BMI not for dialysis patients

Dialysis patients have a higher prevalence and incidence of obesity, a well-known risk factor for progression to end-stage renal disease in chronic kidney disease (CKD). However, studies have also...

Neurosurgery education in Africa

Two things currently lacking in sub-Saharan Africa are neurosurgeons and knowledge of neuroendoscopic management of hydrocephalus. Two projects set up as counteractions are a mobile teaching......

Cracking on with cemented hemiarthroplasty

The following is the summary of a consensus document for the preparation and conduct of anaesthesia and surgery in patients undergoing hemiarthroplasty for hip fracture, produced by members of the...

BMI not for dialysis patients

Dialysis patients have a higher prevalence and incidence of obesity, a well-known risk factor for progression to end-stage renal disease in chronic kidney disease (CKD). However, studies have also...

Residents: tougher than the rest

Today’s residents have a tougher job than those of old, having to gain both the expertise for minimally invasive surgery (MIS) as well as the still dominating open approach. So say researchers from...

Closing the loop in anaesthesia

The machines are taking over, and in the case of anaesthesia delivery, that’s a good thing: Compared to conventional manual control, automated anaesthesia drug delivery allows for a continuously......

End stage renal disease: more fibre on the menu please

Historically, i.e. before the advent of haemodialysis, doctors usually recommended a low protein intake of 0.6/kg/day, based on the assumption that a dietary protein restriction was necessary to......

Is it a bird? Is it a plane? No, it’s SuperPath

And it is a surgical technique: The supercapsular percutaneously-assisted total hip (SuperPath) surgical technique is a tissue-sparing approach that allows for same-day ambulation and has no......

Laparoscopy: valid alternative in elderly CRC patients

Is it safe to use laparoscopic surgery (LAP) on elderly patients with colorectal cancer? This question has so far not been clarified. Now, the present propensity scoring case-control study from......

Fibrescopes: the cost question

Are single-use or re-usable ones the better financial option? Actually, both options can be the more cost-effective one. A decisive factor is the rate of intubations per year, say English......

Orthopaedic surgery in disaster and conflict zones

Natural disasters and armed conflicts are a significant contributor to physical trauma, which is a leading cause of global mortality; as the daily news coverage shows, both occur most often in......

The hips are all right

Now what type of hip replacement shall it be for the patient with long life expectancy and an active lifestyle: ceramic-on-ceramic (CoC), ceramic-on-highly crosslinked polyethylene (CoPxl), or......

Dopamine: the next option in ADPKD?

It is early days yet, but in the future dopamine could play an important therapeutic role in reducing cardiovascular events in autosomal dominant polycystic kidney disease (ADPKD), say French......

Neurosurgery education in Africa

Two things currently lacking in sub-Saharan Africa are neurosurgeons and knowledge of neuroendoscopic management of hydrocephalus. Two projects set up as counteractions are a mobile teaching......

Cracking on with cemented hemiarthroplasty

The following is the summary of a consensus document for the preparation and conduct of anaesthesia and surgery in patients undergoing hemiarthroplasty for hip fracture, produced by members of the...

Blood pressure in CKD: keep it strictly under control

How strict should the control of blood pressure be in patients with chronic kidney disease (CKD)? This topic is controversially discussed, report US-American scientists from Boston and San......

Pathological changes in tendons in diabetes mellitus

And the bad news just keeps coming for diabetics from the Department of Orthopaedics. Not only do male patients have an increased risk of progression of knee osteoarthritis, but now it turns out......

Google launches health tracker for clinical use

There's an abundance of health and fitness trackers available already these days. Yet Google has launched a new device and promises a distinctive key benefit: According to Andy Conrad, head of......

Don’t you underestimate me, says prosthetic joint infection

Infection is one of the most devastating complications of prosthetic surgery. And if current trends with ever more multi-resistant bacteria and ever fewer effective antibiotics continue, this......

Sucroferric oxyhydroxide: lower pill burden

Due to hyperphosphataemia, most dialysis patients are on phosphate binders. In the present phase III extension study, an international research team (US, Romania, Germany, Switzerland) under the......

Facing the challenge of paediatric cerebral arteriovenous fistulas

You just cannot beat experience – and this is also true when it comes to treating cerebral arteriovenous fistulas (AVF) in children, say US-American researchers at St. Joseph’s Hospital and......

Simulate it: crisis management on surgical wards

Simulation is now an accepted method for surgeons to develop and hone their skills in a ‘safe and structured’ environment. However, the focus of most stimulation practices has been almost entirely...

Smart alert: pump up the infusion

Ladies and gentlemen, may we present the ‘Infusion Pump Informatics’ (IPI) project, a collaborative effort led by US-American scientists at Purdue University, Lafayette, Indiana. The project,......

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