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Article • Opinion article

Post-stroke spasticity care – a new approach

Dr Ganesh Bavikatte, Neurorehabilitation Specialist, has developed a solution along with an international expert team to untangle the complex post-stroke spasticity care pathway. With Europe’s ageing population, stroke cases are on the rise, with estimates suggesting around a 35% increase from the number of cases in 2015 to 2035. And thanks to the greatly improved emergency care and delivery of…

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News • Reduced liver complications

The surprising benefits of anti-hepatitis medicine

A new effective treatment of hepatitis C that was made available to all Danes last year, not only combats the virus, but is also effective against potentially fatal complications such as reduced liver functioning and cirrhosis. This is the result of a new study from Aarhus University and Aarhus University Hospital. Hepatitis C is a serious disease, but the biggest threat to someone’s health is…

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News • Lethal brain infection

How current treatment for fungal meningitis fuels drug resistance

A common first-line treatment approach for cryptococcal meningitis in low-income countries is being compromised by the emergence of drug resistance, new University of Liverpool research warns. Published in the journal mBio, the findings highlight the need to develop new drugs and treatment regimens for the lethal brain infection, which kills around 180,000 people each year. Cryptococcal…

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News • FDA launches off-label drug database

Cure ID: App finds new ways of treatment

The U.S. Food and Drug Administration (FDA) announced the global launch of Cure ID, an internet-based repository that will allow the clinical community to report their experiences treating difficult-to-treat infectious diseases with novel uses of existing FDA-approved drugs through a website, a smartphone or other mobile device. The platform enables the crowdsourcing of medical information from…

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News • Malignant infantile brain tumours

​Epilepsy drug inhibits brain tumour development

Medication prescribed for a certain type of epilepsy may offer a new method for treating malignant infantile brain tumours. A specific mTOR inhibitor has the ability to cross the blood–brain barrier to both reach and attack the tumour at source. This has been demonstrated by researchers from Uppsala University, in collaboration with US and UK colleagues, whose research has now been published in…

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Article • Surgery to reduce obesity-related mortality

When diet and excercise alone are not enough

Obesity not only means someone is overweight but, over time, they will probably suffer sequelae that increasingly impair quality of life and are potentially fatal – these include hypertension, coronary heart disease, type two diabetes, pulmonary function disorders, tumours, plus an increased risk during surgery and anaesthesia. In patients with morbid obesity, class three obesity, according to…

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Sponsored • Pocket-size ultrasound device improves diagnosis

Better care for middle ear infections

In children, middle ear infections are the number one indication for antibiotic prescriptions or surgery. Nearly every child around the world will suffer at least one middle ear infection (otitis media) severe enough to see a doctor, and most will experience repeat occurrences throughout childhood. Internationally, there is significant over-prescription of antibiotics for otitis media, leading to…

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Article • 'ScoliBot' offers superhuman precision

New robots improve spinal straightening

ScoliBot, a new robotic system, could perform spinal surgery to a higher degree of accuracy than human counterparts. Devised by a team from Nottingham Trent University (NTU), the system has two robotic arms that semi-autonomously drill holes in individual vertebrae in procedures to straighten the spines of patients with conditions such as scoliosis or kyphosis. Leading the project, Professor…

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News • Vertebral body replacement (VBR)

Help for cervical spine

Omnia Medical’s ‘Boxcar’ has been granted the first US FDA 510(k) clearance for a cervical vertebral body replacement (VBR) system manufactured from PEEK-OPTIMA HA Enhanced polymer. The system has been designed for use in cervical-corpectomy procedures – the replacement of a collapsed, damaged, or unstable vertebral body located in the cervical spine. Robert Gewirtz, MD - Neurosurgeon,…

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Sponsored • COPD diagnostic wearable

‘Smart shirt’ to monitor lung disease

A smart shirt, developed by Canadian startup Hexoskin, has been successfully tested as a potential diagnostic modality for chronic obstructive pulmonary disease (COPD) at the Radboud University Medical Centre in The Netherlands. “COPD is a growing problem with around 64 million people suffering with the condition worldwide. When patients suffer an increase in their symptoms, such as coughing…

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Sponsored • A focusable LED exam and minor surgery lamp

Lighting the way forward

ACEMSO15F is a new focusable and flexible LED examination light designed by the Italian firm ACEM. The touch panel controls all lamp functions, including light intensity adjustment and beam focusing. The result is a uniform, homogeneous and shadow-less light.

