Corpak Acquires Merck Serono’s Uk Gastroenterology Sales And Distribution Operation

Bolton alcohol care team in running for national award

The Bolton News: Photograph of the Author

Merck Serono had previously served as CORPAK’s distribution partner for the region. “The acquisition of the Merck Serono gastroenterology business strengthens our presence in Europe and our direct operation will support high levels of customer service and continued growth,” says Tom Kuhn, President of CORPAK. “I would like to thank the employees at Merck Serono for their support in building the CORPAK business in the UK and Republic of Ireland.” “The gastroenterology business is a strong and growing operation in the UK and Ireland, but Merck Serono has made a strategic decision to focus on our core pharmaceutical business,” explains Charles Dring, Commercial Director of Merck Serono Limited. “We have been working very closely with CORPAK to make the transition as seamless as possible for our customers.” There will be no change to the product range and all CORPAK products will continue to be available on the current codes and prices. The acquisition keeps relationships with existing sub-distributors unchanged. “We are especially pleased to be able to welcome the gastroenterology employees from Merck Serono to the CORPAK family,” says Jeff Blair, CEO of CORPAK. “We are confident that the UK and Ireland team will continue the history of excellence and dedication that has benefitted our customers in the past.” “This acquisition represents an important step in expanding our international presence and we look forward to continuing to provide our innovative, quality products to the European market,” added Eric Larson, Chairman of the CORPAK Board. CORPAK MedSystems UK ( http://www.corpakmedsystemsuk.com ) Tel: +44 (0) 129 380 4769 Fax: +44 (0) 129 380 4770 E-mail: info@corpakuk.com About CORPAK MedSystems, Inc. ( http://www.corpakmedsystems.com ) CORPAK MedSystems, Inc. is a leading developer, manufacturer, and marketer of innovative medical devices focused on the enteral-feeding and bedside-location markets, including the company’s flagship CORTRAK computer-guided system that enables real-time visualization of the feeding-tube tip during placement. The company has established the leading market position in premium branded, adult, long-term nasogastric feeding tubes and offers a broad portfolio of other high-quality enteral products, including gastrostomy feeding tubes, gastric-pressure relief devices, and enteral-feeding safety devices. Founded in 1979, CORPAK was acquired by Linden Capital Partners in August 2008 from Cardinal Health. The company has recently moved to a new state-of-the-art facility just north of Chicago in Buffalo Grove, Illinois. Mergers, Acquisitions & Takeovers

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The team, which was launched 24 years ago, has celebrated a number of successes including saving the trust 250,000 annually by introducing specialist alcohol nurses. It has also reduced mortality rates by five per cent by having daily consultant ward rounds. Dr Kieran Moriarty, consultant physician and gastroenterologist at Royal Bolton Hospital, said: Winning would be a stimulus to people. Recognition is always a nice thing. The alcohol care team is the best example of the invest to save strategy in the NHS. The alcohol nurses pay for their salary five to 10-fold in reducing admissions and improved quality of care. The local authority, public health, the clinical commissioning group and the trust are committed to delivering liver as well as alcohol care. In particular they are looking to provide care to patients locally with hepatitis C and B. In the past, these patients had to go to Manchester for treatment and many failed to attend. We are currently looking to appoint more liver and alcohol specialist nurses to develop viral hepatitis care as well as alcohol care in Bolton. The team has the backing of Dr Stephen Liversedge, a leading Bolton general practitioner, who is a world leader in health screening. He introduced questionnaires for patients at all practices in the borough to gauge how much alcohol people are drinking and to support those drinking to excess. Dr Moriarty said: Our patients, families and carers are a constant source of inspiration. “Specialist alcohol care can pull people back from the brink of the most devastating consequences of alcohol misuse, restore their self-respect and return them to their families and communities. The team has received more than 100 accolades and awards since it was launched in 1990.

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Australian Doctor Becomes Our Hero By Making Beer Healthier!

