Monthly Archives: September 2013

French Tour de France cyclists live longer than their non-cyclist countrymen

tour-de-france-smoking

French Tour de France cyclists live longer than their non-cyclist countrymen

French participants in the Tour de France between 1947-2012 lived longer than their same-age French counterparts according to the results of a study marking the centenary of the race this year.

“In the context of recent concerns regarding performance-enhancing techniques and the potential negative health effects of excessive high-level physical activity, data on the long-term outcomes and causes of death in elite endurance cyclists is of particular interest,” said Xavier Jouven, MD, PhD, from the Sudden Death Expertise Center in Paris, France.

“Although our results are reassuring to some extent, since no death has been observed since 1990, we have to remain careful since we cannot directly assess the potential harmfulness of doping through our analyses and results.”

The study assessed 786 French cyclists who participated at least once in the Tour de France between 1947 and 2012, and compared them to the general French male population of the same age.

The cyclists had participated in a median of 2.5 Tour de France races and were followed for a median of 37.4 years. Their median age at the first race was 25 years.

A standardized mortality ratio (SMR) was calculated based on the actual death rate of the cyclists compared to the death rate in the age-matched French population according to the Human Mortality Database.

An SMR lower than 1 indicates the cyclists had a lower mortality rate than the general population, whereas an SMR greater than 1 indicates higher mortality.

The study found that of the 786 cyclists, 208 (26%) had died by September 01, 2012 – an SMR of 0.59 and a mortality rate that is 41% lower than the general population, said Dr. Jouven.

The two main causes of death for the cyclists were neoplasms (32.2%), and cardiovascular diseases (29%), both occurring less frequently than in the general public (SMRs of 0.56 and 0.67 respectively).

Among cancers, the 3 main diagnoses were digestive (35%), lung (22%), and prostate (7%).

For the third highest cause of death (15.8%), classified as “external” (mostly trauma-related) the SMR was 1.06 indicating about the same rate as in the general public.

Other causes of death included infectious diseases (2.2%), endocrine and nutritional diseases (2.2%), neurological (2.2%), digestive system diseases (2.2%), and genitourinary disease (1.1%).

The cyclists’ SMR was consistent across different periods of participation, corresponding to the reported or suspected use of cocaine and amphetamines (1947-1970), androgens and anabolic steroids (1971-1990) and growth hormone and erythropoietin (1991-2012), said Dr. Jouven.

The SMRs were also consistent across all age groups, except for the age-group younger than 30 years in whom a non-significantly higher death rate was observed (SMR 1.65) compared to the general population.

“A particularly high frequency of traffic or race accident deaths were seen in this age-group,” he said.

http://www.medicalnewstoday.com/releases/265679.php

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People’s Initiative In Favour Of Active Euthanasia In Hungary

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A leading liberal pundit supports the initiators of a campaign demanding the authorisation of active euthanasia

An Ngo specialised in palliative care is collecting signatures from supporters of their initiative ”to allow adults suffering from incurable lethal illnesses to take medical assistance with the aim of terminating their lives”. Parliament is obliged to discuss the issue in case 50 thousand audited signatures are submitted. Passive euthanasia (officially called “refusing life-maintaining therapy”) was authorised under the Public Health Act in 1997, but is only practiced in exceptionally rare cases. Euthanasia is highly unpopular both among the general public and among medical practitioners.

In Népszabadság, Sándor Révész does not expect the possible parliamentary debate to yield any positive results. He accuses MPs on all sides of cowardice and blames them for not passing detailed regulations that would make at least passive euthanasia (legally accessible since 1997) applicable in practice. Révész thinks the authorisation of active euthanasia should logically follow from the general trend of secularisation.

People attach more and more importance to their lives on this Earth and less and less importance to their afterlives, he argues, therefore unnecessary suffering makes less and less sense. In other terms, he explains, the refusal of euthanasia is a position based on religious principles, that people thinking otherwise should not be compelled to follow. An advanced secular state and active euthanasia, Révész concludes, are mutually inseparable.

