Health Specialists To Help Solomons Dengue Fight

A team of health specialists from Australia and Fiji has arrived in Solomon Islands to tackle an outbreak of dengue fever. Since the first case was reported four months ago, the virus has continued to spread quickly. Three people have died and there are at least 2,500 suspected cases of dengue fever, mostly in the capital Honiara. However Dr Yvan Souares, who manages the Health Protection program at the Secretariat of the Pacific Community, says the virus could easily spread to other regions. “Population movements between the capital city and the various provinces are of course are very important in countries like the Solomon Islands and especially of course you are aware of the tsunami and all the damages that affected the provice of Temotu,” he said. “Currently the public health systems in the Solomons is very stretched out.” The strain of dengue fever is one which hasn’t been seen in the Pacific for 30 years. Dr Souares says it’s also never been reported in Solomon Islands. “You have to exercise some caution in interpreting these facts – because the recording in some countries like the Solomons is not fully reliable,” he said. “Historical data never mention this strain in the Solomons in the past, but that does not mean it do not reach there. “But…it seems that a lot of the population is not immune to the virus – hence the high number of cases and the spread to a lot of provinces now.” Dr Souares says it’s important to reiterate that the current virus in the Solomons is no different to any previous outbreak. “It’s a little bit like influenza virus, which circulates amongst a population…and when it reaches a population which has not seen that virus for a while, the fringe of that population is therefore susceptible to the virus,” he said. “There’s no specific harm that’s being caused by this virus because of its changes in genetics for example – there’s no such thing going on.” Topics:

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Wealthy tourists spend $26m in Australia for medical care

While an increasing number of Australians are travelling to Asian countries such as Thailand and Singapore for cheap care, Australian doctors and hospital chiefs say a small but increasing number of wealthy people from the Asia-Pacific region are coming to Australia for treatments such as orthopaedic and heart surgery, cancer services and IVF. Data from Tourism Research Australia, the federal government’s agency in charge of tracking trends, shows 10,739 people came to Australia for medical reasons in the year to September 2013 – double the number in 2006. The data, which models information from surveys of 40,000 people in Australian airports each year, found medical tourists spent about $26 million in 2013, up from $12.7 million in 2006. This figure did not include their airfares and packages they had already purchased. It comes as the Victorian government works on a strategy to increase health and medical exports including medical tourism. Opportunities are being discussed particularly in the context of Melbourne’s increasingly prestigious Parkville Precinct which includes the new $1 billion Comprehensive Cancer Centre, which is hoped to deliver cutting edge care when it opens in late 2015. Some of those patients had family connections in Australia or had heard about specialist care that they wanted here, he said, while others fell unexpectedly ill while visiting Australia. CEO of Monash IVF James Thiedeman said about 50 medical tourists a year paid a premium rate for treatments at Monash IVF, possibly because of its reputation for new technology such as pre-implantation genetic diagnosis and the fact that prices in Australia were about 20 per cent less than the US. Economists say rising wealth in countries such as China and Indonesia could be driving people to seek high-quality care in Australia, particularly in niche areas such as weight-loss surgery, robotic surgery, orthopaedic surgery and IVF. A Deloitte report on medical tourism opportunities for the Australian government in 2011 said surveys in China had found 8 per cent travelled to other countries for medical care, with only 13 per cent believing that the quality of care available in China was comparable to the best in the world. Only a quarter said their physicians had access to the latest technology. A 2010 Victorian government report on export opportunities also suggested Victorian hospitals set up ”assistance centres” in Indonesian cities to guide people wanting to travel to Australia for medical treatment. ”In general, the service would include transportation, medical referrals and appointments, hotel accommodations, assistance before, during and after hospitalisation, and customer service assistance for billing and financial inquiries,” the report said.

