By Felix Unger

[ the most target of this cluster is the optimisation of the scientific arts and technology. In a graphical illustration of human existence, the lifespan or time could be proven on a horizontal axis, and the incidences of disorder or health and wellbeing will be proven on a vertical axis. all through, sufferer exists in his own surroundings, in his person pri­ vate sphere. th within the past due 20 century, clinical arts and sciences have completed huge, immense professional­ gress leading to powerful prognosis and remedy. at the present time in Europe, a major problem of our society centres round non-communi­ cable illnesses, simply because communicable illnesses were dramatically decreased by means of previous in depth socio-hygienic programmes. however, medication in Europe needs to be consistently alert to struggle communicable illnesses equivalent to TB, AIDS, SARS and so on. drugs has been very winning some time past in struggling with communicable and non-communicable illnesses. This has ended in a rise of our lifespan, and an getting older inhabitants. desk 1 exhibits lifestyles expectancy in Europe in 2001. This varies in ecu member states from 78.6 as much as 82.2 years in women, from 73.7 to 74.6 years in men. within the candidate international locations, lifestyles expectancy varies in adult females from 75.2 to 78.1 years and from 66.1 to 71.1 years in men. desk 2 indicates the remainder lifestyles­ span at age sixty five, that's a lot better within the european member states than within the candidate international locations. This expanding existence expectancy dramatically alters the constitution of our society.

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Disparity between claims and actual data from Central and South America, Africa and Asia continues to expose several areas where manufacturers' recommendations are considered unsafe. • Disposables meet international medical standards • Warning: no re-use of single-use devices a Implants. Implants and devices are always therapeutically indicated. Implants are used in neurosurgery, cardio-thoracic surgery, sutures, plastic surgery, orthopaedic surgery (joints: hips, knees, shoulder), vascular surgery, dentistry and orthodontics, ortho-rhino-Iaryngology, ophthalmology, endocrine surgery, urology, etc.

Most indications are due to tumours, occlusions, stenotic vessels or ducts. ) which may result in a reduced length of stay in hospital. The length of hospital stay has continuously reduced, but is more intensive and tends to take place in special care units. Besides open surgery, there are possibilities to operate percutaneously, as in the field of cardiology where inserting stents or dilating stenotic vessels is common. All invasive therapies should be standardised and classified based on their outcomes.

8). Critical Issue 10: Classification of Medical Procedures • • • • Class Class Class Class I: evidence-based lIa: high evidence lib: low evidence III: no evidence The management of all diagnosis, therapy, prognosis and prevention should be classified in I- III. This classification is an effort by European professional societies, compiled by the EIH and provided to national authorities as the basis for quality control and reimbursement. 28 class I: class lIa: class lib: class III: ~ Standards highly effective and evident effective, limited evidence effective, no evidence ineffective, no evidence ~ Established for all medical procedures, therapeutic interventions, inc I.

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