Patients with Alzheimer's disease (AD) have a larger caudate nucleus, a brain area involved in habits and used to navigate in the environment on an autopilot mode, shows for the first time a Canadian-Norwegian study published in Acta Neurologica Scandinavica. Not good news, you may think. Hold on, this could open new research avenues for AD.

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Article • Increase confidence in the operating theatre

Adapting to image guided surgery

In more than 21% of complex anatomical osteosynthesis procedures, an intraoperative improvement of the implant position or a revision of reduction has to be performed (Recum von, J. et al., Unfallchirurg 2012, 115:196-201, Die intraoperative 3D-C-Bogen-Anwendung. State of the art).

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Sponsored • Point-of-care

The TUBE approach to perioperative point-of-care ultrasound

Anaesthetists working in perioperative medicine have increasingly taken a whole body approach to patient evaluation known as TUBE – Total Ultrasound Body Examination – thanks to the development of point-of-care ultrasound. Dr Christophe Aveline, Consultant Anaesthetist in critical care and surgery at the Sévigné Private hospital in Rennes, is an advocate of TUBE and works closely on its…

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Sponsored • Point-of-care

Creating a new standard for emergency care

Point-of-care (POC) ultrasound is now commonly used in emergency departments throughout the UK. These instruments provide valuable insight for the assessment of both trauma and non-trauma patients, as well as helping to guide procedures. But for many departments, the use of POC ultrasound is limited by a lack of training and poor instrument availability. Professor Bob Jarman, Consultant in…

News • Investigating deaths

Wide variability in coroner decision-making

Coroners in England and Wales don’t seem able to agree on what caused a person’s death or whether the death merits an inquest or not - despite being faced with identical case information - reveals a small study published online in the Journal of Clinical Pathology.

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News • Psychological consequences

Cortisol excess hits natural DNA process hard

High concentrations of the stress hormone, Cortisol, in the body affect important DNA processes and increase the risk of long-term psychological consequences. These relationships are evident in a study from the Sahlgrenska Academy on patients with Cushing’s Syndrome, but the findings also open the door for new treatment strategies for other stress-related conditions such as anxiety, depression…

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News • Alzheimer's

Concussion linked to brain changes in people at genetic risk for Alzheimer's

Moderate-to-severe traumatic brain injury is a known risk factor for diseases that gradually destroy the brain - such as late-onset Alzheimer's disease. Now, a new study links mild traumatic brain injury, or concussion, in people at genetic risk for Alzheimer's to accelerated brain deterioration and mental decline associated with the disease.

News • Antibiotic-loaded bone cement

Reduction of infection risk in femoral head fractures by 66%

Good news for World Antibiotics Day on November 18th. As local substances carriers, antibiotic-loaded bone cements from Heraeus help in the battle against implant-associated infections in orthopaedics and trauma surgery to prevent infection. This is demonstrated by a new randomised study from Great Britain in which the use of double-loaded antibiotic bone cement following femoral head fracture…

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News • Aid

Bringing point-of-care ultrasound training to West Africa

Dr. IlyasTugtekin, a consultant anaesthetist from Ulm University Clinic in Baden-Wuerttemberg, Germany, recently travelled to Kumasi in Ghana to help establish an ultrasound training centre for doctors all over West Africa. Funded by the Else Kröner-Fresenius Foundation (Else Kröner-Fresenius-Stiftung, EKFS) – a non-profit organisation dedicated to supporting medical research and related…

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Article • Emergency

Resuscitation: E-FAST or CT?

Ultrasound examinations are considered cost-efficient, fast and effective. The E-FAST (Extended-Focused Assessment with Sonography for Trauma) is a standardised examination used in accident & emergency medicine worldwide. The procedure helps to diagnose internal bleeding and organ damage in severely injured patients in the resuscitation room and, in some regions, even during emergency…

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Sponsored • Experience

25 years of point-of-care ultrasound in anaesthesia

Dr. Thomas Grau, Head of Anaesthesia, Surgery, Intensive Care, Emergency Medicine and Pain at the Gütersloh Clinic, first studied ultrasound for a PhD on spinal imaging at Heidelberg University Hospital in the 1990s. 25 years on, he reflects on the role point-of-care ultrasound now plays in anaesthesia.

News • Migrants

Mental health support to refugees should not be a luxury

Mental Health Europe (MHE) is deeply worried by barriers which may prevent migrants and refugees from accessing much needed quality mental healthcare and support. MHE is further concerned by the current handling of the migration question by the EU, which has failed to address basic humanitarian and protection needs. In its most recent position paper, MHE explores the human rights, economic and…

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Sponsored • Users first

SonoSite wins Silver in Design Award

FUJIFILM SonoSite has been named a Silver winner in the 36th Annual International Design Excellence Awards (IDEA) announced by the Industrial Designers Society of America (IDSA). SonoSite’s SII Ultrasound Machine is among more than 1,700 projects from 30-plus countries that competed in IDEA 2016.

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News • Therapy

Nanoparticle injections may be future of osteoarthritis treatment

Osteoarthritis is a debilitating condition that affects at least 27 million people in the United States, and at least 12 percent of osteoarthritis cases stem from earlier injuries. Over-the-counter painkillers, such as anti-inflammatory drugs, help reduce pain but do not stop unrelenting cartilage destruction. Consequently, pain related to the condition only gets worse.

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Article • Flatpanel

Clinica Mobile’s DRX-1 delivers high-speed care

Exuding the aroma of hi-octane fuel, the glamour of multi-coloured racing leathers, flashy sponsored brands and the glitz of the circuits, motorcycle racing can be an irresistible fast-action sport. Amid the roar of engines, the world’s leading motorcycle aces, such as Marc Marquez, Valentino Rossi or Jonathan Rea, hit around 300kmh on tracks across the globe. High-speed duels thrill the…

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Article • Microsurgery

Lower limb trauma – reconstruction or amputation?

‘Amputation v. reconstruction’ – a vital issue – was debated by two leading surgeons during the Microsurgical Lower Limb Reconstruction session at the Advances and Controversies in Reconstructive Microsurgery (ACRM) 2016 conference, held in the United Kingdom this May. Consultant Plastic Surgeon Umraz Khan, from North Bristol NHS Trust presented a plastic surgeon’s view, while Ben…

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Interview • Touching

Robotic surgery - haptic feedback is a possibility

Robot-assisted surgery still meets with considerable skepticism even though Intuitive Surgical’s Da Vinci system has been around for more than a decade. However, few surgeons and researchers are seeking ways to expand the surgical toolbox. Not so the members of the working group ‘Surgical technology and training’ at the General, Visceral and Transplantation Surgery Department, University…

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Article • Hybrid OR

Thumbs up for new C-arm system

3D imaging is continuously improving, with devices simultaneously becoming more manageable and mobile. The new C-arm system Ziehm Vision RFD 3D is opening up a new dimension. The device was tested by Dr Jan-Sven Jarvers, orthopaedic and trauma surgery specialist at the University Hospital Leipzig, and was introduced last September during the Eurospine Congress in Copenhagen. ‘In the future,…

News • Staphylococcus aureus

Women more likely to die within 30-days from bacterial blood infection

Clinicians around the world have long suspected that bacteraemia due to Staphylococcus aureus has a worse outcome in women compared to men, but direct evidence has been elusive. A study just published confirms that significantly more women than men diagnosed with Staphylococcus aureus bacteraemia (SAB) – a blood infection of the common bacteria – die within 30 days.

