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Patients weigh in on orthopedic surgeons' pay, reimbursement


Most patients do not think an orthopedic surgeon is overpaid but they greatly exaggerate how much a surgeon is reimbursed by Medicare for performing knee surgery, according to a study of patient perceptions by Henry Ford Hospital in Detroit.
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Better diabetic foot disease care would save taxpayers billions


Australia could save billions of dollars in healthcare costs by investing in proven treatments for people with diabetic foot disease, according to QUT research.
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Networked healthcare – Apps and co.


Digitization is on the rise and doesn't even stop with medicine. A video doctor consultation, a fitness app or a collection of data for a better cancer treatment: eHealth combines the possibilities of the internet with the demands of medicine and opens up entirely new possibilities for the medical industry.
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Increased risk of pneumococcal pneumonia with hospital admission


A study shows that adults admitted to hospital during school holidays are 38 percent more likely to have pneumococcal community-acquired pneumonia (CAP) than those admitted during term time.
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International Patient Safety Day - 09/17/2016


This year’s International Patient Safety Day takes place under the motto "Medication Safety". It is supposed to raise awareness of medication errors. Members of the health care systems will be able to present new approaches and exchange ideas with each other at events on this day.
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Hybrid Operating Room: The OR of the Future Today?


Patients take center stage during surgery. Their treatment should be as gentle and effective as possible, which is why there is a trend towards minimally invasive surgery (MIS). But minimal procedures require better supporting technologies. The hybrid operating room combines surgery and imaging systems and increasingly replaces conventional open surgery approaches with MIS.
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Intraoperative imaging – added benefit or high-tech gadget?


Monitoring individual results during surgery with an angiography system? This is already an option in approximately 200 hospitals in Germany. Thanks to intraoperative imaging, major medical procedures can be replaced by minimally invasive surgery because physicians are able to monitor the results immediately. This is gentler on patients and decreases the number of subsequent revision surgeries.
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OR of the future: technology benefits surgeons


When it comes to the future of medicine, we often ponder how we would like to be treated. On the other hand, there is the issue of how physicians would like to treat their patients. The surgical procedures are determined by the technology that doctors are surrounded by. That’s why technology development also needs to be adapted to the needs of surgeons in the operating room of the future.
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MRI scan: Video projections help children overcome their fear


A beautiful field of flowers, a trip to the beach or a visit to the zoo. Children can experience all of these at the Clinical Center Dortmund in a 270- degree projection on the wall. The Center created a space that is designed to help its little patients overcome their fear of MRI scans.
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New maths to predict dangerous hospital epidemics


Mathematicians are now developing completely new statistical calculations on the world’s fastest computers in order to be able to predict how epidemics of dangerous hospital bacteria spread. Studying the entire genomes of bacteria has now thrown open entirely new possibilities for revealing their secrets. It is this genetic knowledge that scientists use to understand bacterial epidemics.
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Lack of pharmacy access sends some patients back to the hospital


Hospital readmissions, a 17-billion-dollar annual problem, are higher in rural, remote or smaller communities that sometimes have significantly less access to pharmacies, according to a study published today that was one of the first to examine this issue.
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Blue versus Green Hospital: Economical in all departments


Hospitals seldom operate economically and sustainably - old building structures and the intricate logistics operations involving expensive patient care are costly. To get out of the red, hospitals need to become more efficient in all areas. One way to achieve this goal leads through the Blue Hospital Concept.
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Hospital Logistics: Ecology vs. Economy


Hospitals logistics is a very broad field and encompasses many areas – ranging from surgical planning to patient transport but also including categories such as laboratory and waste disposal. But how does this broad spectrum fare in terms of sustainability?
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Sustainability: Hospitals can achieve a trifecta


Humans leave large ecological footprints on the planet. Nevertheless, sustainability - that being resource-conserving and environmentally oriented action - is still far from being a concern everywhere. The public sector, in particular, has a difficult time with this because sustainability requires initial funding to renew and adapt processes and technology. This applies especially to hospitals.
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Allaying fears