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Crohn’s Disease – Professor Thomas Borody Of Australia Comes To New York To Discuss Significant New Findings

Prof. Borody supervises a number of major research programs as well as being involved as a reviewer for the American Journal of Gastroenterology, Digestive Diseases and Sciences, Endoscopy, Journal of Gastroenterology and Hepatology, Medical Journal of Australia and Digestive and Liver Diseases. He has published in excess of 120 scientific papers. In 2004 he was appointed an Adjunct Professor of the Faculty of Science at the University of Technology, Sydney. The Suffolk Y JCC is an agency of UJA Federation and affiliated with JCC Association. Additional funding is provided by the United Way of Long Island and the Townwide Fund of Huntington. The Suffolk Y JCC takes no position on the efficacy of Dr. Borody’s treatment. There are no references listed for this article. Article adapted by Medical News Today from original press release. Visit our Crohn’s / IBD category page for the latest news on this subject. Please use one of the following formats to cite this article in your essay, paper or report: MLA Moore, Eric. “Crohn’s Disease – Professor Thomas Borody Of Australia Comes To New York To Discuss Significant New Findings.” Medical News Today. MediLexicon, Intl., 2 Mar. 2006.

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Canadian Doctors Demand More Pay

Ottawa has cut the rate of growth of its contributions to the provinces for health care by about 15 percent. Well before the cuts, doctors’ incomes were losing ground to those of other professional groups, the Medical Association says. It cited tax figures indicating that between 1971 and 1977 lawyers, dentists and accountants increased their incomes at a much faster rate than doctors. In Ontario, according to an association spokesman, the average net income for a doctor is about $53,000 a year. The doctors want their yearly incomes increased to well over $100,000 in some cases, and Mr. Geekie acknowledged that it was difficult to get support for this from ordinary Canadians making much less. Talks Break Down, Then Resume Ontario doctors were particularly upset last week when the provincial government tried to impose new fee schedules when negotiations with their representatives broke down. Although there have been further talks since then, many doctors saw the government’s move as the start of a process that could lead to state medicine and the transformation of doctors into salaried civil servants. The present Ontario fee schedule allows about $7.80 for an ordinary office visit, about $114 for an appendectomy and about $230 for complete obstetrical care over 11 months. Ontario has been proposing to raise these fees by some 10 percent a year over three years, while the Ontario Medical Association has been demanding twice that amount so doctors can ”catch up” with inflation. Talks in the last few days have narrowed the gap somewhat, and there was a possibility of an accord over the weekend. In Ontario 15 percent of the doctors do not participate in the system at all and charge what they like. Their patients recover part of the costs from the Ontario Health Insurance Program, to which almost all Canadians belong for about $19 a month for a single person and about $38 a month for a family; this fee also covers hospital costs. Some Bill for Extra Amounts Most doctors in Ontario and the rest of Canada accept the present system of publicly financed medicare because it helps to assure them of a minimum income. But in some provinces doctors are billing for amounts beyond those prescribed in the schedules. In Quebec, where the agitation is expected to continue and perhaps even spread from general practittioners to specialists, extra billing is prohibited.

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Canadian doctors barred from performing ‘virginity tests’

The Montreal Gazette reports the Quebec College of Physicians issued the decree after two University of Montreal ethics specialists were alerted by school staff to separate incidents involving the matter. Imagine a doctor who does a gynecological examination with the sole purpose of … it goes beyond the imagination. And its degrading to women, Charles Bernard, president of the College des medecins, told The Gazette. The Quebec College of Physicians is, among other things, responsible for dispensing ethical guidance on medical issues for its many member physicians. The Gazette writes University of Montreal ethicists were contacted by a clinic nurse after a young woman asked the health professional during a routine medical exam whether, she was still marriageable. But by then, it seems the ethicists were already grappling with the issue. Two weeks prior, the same researchers reportedly fielded a call concerning an adolescent whose family had forced her to undergo a chastity test at a local clinic. The girl subsequently told her school nurse, who then contacted the university. We got the impression that the physician was pressured by the family in the emergency room. The father was very insistent about having the certificate, and to get rid of the problem, the doctor did it, University of Montreal researcher Marie-Eve Bouthillier reportedly said. The Gazette writes Canadian officials have focused on the issue of late, or since the bodies of four women of Afghan descent were discovered in Ontario in 2009. They were reportedly murdered by relatives in so-called honor killings.

