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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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Europe’s first fully digitised hospital

He was among the pioneers of hospital digitization. Way back in 1988, Professor Walter Hruby, Chair of the Institute for Radiological Diagnostics at the Donauspital Vienna, in Austria, decided that, when his hospital opened its doors, state-of-the-art technology would be implemented. Thus, in 1992, the Donauspital became Europe’s first, fully-digitised hospital. Today, recollecting that…

World Stroke Day

With the “World Stroke Day” the World Stroke Organization (WSO) aims to communicate a unified message to the world: stroke is a preventable and treatable catastrophe, and together we can fight this growing epidemic. This year’s theme is “Stroke‐What can I do?” The answer is ‐ a lot. The WSO prompts individuals, groups and governments to take action against stroke either at a…

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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Successful operating theatre re-structuring

The new surgical wing at Knappschafts Hospital in Bottrop, Germany, has exceeded all expectations. In four years the concept has increased available operation times by over 30%. We asked the project supervisor, Dr Peter Hügler, who heads the Anaesthesia, Intensive Care Medicine and Pain Therapy Clinic, how such a significant success was realised.

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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„OMICS“ – new buzzword for health policy

“The current shift of healthcare towards a systemic and holistic understanding of the causes of diseases is a true scientific revolution,“ Prof. Dr. Angela Brand said today at the European Health Forum Gastein (EHFG). Prof. Brand, Director of the European Centre for Public Health Genomics hosted at Maastricht University, added that the “next-generation sequencing technologies are opening…

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Cardio-Thoracic Center of Monaco is the first Siemens European Reference Center Cardiovascular Medicine

Siemens Healthcare and the Cardio-Thoracic Center of Monaco (CCM) signed a partnership contract in Monaco. Within the framework of this contract, CCM was nominated the first “Siemens European Reference Center Cardiovascular Medicine". The strategic partnership is dedicated to the entire spectrum of cardiovascular medicine with the objective to develop innovative solutions for the treatment…

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Supporting role in the OR

Whenever a clinic sets up a new operating room or intensive care unit, the equipment should be able to meet all requirements for the next 20 years. At the same time, however, tight budgets increasingly restrict many hospitals’ freedom to act.

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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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Heart in hand

Surgeon Alain Carpentier is ready to remove a patient’s heart and replace it with a mechanical device he spent 15 years developing. By 2013 the procedure will be performed on 50 European patients as part of a clinical trial to win CE approval for the world’s first fully implantable artificial heart.

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Picking up the pace

After years of go-slow adoption and cautious optimism, European cardiologists are now embracing remote monitoring of cardiac electrophysiology devices. ‘We are at the dawn of a new era,’ concluded Dr Philippe Ritter, Chairman of the Cardiostim 2010 congress, after reviewing findings of studies that delivered unequivocal evidence that remote monitoring is not only a safe alternative to clinic…

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The first Carestream Cardiology PACS in Europe

In the historical city of Gouda, in the Netherlands, the 441-bed Groene Hart Ziekenhuis (Green Heart Medical Centre) employs about 150 doctors and serves a local population of 450,000 people. Last September it became the first hospital in Europe to install the new Carestream Cardiology PACS. Launched in 2009, the PACS provides a single integrated platform for diagnosis, reporting, storage and…

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Stiff heart - The ‘stepchild’ of cardiology

Patients with heart failure with normal ejection fraction (HFNEF) also referred to as ‘stiff heart’, show a normal ejection fraction and severe diastolic dysfunction. President of the Austrian Society of Cardiology, Professor Irene Lang warns: ‘It is particularly concerning that stiff heart is a little known and insufficiently researched cardiac condition -- a stepchild in research,…

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It’s time for Stockholm!

Five days at ESC 2010, the world’s biggest international cardiology meeting -- with the Spotlight 2010 strongly focused on "Coronary Artery Disease: From Genes To Outcomes", but yes, so much more, too. This year’s programme is based on 4167 abstracts selected from more than 9,500 submissions, as well as over 120 Hotline and Clinical Trial Update presentations. From these, 35 Hotline sessions…

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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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