Wednesday, March 24, 2010

Dr. Goldstein discusses the latest research being conducted on women's sexual health

Detroit area physiotherapy after being sentenced to 62 months in prison for his role in medical care fraud:
WASHINGTON, March 24, Sterling Heights, Mich., resident Nathaniel Solomon sentenced today to 62 months in prison for his role in a broad conspiracy to defraud the health care program, announced Assistant Attorney General, I Breuer of the Criminal Division and U.S. Attorney for the Eastern District of Michigan, Barbara L. McQuade; special agent in charge Andrew G. Arena FBI field office in Detroit; the officer in charge of the Lamont Pugh III of the State Department of Health and Human Services, Office of the Inspector General (drugs - the Office of the Inspector General) Chicago Regional Office. U.S. District Judge Sean F. Cox Nathaniel also ordered to pay $ 2,875,000 in the response and to serve three years of release on parole after his imprisonment.

Nathaniel pleaded guilty on October 19, 2009, in the eastern region of the state of Michigan to conspiracy to commit fraud and health care. According to the information contained in the documents of the prosecution, Nathaniel, licensed physical therapist, admitted that he began working in approximately December 2003, as part of the contract wizard to conspirator Suresh Chand, who also pleaded guilty in connection with this case. Chand, which is owned and controlled by many companies operating in the Detroit area, which aims to provide physical and occupational therapy for Medicare beneficiaries. In accordance with the appeal documents, Nathaniel admitted that, Chand and others created the placebo files that appear close to physiotherapy services and occupational medical care provided to beneficiaries, while no such services were provided. According to court documents, services and fake reflected in the files had been described for health care providers through medical care controlled by the pseudo-conspirators.
Nathaniel also acknowledged that through this scheme which was signed by nearly 1,250 fake files and physical therapy, noting that physiotherapy services provided to Medicare beneficiaries, while in fact he was not. Nathaniel admitted that he was paid between $ 90 and $ 110 for each file and forged. Nathaniel also acknowledged that about between December 2003 and July 2006, falsified files physiotherapy, which claims to support the health care program value of approximately $ 6,250,000. Medicare paid approximately $ 2,875,000 on these claims. Nathaniel admitted that all parts of the plot was fully aware that medical care and being a description of the physical therapy services was falsely indicated that he had done.

Chand pleaded guilty on September 28, 2009, before U.S. District Judge Sean F. Cox to one count of conspiracy to commit health care fraud and one count of conspiracy to launder money.

This case was prosecuted by Trial Attorneys John K. Neal of the Criminal Division and fraud by the Department of Special Assistant U.S. Attorney George Thomas Beimers in the eastern region of the state of Michigan. Federal Bureau of Investigation and the Office of Inspector General and drugs, conducted the investigation. The case was transferred as part of medical care Fraud Strike Force, supervised by the Criminal Division in the Department of fraud, U.S. Attorney's Office for the Eastern Region of the state of Michigan.

Since it began in March 2007 of the striking force in seven districts have obtained the indictments of more than 500 individuals who collectively have falsely billed Medicare for more than $ 1.1 billion. In addition, drugs and health care centers and medical services, working in collaboration with the Office of the Inspector General, and drugs, to take steps to increase accountability and reduce the presence of fraudulent providers.