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Association Between Thiopurine Use And Nonmelanoma Skin Cancers In Patients With Inflammatory Bowel Disease: A Meta-analysis

novoGI(TM) Announces Purchase of IP and Collaboration With Leading Gastroenterologist Dr. Christopher Paul Swain

E-mail: v.subramanian@leeds.ac.uk Received 13March2013; Accepted 5November2013 Advance online publication 14January2014 OBJECTIVES: Thiopurines are the mainstay of treatment for patients with inflammatory bowel disease (IBD). Thiopurine therapy increases the risk of nonmelanoma skin cancers (NMSCs) in organ transplant patients. The data on NMSC in patients with IBD on thiopurines is conflicting. METHODS: We searched electronic databases for full journal articles reporting on the risk of developing NMSC in patients with IBD on thiopurine and hand searched the reference lists of all retrieved articles. Pooled adjusted hazard ratios and 95% confidence intervals (CIs) were determined using a random-effects model. Publication bias was assessed using Funnel plots and Egger’s test. Heterogeneity was assessed using Cochran’s Q and the I2 statistic. RESULTS: Eight studies involving 60,351 patients provided data on the risk of developing NMSC in patients with IBD on thiopurines. The pooled adjusted hazards ratio of developing NMSC after exposure to thiopurines in patients with IBD was 2.28 (95% CI: 1.50 to 3.45). There was significant heterogeneity (I2=76%) between the studies but no evidence of publication bias. Meta regression analysis suggested that the population studied (hospital-based vs.

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today announced that it has purchased IP and signed a collaboration agreement with Dr. C.P. Swain for the joint development of an innovative laparoscopic nitinol based compression anastomosis solution for Bariatric surgery. Professor Paul Swain is Professor of Gastrointestinal Endoscopy at Imperial College, London University, UK. Professor Swain is widely published in the area of gastroenterology, with over 180 publications on areas such as endoscopy, gastrointestinal bleeding and technical advances and devices for endoscopy. “I am thrilled to be working again with Gavriel Meron and the novoGI development team to provide a unique solution for the growing need for a simpler and safer bariatric surgical procedure,” commented Dr. Swain. “Bariatric surgery often is the best path for resolving obesity and Type 2 Diabetes, and we believe that our innovative solution may significantly improve outcomes and quality of life, thereby becoming the standard of care worldwide.” “We are delighted to be collaborating with Dr. Swain. A prototype has already been successfully tested in pre-clinical studies and we look forward to jointly developing this solution,” said Gavriel D. Meron, President and Chief Executive Officer of novoGI. “We see this agreement as another important step in expanding our offerings in line with our focus on advancing patient care and seeking better outcomes through our comprehensive approach to GI disease management.” About Dr. Christopher Paul Swain Professor Paul Swain trained in Oxford and London University and specialized in gastroenterology, doing his MD on the use of therapeutic endoscopy for the treatment of gastrointestinal bleeding.Subsequent posts included a DHSS-funded Clinical Research Fellowship to study the effect of lasers in gastrointestinal hemorrhage. In 1987, he was appointed as Senior Lecturer and Consultant in Gastroenterology at the Royal London Hospital. In 1999, he was appointed to become Professor of Gastrointestinal Endoscopy to London University.In 2003, he moved to Imperial College in London University. Professor Swain has contributed chapters to key clinical textbooks such as the Textbook of Gastroenterology (Ed: T Yamada) and Clinical Gastroenterology, Endoscopy: New Techniques in Diagnosis and Therapy (Ed: H D Allescher and M Classen).

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Gastroenterology experts call for 24-hour service in all UK hospitals

The call comes after a UK-wide audit from the society revealed that nearly half of UK hospitals do not provide an out-of-hours endoscopy service, despite 60% of acute upper gastrointestinal bleeding episodes occurring out of normal working hours. According to the British Society of Gastroenterology (BSG), more than 700 lives could be saved each year if all hospitals offered a 24-hour service. Addressing a meeting at Number 11, Downing Street yesterday to raise awareness of gastroenterological conditions, BSG president, professor Chris Hawkey, said: Our audit has shown that about 80,000 patients a year are admitted with gastrointestinal bleeding, which has an 8% mortality rate. Yet only 55% of trusts at the moment provide a comprehensive out-of-hours GI bleeding service we need to get this to 100%, he added. The BSG is also calling for six new standards of care for patients with inflammatory bowel disease to be implemented by all UK commissioners by October 2010. Readers’ comments (1) Anonymous | 26-Jun-2009 8:24 pm The B.S.G. is correct in calling for a 24/7 service. In my experience, during almost 20 years of endoscopy nursing, most bleeds and other emergencies occurred outside of the normal working day. The equipment is available and I believe that the service should be funded. Patients deserve prompt effective diagnosis and treatment.