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Clinics in the UK run by Polish GPs

GP surgery

Clinics in the UK run by Polish GPs

Facts about the clinics:

  • Despite charging £70 a visit, west London clinic already has almost 6,000 Britons on its books and offers 30-minute slots
  • Two thirds of NHS patients have to wait more than 48 hours for doctor’s appointment and few slots are available outside regular working week
  • My Medyk also offers dental surgery, varicose vein surgery, Botox, hypnotherapy, acupuncture and counselling sessions
  • Clinic was founded five years ago by two Polish doctors but now employs 50 staff, the majority of whom are Poles

A private doctor’s surgery run by Poles is attracting thousands of patients who have given up on the NHS. Open seven days a week, usually until 11pm, the clinic gives half-hour appointments – three times longer than usual. And, despite charging £70 a visit, it already has almost 6,000 Britons on its books. Customers are welcomed into the spotless and modern centre by friendly receptionists whose motto is to ‘put patients first’. It is also cheaper than rival operators. Bupa centres offer GP services at £67.49 for a 15-minute appointment – or £225 for a full hour. Their normal surgery hours are 8.30am to 5.15pm.

Read more: http://www.dailymail.co.uk/news/article-2337682/Patients-shun-NHS-clinics-run-Polish-GPs-Cut-price-private-surgeries-doctor-seven-days-week.html#ixzz2e2hxkGK0

 

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Public Healthcare Employees In Hungary Receive Government Pay Rise

fizetes emeles

Public Healthcare Employees In Hungary Receive Government Pay Rise

In September, all those employed in Hungary’s national healthcare system will receive a pay rise, retroactive from the beginning of the year, the State Secretariat for Health announced on Sunday.According to a statement by the Ministry of Human Resources, the Government will increase the salaries of 95,000 people. The statement also noted that that this would be the first overall pay rise in the healthcare sector since 2003.

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Romanian Health Minister: Basic medical services package needs accompanying private healthcare coverage

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Romanian Health Minister: Basic medical services package needs accompanying private healthcare coverage

A decision on whether private health insurance should be mandatory could be made by the end of the month, according to Romania’s health minister.

While it’s still uncertain whether private heath care insurance will be made compulsory or optional in Romania, the country’s health Minister Eugen Nicolăescu has said that basic medical services should be accompanied by extra services covered by private insurers.

The minister recently said a decision will soon be made on whether the private health insurance will be optional or mandatory and that two packages, a basic one and one covered by private insurance, will provide better health coverage for patients than what they currently receive.

A decision could be made by end of September, according to Nicolăescu.

The basic health care package will be available for every Romanian citizen irrespective of their insurance status and will include prevention services, emergency services, and most of the services offered by family doctors.

This is poised to change the Romanian medical system, which has been facing increasing competition from private medical health care operators, who have been expanding their footprint across Romania in recent years.

While many Romanians with average and below average income still rely on the state–run medical system, wealthier Romanians choose private clinics and hospitals and often pay for private healthcare services.

Some providers, who previously only sold monthly insurance to companies for their employees, have gone retail with their offers.

Earlier this year, private healthcare operator MedLife and insurance company Generali launched several health insurance packages for individuals, which are available via online orders.

MedLife’s insurance arm MedLife Broker and Generali created Vital, which can only be bought online and gives access to surgery, hospitalization, lab analysis, as well as imagery services.

The insurance package also comes with the option to include family members in the package, with a 50 percent discount.

The minimum cost for the insurance is RON 45 per month (around EUR 10), while the maximum value is RON 264 (some EUR 60), which includes all medical costs, as well as those of the spouse and a child.

There are four different packages, starting from the basic surgery and hospitalization, with three add-ons: fractures, consultation and investigations and imagery.

Another private medical services provider, Regina Maria, teamed up with insurer Groupama to provide similar packages in a Integrated Medical Insurance.

The two companies offer three packages that cover surgeries and hospitalization, as well as ambulatory medical care, which comes in three different options. Package prices are available upon request from Groupama and Regina Maria.

source: http://www.romania-insider.com/romanian-health-minister-basic-medical-services-package-needs-accompanying-private-healthcare-coverage/105621/

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Luxury clinic on sale for 10 million $

luxury clinic

Luxury clinic on sale for 10 million $

It has never been easier to set up your own clinic. Or was it? Healthcare should never be matter of money? Or should it be?

