Search for: "trauma" - 250 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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DR

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 • 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 • 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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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 • 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 • 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% of the junior physicians in Germany are female – which in international comparison puts the country in one of the top spots. However, only 5% of head of department positions in German university hospitals are held by women and not even 10% 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 • 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 • 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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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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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 • 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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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 • 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 • 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 • 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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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 • 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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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 • 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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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 • 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 • 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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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 • 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 • 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 • 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 • 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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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 • 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 • 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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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.

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,…

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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 • 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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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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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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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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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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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 • 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 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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