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Sponsored • NICO Myriad NOVUS resection tool

Xenon lighting for neurosurgery

NICO Corporation, a company based in Indianapolis, Indiana, is releasing its new Myriad Novus resection tool. The FDA cleared product combines xenon illumination with NICO’s proven Myriad neural tissue removal technology. Xenon lights reproduce the visible spectrum of daylight much better than most other bulbs – although LED contenders are now available – and so are often the optimal choice…

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Sponsored • Flexible medical robot accelerates healing

Meet 'Robert', your robotic physio­therapist

Scenario: A physiotherapist arrives in a ward pushing a new device towards a patient in bed. There, she introduces rehabilitation robot Robert and points to its multi-jointed arm. She places a cuff around the patient’s lower leg to link it to Robert’s arm and presses the start button; Robert raises the leg slightly. Manually, the physiotherapist performs movements, which Robert memorises to…

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Article • Brain signals control a four-limb robotic system

Tetraplegic moves towards taking walks

Thanks to a four-limb robotic system controlled by brain signals, a patient with a cervical spinal cord injury could walk and control both arms for the first time in a proof of concept. Developed by CEA (French Alternative Energies and Atomic Energy Commission), the system is driven via the long-term implant of a semi-invasive medical device to record brain activity.

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Sponsored • Raising the bar

A new ultra-compact microscopy camera

The MKC-X800 ultra-compact camera is a new addition to Ikegami’s range of medical imaging equipment, which, the firm reports, sets higher than ever standards of imaging quality to capture the precise colour and image detail of surgical operations. Measuring just 28x28x52mm WHD and weighing 100g, it can be mounted on a surgical microscope, lightweight support stand or boom. With its 4K-native…

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Sponsored • Smarter surer cleanliness

Electronic monitoring of hand hygiene

‘Electronic monitoring systems are proven to assist healthcare institutions to make sustained improvements in hand hygiene compliance.’ [Scheithauer S, et al. Do WiFi-based hand hygiene dispenser systems increase hand hygiene Compliance? American Journal of Infection Control (2018)]. ‘Using these systems,’ adds the manufacturer Ophardt Hygiene, ‘a continuous stream of objective data is…

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Sponsored • Perfect illumination aids diagnosis

Find the right light

ACEMST1, a new flexible medical LED light from the Italian manufacturer ACEM, has an illumination suitable for diagnoses in dermatology, general medicine, gynaecology, and dentistry – and can even be used as a bedhead light. The manufacturer also reports that this compact lamp ensures excellent light intensity, an IR-free beam, variable colour temperature (CCT), a high colour rendering index…

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Article • Where are the infectiologists?

‘The hygiene plan is nothing but a fig leaf’

Nosocomial infections cause more deaths than traffic accidents – a stunning discovery made in a recent German study. Worse: infectious diseases long thought eradicated in Europe, such as measles, tuberculosis (TB) and, more recently, syphilis, are also implicated. The increasing number of patients places an additional financial burden on healthcare. But – and this might be the good news –…

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News • Venous thromboembolism (VTE)

Award for new blood clot prevention technology

A partnership between the Royal Stoke University Hospital, part of the University Hospitals of North Midlands NHS Trust, and a UK industry-leading medical devices company have been rewarded for its use of an innovative bioelectronic technology to prevent life-threatening blood clots in acute stroke patients – winning in the category: Best use of technology (acute care), at the Building Better…

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Article • Today’s improved lower leg treatments

Peripheral vascular therapies

Interventional radiotherapy for tibial arteries has increased in recent years. Why? People are getting older and better techniques and materials now permit treatment even of very thin vessels. Professor Dierk Vorwerk, Director of the Institute for Radiology at Ingolstadt Hospital, where almost a third of all interventions in his department are performed on the lower leg, described the most…

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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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Article • Man and machine

Robotic surgery is expanding

Standardisation of robotic surgery procedures is seeing increased usage and improved outcomes for patients and could also play a role in helping with the overall well-being of surgeons in terms of, for example, ergonomic benefits that could reduce repetitive strain injury (RSI) and back conditions. Richard Kerr from the Royal College of Surgeons (England) recently chaired the RCS Commission on…

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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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