Class A luxury medical building with on-site state of the art Surgery center on two levels. There is nothing like this building in Bergen County. The office space is perfect for doctor / medical office which includes approximately thirteen thousand square feet of space on four levels.

for location and more click here: http://www.jamesedition.com/view-on-map?id=699829

http://www.jamesedition.com/real_estate/united-states/new-jersey/hackensack-class-a-luxury-medical-building-699829

Pictures of the 10.000.000 $ worth building:

luxury clinicluxuy clinic2luxuyr clinic3

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NHS spends £15million (the same as 750 nurses’ salaries) on gagging 600 whistleblowers

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NHS spends £15million (the same as 750 nurses’ salaries) on gagging 600 whistleblowers

The NHS spent £15million in three years on gagging whistleblowers.

The shocking figures pile the pressure on NHS chief executive Sir David Nicholson, who has clung to his £270,000 role despite presiding over the Mid Staffordshire hospital scandal that cost the lives of 1,200 patients. In just three years there were 598 ‘special severance payments’, almost all of which carried draconian confidentiality clauses aimed at silencing whistleblowers. They cost the taxpayer £14.7million, the equivalent of almost 750 nurses’ salaries. Yet only last week, Health Secretary Jeremy Hunt warned the NHS against silencing internal dissent. He said for too long there had been a culture of celebrating success in the NHS, but ‘not being honest about failure’. He added: ‘We must have a culture where people are not afraid to speak out.’

Last night Steve Barclay, the Tory MP who uncovered the figures, demanded that Sir David be recalled to give evidence to the influential Commons public accounts committee to justify the £14.7million bill. The publication of the figures for the three years up until 2011 comes after a two-year battle by Mr Barclay, who is a member of the public accounts committee. The Department of Health and the Treasury, which are notified of the cost of the agreements by the relevant NHS bodies, had steadfastly refused to publish the costs. The figures were finally released after Mr Barclay tabled a series of parliamentary questions.

On three occasions, Mr Barclay raised concerns with Sir David, a former card-carrying Communist, about why whistleblowers were not being excluded from the confidentiality clauses. Each time he was assured action had been taken. On the last occasion, at the public accounts committee meeting in September last year, Sir David said: ‘I thought we had done it.’  Mr Barclay, MP for North East Cambridgeshire, has written to committee chairman Margaret Hodge, demanding that Sir David is recalled to discuss the use of gagging clauses across the NHS. He told the Daily Mail: ‘There is a clear value-for-money implication here, both in ensuring the best possible outcomes in the health service, and the cost of the payments.  ’I am requesting the committee recalls Sir David Nicholson to examine the use of gagging clauses across the NHS. ‘These gagging clauses are having a chilling effect on whistleblowers. It is shocking that over a three-year period an estimated 90 per cent of the 598 compromise agreements entered into by the NHS included gagging clauses. ‘It means that hundreds of potential whistleblowers may have been prevented from speaking out for fear of legal action, at a total cost to the taxpayer of almost £15million.

‘It begs the question: Were NHS officials genuinely in the dark about the use of gagging clauses – in which case why were executives like Sir David Nicholson not aware it was going on? – or were they actually the ones turning off the lights when the gag went on? ‘It is glaringly obvious that many NHS employees feel they are being silenced by non-disclosure clauses in their contracts. ‘It is now clear that a whistleblower who has reported concerns internally, but has not seen improvements take place, is induced, with taxpayers’ money, to agree to sign away their rights to not take them any further.’ Some of the highest ‘special severance payouts’ were at Central Manchester University Hospitals NHS Foundation Trust, which paid £224,000 in 2011.  South Staffordshire and Shropshire Health Care Trust, which borders Mid Staffordshire, made payments of £90,000, £190,000 and £35,000 in 2010/11. A Department of Health spokesman said the number of confidentiality clause payouts was falling sharply and that in 2011/12, there were just 20 cases in NHS Trusts at a cost of just over £500,000.  However, this figure did not include costs for the 105 Foundation Trusts, which in 2010/11 racked up a bill of £2.5million on gagging clauses

http://www.dailymail.co.uk/news/article-2282600/NHS-spends-15million-750-nurses-salaries-gagging-600-whistleblowers.html