Asia heads of record levels of drug-resistant TB:
March 18, 2010 - drug-resistant tuberculosis (TB) is now at record levels with Asia to bear the brunt of this epidemic, says the United Nations World Health Organization (WHO) report released today also calls for improving the diagnosis of the disease.
In some parts of the world, one out of every four people with TB gets sick with a form of the disease that can no longer be treated with standard drugs, according to the WHO Multidrug-wide and drug-resistant TB: 2010 Global Report on surveillance and response.
Nearly one third of the 440,000 people with multidrug-resistant form of the disease (MDR-TB) died in 2008, the report said.
Nearly half of all MDR-TB and MDR-TB occurred in China, where the first drug resistance survey was conducted at the national level, and India. In Africa, and is estimated to 69,000 cases surfaced, the vast majority of which went undiagnosed.
As the report indicates there is a gap in the efforts to combat tuberculosis in Eastern Europe. In one area in northwest Russia, approximately 28 per cent of all people who suffer from TB in 2008 was multi-drug resistant form of ¬ - beating the previous record unfortunate 22 per cent set by Azerbaijan in 2007.
But in areas of Oriel, outside Moscow, and Tomsk in Siberia, the World Health Organization has so-called "significant decline" in drug-resistant TB in about five years. Estonia and neighboring Latvia also reverse rates of the disease, while Hong Kong and the United States and praised for successes continued in the fight against drug-resistant TB.
Even in the presence of serious epidemics, governments and partners can turn around the drug-resistant TB through strengthening efforts to control the disease and the implementation of the recommendations of the World Health Organization, the report noted.
In most other countries, progress remains slow, with 60 per cent of the cases reported and treated.
To intensify their efforts, the report called for an urgent improvements in laboratory facilities, and drug treatment more effective and shorter than the systems during the past year.
The report also pointed to the need for rapid diagnosis, and only 7 per cent of TB patients, MDR is believed that diagnosis all over the world.
The report was released ahead of World TB Day, which features a year on 24 March.
Reduce HIV incidence and mortality of tuberculosis is one of the goals of the United Nations Millennium Development Goals) ¬ - a list of eight targets for reducing poverty agreed by world leaders in 2000.
Secretary-General Ban Ki-moon has called for accelerated progress towards meeting the deadlines for 2015.

Asia-Pacific nations must intensify cooperation in the health sector:
Countries in the Asia-Pacific region, cooperation should be intensified to address the threat of infectious diseases too - including H1N1 - crossing the border, a senior United Nations official today.
"No matter how strong and effective health system of one country, there is no guarantee that it will provide protection from diseases [such as SARS and bird flu], if your neighbors are exposed," said Noeleen Heyzer, Executive Secretary of the United Nations Economic and Social Commission for Asia and the Pacific).
"It is no longer possible to maintain your health without the assistance of your neighbors to do the same thing," she said in her speech to a conference held in Singapore on the theme "health promotion and the lack of response of health systems in Asia."
Ms. Heyzer urged States to increase investment in addressing the structural issues in the field of public health and infrastructure in order to expand the provision of medical supplies, including vaccines.
It is also vital, she said, to attend to the problems that make people sick and in need of medical care in the first place.
Foreign policy can have a major impact on health, and pointed to. For example, you can change the trade policies of the nation the ability to produce affordable drugs or affect the flow of health workers from one country to another.
"The countries that have stronger health systems will need to work closely with the weaker countries to ensure the levels of increased investment in health, and the number and quality of health workers and improve the overall health systems to deal with infectious diseases are of the same level," the official said .

The United State & Tobacco:
The United States and tobaccoWhat information is currently available to the United States of America relating to tobacco? See below.
Risk factor year (s) available national data available surveys are available
The use of tobacco 1980-2007 Yes 21

Risk factors and the definition of Tobacco Male Female
UseDaily user cigarette (general / unspecified) 16.5 20.9

Tobacco UseDaily user smoking tobacco
(general / multiple sources) 16.5 20.9

Report on health in the world:
World Health Organization report, published for the first time in 1995, is WHO's leading publication. Each year The report includes an assessment of global health experts, including statistics on all countries, with a focus on a specific topic. The main purpose of the report is to provide countries, donor agencies, international organizations and other information that they need to help them make decisions on policy and funding. The report also pointed to a wider audience, from universities, teaching hospitals, schools, journalists and the general public - anyone, in fact, with attention to personal and professional issues in international health.
The current World Health Report:
Why renew the primary health care and why now, more than ever before? The immediate answer is clear demand for it from Member States - and not just working in the field of health, but from the political arena as well. Globalization is the development of social cohesion in many countries under pressure, and health systems, and key components of the structure of contemporary societies, are clearly not performing as well as possible and as it should. People are increasingly impatient with the inability of health services to provide national coverage levels to meet the stated demands and changing needs, and failure to provide services in ways that are compatible with their aspirations. There is no dispute that health systems need to respond better - and faster - to the challenges of a changing world. Primary health care can do that.

