Month: September 2016

The Four Most Lethal Diseases Caused by Mosquitoes

Zika mosquito
Zika can be deadly

Although they are tiny, mosquitoes can be very pestilential creatures.  We are all cognizant of the dangers of the Zika virus and the issues they are having on our human population, but there here are additional mosquito-borne illnesses in addition to Zika. Some of them are more lethal than the others. Below is a list of the most lethal diseases that mosquitoes can carry?

Zika Virus

Primarily caused by Aedes mosquitoes, Zika virus is a disease first identified in 1947 in Uganda. A mild illness, Zika virus may cause viral fever. Furthermore, an infected person may suffer from headache, aches, and skin rashes. Unfortunately, there is no precautionary antidote for this disease so the only way you can protect yourself from Zika virus is staying clear of mosquito bites. Pregnant women and infants are most affected by this disease.

Dengue fever

Without a shadow of a doubt, dengue fever is one of the most lethal illnesses caused by mosquitoes. People living in tropical and subtropical climates are the ones most prone to this disease. Similar to the Zika virus, dengue fever is primarily caused by Aedes mosquitoes. By multiplying in our body’s cells, dengue mosquitoes cause rashes, joints pain, headache, and high fever. However, these conditions are just the initial symptoms of the disease. Dengue can also cause nausea, vomiting, bleeding and even death. Generally, infected people take acetaminophen to treat dengue fever. However, to date, there are no specific medications or treatments for this ailment.

Malaria

Caused by female Anopheles, malaria occurs when a human is bit by a mosquito and Plasmodium vivax is transferred into the bloodstream. Malaria can travel from the bloodstream into the liver and disrupt the normal functioning of the liver. Malaria can also cause headaches, fever, sweating, severe-flu and chills. Although this illness has been virtually eliminated in the United States, it continues to haunt the people in Africa and South America.

West Nile

West Nile was first discovered in 1999. Caused by culex mosquitoes, West Nile primarily affects birds and animals. However, there are also cases of humans being affected by this disease. In fact, many human fatalities caused by West Nile have been reported to date. West Nile is a lethal disease, as it can damage brain tissues and cause coma, convulsions and even death.

What is the SHIN-NY?

Many New Yorkers are asking about SHIN-NY and sPRL. Here are some helpful answers to your questions.

What is the SHIN-NY?

The Statewide Health Information Network of New York (SHIN-NY) is a secure information network that enables the exchange of patient data in New York State. The SHIN-NY is a “network of networks” comprised of nine independent Regional Health Information Organizations (RHIOs). It is governed by the New York State Department of Health and coordinated by the New York eHealth Collaborative (NYeC). By participating in a local RHIO, healthcare providers can access clinical data for patients who have provided consent. Once a provider connects to a RHIO, they are automatically connected to the SHIN-NY.

What is required to participate in a RHIO?

To become a member of a RHIO, a provider needs to sign a “participation agreement.” A healthcare provider can obtain access through a clinical viewer or portal. While there is no cost to receive basic RHIO services, there may be a cost to connect to a RHIO if a custom interface is required. Providers should contact their RHIO for additional participant information.

What does it mean to connect to the SHIN-NY?

The SHIN-NY is the interconnected network of RHIOs. By connecting to a RHIO, the provider is also connected into the SHIN-NY network. The plan is to make exchange of data statewide by October.

What is a Qualified Entity or QE?

A “Qualified Entity” is similar to a RHIO. The term Qualified Entity is a specific legal term established by the Department of Health to define entities that are certified (“qualified”) to provide clinical record exchange services as part of the SHIN-NY. All RHIOs must pass a certification test before they may be interconnected with other RHIOs to ensure they meet stringent security, privacy, and technology standards.

What is Statewide Patient Record Lookup (sPRL), and how does it work?

sPRL acts like a secure search engine to search for a patient’s data, similar to a “Googling” function, When a healthcare provider enters basic demographic information for a specific patient who has provided their consent, sPRL will return all the records it finds for that patient from each RHIO region. Here’s how it works. When a provider uploads a patient record to the RHIO, the patient’s name is included in the RHIO’s patient index. All RHIO patient indexes are combined into a Master Patient Index for the SHIN-NY as a whole. When a provider looks up a consented patient’s records, the RHIO’s patient index is matched against the statewide Master Patient Index to see what records reside in other RHIOs. When matches between indexes occur, the records show up in the search. Essentially, sPRL allows a healthcare provider to search records across New York State for a particular patient’s information.