A&E in Australia: ‘doctors are much better supported here’

By: Tabitha Davis 02/22/14 Australian PhD Ben Desbrow, who shall hereafter be known as the hero, is an Associate Professor of Human Nutrition at Griffith University, whose work is focused on turning things like caffeineand beer into exercise aids. You read that right. While many diet fads and health magazines will say that caffeine and beer are among the things one must give up to really be healthy, the hero and his team are looking at things from a different angle. Desbrows main mission is to turn a drink like beer, which is the most highly consumed alcoholic beverage, into something that is good for you or at least not as bad for you. Dr. Ben Desbrow, Cheers to you (from Dr. Desbrows Twitter account) From our perspective its about exploring harm minimization approaches that may still allow people to potentially drink beer as a beverage, but lower the risks associated with the alcohol consumption and hopefully improve re-hydration potential, Desbrow told ABC in 2013. By infusing both regular beer and light beer with additional electrolytes the team hopes to create a gentle balance that will leave the beer with its original flavor, but will reduce the dehydration affect that leads to hangovers, keeping the body hydrated and healthy while not having to forego the spirit lifting effects of beer. During the study the light beer seemed to have the most significant effects, though it was only one third more hydrating than a regular light beer. With his main area of focus being the health of the human body, Desbrow has also combined his expertise in applied sports research and food-borne drug research to find the benefits in the worlds most widely consumed drug, caffeine. In the book Caffeine For Sports Performance, the hero, along with Louise Burke, Australian Sports Commissions Head of Sports Nutrition, and Lawrence Spriet, Human Health Professor at University of Guelph, the use of caffeine as a sports supplement is discussed. Were guessing this is where the beer research comes into play. While the heros work is ongoing, his approach is changing the face of how we might use beer and caffeine, which humans have been using to feel for for thousands of years. Bottoms up to you, Ben Desbrow! Recent Articles

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image Australian Doctor Becomes Our Hero By Making Beer Healthier!

He said: “It’s been a well-trodden path for the last 15 years or so for young doctors from the UK to come to Australia, work here for a year or two and then go back home, back into the NHS when they are about 30 years old and eventually become a consultant. “I first worked in Australia in 2002-03, then came back here with my wife, who’s also a consultant in emergency medicine, in 2011. What surprised me then was that all five of the UK-trained registrars, or middle-grade doctors, working alongside me in Geelong hospital, about 70km south of Melbourne, intended to stay and do their five-year training in Australia. That was a dramatic change in less than a decade. “So I surveyed all doctors in training working in emergency departments at the 30 hospitals in Victoria about their country of origin and whether they intended to stay or go back. I found that 57% of all the 364 registrars had been educated at an overseas university. The largest proportion 36% came from the UK and Ireland, 32% were from Australia and 15% from Asia, with the rest from other places. “People come, usually between the ages of 26 and 33, for various reasons. They like the lifestyle, the climate and access to the beach, although the downside is being away from family and friends. “But it’s also an easier option to come here than stay in the UK because emergency medicine doctors are much better supported here. Here they work a guaranteed 43-hour week, with five hours of that protected for teaching. “There are also far more registrars than in the UK. In a typical NHS hospital there are seven to 10.

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Will South Africa doctor the Cape Town pitch?

They will be desperate to overcome their hoodoo against Australia, who they have not defeated at home in a Test series for more than 40 years. Normally a result pitch is interpreted as one which will offer generous assistance to the bowlers. However, the potency of the attacks boasted by both sides suggests a draw is unlikely, even on a benign surface; neither of the first two Tests made it past the fourth day. The last time these sides crossed paths at Newlands, the Test was completed before lunch on the third day. The pitch was so helpful to the quicks it is easy to forget South Africa were dismissed for a paltry 96 in their first innings. Whenever cricket followers reminisce over this Test, the first number that rolls of their tongue is 47 Australias second innings total. During one period on day two of that match, the sides combined lost 19-94. Nineteen for ninety-four. The following summer, when Sri Lanka visited, the pitch at Cape Town was unrecognisable. Devoid of the thick grass cover seen during the 2011 debacle, it allowed 1063 runs to be scored for the loss of only 24 wickets. Then in February last year, a sporting deck greeted Pakistan who managed to compete strongly with South Africa before losing in a tight, four-wicket result. My guess is the Newlands deck for this weeks Test will look nothing like its 2011 incarnation. South Africa may have bulldozed Australia at St Georges Park, but they will remain wary of the carnage the tourists quicks could engineer on a green seamer.

