Popular Articles

Editorial, Opinion Piece Discuss Issues Related To Routine HIV Testing
A recent directive to streamline the HIV testing consent process in Massachusetts as well as consent forms "no longer hav[ing] to accompany test specimens to the lab," are bringing "the state closer to a CDC recommendation that clinicians provide HIV screening on an opt-out basis," according to a Boston Globe editorial. "The opt-out provision is at the heart" of legislation sponsored by state Sen. Patricia Jehlen (D) that would end the state"s requirement of written consent for HIV testing "and instead have healthcare providers inform patients verbally that the test is planned but that they can decline it," the editorial states, adding, "The Jehlen bill would help destigmatize HIV testing itself" (7/6).
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What Is Cellulitis? What Causes Cellulitis?
Cellulitis and cellulite are two completely different things. Cellulitis is a bacterial infection of the dermis - the deep layer of skin - as well as the subcutaneous tissues (fat and soft tissue layer) that are under the skin. While cellulite is caused by fatty deposits under the skin that give it an orange peel or cottage cheese look. This article is about the bacterial infection - cellulitis.
News of the day
Federal Program Cracks Down On Medicare Fraud In Houston
A federal program targets Medicare fraud in the Houston area as news of three cases representing at least $35 million in false claims emerged within the past week. The Houston Chronicle reports on the three cases, noting: "These Houston-area scams alleged in two FBI complaints and one Montgomery County indictment were among six reported nationally in a single week - representing at least $285 million in false billings, records showed. "This is an astounding amount," said Houston"s FBI spokeswoman Pat Villafranca. The $285 million is more than four times the amount stolen during robberies of U.S. banks during all of 2008, she said. This month, Houston became the fourth metropolitan area - joining Miami, Los Angeles and Detroit - to create a ramped-up fraud strike force. It goes by the acronym "HEAT," Health Care Fraud Prevention and Enforcement Action Team."
Oncology

Orthopaedists On A Humanitarian Mission: Sustained Help For Developing Countries

"Flying into a developing country, operating on people for a few days or weeks and flying out again helps individual persons but has nothing to do with sustainable development work." Professor Martin Salzer, Vice-president of "Austrian Doctors for Disabled" -- the Austrian society for medical development assistance -- is convinced that "it makes even less sense to fly in people from such countries for difficult operations, as humanitarian the motive may be. That money can be invested more effectively." For the group of physicians and medically interested persons around Prof. Salzer it is a question of sustainability in the field of development cooperation, something to which they can contribute their medical experience. "After care for the disability or sickness, our concern is networked interdisciplinary and sustainable rehabilitation. We also hope to thereby make a contribution toward combating poverty" Prof. Salzer says in summing up the main concern of the organization. The principles of such work and the ongoing projects are being discussed during a special symposium at the EFORT Congress, the largest European orthopaedic congress that is gathering more than 8,000 participants from around the world in Austria"s capital city between the 3 and 6 June. "It is the first symposium to thematize medical development cooperation in the area of orthopaedics. We want to interest as many doctors as possible in making their experience available to sick and disabled people in countries where medical care is not at the level it is in a large part of Europe" Professor Salzer explains. Experts from Austria, Sweden, the Netherlands, Germany, Bosnia-Herzegovina and Switzerland are reporting on their experience in the so-called "Third World" and in war zones and on successful cooperation projects in Ghana, Mali, Yemen, Eretria and Bosnia-Herzegovina. Ownership, alignment, harmonisation: basic principles for successful development cooperation Professor Salzer and his colleagues want to improve the structural conditions for medical care, not only the fate of some individuals. "What we are striving for is knowledge transfer. Strategic planning is essential for that" he notes. "In order to do justice to local needs, every project must be individually planned, taking existing local res into account. After a pilot phase and the establishment of long-term projects, local specialists should take over as soon as possible and the foreign experts should withdraw." Sustainable development cooperation needs to orient itself to the criteria of the "Paris 2005 Declaration," Professor Salzer emphasizes. The most important pillars of sustained development cooperation, according to that international resolution, are as follows: - Ownership: the governments of the recipient countries assume responsibility for the future of the projects; - Alignment: the donor countries orient themselves to the needs and system of the recipient countries; - Harmonization: coordinated support of the various locally operating aid organizations. "Unfortunately, these principles are not being implemented in many development projects," Professor Salzer regrets. The EFORT symposium is a good opportunity not only to lend force to these concerns, but to exchange experiences as well. "It will be a decisive life"s experience for anyone deciding to actively participate in development projects. That"s not only true for young doctors, but for doctors who share their long years of experience in the professional and personal realm," Professor Salzer is convinced. EFORT


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