Sunday, February 7, 2010

Hiv (Aids)

HIV and AIDS:-


In 2005, UNICEF and partners launched the Unite for Children, Unite against AIDS campaign for children on the global AIDS agenda. HIV and AIDS and their impact on children continue to remain at the core of the work of UNICEF. For too long children have been the missing face of HIV and AIDS response and their needs are often overlooked. Yet they are the ones who offer the best hope for defeating the epidemic.
HIV and AIDS key data:-

1. Global and regional estimatesIn 2007:

• An estimated 33.2 million people worldwide are living with HIV

• Approximately 2.1 million children under 15 are living with HIV

• An estimated 2.5 million people newly infected with HIV

• An estimated 420,000 children under 15 were newly infected with HIV

• An estimated 2.1 million people died from AIDS-related causes

• An estimated 290,000 children under 15 deceased from AIDS-related causes
UNAIDS regional estimates for children under 14 years living with HIV (2005):-

• Sub-Saharan Africa: 2 million

• South and Southeast Asia: 170,000

• East Asia: 6400

• Oceania (Australia, Fiji, New Zealand, Papua New Guinea) :-3000

• Latin America: 32,000

• Caribbean: 22.000

• Middle East and North Africa:- 31,000

• Eastern Europe and Central Asia: 6900

• Western and Central Europe: 4000

• North America: 11,000
2. The four P:-
Prevention of mother to child transmission (PMTCT):-

• Every day, nearly 1150 children worldwide become infected with HIV - the vast majority of them newborns infected through mother to child transmission

• In low-and middle-income countries, the proportion of HIV-positive pregnant women receiving antiretroviral prophylaxis to reduce the risk of transmission increased from 10 percent in 2004 to 23 percent in 2006.

• In East and Southern Africa, the proportion of HIV-positive pregnant women receiving antiretroviral prophylaxis for PMTCT increased from 11 percent in 2004 to 31 percent in 2006.
Pediatric care and treatment:-

• Sub-Saharan Africa is home to nearly 90 percent of all children with HIV.

• Most children are infected with the virus while still in the womb, during birth or during breastfeeding.

• In low-and middle-income countries, 127,300 HIV-positive children receiving antiretroviral treatment in 2006, compared with 75,000 in 2005 - an increase of 70 percent.
Prevention of infection among adolescents and young people:-

• In 2007, youth aged 15-24 account for approximately 40 percent of new HIV infections among adults 15 years and older.

• The total number of young men and women aged 15-24 living with HIV is estimated at 5.4 million. Of these 3.28 million live in sub-Saharan Africa.

• Recent data suggest that HIV prevalence among pregnant women aged 15-24 years attending antenatal clinics has declined since 2000/2001 in 11 of the 15 countries with sufficient data. These include 8 countries in Eastern and Southern Africa.
Protection, care and support for children affected by AIDS:-

• The estimated number of children under 18 years by the AIDS orphan in sub-Saharan Africa doubled between 2000 and 2007, to 12.1 million.

• Recent research in Bangladesh, India, Nepal and Pakistan shows how HIV-related stigma and discrimination prevent children from receiving basic social services and sometimes lead to long-term institutionalization and denial of parental care.

• It is estimated that between 10 percent and 20 percent of the children of HIV-infected mothers in the Russian Federation have been abandoned at birth to enable institutions, including hospitals.

• In most countries, children who lost both parents often have less to school than children whose parents are both still alive, but the difference seems to shrink in many countries.

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