As waves of hospitals move from older methods of record keeping to new digital electronic health record (EHR) systems, many medical professionals express fears that implementing an EHR system in their hospital will have dire results, including more errors and higher patient mortality.
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Gram-negative bacteria pose a major challenge for hospitals


Every day, people are admitted to the hospital, discharged or they visit patients. This large number of people increases the risk of bacteria transmission. Preventative measures such as short-sleeved uniforms and copper surfaces can help by improving hospital hygiene but they cannot replace the legal requirements for hygiene measures.
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Plasmasterilization: active ingredient cocktail to fight bacteria


Until now, plasma, the fourth state of matter,was consideredfascinatingonly to astrophysicists and science fiction fans. But at this point, it also attracts the interest of medicine because plasma can have many uses in this field. In the future, plasma sterilization could become an important component of hospital hygiene-provided that the right device is being used.
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Textiles used in hospitals and medical offices – germs don’t stand a chance


Some hospitals have long banned the status symbol of physicians – the white coat. Research has shown that especially the sleeves were contaminated with various types of bacteria. But it’s not just lab coats that can spread germs in healthcare settings. This field uses a variety of different textiles. Wouldn’t it, therefore, make sense to apply antimicrobial finishes?
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Safe or Not Safe? "The AB-DES has not gained market access in countries like Japan or the U.S."


Antibody-coated, drug-eluting stents (AB-DES) feature an exterior coated with immunosuppressant drugs and an interior that is coated with antibodies to accelerate the adhesion of endothelial cells. In theory, this makes it possible to shorten the duration of therapy with blood thinners, which can mean relief for patients from an already difficult situation.
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Knee at your fingertips


How can you print ceramics, what purpose do they have and how benefits medical technology? Answers provides Dr. Tassilo Moritz from Fraunhofer Institute for Ceramic Technologies and Systems IKTS.
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Melt electrospinning writing: polymer fibers for tissue engineering


Sometimes, soft tissue in our body needs to be replaced after surgery or an injury. But surgeons are not always able to take tissue from other body parts as a replacement. Then, they need to use implants. The production of soft implants that can constantly endure load and stress like our own tissue is a big challenge for research. Melt electrospinning writing can be a solution.
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Rapid Tests: valuable helpers for use in the field


Infectious diseases are widespread in conflict areas. When basic medical care is lacking on location, people cannot be appropriately treated. Laboratory tests are limited in the field. Rapid diagnostic tests make it possible for medical personnel to quickly and accurately test patients for several infectious diseases, for instance for the presence of malaria or HIV infection.
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Esophageal cancer: increased patient safety thanks to the ”Da Vinci“ surgical system


Interview with Professor Jürgen Weitz, Director of the Clinic and Polyclinic of Visceral, Thoracic, and Vascular Surgery, University Hospital Carl Gustav Carus at the Technical University Dresden
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A new world: hybrid operating room workstation


Performing surgery in a hybrid operating room is meant to be a relief for the staff and offer patients new options for treatment. What is actually so different about this hybrid operating room, what can you expect and what should you keep in mind during the planning process?
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Fighting myomas with ultrasound


A proper diagnosis is a part of great therapy. However, it can also be beneficial to be able to quickly respond to changes during a treatment. One example of this is the treatment of uterine myomas. Female patients at the University Hospital Bonn are treated using so-called high-intensity focused ultrasound, HIFU in short. Prof. Holger Strunk explains this procedure.
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Industrial therapists in hospitals: changing structures


Hospitals only achieve a high level of patient safety if the workplaces of all their employees are optimally designed. Things can become life-threatening when doctors and nursing staff have not been properly trained. Dr. Carsten Ostendorp at the Center for Industrial and Organizational Psychology in Hospitals (ZAK), spoke about this topic with
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Small companions: How wearables change our lives