How is sPRL different from the existing local Patient Record Lookup (PRL) that a RHIO offers?  What is the additional value?

sPRL allows participating providers to retrieve their patient’s clinical records across the entire statewide network as long as the patient has consented to make his or her records available. While this functionality has already been available within individual RHIOs’ networks, sPRL lets providers search for records across the whole state. So, for example, a family practitioner in Brooklyn can look up her patient’s health records from a provider who treated her in Binghamton.

When will sPRL be available to providers?

To ensure a smooth process, the RHIOs will be starting the interconnection process in groups of three beginning July 7th, 2015. This “onboarding” will continue through the end of September. As RHIOs become fully interconnected, their records will be available to the other interconnected RHIOs. (Of note: if a patient’s records reside in a RHIO that is not yet interconnected, an sPRL search will not show those records yet.) By October, all RHIOs will be interconnected, and providers will have access to all the RHIOs’ records regardless of which RHIO the provider participates in.

 

Medicare Favors Cheaper Opioids Over Ones with Abuse-Deterrent Properties

OpioidsMedicare Part D plan coverage for abuse-deterrent, brand name opioids has declined from 2012 to 2015.

While Part D coverage rates for all prescription opioids decreased 10 percentage points during that time, coverage for branded OxyContin, which had received abuse-deterrent labeling, fell even more (28 percentage points), according to a report from Avalere.

There are currently four branded drugs with abuse-deterrent labeling and no generic opioids with abuse-deterrent labeling.

The Opioid Generic Dilemma

“While prescription opioid abuse continues to be a priority for public health experts and lawmakers, coverage for these products by Part D plans is limited and plans are increasingly favoring lower-cost generic products on their formularies,” Caroline Pearson, senior vice president at Avalere, said in a post on Avalere’s website. “Policymakers seeking to limit opioid abuse will have to balance the desire for greater access to abuse-deterrent opioids with the increased costs of such medications to public programs and private payers.”

The Elderly are Most Affected

Prescription opioid abuse among senior citizens has been particularly concerning as misuse of prescription pain relievers among individuals age 65 and older can was estimated in 2013 to have increased threefold from a decade prior, according to data from the Substance Abuse and Mental Health Services Administration’s National Survey on Drug Use and Health.

Avalere’s Report

Avalere’s analysis of opioid coverage and utilization management in Part D found that a quarter of plans require prior authorization for OxyContin in 2015. Generic Oxycodone, which has no abuse-deterrent properties, is covered by all Part D plans and faces lower levels of utilization management. In addition, although the FDA decided not to grant Opana ER abuse-deterrent labeling, it still has a higher coverage rate than OxyContin.

The Avalere report surmises that the analysis suggests plans favor covering lower-cost generic alternatives rather than opioids with abuse-deterrent labeling.

“As policymakers continue to consider options to combat opioid abuse, it will be important for them to consider how to ensure patient access, including access to new innovations that might help limit potential abuse, while balancing this imperative with cost challenges,” the report concludes.

Five Signs Which Tell Us It’s Time for Assisted Living

Leaving your loved ones to be taken care of by strangers is certainly a difficult decision to make. It is a bizarre thing for both, the elderly person and the family members. Yet, it is a decision that has to be made. Nurses and doctors in assisted living institutions are educated and caring people. They take care of the elderly on their own and help them stay safe and healthy.

It is difficult to determine the right time to move the elderly. However, time is of the essence when the health of a person is in question. You never know when the elderly might need immediate medical attention and by the time they get it, it is already too late. Let’s learn about some signs that tell us loud and clear that it’s time for assisted living;

Meandering off:

Dementia is one of the most common conditions that emerge in old age. Most elderly people are found meandering from their rooms or wandering off in the corridors. A time comes when this wondering gets to be too much and increases the risk of falling, hurting and accidents occurring.