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Article • Epidemic

Ebola leaves a health legacy

First the good news: the most severe Ebola outbreak ever has been contained. Last December, Guinea, where the first infection was reported in late 2013, was declared free of Ebola cases. Liberia was considered free of Ebola in mid-January after no new case had been reported for 42 days (the WHO criterion for ‘free of Ebola’).

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Article • Politics

Medics urged to organise refugee screening

Thousands upon thousands of humans have taken and are continuing to take flight from wars, persecution and economic stress, seeking the chance of survival in European and other countries. They arrive not only physically exhausted, but also in mourning for those killed in their own countries, or during hellish journeys – therefore many also suffer unimaginable mental traumas. Clearly they need…

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News • Regenerated Bone

Living bone replicates original anatomical structure

A new technique developed by Gordana Vunjak-Novakovic, the Mikati Foundation Professor of Biomedical Engineering at Columbia Engineering and professor of medical sciences (in Medicine) at Columbia University, repairs large bone defects in the head and face by using lab-grown living bone, tailored to the patient and the defect being treated. This is the first time researchers have grown living…

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News • Patient comfort

New MRI coils decrease scan time

New, screen-printed, flexible MRI coils may be able to reduce the amount of time it takes to get an MRI scan. Researchers funded by the National Institute of Biomedical Imaging and Bioengineering (NIBIB), part of the National Institutes of Health (NIH), have developed light and flexible MRI coils that produce high quality MRI images and in the future could lead to shorter MRI scan time periods.

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Sponsored • Respiratory support

Extracorporeal technology eases stress

Conventional therapy for ARDS patients and for patients with exacerbation of chronic obstructive pulmonary disease (COPD) has relied on invasive mechanical ventilation. Mechanical ventilation, however, has several major drawbacks: sedation has to be induced and the air being pressed into the lungs with positive pressure can damage the pulmonary alveoli or the diaphragm. Moreover, even maximum…

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News • EADV Symposium

Dermatologists and Venereologists discuss refugee crisis

The 13th Symposium of the European Academy of Dermatology and Venereology, which opened its doors last Thursday 19th May and took place in Athens, Greece, came to a conclusion yesterday, after more than 2,000 participants benefited from a series of scientific sessions focusing on the latest developments in Dermatology and Venereology.

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Article • Human Resources

Physicians will learn assertiveness

Most accidents result from ‘the human factor’ – long acknowledged in aviation. Thus all crew members receive regular safety training to help prevent errors on board and on the ground. Now experts at the German Society for Orthopaedics and Trauma (DGOU) with those from Lufthansa Flight Training have developed a similar training programme for physicians. This Interpersonal Competence Training…

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Sponsored • Breakthrough

How Dual Source technology is revolutionizing CT

Since launching Somatom Definition in 2005, Siemens has continued to develop Dual Source technology in order to overcome the remaining challenges in computed tomography. This significant development has made it possible to produce diagnostic images of a patient’s beating heart and coronary vessels without having to artificially lower their heart rate, for example. Scanning speeds that were…

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News • SonoSite SII

Fujifilm Sonosite launches new ultrasound system

Fujifilm Sonosite announced CE mark and 510(k) clearance for its new mountable ultrasound system, the SonoSite SII. Developed for regional anesthesia, vascular access and trauma applications, the SII empowers efficiency for clinicians through a simple, yet smart user interface that adapts to the user’s imaging needs. The system is portable and can be used across multiple hospital environments,…

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News • Telemedicine

Benefits to using telehealth with ASD families

Telemedicine - connecting health care providers and patients via computer or smart phone for diagnosis and treatment - has been making it easier, and more cost-effective, to "see" the doctor. Using a camera-enabled computer or smart phone, patients with common health concerns can get some diagnoses without leaving their homes. Emergency room doctors and nurses are able to communicate…

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Sponsored • Trust matters

Next generation O-arm – Surgical Imaging System

The O-arm Surgical Imaging System, has successfully established as the #1 multi-dimensional intraoperative imaging devise in spine ­surgery. Surgeons all over the world consider the O-arm their system of choice, convinced by image quality, ease of handling and ­reliability. Recently the next generation of O-arm was introduced to the market. Continuous development and innovation will allow the…

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News • Implants

Using 'Pacemakers' in spinal cord injuries

Researchers from Charité – Universitätsmedizin Berlin and EPFL, Lausanne have succeeded in restoring motor function following spinal cord injury. The researchers were able to show that coordinated muscle movement is the result of alternating activation patterns emanating from the spinal cord. Newly-developed implants, which use electrical stimulation to mimic these signals, were used to…

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News • Burnout

Trauma team members face risk of 'compassion fatigue'

Trauma team members are at risk of compassion fatigue and burnout syndrome, as supported by the new research by Gina M. Berg, PhD, MBA, of University of Kansas School of Medicine–Wichita and colleagues. They identify some "stress triggers" contributing to these risks, and make recommendations to help trauma teams cope with secondary traumatic stress.

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Article • Refugees

The major healthcare challenge

The refugee wave rolls on with no ebb in sight. For many, Germany remains their travel destination. In August and September alone, tens of thousands refugees arrived in Munich, presenting the Bavarian capital with a major challenge: How could the city provide initial medical care for everyone? While the German Asylum Procedure Act governs the appropriate procedures, in this unprecedented…

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Article • Infection control

Topical antibiotic therapy is an indispensable add-on

Locally applied antibiotics are a component of effective infection management in orthopaedics and trauma surgery. Successful concepts are based on patient-specific surgical and antimicrobial treatment. At the symposium “Infections and high-risk patients: solutions for joint replacements and traumatology” at this year’s Congress on Orthopaedics and Trauma Surgery (DKOU) in Berlin last…

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News • Cell therapy

Using skin to save the heart

Following a heart attack or other heart trauma, the heart is unable to replace its dead cells. Patients are often left with little option other than heart transplants, which are rarely available, or more recently cell therapies that transplant heart cells into the patient's heart.