They can be seen everywhere: at the wrists, in the ear, clipped to the belt. Wearables are small technical assistants who are built to collect and partially also to analyze data. Some of them collect measurable health data, others "only" count their user’s steps or measure the surrounding UV radiation. The fact is, however, that wearables are en vogue and are used for many different cases.
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Krankenhaus Rating Report: Not every hospital needs to be maintained


This year’s German Krankenhaus Rating Report concludes: the probability of insolvency for German hospitals continues to increase. More than ever, the demographic change demands a more efficient health care system. This also includes the closing of several hospitals, particularly in rural areas. The scheduled Hospital Structures Act is soon said to make this decision easier.
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Transcatheter Pacing System: The world’s smallest cardiac pacemaker


In the case of cardiac arrhythmia, the normal heart rate gets out of balance due to various reasons. In some cases, it is necessary to implant a cardiac pacemaker. Just like with any intervention, this type of surgery also involves risks. In the worst-case scenario, this can lead to abnormal wound healing or obliteration of the vascular system.
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Cartilage Registry: "We generate fully independent data"


Does a patient benefit from treatment or not? How many patients are being treated as a result of damaged cartilage in the knee joint? What intervention is performed most frequently? These and other questions are meant to be answered in the future with the help of a new Cartilage Registry, which was created by the German Society for Orthopedics and Trauma Surgery.
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Communication: How does the neighbor actually do it?


In Europe, or rather: at least between Germany and the Netherlands, the answer to this question often is not more than a subject for jokes. A current research project about strategic communication in hospitals now wants to show that and how neighbors actually are able to learn from each other when they look to the other side of the fence.
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Crisis Management: Keeping the big picture in mind


How should a hospital best respond to an emergency and which types of crises should it be prepared for? We spoke with Professor Ronald Glasberg at the SRH Hochschule Berlin on this subject.
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Hospital crisis communication: A crisis knows no rules


Crises come in many shapes and sizes. Whether it’s poor hygiene, thefts or treatment errors – once the crisis has arrived, things need to move quickly. For hospitals in particular, the right crisis communication is key. Yet many medical facilities still neglect the fact that crisis communication starts before the actual crisis takes place.
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Digital pathology: From microscope slide to virtual microscopy


The digitization of medicine moves on. Researchers, physicians and patients equally benefit from this development – thanks to improved diagnostics with highly sensitive devices, today findings can be comprehensively analyzed and treatment decisions made on a broadened basis. Digitization also offers the area of pathology interesting fields of application.
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Pediatric pathology: Specialized knowledge for the youngest


When children are sick, their parents take them to a pediatrician. A pediatric pathologist is needed when pathology exams need to be conducted. This branch of pathology requires specialized knowledge. The Society for Pediatric and Fetal Pathologists is championing the transfer and preservation of this knowledge.
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"We simply want to improve intensive care medicine"


Something we learned from nuclear power plants: since 2010, peer reviews are being conducted in German intensive care units. These voluntary peer reviews are primarily intended to improve the quality of intensive care medicine. Ultimately, it is not just the patient, but also the hospital that benefits from this.
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"Art and culture are well suited for all areas of healthcare"


Theater, choir, photography – art and culture soothe the soul. Professor Erwin Wagner of the University of Hildesheim Foundation, who founded the "KulturStation" project together with the AMEOS Clinic, is sure of this. Patients and associates of the hospital’s psychiatric unit were involved in artistic activities. The goal was to improve well-being.
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Making Your Own End-of-Life Decisions: “All options of palliative care, pain management and continued life need to have been explained to the patient“


How does a physician handle a patient, who wants to die and what rights do I actually have as a patient? Legal practitioners do not automatically answer these and other questions. We talked about this subject with MD-PhD Ralf Jox from the Institute of Ethics, History and Theory of Medicine at the Ludwig Maximilians University of Munich, Germany.
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Continuous glucose monitoring: "Our method is based on the principles of infrared photometry"


Patients in intensive care units do not just have to struggle with the consequences of a severe injury or disease – they are also subject to acute glucose fluctuations that compromise the healing success. These sometimes happen so quickly that they cannot be caught in time with existing discrete measurement methods.
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Persistent vegetative state: brain stimulation with laser beams


