UK DAILY MAIL: COST of AIDS

MOUNTING COSTS OF HIV TREATMENT

The cost of treating someone with HIV in the UK is estimated to be around £18,000 per year when they are not showing any symptoms.

This is based on the price of care as well as triple-drug antiretroviral therapy.

However, it costs £21,500 to treat patients who are showing symptoms and £41,000 for those with full-blown AIDS.

Patients who have four drugs cost the NHS between £22,775 and £48,000 per year.

The annual cost of providing HIV treatment and care in the UK could be as high as £758 million by 2013, according to a study in PLoS One. 

Read more: http://www.dailymail.co.uk/health/article-2067496/Number-people-HIV-UK-poised-hit-100-000-infections-rise-6-year.html#ixzz1f6DXIu6F

CSCH-(OD) WORKSHOPS JAN & MARCH 2012

CANADIAN SOCIETY OF CLINICAL HYPNOSIS
(ONTARIO DIVISION)

The Fundamentals of Hypnosis
a three-day Introductory workshop - January 20-21 and March 15
Medical accreditation info: 19.5 CFPC Mainpro-M1 or RCPS Section 1 credits
$675 - only $225 per day
three workshops on the Evolution of Ego State Therapy
with Claire Frederick M.D.
Part 1: History and Applications
a two day Intermediate workshop on Friday March 16 and Saturday March 17 $695
Part 2: Healing the Divided Self
a two day Advanced workshop on Friday June 8  and Saturday June 9 $695
Part 3 will be presented as part of the SCEH conference which will be held in Toronto in October 2012, co-sponsored by CSCH-OD
All workshops will be held in downtown Toronto. Student discount and CSCH / ASCH / SCEH members discounts may be available. These are non-member "early bird" rates shown above. There are eligibility requirements for each workshop. Brochures will be distributed through this mailing list as they are finalised. Registration for the Introductory workshop will open in early December.
http://www.hypnosisontario.com/

Ontario College of Family Physicians new Pres. David TANNENBAUM MD( McGill 77) FCFP

At Richmond St. HILTON HOTEL Toronto Mt. Sinai Granovsky Glusken  GP Centre David TANNENBAUM MD FCFP was acclaimed President.

Many GPs now leaving General GP and Focusing on a Specialty recognised by the Royal Colleges of Physicians & Surgeons. Mainly Acupuncture, Anaesthesia, Cosmetic medicine, Geriatrics (Nursing Homes) Hair Transplants, Musculoskeletal medicine(including joint injections & manipulation), Palliative medicine, Psychotherapy, Refraction, Rehabilitation (car accidents & WSIB), Sports Medicine, Surgical assisting.Weight loss.

Reasons:
Many specialties have lower overhead: especially psychotherapy.
Higher status: not "just a GP" Similar to UK GPwSI (GP with Special Interest).
Higher income as many services not covered by Provincial insurance with higher PRIVATE RATES.
Less medico-legal risk as TREATMENT stressed not Diagnosis.

With increase of clinical responsibility of Nurse Practitioners, the rise in Canada of Physician Assistants, and of Pharmacists in PAID Counselling, the role of GP in Ontario is declining. A worry to the College of FPs.

COFP Exec.Director & CEO is a Registered Nurse Ms Jan KASPERSKI

COCKROACH SENSITIVITY in Allergic rhinitis

Tahira Batool

*, Rozita Borici-Mazi

From

Victoria, Canada. 3-6 November 2010

Canadian Society of Allergy and Clinical Immunology Annual Scientific Meeting 2010

Background

Role of cockroach allergy in asthma has been widely studied

and the effect of environmental control on asthma

symptoms has been established. However, the role of

cockroach sensitivity remains unknown. We have

designed this study to establish role of cockroach sensitization

on allergic rhinitis.

Hypothesis

Cockroach allergy has significant role in allergic rhinitis.

Population

Allergic rhinitis patients attending allergy and clinical

immunology clinic under Dr Rozita Borici-Mazi in Kingston

General Hospital, Kingston ON.

Method

Retrospective chart review of patients evaluated for

allergic rhinitis and underwent skin prick testing.

A cohort of 250 patients was randomly selected with

inclusion criteria being symptomatic allergic rhinitis and

positive allergy skin prick testing to usual panel of allergens.

Data collection included demographics, smoking

exposure, symptom pattern, presence or absence of

non-nasal symptoms, positive skin prick testing for

cockroach and other environmental allergens such as

dust mite, cat, dog, and seasonal pollens.

Results

Allergy to seasonal allergens was found to be the most

common (n=191, 76.4%) followed by house dust mite

(n=149, 59.6%) and cat allergen (n=118, 47.2%). Cockroach

sensitization was found in 62 (25%). Among the

cockroach sensitivity group, 8 patients had monosensitization

to cockroach. All of them had perennial symptoms.

75%of these people were residents of urban areas.

Two patients who had symptoms for more than 8 years

had developed asthma.

Conclusion

Cockroach allergy is found to be one of the significant

indoor allergens in allergic rhinitis in Kingston area.

Given the relationship of Allergic Rhinitis and Asthma

development, there is need to recognize this important

allergen earlier and treat it through allergen avoidance

and/or Immunotherapy, not only to treat allergic rhinitis

symptoms but also to prevent development of allergic

asthma. Further studies to establish the correlation

between allergic rhinitis and cockroach sensitization are

needed.

Published: 4 November 2010

doi:10.1186/1710-1492-6-S2-P11

Cite this article as:

allergic rhinitis patients; is it significant? To see prevalence of cockroach

sensitivity in allergic rhinitis patients in Kingston area.