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News • Philips and Banyan Biomarkers

Partnership for handheld blood test to detect and evaluate concussions

Royal Philips and Banyan Biomarkers, Inc. today announced that they have entered into a multi-year joint development agreement to develop and commercialize a new handheld blood test to detect and evaluate mild traumatic brain injury (TBI) - also known as concussion - at the point of care. The new handheld test will be based on Philips’ Minicare I-20 system. The financial details of the…

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Article • Robotic

The long arm of ultrasound

Now there are two ways to remotely examine a patient with ultrasound without leaving your office. With the novel, Melody robotic ultrasound method, the expert consultant is connected to the remote patient site through a video conference link and, using a mouse-like device, the radiologist can perform the exam by manipulating an ultrasound probe positioned on the patient’s body. Report: John…

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Article • Lab2Go

POC test detects myocardial infarction

Philips Minicare delivers rule-in/rule-out readings for heart attacks in 10 minutes. It takes a lot of hard work to make things easy. Biomedical experts at Royal Philips have spent more than 10 years developing a simple test for the emergency department that, in less than 10 minutes, may indicate whether a patient suffering chest pains is having a heart attack.

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Article • Counter-pulsation

Evidence at last

Cardiac surgeons have finally found what cardiologists had reported missing three years ago: evidence to support the use of the oldest mechanical circulatory assist devices: IABP. Nevertheless, the findings may have only limited impact.

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News • Retrograde amnesia

Researchers retrieve “lost” memories

Retrograde amnesia is the inability to recall established memories. In humans, amnesia is associated with traumatic brain injury, Alzheimer’s disease, and other neurological conditions. Whether memories lost to amnesia are completely erased or merely unable to be recalled remains an open question. Now, in a finding that casts new light on the nature of memory, researchers from the RIKEN-MIT…

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Radial artery catheter failure

2.5 million radial arterial catheters (RAC) are used annually in Europe (USA: 8 million), commonly to monitor arterial blood pressure and take blood samples in surgical, A&E and ICU units. They can fail. For a study of mechanisms that might lie behind premature RAC failure and complications related to RAC in clinical use*, at team at the Radiology/Ultrasound and Anaesthesiology Department,…

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News • Siemens Computed Tomography

40 Years at the cutting edge of technological development

40 years after the launch of its first series model, Siretom, Siemens Healthcare is looking back on the successful development of its computed tomography division. With innovations such as Spiral, Multislice, and most recently Dual Source technology, Siemens has been driving the CT market and clinical diagnostics for decades. Today, three patients are scanned with a Siemens CT system every…

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Sponsored • Best Places to Work

A laboratory fit for a future decade

Fostering a collaborative way of working won the UK’s Dartford and Gravesham NHS Trust recognition as an elite public sector healthcare employer, recently judged one of the top 100 ‘Best Places to Work’. The trust, led by chief executive Susan Acott, has created an energy-driven, patient-focused culture within the hospital, reflected by staff at all levels. This has been the driving force…

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News • Neurology

Reliving nightmare flight offer new clues about trauma memory

A group of passengers who thought they were going to die when their plane ran out of fuel over the Atlantic Ocean in August, 2001 have had their brains scanned while recalling the terrifying moments to help science better understand trauma memories and how they are processed in the brain.

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Article • Infections following joint-replacement surgeries

How to optimize prevention and therapy strategies

For all the advances being made in this discipline, postoperative infections remain a great challenge for orthopaedists and trauma surgeons. More than 7,000 experts from around the globe are gathering in Prague for the 16th EFORT Congress to consult on ways to optimise prevention and therapy for these dreaded complications.

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Sponsored • First hand experience

Improving point-of-care ultrasound training in intensive care medicine

Dr Sven Ballnus is Director of the Department of Intensive Care Medicine at the Hospital Centre Biel/Bienne, Switzerland, and an active member of the European Society of Intensive Care Medicine. Formerly a chief consultant in intensive care medicine at Westküstenkliniken in Heide, Schleswig-Holstein, Germany, he oversaw the development of an ultrasound course focusing on the specific needs of…

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Article • Cardiology I

Chest pain units in Germany

The German care system for patients with acute and unspecific chest pain is unique in Europe. The closely knit and countrywide network of accredited Chest Pain Units (CPUs) ensures fast and targeted diagnosis of acute cardiac events. The German CPUs may soon serve as a blueprint for other European countries. The German Cardiac Society (DGK) has already accredited the first institutions – others…

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Article • DRUG resistance

Cut prescriptions and choose treatments wisely!

Prescribing antibiotics for a viral infection with fever, a cold and a cough? There is no point! This is the best-known example of over-use in medicine. There are also numerous examples of diagnostic procedures and therapies that are pointless, yet still being doled out in surgeries and hospitals – sometimes even harming a patient. This is set to change, according to the German Society of…

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Article • Non-invasive Ventilation

Two in one

The recently launched Respironics V680 ventilator, from Philips Healthcare EMEA, was guided onto the market by Arne Cohrs, its Sales and Marketing Director of Therapeutic Care in Patient Care and Monitoring. We asked him about his department and the merits of non-invasive and invasive ventilators. Report: Chrissanthi Nikolakudi

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Article • Education in surgery

Suffering permanent stress

‘There are still only 24 hours in a day – even for surgeons,’ said Professor Vogt MD during our interview. The Director of the clinic for plastic, hand and reconstructive surgery at Hanover Medical School and President of the DGCH (German Society of Surgery) is calling for solutions to the dilemma trainee surgeons face: undergoing high-quality specialist medical training while completing…

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Sponsored • Critical care

European launch of in-line blood gas analyser

Sphere Medical, launches its in-line patient dedicated arterial blood gas analyser in Germany, Netherlands and Belgium at ISICEM 2015. The advanced Proxima System delivers true point-of-care testing (POCT) by enabling critical care staff to obtain frequent laboratory accurate blood gas measurements without leaving the patient’s bedside. This facilitates effective and timely clinical decisions…

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Sponsored • Point-of-Care

M9 brings maximum mobility

For medical ultrasound it’s quick, easy and portable – and so popular with Professor Christoph Dietrich, chief of Medical Department 2 at Caritas Hospital, Bad Mergentheim, one of the first physicians worldwide to test the M9 in clinical routine. ‘The compact Mindray colour Doppler system is about the same size as a notebook computer. The imaging suite comes to the patient,’ the…

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Sponsored • Shimadzu

Seeking the best systems

When the Medical Radiological Institute (MRI) at the private Bethanien Hospital in Zurich and the local hospital in Ærø, Denmark, needed new fluoroscopy and radiography equipment, they investigated quality, functionality, service quality and cost. Among systems examined was Shimadzu’s Sonialvision G4, which has been completely revised, with innovations in all areas, including dose reduction…

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Sponsored • Passion for details

Discover new clinical values in X-ray imaging

Premieres in Europe: The new RADspeed fit (DR ready) with its best-in-class features for general radiography as well as the new MobileDaRt Evolution EFX for mobile X-ray applications are the most recent developments provided by Shimadzu. Together with angiographic, R/F and C-arm systems, they make the main attractions on Shimadzu’s stand at ECR 2015 in Vienna, Austria – 4-8 March, Expo C,…

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Interview • Diagnostics

Iron deficiency and anaemia

Iron deficiency and resulting anaemia cause fatal comorbidities worldwide. Despite this, they are generally underestimated. Professor Lothar Thomas, specialist in laboratory medicine at Central Laboratory of the University Hospital of Frankfurt/Main, is calling for more information about the new laboratory parameters for diagnosis and monitoring of iron deficiency and iron substitution therapy.