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Quebec College Of Physicians Already Pushing To Allow Lethal Injection For Children

BY Colin Kerr Tweet QUEBEC, February 17, 2014 ( LifeSiteNews.com ) Even as Quebecs National Assembly prepares for a final vote on its controversial euthanasia bill, which is expected to pass easily, the provinces College of Physicians is calling for expanding the list of those who qualify for a lethal injection. As Quebecers become accustomed to doctors administering lethal injections to dying patients, the questions will not be about who is receiving euthanasia but who is being denied it, said Yves Robert, secretary of the College, according to the National Post. Robert identified two classes of patients who will be excluded from the legislation that should be considered for eligibility: patients suffering from advanced Alzheimers disease and the terminally ill who are under 18 years of age and suffering. We will have to think about that, not only for [incapable] adults but obviously for youngsters who face terminal diseases, he said. Junior Health Minister Veronique Hivon likewise said Bill 52s provisions are really, really restrictive. As Quebec legislators and medical experts have taken Belgiums euthanasia regime as a model, it is no surprise that Quebecers should already find themselves considering allowing euthanasia for children, as Belgium did last week. Another coalition of Quebec doctors had previously warned that the government was opening the door for euthanizing children. Dr. Paul Saba, president of the Coalition of Physicians for Social Justice, stated in December, If the bill is adopted the door will be wide open to euthanize children and persons who are not able to give consent. Nevertheless, there is a strong voice in Canada and in the world at large against the logic at work in Quebec. For instance, the World Medical Association, which represents nine million physicians, has come out against euthanasia. Alex Schadenberg, executive director of the Euthanasia Prevention Coalition, said that the Quebec governments intention from the beginning was to include children and people with dementia. This is not new. The Quebec Human Rights Commission thought that not allowing children to have euthanasia was a form of discrimination. They are trying to open the door with this bill and then it will expand from there.

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Family Physicians Group Endorses Congress’ Plan to Overhaul Doc Pay

Medicare

Mitch McConnell, Rep. Nancy Pelosi andSen. Harry Reid offering its support of the bill, which intends to replace the current systemwith a more incentive-based program that rewards providers who meet performance thresholds, improves care for seniors, and provides certainty for providers. Heres the letter written byJeffrey J. Cain, MD, FAAFP,Board Chair of the AAFP : On behalf of the 110,600 members of the American Academy of Family Physicians, I am pleased to inform you of the AAFPs support for the bipartisan, bicameral SGR Repeal and Medicare Provider Payment Modernization Act of 2014 (H.R. 4015 / S. 2000). We greatly appreciate the extensive work that this legislation represents and call for its immediate passage. Legislators and staff have shown a Herculean effort in crafting this proposal. They solicited and responded to suggestions brought forth by the physician community and other stakeholders and included many in this final product. The AAFP urges Congress to pass this measure before March 31, when the current extension of the Medicare payment formula that includes the Sustainable Growth Rate ( SGR ) expires. Above all else, H.R. 4015 / S. 2000 repeals the Medicare SGR.

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Gabriel Lee, M.d., Joins Houston-bay Area Gastroenterology

Gastro nurse specialists ‘vital’ to hospitals

Ravi S. Mani , Dr. Nikhil Inamdar , Dr. Syed Jafri, Dr. Sezen Altug , Dr. Manish Rungta and Dr. Naveen Surapaneni . Dr. Lee obtained his medical degree from Baylor College of Medicine in Houston and completeda residency in Internal Medicine at the University of Texas Medical Branch in Galveston, before entering his fellowship programs in Galveston and Advanced training in San Antonio, Texas.He has native fluency in Spanish. Dr. Lee and his gastroenterology colleagues are part of Bay Area Gastroenterology in Clear Lake, which was the first Houston gastroenterology and endoscopy practice to offer office-based accredited Virtual colonoscopy screening .Specializing in the diagnosis and treatment of ailments of the stomach, intestines, colon, liver, gallbladder and pancreas, the group has offices in Clear Lake, Houston and Pearland.