Medications:

Regular and timely intake of medications is another necessary part of old age. Medicines are all that keep some elderly on their feet. Yet, a time comes when an old person is not taking medications on time or going days without proper eating. When this begins to happen, know that they need assistance.

Decline in Cognitive Behavior:

A time comes in old age when we begin to forget about directions, fail to make any sound decision or even complete a sentence. These are telling signs that a senior is in need of assisted living.

Injuries:

As people grow old, they begin to lose energy in their bones, their sense of balance becomes off and as a result, they become a victim of frequent injuries. It is unsafe for an elderly to live like this alone, without having anyone to look after them.

Driving:

When you begin to see lots of traffic tickets around the house, dents in the car or people complaining about the driving habits of an elderly person, it means that they are unable to get around on their own. This not only poses a threat to the seniors but to the life of others in the area as well.

As soon as you notice any of the above-mentioned signs in your old parents, grandparents or neighbors, provide them with assisted living, pronto.

 

Researchers Revise New York City Subway Bacteria Study

The New York City subway has been falsely accused of being dirty and unsanitary for decades. This stereotyped conclusion is far from the truth. Although not the place to dine in, as a transportation system, the New York City subway is as clean as any other system in the world and probably cleaner than some European subways, such as the London Metro and the Metro in Rome.

Recent research in June, 2016 confirms the assertion that the subways are respectively ‘cleaner’ than what most people would think.

The Wall Street Journal reported that in an erratum published July 29, 2015, in the journal Cell Systems that researchers who mapped DNA found in the subway system in New York City said they had mistakenly interpreted data that had led to their original claim, which said that they had found bubonic plague and anthrax DNA traces at certain subway stations. The authors of the study have subsequently revised their conclusions.

“Speaking of Science”, a Washington Post blog points out that after the CDC and the New York City Department of Health pushed back the study, authors made the correction. The method of “data collection was just fine – so they’re not retracting their study – but they admit that their interpretations may have been a bit speculative in nature, and that the media’s interpretation of those interpretations got a little out of control.”

Time reports that referring “to the bubonic plague and anthrax findings, the researchers write, ‘There is minimal coverage to the backbone genome of these organisms, and there is no strong evidence to suggest these organisms are in fact present, and no evidence of pathogenicity.’”

Attracting and Retaining Physicians in New York State

The Center for Health Workforce Studies reported recently that the in-state retention of new physicians has gradually declined from a high of 54% in 1999 to the lowest since the survey began of 44% in 2012.

This is particularly troubling as demand for physician services continues to outpace physician supply, particularly in ophthalmology, urology, psychiatry, pathology, general internal medicine, general/family medicine, and otolaryngology.

Member Physicians of the Medical Society of the State of New York protest in Albany

There are areas of the state and populations that are already underserved by the current physician supply. The implications of the forecasts for these areas and populations are dire. New York must do more to attract and retain physicians.

New York Must:

• Reduce the overhead burden shouldered by physician practices through meaningful civil justice reform;

• Assure fairness in contracting by leveling the playing field for physicians in their negotiations with health insurers;

• Continue an adequately funded Excess Medical Liability program to assure that physicians will have the coverage needed to protect them from personal financial exposure to escalating medical liability awards;

• Prevent the imposition of costly and burdensome CON requirements on physician offices and equipment purchases;

• Put additional resources toward the Doctors Across New York program to allow for more awardees and modify eligibility to assure a more equitable balance of awards between institutionally based and private practice physicians;

• Create income tax credits for physicians who practice in specialty shortage areas;

• Continue Medicaid reimbursement of primary care rates at Medicare levels beyond 2015;

• Defeat any proposal to directly or indirectly tax medical services, medical devices or products or sites of service; and

• Defeat any proposal to increase the biennial physician registration fee.

New York State currently has the worst malpractice environment and there is legislation that would allow the statute of limitations of malpractice litigation to increase from the current limit of 2.5 years.

This would result in medical liability premiums to increase by nearly 15%. A cost that would subject physicians to an additional financial burden and subsequently cause more physicians to retire early or leave the state. Sometimes called the “Chase Your Doctor out of New York Act”, this bill must be opposed.

