Therapy

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Bariatric surgery: A last resort -- or the only way to go?

More than half of the European population is overweight, or worst, obese. When diet and lifestyle changes do not result in permanent weight reduction in obese patients, bariatric surgery is now considered a final option. But, that’s far too late, says Professor Rudolf A Weiner, head of the surgical department at Sachsenhausen Hospital in Frankfurt/Main, Germany, and President of the German…

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MRI: Still the best tool for seizures

Anti-seizure medication is not successful in all patients, while in others such medication can have side effects. In recent years significant technical advances have delivered better imaging results, which, combined with growing demand for a surgical solution from patients whose medications do not control seizures, or those not wanting to take medication constantly, has led to an increase in…

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Proton therapy

As one of the most advanced forms of precision radiotherapy, proton therapy enables the irradiation of tumours located deep within the body, in the proximity of critical organs, such as the optic nerve or some brain areas. The Institut Curie has renovated its proton therapy centre in Orsay near Paris. Since 1991, when the original centre opened, it has treated over 5,000 patients (4,000 for eye…

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Plasma therapy: an alternative to antibiotics?

Cold plasma jets could be a safe, effective alternative to antibiotics to treat multi-drug resistant infections, says a study published this week in the January issue of the Journal of Medical Microbiology. The team of Russian and German researchers showed that a ten-minute treatment with low-temperature plasma was not only able to kill drug-resistant bacteria causing wound infections in rats but…

Liver Cancer in Cirrhotic Patients Effectively Treated with Radiofrequency Ablation

Researchers from Italy determined that radiofrequency ablation (RFA) is a safe and effective therapy for managing hepatocellular carcinoma (HCC) in cirrhotic patients. The high repeatability of RFA is advantageous in controlling recurrences of cancerous tumors in the liver. Results of this 10-year retrospective study are available in the January 2011 issue of Hepatology, a journal published by…

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Europe's inconsistent use of device therapy in the prevention of sudden cardiac death

Even though the use of implantable devices for the treatment of heart failure and heart rhythm disturbances has increased enormously in Europe in recent years, there still remain large differences between countries. Indeed, a report last year in the European Journal of Heart Failure found that there is an underuse of devices in many of the European countries surveyed.(1) This is especially so in…

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Ventilation-associated pneumonia

Every year in German hospitals about 15,000 patients acquire ventilation-associated pneumonias (VAP). This number, and the associated mortality, is striking enough to make it one of the topics at HAI 2010, the annual conference of the German Society for Anaesthesiology and Intensive Care Medicine (DGAI). Like many physicians, Dr Maria Deja, senior physician at the Charité Clinic for…

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No more machines!

For many ICU patients, entering the Kloster Grafschaft, in Schmallenberg, Germany, a hospital specialised in pneumology and allergology, is a last resort. On average, they have been in an ICU for seven weeks and have failed three attempts to be weaned from the ventilator. They have been deemed ‘unweanable’.

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CT and PET - Improving radiation therapy planning

When planning radiotherapy the combination of positron emission tomography (PET) and Computed tomography (CT) can provide a better outcome than CT alone. Michael Krassnitzer asked Terri Bresenham MSc BSc, Vice President for Molecular Imaging at GE Healthcare, for her views on the value of PET/CT, the new EANM guidelines, novel tracers and the future of other hybrid imaging technologies.

The notable risks in the use of bone cement

Used in numerous orthopaedic medical procedures, PMMA is a self-curing two component system that includes liquid and powder components. The liquid is methylmethacrylate monomer, a known deadly toxin, and PMMA toxicity is well documented in medical journals and regulatory publications. After many years of reported patient issues related to PMMA, doctors began calling these surgical complications…

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Stroke - New options for prevention and therapy

It’s hardly surprising that stroke was a focus at the 20th meeting of the European Neurological Society (ENS) -- every year at least a million people suffer one in the EU. In an interview with Bettina Döbereiner, Professor Karl Max Einhäupl, Director of the Department of Neurology at the Charité - University of Medicine Berlin, of which he is Chairman of the Board and co-chair of the ENS…

Implementing shared decision making in the NHS

The British government’s plans to introduce wider choice and shared decision making within the NHS may be challenging to implement, says an expert on bmj.com. In its new plans for the NHS, the government wants to extend the offer of choice beyond what is currently available to include choice of specialist team, choice of general practice, and choice of treatment. But do patients want a choice…

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Obesity surgery rose ten-fold in ten years

The use of bariatric or weight loss surgery in England has increased ten-fold in National Heatlh Service (NHS) hospitals since 2000, according to a study published in August on bmj.com. The researchers suggest that one reason is the increased demand by obese patients now more aware of this treatment option.

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Arteries seen in a new light

New imaging technologies are opening a new chapter in interventional cardiology by offering something this widely practiced procedure has been missing -- vivid clinical evidence to assess effectiveness. Interventional cardiology has moved rapidly from opening blocked arteries by crushing plaque with inflatable balloons to reinforcing the walls of the re-opened arteries with flexible metal stents…

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The psychology of healing

People suffering from diabetes-related foot ulcers show different rates of healing according to the way they cope and their psychological state of mind, according to new research by a health psychologist at The University of Nottingham, UK. The large study published in the journal Diabetologia has shown that the way patients cope with the condition and their levels of depression, affect how the…

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Tailoring cancer treatment with biomarkers

New biomarkers play a key role in individualised tumour therapy. They are important indicators for pathological processes in the body and for the use of adequate cancer drugs. In our European Hospital interview Professor Celso A Reis, from the Institute of Molecular Pathology and Immunology of the University of Porto (IPATIMUP*) in Portugal, discussed the current state of clinical use of…

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