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Doctors In Pakistan: Sumbal, Only The Peptic Ulcer Wali Bibi, Not A Person With Feelings

Or at least do so later at the first available opportunity? If someone walks up to you and starts pounding your chest, wouldnt you ask, Pardon me for being so nosy, good sir, but what on holy earth do you think youre doing to me? Rather, they acted as if the adult guardian had entirely surrendered the childs anatomy to the doctors, to do with it whatever pleases them – no questions asked. But there were questions to be asked and the family left the hospital believing that their child had been attacked when, in truth, the doctors had probably saved his life. This dictatorial approach cost the concerned doctor his rapport with his patient, even if the procedure he performed was fully justified. Something similar happened to Sumbal, an uneducated young woman not dissimilar to countless others who walk into our clinics each year. She requested an ultrasound for upper abdominal pain. That being an unnecessary test in the given case, the doctor sternly brushed her off with a prescription for anti-ulcer drugs. Outside the doctors office, her eyes welled up with frustration. It wasnt, I expect, because the doctor was rude but because of how incredibly small he made her feel; making it obvious that her feelings were irrelevant before his medical degree and that she should simply put a capsule in her mouth and zip it. Inside the office, she wasnt Sumbal; she was the peptic-ulcer-wali-bibi, and treated precisely as such. She had questions. Wasnt the ultrasound a superior therapeutic tool? Was the medication hot or cold? Would it affect her reproductive cycle?

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Abms Reports New Standards For Physician Certification Program To Improve Quality Of Care [professional Services Close – Up]

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In a release, the group said that its Board of Directors (BOD) approved the Standards for the ABMS Program for Maintenance of Certification (Program for MOC) at its January 15 meeting. Voluntary Board Certification, and maintaining that certification through educational programs, improves health care decision-making by physicians and helps Board Certified physicians remain current in an increasingly complex practice environment. “ABMS and its Member Boards have evolved certification into an ongoing program of continuing learning and assessment,” said Lois Margaret Nora, MD, JD, MBA, ABMS President and Chief Executive Officer. “The new ABMS Standards for the Program for MOC encourage innovative approaches to continuing development and assessment that physician specialists will find meaningful and helpful. These standards ultimately help ensure that patients continue to receive the high quality medical care that they have grown to expect from Board Certified physicians.” The ABMS Program for MOC focuses on key physician skills and knowledge critical for improving health care. The new standards provide a framework for Member Boards to use in developing their own Programs for MOC. Each Member Board will be expected to meet the standards that speak to the common elements across the Member Boards while permitting appropriate distinctions among the specialties. The standards adopt a patient-centric perspective with a greater emphasis on professionalism, patient safety, and performance improvement. “The new standards also encourage the Member Boards to work with their diplomates and to be aware of their complex and diverse practice environments, regulatory requirements, and learning needs as they design and implement their Programs for MOC,” said Thomas E. Norris, MD, ABMS BOD Chair. “Each Member Board is asked to take into consideration the physician diplomates’ cost, time, and administrative burden associated with participation.” The standards were developed during a two-year process with input from groups ranging from medical professionals to the public. Subsequently, ABMS solicited additional feedback about the standards during a two-month comment period on its website and received more than 625 comments from organizations and individuals. The standards, which will be implemented during 2014, will take effect in 2015.

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Physician’s days as fugitive are over

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Such subsidies would help physicians pay for the up-front costs of necessary practice changes for example, adding staff to help coordinate care, implementing effective information systems, and working out care coordination arrangements with other providers. The Congressional Budget Office estimated the five-year cost of these bonuses at about $5 billion in the earlier Senate Finance Committee bill. This may not be enough to support significant investments in reforming: annual Medicare physician spending totals about $75 billion now, or over $400 billion over five years.A As the legislation is finalized, Congress should consider providing opportunities for larger bonuses in return for higher expectations about practice reforms that can improve care and reduce costs. The legislation also includes $200 million to assist smaller physician practices implement reforms. In addition, the legislation includes needed funding for developing better measures of the quality and cost of care.A It should include provisions for theACenters for Medicare & Medicaid Services (CMS) to improve its systems to share data with health care providers in compliance with appropriate beneficiary privacy protections to help them improve care under the alternative payment arrangements. While critically important, these costs would total less than $1 billion. The legislation takes further steps to enable organizations to obtain Medicare data to assist providers with improving care and to enhance the availability of performance measures. Included in previous physician payment reform proposals but not yet in this one are provisions that address other problems in Medicare payments e.g, relaxing limits on outpatient therapy services. These provisions are likely to be added later, as they will help balance objections of other provider groups that will be affected by the pay-fors for the physician legislation. In the previous Senate Finance Committee draft, the additional provisions cost around $40 billion.A As these provisions are added, it could also be an opportunity to reinforce steps to improve care, such as creating complementary incentives for hospitals and post-acute providers to work with physician practices to improve care. Paying for the SGR Fix Through Medicare Reforms That Reinforce the Goals of Physician Payment Reform The Congressional committees have floated a list of potential sources of savings to pay for these reforms, reproduced below.

