Contrast-induced nephropathy
Contrast induced nephropathy (CIN) is widely recognised as a potentially serious complication of contrast media use -- a risk that increases with a patient’s age and decreased renal function. Mark Nicholls reports
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Hitachi’s all-in-one data management system
A mix of hardware, software and services, the Hitachi Clinical Repository (HCR) system draws together all patient data from many information sources, thus providing quicker and better use of records. At Hitachi Data Systems, Mark Clark explained: ‘HCR basically provides the infrastructure to put together both clinical and non-clinical data into a centralised, non-proprietary-repository to…
Dell’s Mobile Clinical Computing solution
Preliminary results from a large, ongoing study involving medical staff in 11 hospitals in six European countries indicate that Dell’s Mobile Clinical Computing (MCC) system has made the use of applications easier for doctors and nurses, significantly increased efficiency in IT management and raised IT acceptance in the hospitals involved.
CeBIT’s theme: Work and Life with the Cloud
The new cloud hovering over the IT industry bodes pleasant and sunny business weather. Reason enough for the organisers of CeBIT 2011, the large international IT event held in Hanover this March, to make ‘cloud computing’ the keynote theme, dubbed ‘Work and Life with the Cloud’. EH reporter Walter F Schäfer questions what cloud computing is and what promise it might hold for healthcare…
TeraRecon’s iNtuition Cloud enters Europe
The global software provider TeraRecon is recognised for strong clinical applications containing advanced image processing and 3-D visualisation for CT, MRI and PET. Since May 2010, this Silicon Valley company (Frost & Sullivan’s 2010 ‘Company of the Year Award’ winner, for European Advanced Visualisation Applications) has been expanding its core business into cloud computing services…
Antibiotic resistance spreads rapidly between bacteria
The part of bacterial DNA that often carries antibiotic resistance is a master at moving between different types of bacteria and adapting to widely differing bacterial species, shows a study made by a research team at the University of Gothenburg in cooperation with Chalmers University of Technology. The results are published in an article in the scientific journal Nature Communications.
Taking the customer’s pulse
With 1,600 customers and a 30-40% market share in Germany, Austria, France and Switzerland, IT and imaging enterprise Agfa and its hospital-wide IT solution Orbis are ahead of the game. Dr Volker Wetekam, Executive Vice President of the IT Division, Agfa Healthcare, speaks of a technological advantage of as much as two to three years in the key segments -- PACS, cardiology and regional health --…
Keeping everything under control in the ICU
During intensive care, hyperglycaemia and insulin resistance are widespread in diabetics as well as non-diabetics. However, whether the normalisation of blood glucose levels with insulin therapy improves the prognosis of such patients is still debated. Karoline Laarmann reports
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.
Easy breathe - new tools for prolonged lung support
Often a life-saving intervention, mechanical ventilation also has some serious drawbacks: the need for sedation, the risk of ventilator associated pneumonia, intubation or tracheostomy related complications. In 1972, Donald Hill from Pacific Medical Centre, Los Angeles, reported the first successful long-term mechanical lung assist device with extracorporeal membrane oxygenation (ECMO).
The 31st ISICEM
Jean-Louis Vincent, Chairman of the Dept of Intensive Care, Erasme Hospital, Université Libre de Bruxelles, welcomes visitors to this year’s International Symposium on Intensive Care and Emergency Medicine.
Compressing without compromise
Whether it’s functional imaging via MRI or CT, dynamic angiography examinations or volume tomography -- new examination procedures deliver more, but also require more. The annual data increase in hospitals is 20-30% and the resulting requirements for the necessary storage capacity, or for digital data transfer, present a serious challenge. Accordingly, there is considerable interest in…
Virtual Hospital with Dell
Simply adding technology is not enough. Technology is transforming what’s possible in medicine, but its complexity makes understanding how it will improve patient’s lives a challenge. Technology should drive efficiencies, reduce costs and empower people to integrate Health IT into daily routines for the betterment of care. The Dell Virtual hospital is an interactive destination for…
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.
The 3rd Annual General Meeting of the Austrian Society for Laboratory Medicine and Clinical Chemistry
Different tests bring different results, and results of the same types of test vary from laboratory to laboratory. "In the case of test procedures for autoimmune diseases there are incredible discrepancies," confirmed Professor Manfred Herold, head of the Laboratory for Rheumatism at the University Clinic for Internal Medicine One, Innsbruck. The reason: "There are no standards for…
Transcatheter aortic valve implants bear risks
Every year thousands of patients with less than one year to live are denied a heart valve replacement because they are too frail to undergo surgery. These patients tend to be over 75 years of age and suffering from multiple health problems, such as respiratory conditions that preclude general anaesthesia, end-stage failure of liver or kidneys, or a history of coronary surgery. Two years ago they…
“Act on Stroke“: Siemens presents a new consulting concept for optimized stroke care
The Siemens sector Healthcare has developed the new consulting model “Act on Stroke”, tailored specifically to clinical workflows in the treatment of stroke. Following models for industry processes, an expert team from Siemens evaluates the maturity level of clinical processes in a hospital.
The 16th IFHRO Congress
Held every three years, a very important healthcare IT event is to be held in Europe after a gap of 14 years. From November 15-19, healthcare managers and suppliers from 37 countries will arrive in Milan to discuss the future of world’s electronic health services at the 16th Congress of IFHRO (International Federation of Health Records Organisations), held in collaboration with the WHO.
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…
RSNA 2010 Refresher course: A focus on major contrast agent issues
The 90-minute refresher course ‘Contrast Agent Issues 2010: What the Experts Really Do for Allergies, Contrast-induced Nephropathy, Nephrogenic Systemic Fibrosis, and Extravasation’, to be held during this year’s Radiological Society of North America meeting, will focus on the use of iodinated and gadolinium-based contrast media and the issues, advantages and considerations for patient…
Logistics - GSI standards in Europe
Clear transparency of the flow of products and information in hospitals not only results in increased patient safety but also, because the documentation of treatments and recording of products used ensures compliance with legal requirements. The ability to retrace all steps is also an economic asset in terms of comprehensive cost control over product consumption.
Environmental risk assessment of pharmaceuticals inadequate
The strategies used to assess the environmental risks posed by pharmaceuticals are not enough to protect natural microbial communities, reveals a researcher from the University of Gothenburg, Sweden, who is calling for better environmental risk assessments.
The Risks are Controllable
The reprocessing of single use medical devices is well-established in Europe. However, questions about the risk for patients and users arise constantly. The European Commission presented recently a kind of risk survey. The report strikes German experts as basically accurate but unbalanced.
Study shows nurses taking charge of diabetes care in hospital means more patients hit target glucose levels
A nurse-initiated, nurse-led, and nurse-implemented study shows that nurses taking charge of diabetes care in hospital results in more patients hitting their target glucose levels. The study was led by Esther Boteach, Soroka University Medical Center Beer-Sheva, Israel, and co-workers.
Standardised algorithms and protocols for diabetic in-patients
Dr Susan S Braithwaite, a visiting clinical professor in endocrinology at the Department of Medicine, University of Illinois, Chicago, specialises in the management of hyperglycaemia among hospitalised patients. Hyperglycaemia, the presence of an abnormally high concentration of glucose in the blood, is a common occurrence in adults who are hospital in-patients, especially among diabetic…