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Nurse specialists are a vital part of the multidisciplinary team, said BSG president professor Chris Hawkey at the end of last month. High-quality care is built around multidisciplinary teams, and specialist nurses are a really key component of these teams, professor Hawkey told a meeting to raise awareness of gastroenterological conditions at 11 Downing Street. Specialist nurses are the interface that patients most value, and they play a predominant role in patient care. Although many hospitals do have them, we want every hospital in the UK to have a nurse specialist, he said. The specialists will be needed to play a key role in delivering six new minimum standards of care for patients with inflammatory bowel disease. The standards have been developed by seven stakeholder organisations including the BSG and the RCN s Crohns and Colitis special interest group. The stakeholder group wants all UK commissioners to implement the standards by October 2010. They include maintaining a patient-centred service, providing patient education and support, and delivering high-quality care to all UK patients with IBD. We want every strategic health authority to be aware of these standards, and all 161 commissioning bodies to adopt these standards of care as the norm for their local community, said professor Hawkey. The call for more specialist nurses was also backed by the National Association for Colitis and Crohns disease , which launched a campaign in 2005 to increase the number of inflammatory bowel disease (IBD) nurse specialists. The campaign was started after a NACC survey revealed that just 26% of UK colitis and Crohns patients had the support of an IBD nurse specialist. According to data from the UK IBD national audits, this figure increased quite dramatically to 56% in 2006, and to 62% by 2008. But this still falls short of the number of nurse specialists required to deliver effective patient care, said NACC chief executive Richard Driscoll, who also attended the Downing Street meeting. There has been real progress and real recognition of the value of the IBD nurse specialist, but we still have a long way to go, Mr Driscoll told Nursing Times. We are still well short of our target of one and a half whole time equivalent [IBD nurse specialists], and a lot of nurse specialists are still working solo, with a lack of cover and support, he added.

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Many Australian Physicians Not Applying For Permission To Import Mifepristone

18 edition of the Medical Journal of Australia , Melbourne’s Age reports (Nader, Age, 9/18). The use of mifepristone, which when taken with misoprostol can cause a medical abortion, was prohibited in the country until the Federal Parliament in February voted to pass legislation that removed Health Minister Tony Abbott’s authority to veto the importation of it. The Australian Therapeutic Goods Administration in April announced that it had authorized two Queensland physicians to import and prescribe the drug ( Kaiser Daily Women’s Health Policy Report, 6/15). Mifepristone and misoprostol in combination is considered the best method for a medical abortion, the Age reports. However, Marie Stopes , an abortion provider, is testing methotrexate’s use in medical abortions because of the delays in approval of mifepristone, according to the Age. “There do seem to be more people out there using methotrexate and misoprostol than we were aware of,” Christine Tippet, president-elect of the Royal Australian and New Zealand College of Obstetrics and Gynecologists , said, adding that the application process to supply mifepristone is complex. According to de Costa, “several hundred [physicians] annually” in the country are administering the methotrexate-misoprostol combination or just misoprostol alone “under the radar.” Both drugs are licensed in the country, and physicians are permitted to use the drugs for purposes for which they are not licensed as long as they are effective and safe, the Age reports (Age, 9/18). According to de Costa, physicians are using the drugs to abort fetuses up to 13 weeks’ gestation in cases when severe fetal abnormalities are detected (de Costa, Medical Journal of Australia, 9/18). This article is republished with kind permission from our friends at the The Kaiser Family Foundation . You can view the entire Kaiser Daily Health Policy Report , search the archives , or sign up for email delivery of in-depth coverage of health policy developments, debates and discussions. The Kaiser Daily Health Policy Report is published for Kaisernetwork.org , a free service of The Henry J. Kaiser Family Foundation . Copyright 2006 Advisory Board Company and Kaiser Family Foundation. All rights reserved.