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Paying For A Permanent, Or Semi-Permanent, Medicare Physician Payment Fix

2014-02-possible-sgr-payfor

In Times articles chronicling the allegations and investigation in 2003, it was reported that on May 3, 2003, a 23-year-old woman allegedly seeking an abortion in her third trimester met Rossmann at his office. He reportedly supplied her with medicine to induce an abortion, but at some point, for reasons that were not explained, the woman was left alone in the building. When she could not reach Rossmann, and in the process of giving birth, she called 911 and paramedics reportedly had to break into the office to get to her and the child. The infant survived for 12 days. When reports of the incident became public, several other women contacted authorities with similar stories, prompting an investigation. Authorities obtained a warrant for Rossmanns arrest on a charge of criminal abortion on May 21, 2003, but were unable to locate the doctor. Earlier that week, The Times photographed a moving van at his office, which was empty by the time the warrants were issued. Authorities soon located the moving van, but not the physician. Rossmann had reportedly cleaned out a safe in his office which may have contained cash and passports. Authorities immediately suspected he had fled the country, potentially to the Czech Republic, where he had lived previously and received medical training. Following the charges, the Georgia Medical Board immediately suspended his medical license. Rossmann began practicing obstetrics and gynecology in Valdosta in 1994. He had also practiced in Alabama, Florida, Indiana, South Dakota and Canada, and received medical training in Canada, South Africa and the Czech Republic. Authorities located Rossmann in 2013 in Germany, and Childress said, a number of agencies collaborated to have him extradited to Valdosta. This is a case that has been going on for 11 years now, and I am extremely proud of the work of Capt. Bobbie McGraw, Assistant District Attorney Bennett Threlkeld and the agencies involved, especially the German police.

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Inflammatory Bowel Disease Is As Canadian As The Mounties

Crohn’s disease, which affects the large and small intestines, is even more common in Canada and affects about 234 per 100,000 people, with an incidence of 13.4 per 100,000 each year. By comparison, ulcerative colitis prevalence is 58 to 157 per 100,000 in Northern Europe and about 167 per 100,000 for an area of Minnesota. Crohn’s disease prevalence ranges from 27 to 48 per 100,000 in Northern Europe to 144 per 100,000 in an area of Minnesota. Some Third World nations and areas in tropical latitudes have still lower rates. Although the reasons for these differences remain unclear, the hygiene hypothesis may help explain the distribution in Canada, said Richard Fedorak, M.D., of the University of Alberta in Edmonton, a co-author. “If you live in an environment that’s too clean or too sterile as a child your intestines are not exposed to bacteria of the same types and numbers you would be exposed to in a tropical area,” he said. which is especially true for Canada because much of the country has cold winters with little bacterial activity in the soil. Then if the genetic triggers are present, “your intestine is not able to tolerate bacteria as you get older and starts to destroy itself,” he added. Supporting this speculation, the researchers discovered differences among provinces: Nova Scotia in the Maritimes consistently had the highest rates of ulcerative colitis (19.2 incidence and 247.9 prevalence per 100,000) and Crohn’s disease (20.2 incidence and 318.5 per 100,000), Following closely is Alberta, with ulcerative colitis incidence of 11.0 and prevalence of 185.0 per 100,000 and Crohn’s disease incidence of 16.5 and prevalence of 283.0 per 100,000, and Manitoba had likewise high rates of ulcerative colitis (15.4 incidence and 248.6 prevalence per 100,000) and Crohn’s disease (15.4 incidence and 271.4 prevalence per 100,000); Whereas British Columbia, on the west coast, consistently had much lower rates of both ulcerative colitis (9.9 incidence and 162.1 prevalence per 100,000) and Crohn’s disease (8.8 incidence and 160.7 prevalence per 100,000). British Columbia proved to be an outlier, particularly for Crohn’s disease perhaps because of its milder winters, more precipitation, and “because its population ethnic make-up is somewhat different from the rest of Canada,” the researchers wrote. Much of British Columbia’s immigration in the past 20 years has been from Asia, they said. “Asians are known to have less [inflammatory bowel disease] than Caucasians,” perhaps because of genetics, less sterile conditions during childhood, or other environmental factors. Males and females generally had similar rates of ulcerative colitis though significantly more females had Crohn’s disease (1.31 ratio, 95% CI 1.23-1.40). Notably, though, the prevalence of Crohn’s disease was significantly greater in boys than girls (prevalence 49.6 versus 43.8 per 100,000, P=0.0001). After adjusting for age, gender, and province, the prevalence of ulcerative colitis and Crohn’s disease was slightly more common in urban areas (urban-to-rural ratio 1.13 (P=0.01) and 1.05 (P-value not significant), respectively). The researchers used government health system databases from five of the 10 Canadian provinces (British Columbia, Alberta, Saskatchewan, Manitoba, and Nova Scotia) to determine the number of individuals who received health care, whether hospital- or outpatient clinic-based, for either type of inflammatory bowel disease.