Clinical Immunology

* Correspondence: 7TB11@queensu.ca

Department of Internal Medicine, Queen

Ann Allergy. 1978 Dec;41(6):333-6.

A comparative study of prevalence of skin hypersensitivity to cockroach and house dust antigens.

Kang B, Sulit N.

Abstract

Allergy skin tests with cockroach antigen along with various common inhalant allergens were performed on 222 atopic and on 63 non-atopic subjects. The most prevalent allergen producing a positive skin test was house dust antigen with a positive response of 72%, 78% and 57% in atopic adults, atopic children and non-atopic children, respectively. The next prevalent positive skin test was to cockroach antigen with 50%, 60% and 27%, respectively, of the three groups tested. The differences between positive cockroach hypersensitivity and house dust hypersensitivity in all three groups tested were statistically significant. Next in order of prevalence of positive skin test to common inhalants were western weeds, ragweeds and cats. Incidence of cockroach hypersensitivity was 58% among asthmatic adults and 69% among asthmatic children. The results indicate that cockroach hypersensitivity is highly prevalent and that cockroach antigen is an independent agent from house dust as a cause of immediate hypersensitivity reaction.

PMID:

569451

[PubMed - indexed for MEDLINE]

Batool and Borici-Mazi: Cockroach sensitivity inAllergy, Asthma &2010 6(Suppl 2):P11.’s University, Kingston, Ontario,

POSTER PRESENTATION Open Access

WISEMAN RD, WOODIN WG, MILLER HC, MYERS MA. Insect allergy as a possible cause of inhalant sensitivity. J Allergy. 1959 May–Jun;30(3):191–197. [PubMed]

Cockroach sensitivity in allergic rhinitis patients;

is it significant? To see prevalence of cockroach

sensitivity in allergic rhinitis patients in

Kingston area

OMA COUNCIL MEETING ELECTION RESULTS

DIRECTOR elected from the General & Family practice assembly:

Georgetown GP Kiran Udaya CHERLA MD (Tor. 2001) defeated incumbent Ottawa GP Alicia DONOHUE MHSc (Tor.1983) MD (Ottawa 1985)

DIRECTOR re-elected from the Surgical assembly, Toronto Vascular Surgeon Wayne TANNER MD( 1972 Tor.) FMSQ (1980 Quebec) FRCS(C) (1984 Vasc.Surg.)

Other candidates:
1)Toronto Surgical assistant Dr Davis ESSER MD (U.Western Ont 1987)

2)Chief of Staff Scarborough Hosp Dr.Steven JACKSON MDCM (McGill 1987) FRCS(C) Surgical oncology 1994  MBA(Rotman, U.Toronto 2011)

3)Peterborough Anaesthetist Dr Renwick MANN MD (Queen's 1975) FRCP(C) 1979

BAYER point-of-care HbA1c test using capillary blood & "A1CNow+" monitor

A1CNow+^®

Fast. Easy. Accurate.

Get A1C test results now in just 5 minutes. The A1CNow+^® monitor is hand-held, portable and simple to use. Test results are lab accurate at 99%¹.

The A1CNow+^® monitor enables you to get rapid A1c test results while your patients are in your office, empowering you to make on-the-spot treatment decisions for your diabetes patients.
Using the A1CNow+^® monitor is:

Fast.

• In office testing. No waiting for lab results
• Results in just five minutes
• Hands-on procedure time is less than one minute
• Provides opportunity for immediate, face-to-face counseling

Easy.

• Simple, 3-step procedure
• CLIA waived
• Only 5 μL of blood from a fingertip is needed
• No calibration, no daily controls, no maintenance
• No refrigeration necessary if used within four months
• No capital equipment required
• Enables A1C testing in every exam room

Accurate.

• Proven lab accuracy at 99%
• NGSP certified

To learn more about purchasing A1CNow+^® for use in your practice, please contact your Bayer sales representative or call our Customer Support Line at 1-800-268-7200.

PricewaterhouseCooper The OMA Study of Income,Overhead and Hours Worked

$600,000 PwC study commissioned by OMA. published Oct. 2011. 108 pages. PwC Head Health Dept.Ms Barbara PITTS PwC CEO William McFarland B.Com(Hons.U Tor.) CA.
18 York street, Tor.,Ont. M5J 0B2

"The OMA Study of Income,Overhead and Hours Worked."

1,249 OMA members responded : 8.6%


HIGHEST DAILY NET (after overhead expenses).
#1 NUCLEAR MEDICINE $2,116
#2 RADIATION ONCOLOGY $2,085
#3 CARDIOLOGY  $2,013
#4 General THORACIC SURGERY  $1,854
#5 Diagnostic RADIOLOGY  $1,780

HIGHEST OVERHEAD/HOUR
#1 OPHTHALMOLOGY $126
#2 GASTROENTEROLOGY $110
#3 CLINICAL IMMUNOLOGY $104
#4  RESPIROLOGY $83
#5 UROLOGY $82

HIGHEST HOURS WORKED/day
#1 General THORACIC SURGERY 9.2
#2 PLASTIC SURGERY  8.8
#3 Orthopaedic SURGERY 8.7
#4 UROLOGY 8.7
#5 CARDIAC SURGERY 8.6

HIGHEST NET HOURLY INCOME
#1 RADIATION ONCOLOGY $311
#2 NUCLEAR MEDICINE $ 300
#3 COMMUNITY MEDICINE $296
#4 CARDIOLOGY $260
#5 Diagnostic RADIOLOGY $249