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PACS and more!

Initiated by Professor Peter Mildenberger and organised by European Hospital, the second PACS and more seminar, held during the DICOM meeting in Mainz, Germany, more than matched its name.

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Infectious Diseases

Ultraviolet light - an invisible weapon against MRSA

A few years ago, Dr Peder Bo Nielsen MD FRCPath, Consultant medical microbiologist at Northwick Park Hospital, London, UK, launched a research programme on airborne transmission of nosocomial infections. Until then, so called air-biology held no high priority in infection prevention and control. The prevailing perception was that colonisation and contamination mainly happens due to direct contact with surfaces and/or persons – i.e. hand carried by healthcare workers.

Imaging

The ultra-high-field MRI symposium

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Early problems of ultra-high field Magnetic Resonance Imaging (MRI) have been overcome by successful development of adequate hardware. In consequence big efforts have been achieved in structural imaging, as well in functional imaging. Basic scientists and physicians who work in ultra-high-field MRI in Europe and the USA, met at the Berlin Ultra-high-field Facility (BUFF), in the Max Dehlbrück Centre (MDC), Germany, to discuss their findings at the 1st annual symposium.

Surgery/Orthopaedics

1st partial knee system launched in Europe

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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 of the knee in Europe.

IT & Networking

MIT - Medical technology and IT must be combined

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Here’s a scenario: A bug has entered the system. Nobody knows how and what it is. What is clear is that, due to the problem with the imaging plate readout, the X-ray examination just carried out must be repeated. Who, in the hospital, is ultimately responsible for this situation?

Intensive Care & Staff

Burnout prevention in the ICU

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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 in Vienna and Director of Medical Coaching, a consulting institute. ‘It’s rather the accumulation of small decisions that lead to measurably poorer outcomes.’

Surgery/Orthopaedics

Updated equipment improves trauma care

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Treating seriously injured patients is part of daily routine for medical teams at the Orthopaedics and Traumatology Department of the University Hospital in Brno, Czech Republic. Up to 2,600 operations a year take place in this department alone, in the second largest Czech clinic. Updated with Trumpf medical technology, the centre reports quicker and more appropriate responses to planned as well as acute, unforeseeable operations.

Lab & Pharma & Oncology

Tailoring cancer treatment with biomarkers

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New biomarkers play a key role in individualised tumour therapy. They are important indicators for pathological processes in the body and for the use of adequate cancer drugs. In our European Hospital interview Professor Celso A Reis, from the Institute of Molecular Pathology and Immunology of the University of Porto (IPATIMUP*) in Portugal, discussed the current state of clinical use of biomarkers and research in this field.

Diabetes

Diabetes management in the hospital

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Diabetes mellitus is a lingering disease – for a long time it causes subjectively few complaints or no complaints at all. Despite this, it is life-threatening – especially if undiagnosed, or diagnosed too late. However, although diabetes is the most widespread disease it is often only discovered by accident in a hospital, where many hospital doctors feel that diabetology is the responsibility of colleagues in the out-patient department. So what happens when an in-patient is diagnosed with a secondary diabetes diagnosis?

IT

Wireless communication links medical devices and accessories

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Radio Frequency Identification (RFID), a wireless technology primarily known from the field of logistics, has become a focal point in hospitals and similar areas. RFID makes it possible to manage hospital beds from a central location or track the whereabouts of surgical instruments.

Infectious Diseases & Surgery/Orthopaedics

Surgical site infections

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Post-operative wound infection occurs after an estimated 17% of surgical operations – sometimes with devastating consequences for the patient. The list of preventive measures is manifold and long. However, one strategy is increasingly moving into the spotlight: the use of antibacterial coated sutures. Ethicon Products is at the cutting edge in this field. Sandra Rasche, head of this Business Unit at Ethicon Products, describes the current and future potential of innovative materials and, critically, their growing acceptance by surgeons.

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