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Kenneth Bae Worried About His Health In North Korean Camp

NTU medical school to research on healthcare needs of Singapore’s ageing population

Korea Rodman: I’d trade places with Kenneth Bae N. Korea moves American to labor camp “I’m glad that he’s holding strong, but I’m really concerned about his health,” Chung said. “And the fact that he’s been moved to the labor camp, we’re really discouraged by that.” The 45-year-old Bae, of Lynwood, Washington, was arrested in November 2012 in Rason, along North Korea’s northeastern coast. Pyongyang sentenced him last year to 15 years of hard labor, accusing him of planning to bring down the government through religious activities. He is widely reported to have been carrying out Christian missionary work in North Korea. U.S. civil rights leader Jesse Jackson has offered to go to North Korea to help get Bae released, a move the U.S. State Department says it supports. “We’re just waiting and hoping for a positive response,” Chung said. “Every day we hold out hope that there is going to be some good dialogue between the two countries that will lead to Kenneth’s release soon,” she added. In the video, he expresses hope that North Korea will allow a U.S. envoy to visit for talks about his case — but those hopes appeared to have been dashed over the weekend. A State Department official said Sunday that North Korea had rescinded its invitation to the envoy, Ambassador Robert King, without giving a reason. Hours later, the North’s state-run Korean Central News Agency reported that a former U.S. ambassador to South Korea, Donald Gregg, had arrived in Pyongyang.

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Get the full story from The Straits Times . Here is the press release from NTU in full: Nanyang Technological University (NTU) today unveiled the integrated research strategy of its Lee Kong Chian School of Medicine, aimed at addressing Singapore’s key health challenges. Jointly set up by NTU and Imperial College London, the School welcomed its first intake of 54 students in August last year. The medical school’s research strategy, which draws on NTU’s and Imperial’s excellent track record of reaping synergies between medicine, science and technology, comprises four themes: Infectious Disease, Metabolic Disease, Neuroscience and Mental Health, and Dermatology and Skin Biology. These four research themes are underpinned by the cross-cutting technology platforms in Developmental Biology, Structural Biology, Metabolomics and Sequencing Technologies, and Translational Imaging and Health Services Outcome Research. NTU President Professor Bertil Andersson today announced the school’s integrated research strategy and introduced influential world-class scientist and scientific leader Professor Philip Ingham FRS as the school’s Vice-Dean of Research. A Fellow of the Royal Society and the UK Academy of Medical Sciences, Professor Ingham is widely credited for his ground-breaking work in modelling human disease in the zebrafish. His research has provided fundamental insights into cell signalling in the developing embryo, in particular the Hedgehog signalling pathway, and has relevance both to regenerative medicine and cancer. Professor Bertil Andersson says, “NTU now has a formidable life sciences cluster, with the medical school, the School of Biological Sciences, the Singapore Centre on Environmental Life Sciences Engineering (SCELSE) and a new structural biology research centre headed by Professor Daniela Rhodes FRS, formerly from Cambridge University. Promising inter-disciplinary research between our new medical school and other NTU schools has already started. With Professor Philip Ingham FRS leading a team of global experts and a research strategy focused on Singapore needs, we can expect NTU’s research in healthcare to serve the population’s needs well into the future.” Having a medical school with a world-class research strategy will further boost NTU’s known strengths in biomedical engineering that has produced a number of breakthroughs and world’s firsts over the years, such as the world’s smallest piezoelectric heart pump in 2003 invented by NTU Provost, Professor Freddy Boey. His second invention in 2004 is a fully biodegradable coronary stent, co-developed with Professor Subbu Venkatraman from NTU, which has been successfully implanted in human patients.