The public only notices diseases when celebrities become patients: in the spring of 2014, Formula One driver Michael Schumacher fell into a coma for several months as the result of a head injury caused by a skiing accident. These types of accidents show how delicate the brain responds to injuries. Brain stimulation could possibly support the rehabilitation of vegetative patients.
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The intensive care unit of the future - speedier recovery through feel good architecture


The rooms in German intensive care units are cold and dreary. Hectic movements determine the patient’s everyday life along with noisy surveillance systems. Artificial light often also promotes a disturbed circadian rhythm. Sleeping pills are meant to solve this problem, but they also increase the risk of delirium at the same time.
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Hospitals: many small measures against infections and sepsis


If neither the immune system nor antibiotics are able to control an infection, a sepsis can arise out of it - an infection that attacks several organs at the same time and causes the immune system to overreact. This is a life-threatening condition.
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Hygiene: "The sensor applies the principle of so-called photonic structures"


Detecting infections quickly and reliably with the naked eye: This is what many doctors in hospitals and in the doctor's surgeries wish for. To make this dream come true, Prof. Holger Schönherr, a scientist from Siegen, is researching a sensor that should show an infection by a color change.
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Multi-resistant bacteria want to conquer the world


Bacteria lurk everywhere: on the skin, in the intestines and in every puddle. Most of them that are hanging out in the human body are good bacteria. But not all of them. Those pathogens that exhibit resistance and are thus very hard to combat are the most dangerous kind. Their spread threatens people all over the world.
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Photo: Modern OR at the Charité

OR technology: developing more flexibility and usability


Gentle, safe, precise, fast – surgical interventions need to meet many demands: laws and regulations concerning safety, the desire for the best possible health outcome, economic requirements of hospitals and ever-changing technology make up today’s framework for surgery. As a consequence, operating theaters and the way they are equipped change, too.
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Fat is the best medicine: "Adipose tissue contains many multipotent stem cells, approximately 500 times more than bone marrow"


The not so popular “love handles“ could revolutionize medicine in the near future. In cooperation with the University of Rostock (Professor Hermann Seitz), the human med AG Company currently seeks to develop a device that is able to gently remove adipose tissue during surgery and subsequently isolate stem cells.
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Focused Content for an International Expert Audience


The MEDICA EDUCATION CONFERENCE (MEC) debuted at MEDICA 2013 and replaced the long-time MEDICA Congress. With its new program, the Conference increasingly addresses an international expert audience. The goal is to unlock the practical benefit from the latest procedures in their application in clinical practice for physicians and patients.
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Sports and cancer: no panacea, but a necessary aid


When are sports healthy, how often should you engage in sports and what effect do sports have on the body – over the past few decades, there were always different answers to these questions. Many studies that were conducted in the past however confirm the assumption that sports and exercise always support health, even if someone is already sick.
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Quality in health care: "It is about the welfare of treated patients"


Measuring quality in health care is not easy. Controlling it doesn’t just provide challenges for the medical sector, but also for policy makers. This is why measuring and representation systems for quality in hospitals as well as improvement concepts are being developed at the IGES Institute.
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Medical apps: functionality and safety is key


Successful communication is most important in medicine. The most modern channels have been utilized in this area for quite some time now. Medical apps need to meet several requirements at once. For their use to pay off, they need to be beneficial for prevention or therapy. And to ensure a safe application, they also need to be both technically and medically flawless.
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"The Virus Manipulates the Host Cell on Different Levels"


Heart diseases can be triggered by special viruses that affect the cardiac muscle. Preventive drugs could definitely be developed – if the virus does not mutate.
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Study approach: surgical trials mean more safety in the operating room


Whether a surgical suture is better applied manually or with a surgical stapler can be determined through trial and error. Determining which method guarantees patient safety best should also not just be based on a surgeon’s experience. Controlled studies are the method of choice to assess both well-proven and new techniques in the operating room.
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