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Article • Infection Control

Periprosthetic infections: a new disease

Early diagnosis and effective therapy of periprosthetic joint infections (PJI) remain a challenge for many physicians due to the complexity and heterogeneity of clinical symptoms. As individual solutions are needed, opportunities to discuss and exchange ideas are welcome, as clearly shown during the satellite symposium on the diagnosis and treatment of periprosthetic knee infections held at this…

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Radiology around the world

In a 'travelogue' of clinical practices, Carestream turns up some unique solutions to shared challenges. Responsible on a global scale for sales and marketing development with Carestream, Todd Minnigh does a good bit of travelling around the world. Report: John Brosky

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Article • Trauma Imaging

From head to toe, not forgetting the face

The number of radiological accident and emergency examinations had doubled within five years because many accident and emergency (A&E) patients are given CT scans even before having a comprehensive clinical examination. Report: Michael Krassnitzer

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Article • Paediatrics

New for paediatric intensive care

Critically ill children hospitalised with traumatic injuries have a high risk of acquiring nosocomial infections, especially if their immune function is impaired. A nosocomial infection, such as sepsis, can become as deadly as a traumatic injury, the leading cause of death in children. Report: Cynthia E Keen

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It’s cool, Man!

Evidence is scant on the cooling of comatose patients who have suffered cardiac arrest, stroke or traumatic brain injuries; nevertheless, new methods for cooling patients are continuously being developed.

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Article • by Alisa Gean (published by H&HN Daily)

Preparing for Mass Casualties

The risk of terrorist attacks, nuclear-radiological hazards, power outages and epidemic-pandemic infections as well as earthquakes, hurricanes, tsunamis and fires are increasing worldwide. Mass casualty incidents, or MCIs, provide a constant reminder of why hospitals need a plan in place to be able to function optimally during and after a catastrophe.

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Article • 15th EFORT Congress: 4 – 6 June 2014, London

Revalidation of surgeons: UK example could catch on in Europe

UK surgeons have to revalidate every five years to prove that they are still fit to practice. This example could be followed by other European countries, experts said at the 15th EFORT Congress in London. The European Federation of National Associations of Orthopaedics and Traumatology promotes a harmonisation of orthopaedic education in Europe.

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The German Stem Cell Network

More than 400 international scientists headed for the Max Delbrück Centre in Buch, near Berlin for updates on stem cell biology findings and discuss how to develop synergies between basic research, regenerative medicine and pharmacology, as well as strategies to cope better with researchers’ needs. The three-day event was the first annual conference of the German Stem Cell Network founded at…

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The fall and rise of cardiac surgery innovations

Grandly announced, the da Vinci became the must-have of any self-respecting cardiac surgeon, only to sink into obscurity as quickly as it had risen to stardom. Once the wunderkind of robotic surgery, today this surgical system is merely collecting dust on many a hospital cupboard. A whole slew of methods and technologies were launched with varied fanfares over the past ten years. European…

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Polytrauma imaging

Professor Ulrich Linsenmaier, a leading expert in emergency radiology, has highlighted the need for clinicians to read image data rapidly in an emergency department if they are to help improve clinical outcomes for polytrauma patients.

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Embracing a nano-size silken promise

Artificial vascular trees, the growing of heart tissue, nerve regeneration: The World Congress of the Tissue Engineering and Regenerative Medicine International Society (TERMIS) held in Vienna this October offered an impressive display of current developments in tissue reconstruction and regeneration, Michael Krassnitzer reports

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Sprayed on skin

Although scientists and medics have sought ways to grow artificial skin in laboratories since the 1970s, only now has it become possible to reproduce the top layer of skin, thanks to work at the Trauma Surgery and Orthopaedics Clinic in Berlin (ukb).

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France: Almost 30% of medical acts are unjustified

A recent poll of more than 800 hospitals and private doctors reveals that only 72% of medical acts are fully justified. In conclusion 30% of all medical acts in France are unjustified and it also shows that most of the practitioners are willing to open a debate on this matter.

England creates multiple Major Trauma Centres

Around 20,000 people become major trauma victims every year in England. Studies have shown that Major Trauma Centres (MTCs) with dedicated personnel and specialist equipment save more lives and reduce the risk of serious disability. Thus, to offer such victims better chances of survival, a new network of 22 MTCs has been established across the country to provide centralised care, with experts…

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New network could lower accidents mortality

Surgeons and radiologists unite to ease image transfers. Around 30-35,000 people a year are severely injured in accidents and need urgent, appropriate and competent care within minutes. The TeleCooperation TNW project, a new development in Germany’s medical care for severely injured patients, links with several hundred hospitals to ensure the rapid transfer of image data across the country.

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The 129th Congress of the German Society of Surgery

Meeting with EH editor Brigitte Dinkloh, Congress Secretary Professor Alexis Ulrich MD (left), Assistant Medical Director at the Clinic for General, Visceral and Transplant Surgery at the University of Heidelberg, outlined the scientific programme, discussed some impressive advances in surgical procedures, and explained why the gathering bears the slogan Surgery in Partnership.

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Sepsis – a Global Medical Emergency

The Global Sepsis Alliance (GSA) is urging healthcare providers, patients and policymakers worldwide to treat sepsis as a medical emergency. “Tens of millions of people die from sepsis each year, making it the likely leading cause of death worldwide. Sepsis kills regardless of age, ethnicity, location and access to care,” said Konrad Reinhart, M.D., Chairman of the GSA and director of the…

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Traumatic brain injury: The silent epidemic

Traumatic brain injury (TBI) is one of the world’s biggest public health problems. In the USA, for example, about 1.7 million people sustain TBI every year, costing healthcare $76.5 billion. Yet, the public knows little of the significance of TBI and also it once received the nickname ‘silent epidemic’ by the American Centres for Disease Control and Prevention (CDC).

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Emergency radiology

The injury was as spectacular as it was ruesome. Struck by a train a male patient was brought to the emergency department in Munich, his right foot hanging on only by muscle and bloody tendons, the bone shattered.

