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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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1st partial knee system launched in Europe

Until now, orthopaedic surgeons have had limited options for the treatment of progressive degradation of the knee joints (osteoarthritis) in active patients who require care, but are not yet ready for a total knee replacement. DePuy Orthopaedics EMEA now launches the first complete surgical system Sigma® High Performance Partial Knee, specifically designed to treat progressive osteoarthritis…

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Negative pressure wound healing technology

Despite some uncertainty about how it works, there is a growing consensus that Negative Pressure Wound Therapy (NPWT) – also known as Vacuum Assisted Closure (VAC) – is revolutionising wound care. Speaking at the 1st International Surgical Wound Forum, held recently in Amsterdam, surgeons from Europe and the USA predicted the growing use of this innovative technology across the spectrum of…

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Colonic stents - buying time for surgery

In 2006, about 307,432 new cases of colorectal cancer arose in the European Union. The rates varied by a factor of two for women and three for men. The lowest rates were in Greece; the highest in Hungary and the Czech Republic. The incidence of colorectal cancer is increasing in Europe, particularly in the south and east, where rates were originally lower than in Western Europe.

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Burnout prevention in the ICU

In intensive medicine, burnout has a major impact on the quality of care. For example, in intensive care units, where the staff suffers burnout, statistics indicate that patients remain longer in an artificial coma than in ICUs that are more or less free of burnout. ‘Obviously, that does not happen consciously,’ says Prof. Wolfgang Lalouschek, Medical Director of The Tree Health Care Centre…

Intelligent temperature management

The normal regulation of the core body temperature of a healthy, resting adult human (around 37°C) is affected during surgery, which can lead to an increased rate of wound infections, bleeding and cardiac complications. The manufacturer of MoeckWarming System reusable blankets reports that these provide comprehensive temperature management to ensure patients remain normothermic.

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Negative pressure wound therapy

Quality in wound care no longer centres only on a successful healing process but is taking a more holistic, patient-orientated approach. Wounds cause pain, impair quality of life, and make treatment far more complex for medical teams. Approaches that facilitate a painless change of dressings and less wound trauma are therefore welcome – and advancing.

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Health informatics in practice

The Health Informatics Congress held in the UK this April, revealed how IT is helping health Trusts across the UK to take innovative steps in the way they respond to patients’ needs. The Clinical Showcase session examined how Trusts are coping with new patient administration and reporting systems and, in particular, how Cerner Millennium and Lorenzo systems are being implemented.

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Pharmacy storage and retrieval systems save costs

To optimise workflow and save costs in hospital pharmacies automating medication selection is increasingly popular. Since the 1980s, the firm Apostore, based in Gelsenkirchen, Germany, a subsidiary of KHT (Kommissionier- und Handhabungstechnik GmbH), has constantly extended its technological lead in this field of manufacturing, and the company reports that its Carryfix Pusher leads the market in…

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Neurological diseases on the rise

„Diseases of the nervous system and the brain occur more frequently than cancer. According to recent calculations of health care costs, they represent a burden of 386 billion euros a year on European economies,“ says Prof. Gérard Said, newly elected president of the European Neurological Society (ENS) at the annual meeting in Berlin, Germany. „This is often greatly underestimated.“

New twelve-month data for Nevo stent

At 12 months the NEVO Sirolimus-eluting Coronary Stent has continued to demonstrate excellent safety and efficacy outcomes compared to Taxus Liberte according to new data presented today from the NEVO RES-I clinical trial. These results were presented as a late breaking trial at EuroPCR, the leading medical conference in Europe for physicians specializing in interventional cardiovascular…

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The 11th EFORT Congress

This year's European Congress for Orthopaedics, Orthopaedic Surgery and Traumatology, organised by the European Federation of National Associations of Orthopaedics and Traumatology (EFORT) and which will in tandem with the Spanish Orthopaedic and Traumatology Society (SECOT) Congress, is expected to draw 7,500 international participants.

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Computers make prosthetic legs fit better

The fit of a prosthetic leg is a vital element in determining how well an amputee will function and adapt to the device. Historically, this has been a time-consuming art performed by skilled prosthetists. Today, computers have added science to the mix.

Congress presents transvaginal pancreatic resection

Advanced endoscopes have already transformed certain surgical procedures. Thanks to minimally invasive surgery (MIS), such as NOTES (Natural Orifice Translumental Endoscopic Surgery), even bowel resection can be relatively scar-less. Such procedures are entering gastroenterology, as presented at the 40th Congress of the German Society of Endoscopy this March.

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The Surgical Planning Unit

Surgical planning is complex. Today’s surgeons can utilise information from various sources – including CT and MRI images, as well as f-MRI, PET or electro-physiological signals. For minimally invasive surgery (MIS) these additional imaging data are of particular importance, in that they enable precise navigation within the body.

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Peripheral nerve surgery

Neurosurgery has seen enormous progress, which should benefit as many patients as possible. However, according to Prof. Hanno Millesi MD, director of the Millesi Centre for Surgery of Peripheral Nerves, Wiener PrivatKlinik (WPK), a private hospital in Vienna, Austria, ‘methods are perceived incorrectly, because they are often confused with problematic predecessors, and sensible methods are…

Success for tele-stroke service

A telemedicine project is being used in rural areas of eastern England to enable stroke patients to receive clot-busting drugs within a critical three-hour time window. Adapting video-conferencing facilities, a telestroke service has enabled patients to receive a diagnosis from a stroke specialist, who can authorise thrombolytic drugs to be administered to those deemed eligible.

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