Cardiac resynchronisation therapy
From guidelines to daily clinical practice: Cardiac resynchronisation therapy is increasingly important in heart failure treatment. The therapy is complex, the demands to medical technology high. Holger Zorn reports
Therapy
World Health Summit 2011
The World Health Summit, to be held in Berlin on October 10 - 13, 2010 will bring together researchers, physicians, leading government officials and representatives from industry as well as from non-governmental organizations (NGOs) and health care systems. Its aim is to address the most pressing issues that medicine and health care systems will face over the next decade and beyond and to develop…
The Gamma Knife goes to work in Paris
A major public hospital has become the first in Paris to be equipped with a Gamma Knife, the device that enables the surgeon to operate on the brain with no blade or blood involved.
Dose discussion: How low can you go?
How low? During the GE Healthcare Lunch Symposium of GE Healthcare at this year’s ECR in Vienna, Michael Maher, Professor of Radiology at the University College, Cork, provided an answer: 1.2 millisievert – at least for abdominal CT scans in patients with Crohn’s disease.
Diabesity surgery
Morbid obesity is a chronic, lifelong, multifactorial, constitutional disease with negative medical, psychological, physical, social and economic side-effects. Obesity-related secondary diseases are Type 2 diabetes mellitus (T2DM), cardiovascular diseases such as hypertension or sleep apnoea. Report: Holger Zorn
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…
Coronary heart disease
Bypass surgery figures declined again in 2010. Reason: Most coronary heart disease (CHD) patients are being treated by removal of the obstruction followed by stent implantation -- a situation criticised by Professor Jochen Cremer, first Vice President of the DGTHG (German Society for Thoracic and Cardiovascular Surgery).
Sharper scrutiny on valve repair
One year ago interventional cardiologists raised champagne glasses to celebrate the first publication of clinical evidence showing that transcatheter valve implants (TAVI) is safe and effective. In May at EuroPCR 2011, cardiologists raised magnifying glasses to look closer at further clinical results. John Brosky reports from Paris
Celebrating a 25-year-old ‘heart’
Initially meant to bridge the gap before a heart transplant is performed, today ventricular assist devices (VADs) are increasingly considered ‘a lasting therapy option’, according to Professor Heinrich Schima, Head of the Centre for Medical Physics and Biomedical Technology at the Medical University of Vienna.
IBA cooperates with Philips to create proton therapy centers
IBA Group, a leader in advanced cancer diagnosis and therapy technologies and Royal Philips Electronics, announced they have entered into an agreement to create state of the art patient-centric proton therapy centers.
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…
Ultrasound exam tests chemotherapy effectiveness
A multi-centre French study is demonstrating that a four-minute ultrasound scan using a contrast agent can be performed after the first month of treatment and provide quantitative proof of whether a tumour is responding to the therapy.
When The Doctor is a Woman Patients Expect Being Involved in Decision Making
A study conducted at the University of Granada reveals that patients have greater expectations of their family doctor listening actively to them, keeping them informed and considering their opinions than in getting involved in decision making. For the purpose of this study, researchers took a sample of 360 patients aged 16-47 years, assisted at the Health Center Gran Capitán in Granada.
Bacterial or viral? – Name it! Beat it!
The smaller the child, the more defenceless it is against viral and bacterial attacks. That is why infection accompanied by the symptom of a high temperature is the most common illness in children. So, when a child has a runny nose and fever an infection is clear. The more elemental question is: Should it be treated with antibiotics?
England: Foot and limb losses must be cut
Much of the newly revealed variation in amputation rates in England is due to many diabetics not receiving nine key care processes, including checks on weight, blood pressure, blood glucose, cholesterol, urine and, in particular, consistent foot care checks.
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…
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…
The role of surgery in oncology
Cornelis Van De Velde, Professor of Surgical Oncology at the Leiden University Medical Centre, in the Netherlands, and President of the European Society of Surgical Oncology (ESSO), describes the work and aims of the society within the EU.
Experts identify urgent actions to combat cancer
Yes, cancer research is making rapid progress, but -- how can the transfer of cancer research into successful treatments be accelerated? In Berlin this October, that vexing question was up for discussion during the European Forum on Oncology. Also on the agenda: How best practice approaches to cancer therapy can be adopted throughout the European Union.
The 1st European Forum on Oncology
Across Europe an estimated 3.2 million new cases and 1.7 million deaths occur annually. By intensified cooperation in research, diagnosis and treatment, enormous advantages can be achieved. To progress the integration of knowledge and skills in this field, the first European Forum on Oncology was held this October in Berlin.
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…
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…
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’.
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…
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.