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Dysglycaemia

Dysglycaemia is a new term in critical care that recognises the vital importance for glucose monitoring of patients in the intensive care unit (ICU). Beyond the clinical consensus over this word for grouping critically ill patients with hyperglycaemia, hypoglycaemia or high blood sugar, there is no broad agreement on how best to manage these patients. Report: John Brosky.

Integrated 3-D Imaging Facilitates Human Face Transplantation

By combining conventional medical imaging with some of the same 3-D modeling techniques used in Hollywood blockbusters, researchers are offering new hope to victims of serious facial injuries. Results of a new study on human face transplantation, led by Darren M. Smith, M.D., plastic surgery resident at the University of Pittsburgh Medical Center (UPMC), were presented today at the annual meeting…

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The Wearable Technologies Show

We may be able to live longer due to medical advances, but what of the ability to live independently in old age? According to DeStatis, the German Federal Statistical Office, by 2050 there will be a deficit of 260,000 caregivers – and Germany is not alone in this.

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Contrast-enhanced ultrasound - the benefits for children

For the paediatric radiologist an ultrasound system is as essential as a wrench for the mechanic, for three reasons, says Professor Michel Claudon, Head of the Department of Radiology at the Children's Hospital of Brabois, University of Nancy, France: ‘High image quality due to the low weight of children, which allows medium frequency, the absence of radiation and the possibility of performing…

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The ‘sepsis team’

‘We are all aware of the importance of early diagnosis and rapid appropriate treatment of patients with severe sepsis. Yet, many patients still do not receive satisfactory early management and the application of recent guidelines for sepsis management is still inadequate,’ writes Jean-Louis Vincent MD PhD, from the Intensive Care Department, Erasme Hospital, Université Libre de Bruxelles,…

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OrthoMIT

More than 30 clinicians, researchers and industry partners (including Siemens, Aesculap and SurgiTAIX, an RWTH spin-off) are working on OrthoMIT, Germany’s largest collaborative orthopaedic research project that aims to develop future strategies for knees, hip and spinal surgery. Anja Behringer reports

Migrants suffer pain more intensely

Cultural differences in pain perception and their consequences for pain therapy were discussed today at the 7th EFIC Congress: Pain in Europe VII. More than 4,000 experts from all over the world are currently gathered in Hamburg (D) to discuss the latest developments in pain research and therapy.

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Determining the site of deep brain implants

Uncontrollable convulsions, tremor or spasms can considerably impair the lives of neurodegenerative disease patients. Deep brain stimulation (DBS) – for which tiny electrodes are implanted in the brain to stimulate the target areas continuously with electrical impulses – can significantly reduce the movement disorder.

Ultrasound and the lung

Lung ultrasound is a technique with widespread uses and advantages in a range of areas from critical care through to less urgent medical areas. Most of all, it is of particular help in the rapid diagnosis of acute respiratory failure. During a session at WFUMB, its benefits and the latest techniques will be outlined by medical intensivist Dr Daniel Lichtenstein -- Lung Ultrasound in Acute…

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The benefits of point-of-care ultrasound

Rapid and accurate acquisition of basic diagnostic information through the innovative concept of point of care ultrasound can have significant benefits for patient outcome, costs, reducing mortality and medical-legal risk scenarios. These benefits of point-of-care (POC) ultrasound will be highlighted during a WFUMB session by Italian critical care physician Professor Luca Neri, founder and past…

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The 12th EFORT Congress

The 12th EFORT Congress, celebrating the 20th year of the European Federation of National Associations of Orthopaedics and Traumatology, aims to update knowledge of any specialty or subspecialty involving the diagnosis and management of bone and joint problems. The event will draw experts from over 30 European countries, and also benefit from specific contributions from Nordic countries.

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Maxi value in a mini machine

At first glance you think it’s a futuristic washing machine, or maybe an oversized designer amplifier. Actually, you are looking at GE’s Optima* MR430s. This is not only a real eye-catcher because of its exceptionally compact design (ever, for an MR scanner) but also due to the system’s truly smart function and performance.

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The 10th United Kingdom Radiology Congress

Delegates at the UKRC 2011 will examine who should deliver 21st century imaging services in the UK, when the relationship between radiologists and radiographers will be the focus of a keynote debate. The session ‘This house believes that radiologists have given up enough of their professional role to radiographers’ will also see delegates vote on this issue.

Critical care outside hospital across UK

The critical care expertise available before a severely injured person can be admitted to hospital is “incomplete, unpredictable, and inconsistent,” shows research published online in Emergency Medicine Journal. Ambulance services are often reliant on volunteer doctors with variable levels of expertise and the availability of specialist doctors is patchy, particularly over evenings or…

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Easy breathe - new tools for prolonged lung support

Often a life-saving intervention, mechanical ventilation also has some serious drawbacks: the need for sedation, the risk of ventilator associated pneumonia, intubation or tracheostomy related complications. In 1972, Donald Hill from Pacific Medical Centre, Los Angeles, reported the first successful long-term mechanical lung assist device with extracorporeal membrane oxygenation (ECMO).

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Celebrate the Power of Imaging: the European Day of Radiology

Imaging is an indispensable tool in modern medicine, yet very few patients know just how important it is. From cancer detection and therapy to diagnosing stroke or serious trauma in time, radiologists contribute to saving lives by covering every field of medicine. To raise public awareness, the European Society of Radiology will launch the 1st European Day of Radiology on February 10, in memory…

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Europe’s first AIRIS Vento LT

November saw the opening of the private Avicenna Clinic in Berlin, a clinical "gem" set in the heart of Berlin, not far from the famous Kurfürstendamm. This spinal hospital is also the first in Europe to have installed the AIRIS Vento LT, Hitachi Medical Systems’ latest generation of open MRI systems in its AIRIS Series.

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New driver of innovation and efficiency in radiology

Philips is ushering in a new era in radiology science with Imaging 2.0, a concept fueled by integration of technology, clinician and patient. Showcasing its commitment to pioneering innovative, cost-effective solutions, Philips is highlighting technologies that focus specifically on the patient, in addition to advanced networking tools that facilitate greater collaboration between radiologists…

DRX Family at RSNA 2010

Carestream Health showcased its award-winning family of detectors and systems based on the wireless, cassette-size CARESTREAM DRX-1 at the annual meeting of the Radiological Society of North America. Carestream Health is the only company that can offer a full family of options from CR to wireless, cassette-size detectors for existing x-ray rooms and mobile x-ray systems as well as fully automated…

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Modern radiological diagnostics for the evaluation of muscle diseases

Muscular diseases belong to a heterogeneous group with various causes like neurogenic, metabolic, dystrophic, or inflammatory mechanisms as well as channelopathies leading to disorders of the muscle cell membrane potential. In most progressive disease cases the result is a focal or general muscle weakness that, unfortunately, is a very unspecific symptom. Standard neuromuscular literature…

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Diffusion weighted whole body MRI

Malignant diseases rank second in mortality rates in Germany. These patients thus receive a major proportion of ambulant and hospital care, with apparent socioeconomic consequences. To optimise treatment planning, for all solid tumour entities it is mandatory to delineate or stage the primary extent of tumour invasion and spread prior to therapy as precisely as possible.