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Endoscopist specialty is associated with colonoscopy quality

The final sample for Calgary included 37 endoscopists and 538 patients. The average number of patients per endoscopist was 15, and ranged from 1 to 73 among gastroenterologists, and from 6 to 30 among surgeons. Table 1 presents characteristics of patients from Montreal and Calgary. Table 1. Patient characteristics by city Results of hierarchical logistic regression The hierarchical logistic regression results with polypectomy as the outcome for Montreal and Calgary are shown in Table 2 . The odds ratios for polypectomy with surgeons as compared to gastroenterologists, adjusted for patient age, sex, family history of CRC, indication (screening vs. non-screening), and previous colonoscopy were 0.48 (95% CrI: 0.320.71) in Montreal and 0.73 (95% CrI: 0.431.21) in Calgary. Table 2. Odds ratio estimates for polypectomy from hierarchical logistic regression models for Montreal and Calgary To illustrate variability of polypectomy rates, endoscopist-specific polypectomy rate estimates from hierarchical logistic regression for each specialty are shown in Figure 1 . The estimates ranged from 6.0% (95% CrI: 0.3019.6%) to 28.6% (95% CrI: 15.646.2%) among surgeons and from 12.3% (95% CrI: 3.925.9%) to 62.1% (95% CrI: 45.678.9%) among gastroenterologists. Figure 1. Histograms of endoscopist-specific polypectomy rates estimated from hierarchical logistic regression models among A) gastroenterologists and B) surgeons.

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An Australian Audit Of Vaccination Status In Children And Adolescents With Inflammatory Bowel Disease

This includes invasive pneumococcal disease and influenza. The primary aim of this study was to describe compliance with current Australian guidelines for vaccination of children and adolescents diagnosed with IBD. A secondary aim was to review the serological screening for VPD. Methods A random sample of patients (0-18 years at diagnosis), were selected from the Victoria Australia state based Pediatric Inflammatory Bowel Disease Register. A multi-faceted retrospective review of immunization status was undertaken, with hospital records audited, a telephone interview survey conducted with consenting parents and the vaccination history was checked against the primary care physician and Australian Childhood Immunization Register (ACIR) records. The routine primary childhood vaccinations and administration of the recommended additional influenza and pneumococcal vaccines was clarified. Results This 2007 audit reviewed the immunization status of 101individuals on the Victorian Pediatric IBD database. Median age at diagnosis was 12.1 years, 50% were on active immunosuppressive therapy. 90% (38/42) [95% confidence intervals (CI) 77%; 97%] with complete immunization information were up-to-date with routine primary immunizations. Only 5% (5/101) [95% CI 2%; 11%] received a recommended pneumococcal vaccine booster and 10% (10/101) [95% CI 5%; 17%] had evidence of having ever received a seasonal influenza vaccine. Those living in rural Victoria (p = 0.005) and younger at the age of diagnosis (p = 0.002) were more likely to have ever received an influenza vaccine Serological testing, reviewing historical protection from VPD, identified 18% (17/94) with evidence of at least one serology sample. Conclusion This study highlights poor compliance in IBD patients for additional recommended vaccines. A multi-faceted approach is required to maximize protection from VPD in this vulnerable special risk population. Keywords:

