Obesity: Patients with gastric tube approximately 70 percent weight take off if the stomach is only as big as a hose, felt a sense of satiety – man inevitably more and takes off. For obese patients who are morbidly obese, this operation can be an almost life-saving measure. Because often the massive obesity a series of concomitant diseases causes, including diabetes and high blood pressure. Obesity surgery in Germany is but still very small compared to other EU countries and the United States. Just 4,000 work of this kind are currently counted in Germany. It is all the more surprising, now reported the 500th sleeve Gastrectomy on the vest in the hospital in Recklinghausen. “After surgery, patients on average lose 70 percent of their excess weight. Our current record holder has declined since September 2010 about 160 kilos”, says Prof.

Dr. med. Martin Busing, whose clinic in Recklinghausen itself as one of the nationwide just two facilities ‘ certified reference centres for Adipositas and ” metabolic surgery”may call. The “hose stomach” command is performed through tiny incisions on the abdomen and is one possibility among many, obese people to help. “Patients should drink immediately after the surgery, although the course often only minimal amounts are”, says Prof.

Busing. The complication rate for this type of intervention lie under one percent.

Ascorbic Disease

Thorough colon cleansing ensures unobstructed view of Marburg, in November 2012 for patients with inflammatory bowel disease (IBD), the regular colorectal cancer screening is especially important. Because with increasing duration of illness increases the risk for cancers in the colon. A thorough cleaning of the body prior to a colonoscopy ensures the quality of the investigation. Only in a spotless, the doctor for colonoscopy can detect even small pre-cancerous and remove. A thorough bowel cleansing prior to the investigation is now possible with modern 2-liter-PEG solutions (Polyethyenglykol with Ascorbic acid and sodium ascorbate) in a gentle way. The patient drinks each one liter of the PEG solution, as well as at least a pint of clear liquid, such as mineral water or light tea in the evening and the morning before.

The extra hydration and the electrolytes contained in the solution make sure that the water budget will remain balanced the body will thus not be charged. The Supplements are available in various fruity flavors (such as MOVIPREP lemon or orange). Especially people who more often be a colonoscopy personnel such as IBD patients, can thus alternate the flavors. Colorectal cancer risk with duration of illness varies depending on the type of inflammatory bowel disease also increases the risk of undesirable polyp formation in the gut. In addition, the duration of the disease has influence on the probability of whether or not form ulcers in the intestine: A recent study has shown that patients with ulcerative colitis have a 2.5 percent higher risk of colorectal cancer after 20 years of disease, after 40 years by 10.8 percent. Patients with Crohn’s disease have a risk higher around three to seven compared to healthy people. In the region of the disease in the body decides on the risk: patients, where only the rectum is affected, are at the least risk. Regardless of which region of the gut is affected, should patients with chronic bowel disease Colonoscopy as a screening plan for every one to two years.

So, cancer precursors can be detected early and treated. The attending physician or the website gives more information about colon cleansing. Helpful tips and a vivid information film here to find, which accompanies the procedure of a colonoscopy of the consultation to the colon cleansing and explains. Healthy intestinal involvement the Norgine GmbH is a pan European pharmaceutical companies that has committed to the development, manufacturing and marketing innovative medicine. “In addition to the sponsorship for the Felix Burda Award” the company is engaged in the field of Gastroenterology in scientific research. Contact: antwerpes ag Nina Wagner bird anger str. 66, 50823 Koln phone: 0221 92053-328 fax: 0221 92053-133 E-Mail: sources: 1 Rutter MD, Saunders BP, Wilkinson KH et al (2006) thirty-year analysis of a colonoscopic surveillance program for neoplasia in ulcerative colitis. Gastroenterology 130(4):1030-1038 2 overview/risk for colon cancer/chronic enteritis/Crohn’s disease crohn (last accessed on the 27.11.2012)

Neurologists Practice

Patients are the best guide to the quality of Web pages the importance of practice websites is recognized by an increasing number of practising physicians. But to the marketing, to be able to use image and reputational effects of practice pages, it is not sufficient to be simply present and statistically to track the number of hits. What matters is the quality of the communicative performance and in particular the authenticity of practice pages. A procedure developed by the Institute for economic analysis, consulting and strategy development (IFABS), detachable from surgeries on their own shows, this exemplary for the professional group of neurologists. The practice website evolved more and more to a standard information instrument of practice work. But unlike all other media used for this purpose, like for example the practice brochure the practice website has a width marketing function.

The targets associated with a performance especially the response of potential new patients to reach, must be optimally designed its communication effect. The phenomenon of single shot matters worse here”to bear, i.e. the fact that the first impression of a page already decides to favor or not like. Just below these aspects, it is surprising that practice home pages never closer investigates the communicative performance. To do this, the number of visitors or page views provide no information. To assess the homepage current – account balance, the Institute has therefore developed an exploration design for a website patient satisfaction survey, which was now expanded to a validated, actionable by surgeries on their own system for business analysis, consulting and strategy development (IFABS). It is based on a questionnaire with open and closed questions about the possible patient characteristics of a practice Web site. The following illustration (bit.ly/YT2lyv, maximum at 100%) shows the calculated for practice operations of the section “Neurologists” average Homepage performance potential.

The total assessment for the design areas of “Content”, “Shape” and “Information”, as patient satisfaction in relation to the requirements are identified. The value of “Authenticity” describes how well the Web pages of the neurological practices represent the reality on the ground. The “total quality” represents the patient judgment about the general effect of websites in practices known compared to Web pages of other patients. The figures show a clear potential for optimization the pages of this section, that can be set as well as for other physician groups. Klaus-Dieter Thill / IFABS