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Updated equipment improves trauma care

Treating seriously injured patients is part of daily routine for medical teams at the Orthopaedics and Traumatology Department of the University Hospital in Brno, Czech Republic. Up to 2,600 operations a year take place in this department alone, in the second largest Czech clinic. Updated with Trumpf medical technology, the centre reports quicker and more appropriate responses to planned as well…

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Negative pressure wound healing technology

Despite some uncertainty about how it works, there is a growing consensus that Negative Pressure Wound Therapy (NPWT) – also known as Vacuum Assisted Closure (VAC) – is revolutionising wound care. Speaking at the 1st International Surgical Wound Forum, held recently in Amsterdam, surgeons from Europe and the USA predicted the growing use of this innovative technology across the spectrum of…

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Negative pressure wound therapy

Quality in wound care no longer centres only on a successful healing process but is taking a more holistic, patient-orientated approach. Wounds cause pain, impair quality of life, and make treatment far more complex for medical teams. Approaches that facilitate a painless change of dressings and less wound trauma are therefore welcome – and advancing.

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The 11th EFORT Congress

This year's European Congress for Orthopaedics, Orthopaedic Surgery and Traumatology, organised by the European Federation of National Associations of Orthopaedics and Traumatology (EFORT) and which will in tandem with the Spanish Orthopaedic and Traumatology Society (SECOT) Congress, is expected to draw 7,500 international participants.

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Peripheral nerve surgery

Neurosurgery has seen enormous progress, which should benefit as many patients as possible. However, according to Prof. Hanno Millesi MD, director of the Millesi Centre for Surgery of Peripheral Nerves, Wiener PrivatKlinik (WPK), a private hospital in Vienna, Austria, ‘methods are perceived incorrectly, because they are often confused with problematic predecessors, and sensible methods are…

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Hybrid operating theatres

Basically, a hybrid operating theatre (OT) is a combined operating room containing large imaging equipment, such as MRT and CT, which enables intra-operative diagnostics. If provided for in the hygiene and theatre concept, the hybrid OT can also be used purely as a diagnostics room, or as a classic operating room.

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iPhones and healthcare

January saw the release of a German language version of Radiation Passport, an iPhone application that enables patients to calculate estimated radiation exposure from diagnostic imaging procedures and keep a personal record of their examinations. Radiation Passport costs US$3.99; by the end of 2009 over 1,000 English language versions were sold.

There is always urgency in pediatric radiology

Children will surprise you, and unfortunately they can sometimes hold big surprises for radiologists. At ECR 2010 four radiologists offered a series of pediatric cases in a session entitled, « Pediatric non-traumatic emergencies: What we must know!, » which covered children from head to toe, demonstrating that symptoms thought to be routine can mask more serious conditions

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Tumors under fire

Oncologists have a dream: they want to use highly energetic ion beams in good quality and accurately defined dose for a pin-sharp and cost-effective radiation treatment of tumors. Modern techniques based on intense laser pulses may in the future replace expensive conventional particle accelerators. A team of physicists of the Cluster of Excellence "Munich-Centre for Advanced Photonics" (MAP) lead…

Wireless DRX-1 Detector

The new CARESTREAM DRX-Evolution marries the flexibility of the industry’s first wireless, cassette-size detector with the productivity of a fully automated DR suite. Because the CARESTREAM DRX-1 detector offers virtually unlimited positioning and eliminates the need to move a patient around a fixed detector, healthcare facilities are able to improve efficiency and enhance patient care. The…

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Elastography - Hitachi expands technology applications

In recent years Hitachi Medical, the pioneer in developing ultrasound elastography to diagnose tissue stiffness, has seen competing systems launched that claim to have the same capability. ‘We are approaching a point where elastography will be considered a standard feature, call it the E-mode, for ultrasound,’ Heinz Schreiber, head of Ultrasound for Hitachi Medical Systems Europe told…

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The GE Venue 40 series

GE Healthcare is presenting its new Venue ultrasound product line at Medica. The Venue 40, the first product launched, provides visualisation for needle guidance procedures and rapid diagnostics in real-time at the bedside. These point-of-care (POC) settings are the fastest growing in ultrasound internationally (USA growth: 30% average in the last four years. Source: industry report by Klein…

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40 years of MEDICA

When we organised the first Diagnostic Week in Karlsruhe, in 1969, no one could have known that this event would one day turn into the annual highlight in the world of medicine, reflected Dr Wolfgang Albath, laboratory medicine pioneer and one of the founding fathers of MEDICA the world`s largest medical trade show. Initially planned as a moving exhibition, the show has been based in…

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Managing children´s anxiety before surgery

The prospect of surgery for a child is a frightening unknown for child and parent alike, and the pre-operative process that most children go through only heightens their anxiety. Research on how hospitals can minimize the anxiety and trauma children face both before and after surgery was recently published in the journal Anesthesiology

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DR200M

The DR200M, a fully-integrated mobile digital radiography system developed by Landwind Medical (www.landwindmedical.com), is set to impress with its ergonomic design for easy-to-handle mobility, positioning at patient's bedsides and most of all speed and quality of imaging.

Childbirth injury statistics

In 2006, 4.3 million children were born in US hospitals; of these, 158,000 mothers and infants (3.5%) sustained injuries that could have been avoided. For comparison purposes, newly published US statistics could prove interesting for European hospital administrators, says Dot M McSherry of i.t. Communications

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RUT -

A system of national quality registers, established in recent decades in Sweden's health and medical services, now numbers 64 registers. Along with three competence centres, these cover, for example, diabetes mellitus (NRD), dementia (SeDEM), Swedish intensive care (SIR) and acute coronary care (RIKS-HIA), and the Register Ulcer Treatment (RUT), which was added at the dawn of 2007. The latter has…

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EFORT 2009

One of the key topics at the EFORT Congress, held recently in Vienna, was on opportunities offered by computer-aided surgery (CAS) to achieve better results for many orthopaedic interventions. Within the next decade CAS will lead to the routine use of minimally invasive surgery (MIS) for knee prosthetics, hip replacement and osteotomy.