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

September figures show priority-one gastroenterology patients waited an average 47 days to be seen at the outpatient clinic – 50 per cent longer than the recommended 30-day maximum – and category-two patients waited an average 16 weeks. But waiting times have improved since a year ago, when some children waited up to a year to be assessed because of an acute shortage of gastroenterologists. It prompted the State Government to launch an urgent recruitment drive for specialists. The hospital says progress has been made after finding a gastroenterologist to fill a vacant position but it will have to take on more staff. A spokeswoman said PMH expected waiting times to improve further with a new part-time gastroenterologist due to start this month. Another 0.5 full-time equivalent position was in the appointment process and PMH was optimistic about appointing someone early next year. The Australian Medical Association welcomed the recent addition of a specialist but said it was clear more were needed to keep up with demand in the highly specialised area. WA president Richard Choong said gastroenterology was historically a difficult specialty to staff, which led to long delays for patients to be assessed and treated. “The fact PMH has managed to find someone recently and is close to more appointments is good news and very encouraging,” he said. “This is an area of medicine that is very specific and there are many conditions that need to access its services, but it’s a classic example of where there just aren’t enough people to do the jobs required.” Dr Choong said as a result many children were waiting too long, often in pain and discomfort, to be diagnosed and treated. “What I really hope is that the hospital will be able to recruit the extra staff it needs so children can be seen even more quickly,” he said.

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Specialist to help ease wait times

Borody’s own patients, to his anti-mycobacteria therapy research. According to Prof. Borody’s report, as many as 95% of his patients have responded to treatment with full remission achieved by 65% of these patients. Dr. Borody says, “These results exceed all documented evidence of response to Crohn’s Disease therapies and promise significant relief for a large number of the estimated one million Crohn’s patients around the world.” Dr. Borody MD PhD FRACP, a graduate of the University of New South Wales, from which he holds a doctorate in medicine, will be presenting his findings in an open forum at: The Suffolk Y Jewish Community Center 74 Hauppauge Road in Commack, Long Island March 20, 2006 from 7-9 PM. Suggested donation $3 As the founder and current Medical Director of the Centre for Digestive Diseases (CDD), Dr. Borody has created a unique medical institution, internationally regarded for its novel approaches in research, diagnosis and the treatment of gastrointestinal conditions. He has been a recipient of the Winthrop Traveling Fellowship, the Neil Hamilton Fairly Fellowship and the Marshall & Warren Prize, and was a Clinical Fellow in Gastroenterology at the Mayo Clinic in Rochester in 1983. He is a member of the Australian Medical Association, the Gastroenterological Society of Australia, the European Gastroenterology Society, the Functional Brain-Gut Research Group and Fellow of the American College of Gastroenterology and the American College of Physicians. 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.

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Australia Needs Physician Assistants. So Why Aren’t We Getting Them?

The opposition to the introduction of these health workers mirrors very much what happened in the US some 40 years ago. Strident cries from the American Medical Association that their introduction would end life as we know it. But interestingly it didnt! Why the nurses are so actively against it is interesting but one would have to ask all opposing groups are they interested in opposing for oppositions sake, are they interested in providing health services to patients who currently find it difficult to access them because the workforce is not there, or are they interested in preserving the status quo with siloed health professional practice? The health service and its constituent parts is a very complex organism but every part of it should work together to improve patient care and not work only in the interests of the health professional or have I got that wrong ? The health and social welfare workforce is currently the largest in Australia 1.4 million and like the rest of the population, it is ageing. We will need to recruit about half a million new workers at least to this sector over the next decade a significant challenge that policy makers and politicians do not seem to be fully accepting at present. Where are these new workers to come from? Current recruitment will not achieve these targets so perhaps some innovation is required. Trials of new models of care have been carried out by Queensland Health and the South Australian Health Commission in respect to PAs. These trials, albeit small, did suggest that these new health professionals would be useful across a variety of health care situations.

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Many Australian physicians not applying for permission to import Mifepristone

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 .

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