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B.c. Medical Specialists Struggle To Find Work

This number was compared to a national unemployment rate of 7.1 per cent when the report was being prepared in late summer. In B.C., the number of unemployed specialists was slightly higher than the national average at 16.5 per cent. The findings are counter-intuitive, given patient complaints about accessing timely care and surgery. aNever in my medical career have I even heard of unemployed doctors, until now, so this comes as a real surprise,a said Dr. William Cunningham, president of the B.C. Medical Association. Cunningham has been practising medicine since 1986 and works in a hospital emergency department on Vancouver Island. The report doesnat address the issue of whether there are too many specialists for the Canadian health care system, in which operating room time and budgets are fixed. But it makes it clear that doctors are competing for resources, including operating rooms, hospital beds and money to pay their fees. The report also pinpoints reasons why newly certified specialists are having trouble finding work: older doctors are delaying retirement; established surgeons are protecting their precious (often only one day a week) operating room time so young doctors arenat getting the hospital/surgical positions they covet; and a lack of cohesion in medical resource planning and coordination between medical schools, governments and hospital or health care authorities. As well, there are relatively new categories of health professionals encroaching on doctorsa territory, such as advanced practice nurses, nurse practitioners and physician assistants. Respondents to the survey were graduates of Canadaas 17 medical schools and/or Canadian residency training programs in fields such as cardiac surgery, neurosurgery, nuclear medicine, ophthalmology, radiation oncology, urology, critical care, gastroenterology, general surgery, hematology and medical microbiology. The report does not include data on family doctors.

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Hospitals lack emergency medicine specialists

However, a bad outcome of medical care is not always a result of medical malpractice; it may also occur due to aincidenta or amedical errora, which should not result in liability for the medical specialist. An incident occurs when a medical specialist acts in compliance with medical standards and objectively could not foresee or prevent the negative impact of his or her actions. A medical error, like malpractice, is associated with erroneous actions of the medical specialist; however, it lacks negligence. If the medical specialistas actions were reasonable based on the circumstances, he or she could be found not guilty. However, if the injured patient has evidence that the medical specialist was negligent and therefore failed to meet the professional standards expected, the specialist may be held liable for malpractice. Further, there is no developed unified doctrine of compensation for poor-quality medical services in civil legislation. For instance, there is still a debate over the legal nature of civil liability for medical malpractice (tort vs. contractual) as well as the applicability of strict (no-fault) liability for medical specialists under the laws on consumer protection. In addition, the legislation does not clearly provide for limitations on professional medical liability (e.g., when a patient cannot make a full recovery or when a patientas actions contributed to the harm). Legal regulation is also required for compensation of damages caused by aincidentsa, i.e., when actions of medical specialists result in personal injury but are not per se erroneous and negligent. Low-Quality Medical Examination Another major reason for the inefficient malpractice liability system is the underdevelopment of forensic medical examination in Kazakhstan.

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Medical Malpractice Liability: Kazakhstan Law and Practice

Pakistan Institute of Medical Sciences (Pims) spokesman Waseem Khawaja explained why emergency consultants were needed in hospitals. At times it becomes difficult for a casualty medical officer on duty from the cardiology department to fully understand the problem of a patient with severe gastro problems. There have been incidents when a doctor referred a patient complaining with chest pains to a gastroenterology department, said Waseem Khawaja. If we need to improve health services, we need to move beyond a duty doctor simply giving pain killing injections and referring the patient to the department concerned. What we need is an emergency consultant who can give analytical medical services, and manage patients with acute and urgent illness and injury before forwarding the patient to the next department, said Dr Khawaja. Dr Shoaib Shafi gave similar views saying emergency medicine specialists were trained in basic minimum emergency medicine. He said specialists were required in all private and public tertiary care hospitals, which received and dealt with major emergency cases. The College of Physicians and Surgeons Pakistan, however, had been pushing for recognition of Emergency Medicine in all hospitals. So far it had sold the idea to two private hospitals in Islamabad and Karachi. Understanding the need of the discipline, both Aga Khan Hospital and Shifa International Hospital have set up posts for Emergency Medicine specialists. But they can only accommodate a few postgraduates, which is not enough, Dr Shafi said. He explained how the field of Emergency Medicine had not just developed importance worldwide but its specialists were also one of the highest paid doctors. The CPSP has already developed curricula and designed a degree in the field of Emergency Medicine started awarding fellowships in this discipline.