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Ultrasound most cost effective

In comparing ultrasound with other medical imaging methods such as MRI and CT scans, a literature review of published studies in the May/June issue of Journal of Diagnostic Medical Sonography (JDMS) describes the use of ultrasound to provide an accurate diagnosis more cost effectively than the alternatives.

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20 years of hospital-based proton therapy

Although the potential of proton therapy was recognised over half a century ago, and since its development is now known to deliver a radiation beam accurately into a tumour without damaging surrounding tissue, high equipment costs limit its general introduction. Mark Nicholls reports on a British hospital with two decades of experience in its use - and value

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Transforming medical diagnosis with new scanning technology

A new technology which dramatically improves the sensitivity of Magnetic Resonance techniques including those used in hospital scanners and chemistry laboratories has been developed by British scientists. The technique could replace current clinical imaging technologies that depend on the use of radioactive substances or heavy metals, which themselves create health concerns.

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GE's new Discovery PET/CT 600 scanners go global

GE Healthcare's first Discovery PET/CT 600-series scanners are being installed in a number of leading clinics around the world. "This first set of installations is a big step forward in the diagnosis and monitoring of disease", said Terri Bresenham, newly appointed vice- president and general manager of GE Healthcare's global Molecular Imaging business.

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The DGU trauma network

German pre-clinical and clinical trauma care of severely injured people enjoys an excellent reputation nationally and internationally due to the country's intensive work in trauma surgery and related medical disciplines. Nevertheless, it should be pointed out that the current outcome of polytrauma care in Germany is extremely heterogeneous.

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Better management and evaluation of digital images

Carestream Health, Inc., and National Digital Medical Archive, Inc., (NDMA), are collaborating on product integration initiatives designed to support the expansion of NDMA's national imaging network and improve customer access to its analytics and data management services.

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Facing the terror

While Western Europe's hospitals only carry out drills for possible terrorist events — Israel's medics face the real thing. During the recent Congress of Anaesthesiology and Intensive Care Medicine in Berlin, internist Dr Michael Kafka, head of emergency medicine at the Bnai Zion Medical Centre in Haifa, described strategies to cope with mass casualty events.

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The Carestream DRX-1

This September, Carestream Health revealed the first wireless cassette-size DR Detector. The Carestream DRX-1 system, which incorporates a console and wireless 14x17 inch cassette-size digital radiography (DR) detector, provides a rapid, affordable conversion for users of radiographic film or computed radiography systems, Carestream explains.

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German hospital groups launch new quality initiative

The “quality medicine initiative” aims at ensuring and improving the quality of diagnostics and therapy. It was launched today by six German hospitals and hospital groups and will be supported by the physicians' association of Berlin.

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First wireless DR detector

Carestream Health's engineers created the first wireless DR detector which is not bigger than a standard cassette and can therefore withstand the challenging environment of a modern x-ray department. The rugged detector, case, and internal components are made to produce DR images of high quality under real-life x-ray department conditions.

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Stabbings injure public healthcare

A study by the Trauma Audit Research Network (TARN) at the University of Manchester, UK, calculated the treatment costs of injuries caused by gun and knife crime paid by the National Health Service (NHS). The result is alarming: three million GBP a year.

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Anaesthesiology today

Ever since Boston surgeon John Collins Warren commented on the first successful ether anaesthesia at Harvard University with the now famous words, ‘Gentlemen, this is no humbug!’ anaesthesiology has developed into a separate and modern medical discipline.

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Ultrasound helps foreseeing osteoporosis risk

The heel-bone quantitative ultrasound (QUS) is a simple diagnostic test that detects immediately if a patient has a risk factor for osteoporosis. The analysis of bone density allows a better selection of high-risk and low-risk patients for further testing. The treatment was applied in a new multicenter study initiated in Switzerland.

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New possibilities to speed up breast cancer treatment

An intraoperative MRI system being developed by UK firm Specialty Magnetics could speed the treatment of breast-cancer patients. The company is working on a dedicated intraoperative MR breast scanner that will enable doctors to carry out image-guided treatments as soon as disease is detected and diagnosed.

Safe:Trac

A new trauma surgery training programme has been launched by the German Society of Trauma Surgery (Deutsche Gesellschaft für Unfallchirurgie - DGU).

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Dynamic volume CT - the impact on neuro-imaging

A 320-row CT scanner (Aquilion One, Toshiba Medical Systems Co., Tokyo, Japan) was installed for the first time in Europe, at the Charité University Hospital, Berlin, Germany, in November 2007. Its capability to cover the whole brain in a single rotation means this new type of scanner has the potential to impact strongly on the field of neuro-imaging.

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Article • ECR 2008

Agfa HealthCare to present its CR portfolio

Agfa HealthCare presents its entire Computed Radiography (CR) solutions range at ECR 2008 in Vienna. From desktop and compact solutions to groundbreaking Computed Radiography systems that fill the gap between CR and DR (Direct Radiography), the company is able to offer its customers the right solution for every facility of any size.

Hemicorporectomy

Czech Republic - The second successful hemicorporectomy (translumbar amputation) was carried out several months ago by surgeon Frantisek Antos and team at the Bulovka Faculty Hospital, Prague.

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28th ISICEM

There is a huge amount of literature being published and even with improved access via the internet, accumulating all the relevant data and applying it correctly to clinical practice is a challenge for even the most fastidious amongst us.

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Type 2 diabetes driving epidemic

Type 2 diabetes poses one of the greatest public health threats of the 21st century. The majority of the western world is in the grips of a diabetes epidemic driven by type 2 diabetes that goes hand in hand with the escalating incidence of obesity. Alarmingly, in some working class and poor communities, the disease is so prevalent that its victims almost take it as a matter of course.

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Vienna about to reorganise its hospital landscape

Vienna is facing comprehensive restructuring of its hospital landscape in order to accommodate the demographic changes in the Austrian capital city. Currently, in northern Vienna approximately three beds are available per 1,000 inhabitants, in western Vienna there are nine. It is planned to provide six beds per 1,000 inhabitants in Vienna by 2012/2013.

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Agfa HealthCare announced programme for RSNA at MEDICA

Agfa HealthCare, a leading provider of IT-enabled clinical workflow and diagnostic imaging solutions, announces today at MEDICA that it will be presenting its entire Computed Radiography solutions family range at RSNA 2007, to be held in Chicago from 25 until 30 November. From desktop and compact solutions to groundbreaking Computed Radiography systems that fill the gap between CR and DR, Agfa…

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At a glance

Where are the most high-tech start-ups? That`s an easy one: Silicon Valley. But who comes in a close second? Surprisingly: Israel. Further: Israel ranks Number 1 in terms of availability of scientists and engineers and Number 2 in quality of higher education. The result of this impressive track record is a wide range of successful enterprises and products, particularly related to the life…

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Trauma care

By Shahram Vaezy, Associate Professor of Bioengineering at the University of Washington, Washington, Seattle, and Vesna Zderic, Assistant Professor at Electronic and Computer Engineering Department at George Washington University, Washington DC.