Knowing Fibromyalgia Disease and its Causes

Fibromyalgia, also known as fibromyositis, is a disease that cause the patient to experience excruciating and self-migrating pain from head to toe. This means that the pain can migrate to any part of your body each day.

Patients who suffer from this disease wait for an average of five years before their ailment is accurately diagnosed by an MD, after they exclude any chances of it being a different disease. During this lengthy time period required by physicians to rule out other diseases, many patients do not receive any treatments and continue to suffer. A patient may also be at risk of suffering from other overlapping ailments that are equally or more painful.

Symptoms of Fibromyalgia

There are many symptoms of Fibromyalgia. The most common ones include anxiety, decreased energy, depression, chronic pain, spasms or muscle tightness, stiffness in muscles, extreme muscle pain after workouts, Irritable bowel syndrome, facial and jaw tenderness, migraines of tension related headaches, irritable bowel syndrome, moderate to severe fatigue, insomnia or agitated sleep, sensitivity to odor, bright lights, noise, medications, cold and certain foods, a feeling of swelling rather than actual swelling in the feet and hands, difficulty in concentrating, remembering and performing mental tasks that may be very simple (called fiber fog), abdominal pain, nausea, and bloating, numbness in face, arms, legs or feet and Irritable bladder.

Causes of Fibromyalgia

Fibromyalgia’s underlying causes is still a debatable subject. Many researchers have studied this disease extensively and continue to do so in order to find one possible cause for the excruciatingly painful outcomes. However, most researchers believe that the brain’s central processing is to be blamed for its manifestation.

After conducting extensive studies to figure out and understand the basic mechanisms of fibromyalgia, researchers believe that it is actually caused by a disorder of central processing with neurotransmitter abnormalities. The reason why the disease causes such pain is due to unusual or irregular sensory dispensation in the nervous system.

Fibromyalgia treatment

Fibromyalgia requires adapting to new lifestyle, or rather improve it. People who are resistant to change and adjustments are likely to experience a greater amount of discomfort.

When a patient of fibromyalgia adapts and embraces change, they experience improvement in the way they function as well as the quality of their lives. Furthermore, many medications are used to treat fibromyalgia including anti-seizure medicines such as pregabalin and antidepressants such as fluoxetine or amitriptyline. Apart from personal adjustments and medications, doctors believe acupuncture to be an effective treatment of fibromyalgia. In fact, acupuncture is the most recognized treatment for the fibromyalgia. However, a lot of other therapies are conducted as well to help the patient recover.

Five Ways to Protect Yourself From the Zika Virus

Zika MosquitoAs the number of Zika virus infections continues to rise in the US, it is important to take the right steps in order to minimize your risk of contracting the disease.

Travel Smart

Pregnant women and women planning on becoming pregnant should avoid traveling to Zika affected areas. This includes Florida, Puerto Rico, and the US Virgin Islands. Outside of the US this also includes Mexico, Central America, the Caribbean and most of South America.

Wear Mosquito Repellent

The Center for Disease Control recommends mosquito repellent products with the active ingredients DEET, oil of lemon eucalyptus, picaridin, or IR 3535. DEET is safe for pregnant women to use. Don’t forget to spray the feet and ankles as the Zika carrying mosquitos have a preference for these areas.

Wear Protective Clothing

Wear dark colored long sleeves and long pants including shoes with full coverage. You can get extra protection by wearing clothing that contains permethrin, a synthetic insecticide which is safe for pregnant women and children to use.

Remove Standing Water

Aedes mosquitoes that spread Zika feed during the morning into the afternoon and like to go inside houses for shade and reproduction. Any water located in your home could be a breeding ground for mosquitos. One tablespoon of water can serve as a breeding ground and produce up to 300 mosquitos. Be sure to get rid of any standing water in or around your home including in flower and plant pots, garbage, buckets, and any item that holds water.

Exercise Inside

Aedes mosquitoes are drawn to carbon dioxide, heat, and sweat. It’s best to switch your morning run into an indoor workout, especially in Zika affected areas and when it’s warm out. Blast the AC when you’re inside to keep those mosquitoes out.