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A Startup Club For Doctors Only

doctor entrepreneurs

Currently, the doctors decide how long they want to stay in the program, which is free, but that could change. “As we grow and look for funding, we’ll likely tie membership with a commitment to attending 80% of meetings and start charging fees,” she said. Those fees would potentially help Haas and Gueramy expand their program to other states. They also plan to start soliciting corporate sponsorships. Haas’ and Gueramy’s own experience as physicians-turned-entrepreneurs sparked the idea for their incubator. Haas, a rural family physician, and Gueramy, an orthopedic surgeon, invested $50,000 to launch DocbookMD in 2009. DocbookMD, which allows physicians to safely share encrypted patient information, grew out of their need for a more efficient communication system between doctors and institutions. It also includes a directory of area physicians and pharmacies. The app (available on Apple and Android devices) is free for doctors who are members of their state or county medical associations and available to hospitals and large physician groups for a fee. It is already used by more than 22,000 physicians in 39 states. “With DocbookMD, physicians can quickly consult with each other about test results and even look up another doctor for a patient,” said Gueramy. “This also saves patients’ time, money and a wasted trip to the ER.”

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Doctors’ Group Issues 1st Guidelines to Prevent Strokes in Women

They focus on birth control, pregnancy, depression and other risk factors that women face uniquely or more frequently than men do. The advice applies to patients like Denise Miller, who suffered a stroke last year that fooled doctors at two northeast Ohio hospitals before it was finally diagnosed at the Cleveland Clinic. She was 36 and had no traditional risk factors. “There was nothing to indicate I was going to have a stroke,” other than frequent migraines with aura dizziness or altered senses such as tingling, ringing ears or sensitivity to light, Miller said. Related Stories Too Much Sugar Could Cause Deadly Heart Problems These headaches are more common in women and the new guidelines issued Thursday flag them as a concern. Miller recovered but has some lingering numbness and vision problems. Each year, nearly 800,000 Americans have a new or recurrent stroke, which occurs when a blood vessel to the brain is blocked by a clot or bursts. Stroke is the third-leading cause of death for women and the fifth-leading cause for men. The key to surviving one and limiting disability is getting help fast, and recognizing symptoms such as trouble speaking, weakness or numbness in one arm, or drooping on one side of the face. Stroke risk rises with age, and women tend to live longer than men. Women are more likely to be living alone when they have a stroke, to have poorer recovery, and to need institutional care after one. Certain stroke risks are more common in women migraine with aura, obesity, an irregular heartbeat called atrial fibrillation, and metabolic syndrome a combo of problems including blood pressure, cholesterol and blood sugar. General guidelines for stroke prevention currently focus on controlling blood pressure and diabetes, quitting smoking, more exercise and healthy diets. The new ones add gender-specific advice, said Dr. Cheryl Bushnell, stroke chief at Wake Forest Baptist Medical Center in Winston-Salem, North Carolina.

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This business incubator is for doctors only

Their ideas range from innovative medical devices to interactive websites. “Doctors come to this incubator typically because they have been batting around an idea that could help their patients or change the way medicine is currently being practiced,” said Haas. “Very few consider leaving medicine.” Each month, Gueramy and Haas invite lawyers, marketing execs, venture capitalists and business school professors to coach doctors about startup fundamentals like how to craft business plans, pitch ideas, draft patents and fund raise. Related: They ditched medical school to start a business “We toyed with the idea of mandatory meetings but haven’t done it because we know doctors are very busy,” said Haas. Currently, the doctors decide how long they want to stay in the program, which is free, but that could change. “As we grow and look for funding, we’ll likely tie membership with a commitment to attending 80% of meetings and start charging fees,” she said. Those fees would potentially help Haas and Gueramy expand their program to other states. They also plan to start soliciting corporate sponsorships. Haas’ and Gueramy’s own experience as physicians-turned-entrepreneurs sparked the idea for their incubator. Haas, a rural family physician, and Gueramy, an orthopedic surgeon, invested $50,000 to launch DocbookMD in 2009. DocbookMD, which allows physicians to safely share encrypted patient information, grew out of their need for a more efficient communication system between doctors and institutions. It also includes a directory of area physicians and pharmacies.

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