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E-psychiatry

The uses of the internet in psychiatry have increased in recent years, and there is evidence that professionals, patients, families, institutions and other agents benefit from it.

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The German Congress of Orthopaedics and Trauma Surgery

Despite the very varied nature of the scientific programme for The German Congress of Orthopaedics and Trauma Surgery (Berlin, 24-27 October), Congress President Professor Joachim Hassenpflug, with Prof. Kuno Weise MD, President of the DGU, and Siegfried Götte MD, President of the BVOU, had ensured the presentations addressed representatives from both medical disciplines.

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USP Hospitales de Marbella

USP Hospitales is a prominent Spanish hospital group with a network of 31 facilities in Spanish cities. The group also owns a 25% share in Hospitais Privados de Portugal, the hospital affiliate of the Portuguese bank Caixa Geral de Depositos. USP Hospitales acts as a consultant for the bank's six hospitals in Lisbon, Oporto, Sanghalos, Lagos and Faro. USP Hospitales recently founded the company…

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Acuson P10 — the world's smallest ultrasound device

The Acuson P10 is a new portable ultrasound device, developed and manufactured by Siemens Medical Solutions. The new system in the size of a Blackberry embodies Point of Care Testing (POCT) abilities: It weighs a little more than 700 grams and could be used for earliest possible diagnostics in an intensive care unit, ambulance or medical helicopter, providing physicians with valuable information…

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EHFG celebrates 10th anniversary

In 1998, during Austria's first EU presidency, Professor Günther Leiner founded the European Health Forum Gastein (EHFG). From 3-6 October this year, the Forum will celebrate its 10th anniversary. Our Austria correspondent Hans-Christian Pruszinsky asked Dr Leiner about the value and role of this organisation in Europe today.

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fMRI may detect brain activity of patients in vegetative state

British researchers detected near-normal brain activity in patients who are believed to be in a persistent vegetative state (PVS) by using functional MRI. The findings may help doctors' to diagnose patients that might have a chance for recovery, but the researchers warn to over-intertpret their resulsts.

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Superior Vena Cava Syndrome

Intravascular contrast medium is essential for enhancement of vessels and parenchyma. In this way the relation between vessels and tumours can be detected. Factors that influence the time required for a contrast bolus are the cardiac output of a patient, body weight, hydration status and the condition of the vessels. When a main vessel is occluded because of thrombosis, embolia or trauma a…

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Internal Medicine in the German Bundesliga

Medical care for the professional soccer players of the German Bundesliga (Premier League) for obvious reasons has to focus on traumatology. Injuries of the locomotive system occur almost on a daily basis and thus constitute a permanent threat to the potential performance of the valuable players.

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Achieving precise power output

Professor Martin Raithel MD* works alongside medical devices manufacturer Bowa on the use of argon plasma coagulation in endoscopy. "The argon unit, in conjunction with the generators of the Bowa ARC range, is working very reliably in different disciplines", he says. "It is opening up new methods in flexible endoscopy with argon-assisted electrosurgery due to its outstanding…

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3rd educational publication on MIS

The European Medical Technology Industry Association, Eucomed, has launched the third in a series of educational publications on medical technology innovation, focusing on minimally invasive surgery (MIS).

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Spanish university hospital nets communications

Son Dureta University Hospital, in Palma de Mallorca (Balearics), is Europe's first to use a clinical information system developed from a partnership between Oracle Corporation, Orion Health and Fujitsu Services. Joan Marqués Faner, the hospital's Chief Information Officer, discussed the system with Eduardo de la Sota, our correspondent in Spain.

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Italy

IT introduction is increasingly considered a strategic element, since it is capable of supporting different decision processes at various levels (top management, middle management and professionals) and guiding them towards concrete objectives: cost control and containment, improved efficiency, evaluation and enhancement of service quality.

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The trauma surgeon is a decathlete

Fear for the quality of acute care for the injured and victims of accidents was expressed by Professor Vilmos Vécsei, traumatology and sports traumatology specialist and Head of the University Clinic for Trauma Surgery in Vienna (VV), as well as President and General Secretary of the European Trauma Society (ETS), and Professor Otmar Trentz, Director of the Trauma Surgery Clinic at University…

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Patient's brain controls mechanical ventilation

Among ventilation advances demonstrated at this year's European Society of Intensive Care Medicine Congress, held in Barcelona, the combination of the SERVO-i ventilator with Neurally Adjusted Ventilatory Assist (NAVA) provoked considerable interest because the system allows ventilation to be controlled by the patient's own respiratory centre in the brain. During a discussion with Daniela…

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Closing in on the brain

The new Nextim system, eXimia NBS is a novel brain stimulation technology which provides individual measures of the health and functional capacity of the central nervous system, as well as of brain reactions to targeted magnetic pulses. Thanks to its advanced technology and proven clinical performance, the NBS system helps medical professionals to focus on the issues that matter the most - and to…

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Romania

In preparation for EU entry, Romania's laboratories are in the process of raising standards.

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IGS

In our last issue we featured the Future Operating Room Project developed at St Olavs Hospital, University Hospital of Trondheim, Norway, a collaboration between the hospital and the Norwegian University of Science and Technology. There, highly promising research on navigation is being carried out in co-peration with the research foundation Sintef Health Research. Professor of Surgery Hans O…

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Paediatrician is European of the Year

Russia - Leonid Roshal, 71, paediatrician and head of the Moscow Scientific Research Institute for Emergency Children's Surgery and Traumatology, has received the Reader's Digest European of the Year Award 2005 for his tireless and dedicated work helping children who have been injured in disasters and conflicts around the world.

TSUNAMI the aftermath

At a recent conference on the care of tsunami survivors, the Thai Health Ministry reported that over 5,300 of its population had been confirmed dead, leaving tens of thousands bereaved, as well as homeless, and that 10,000 people had already been treated by touring teams of mental health workers, as well as receiving counselling from Buddhist monks trained in psychology.

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The silver anniversary of the ISICEM

The 25th International Symposium of Intensive Care and Emergency Medicine, to be held at the Congress Centre in Brussels, will see us celebrate our Silver Anniversary, when we will reflect on 25 years of meetings that have encouraged the presentation, discussion, and debate of intensive care medicine, and when we also look forward to what the next 25 years may bring.

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High-tech air rescue

Germany - The Ultrasonic Cardiac Output Monitor (USCOM), a portable system that enables beat-to-beat cardiac output assessment at medical emergency locations, has been tested for use during helicopter patient transportations, and worked effectively, without suffering from or causing interference to helicopter electronics.

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