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Budapest Peto Institute Nearly Bankrupt

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Budapest Peto Institute Nearly Bankrupt

The world famous International Peto Institute for teaching physically disabled children is on the verge of bankruptcy, according to reports. Annual revenues have fallen from Ft 2.2 billion to Ft 1.5 billion, and the institute is losing Ft 20 million each month.

The institute has been one of the most famous Hungarian educational institutions for decades, with considerable demand in English-speaking countries and the Arab world for conductors who completed their studies at the Peto Institute.

However due to a drop in education subsidies and a fall in revenues from international projects the institute has practically been emptied of its funds.

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What is medical coding?

medical coding

What is Medical Coding?

Medical coding professionals provide a key step in the medical billing process. Every time a patient receives professional health care in a physician’s office, hospital outpatient facility or ambulatory surgical center (ASC), the provider must document the services provided. The medical coder will abstract the information from the documentation, assign the appropriate codes, and create a claim to be paid, whether by a commercial payer, the patient, or CMS.

Is Medical Coding the same as Medical Billing?

medical coding2No. While the medical coder and medical biller may be the same person or may work closely together to make sure all invoices are paid properly, the medical coder is primarily responsible for abstracting and assigning the appropriate coding on the claims. In order to accomplish this, the coder checks a variety of sources within the patient’s medical record, (i.e. the transcription of the doctor’s notes, ordered laboratory tests, requested imaging studies and other sources) to verify the work that was done. Then the coder must assign CPT® codes, ICD-9 codes and HCPCS codes to both report the procedures that were performed and to provide the medical biller with the information necessary to process a claim for reimbursement by the appropriate insurance agency.

There is a great deal of diversity among the numerous claims a medical coder processes on a daily basis. While codes vary a great deal in breadth and specificity, the following article represents what a sample medical coding transaction may look like.

It takes a good deal of education and training to become a skilled medical coder. To begin, coders must have a thorough knowledge of anatomy and medical terminology. It is also important to become familiar with different types of insurance plans, regulations, compliance,  and the coding community’s three critical resource books: CPT®, HCPCS Level II and ICD-9-CM along with their corresponding codes and guidelines.

Using code books the medical coder assigns correct codes to record the service levels for the procedures performed and to account for supplies used to treat the patient during an encounter with the physician. Proper assignment of ICD-9-CM codes corresponds with the physician’s diagnoses and completes the “story” of the patient’s illness or injury.

In addition to assigning ICD-9, CPT®, and HCPCs codes, today’s medical coder may be involved in a wide variety of coding-related activities. The coder may audit and re-file appeals of denied claims. The coder may also educate providers and recommend the appropriate application of federal mandates and compliance that require providers to use specific coding and billing standards through chart audits. He/She may also act as an advocate for the provider and patient in issues of coverage and medical necessity. Starting a career in medical coding opens a number of coding-related jobs like Certified Professional Medical Auditor (CPMA®), Certified Professional Compliance Officer (CPCO™), and Certified Physician Practice Manager (CPPM®).

To get more familiar with this heavy topic please visit the basics at http://en.wikipedia.org/wiki/Medical_classification

http://www.aapc.com/medical-coding/medical-coding.aspx

or for the latest trends http://www.emrnews.com/medical-coding-latest-trends/

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Interesting medical themed cake in Romania

cakemedical

Let us show you a good idea for gifting and for cakes. This is the medical clinic themed cake.

For the joy and cheer of the medical professionals it is best to give a medical themed cake to our beloved “medical one” for his/her birthday or graduation. Gitty up medical relatives.

Source and more images: http://www.viorica-torturi.ro/2012/04/clinica-medicala.html?spref=fb

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