Gastroenterologists Release New Safety Guidelines

In this Oct. 3, 2007, file photo released by the University of Wisconsin Medical School shows a virtual colonoscopy, a 3-D image that was computer-generated from a series of X-rays taken by a CT scanner. (AP Photo/ Courtesy of Dr. Perry J. Pickhardt/ University of Wisconsin Medical School, file)

– Canada’s gastroenterologists have new guidelines on safety and quality indicators to help with the more than 1.6 million procedures performed each year, their association announced Monday. Although the Canadian Association of Gastroenterology has guidelines around credentials and training, there was a void in other areas. “If one looks at the sort of totality of endoscopy service delivery, particularly from a patient point of view — which is access to services, rapid access, high quality services, feedback, and an ability to respond to how they perceive endoscopy service delivery — then there really was nothing in place,” said Dr. David Armstrong, chair of the endoscopy committee and the consensus guideline committee. Endoscopy is used to detect or screen for a number of diseases and involves examining the colon or digestive tract using a long, thin tube with a light and camera attached. Last October, about 6,800 Ottawa residents were sent letters from public health officials after it was found that a non-hospital clinic wasn’t following some procedures involving cleaning and infection prevention. The letters indicated the patients might have been exposed to hepatitis B, hepatitis C or HIV. Armstrong said he likes to think the presence of these guidelines would have made a difference in the Ottawa situation. “That’s really because one of the challenges for endoscopy — and it’s in and out of hospitals — has been that if there isn’t a framework to say how things should be monitored and how they should be delivered, it’s difficult to know how much or how closely to monitor things, and what actually are the standards,” Armstrong said in an interview from Hamilton, where he’s an associate professor of medicine at McMaster University. “So I think guidelines that say what should be monitored and what processes have to be in place really from a patient point of view and knowledge that there are tools available to monitor the way that services are delivered and to use as a basis for quality improvement programs would have made a big difference.” Armstrong indicated that it used to be felt that washing the scope and then doing a manual cleaning was sufficient. “And the trouble is there are times when that isn’t sufficient. It’s also important to ensure that all of the endoscopy manufacturers’ instructions and the automatic cleaning equipment instructions are followed, that there’s regular checks of the equipment and the water supply and the filtration and everything else.” It’s something of an undertaking, he noted. “And so to know that those have to be checked regularly and incorporated into all the other quality processes, I think is going to be key as we go forward — particularly as volumes increase.” The new Consensus Guidelines on Safety and Quality Indicators in Endoscopy were developed by a group of 35 Canadian, European and U.S.-based participants, the association said. They reviewed more than two decades’ worth of research to develop their recommendations.

learn here http://www.ctvnews.ca/gastroenterologists-release-new-safety-guidelines-1.758456

The Great Canadian Fart Survey

Meanwhile, Canadians have told Statistics Canada that waiting lists and wait times rank among their top health concerns. Despite the harsh realities surrounding digestive disease, Canadians must wait an inordinate amount of time for gastro-intestinal consultations and access to specialized testing. Case in point: 25% of patients with alarm symptoms, indicators of disease such as cancer, are forced to wait 4 months before their case is seen by a specialist. That’s far longer than the 3 weeks Canadians have told us that they’re willing to wait. Frankly, four months is unacceptable. It is time we got our priorities straight. Surprisingly, in developing its wait list reform of the Canadian health care system, Paul Martin’s government overlooked digestive disease. The Canadian Association of Gastroenterology has sent a call to action to Prime Minister Paul Martin, urging him to include digestive disease as a health-care priority and ensure Canadian patients obtain necessary and timely access to our specialists. Canadian gastroenterologists are already out of the starting block. The Canadian Association of Gastroenterology has done its homework, talked to patients, and is now armed with information that will be crucial in improving the Canadian health care system. We have developed 24 recommended targets for medically-acceptable wait times for gastroenterology, based on a study conducted by nearly 200 Canadian GI specialists who captured data on 5,500 patient visits. We are ready to work with Canadians to make Paul Martin’s government pay attention. We are not looking for handouts. The simple infusion of federal dollars into the health care system is a band-aid solution. We must now go further, as a society. The Canadian Association of Gastroenterology proposes to work hand-in-hand with Paul Martin’s government to develop the creative strategies that will finally allow us to bring wait times to acceptable levels.

you could look here http://www.marketwire.com/press-release/Canadian-Association-of-Gastroenterology-Open-Letter-to-Canadians-554684.htm

Canadian Association of Gastroenterology: Open Letter to Canadians

Each day I was pampered on Holland America’s ship, the Ryndham. Then a stay in Rio de Janeiro strolling Copacabana’s magnificent beach. One doesn’t forget the bikini-clad Latin ladies! So still in a vacation mood I’ve searched hard and long for a lighter topic for this week’s column. I finally found The Great Canadian Fart Survey. This study will never be nominated for a Nobel Prize. It’s certainly not a topic for a sedate dinner party. But there are some amazing facts suitable for Trivial Pursuit. Besides the problem is universal. Kings, Queens and the rest of us are all affected by it. So what did the report prove. I have to be cautious on this one as I have no intention of offending any province.

click to read http://www.canadafreepress.com/medical/gastroenterology050403.htm

Australia Top Doc: Physician Assistant Use Too Risky

A plan to introduce some physician assistants to the country’s health system has Australian Medical Association president Rosanna Capolingua very upsetabout patient safety, of course. THE head of Australia’s peak medical body has criticised a plan to introduce US-style physicians’ assistants who would carry out less complex medical procedures, saying it puts patients at greater risk and could deny junior doctors training opportunities. Queensland Health Minister Stephen Robertson yesterday released the five sites for a pilot program to train doctors’ assistants, who would perform the procedures under the guidance of a qualified doctor. The pilot is based on a scheme developed in the US and has been trialled in countries including Canada and Britain. Australian Medical Association president Rosanna Capolingua said that, although assistants would work under a doctor’s supervision at all times, their use in surgical procedures could compromise patient safety. “The physician’s assistant understands how to do the task and they may be useful as a ‘tool’ but, for our own junior doctors, they need to have that holistic training and experience as well,” she said. “Patient safety must always be our first priority, not just the delivery of a service to a patient.” Doesn’t sound like Dr. Capolingua is going tomake a great teammate. The nurses aren’t thrilled, either. Beth Mohle from the Queensland Nurses Union said the Government should spend the money expanding the role of existing nursing staff. “They’re not actually testing physicians’ assistants against positions like nurse practitioners,” she said. “If you’re going to have a trial, you should actually at least test those positions against currently existing positions such as nurse practitioners.” Sounds like the beginning of a major turf war. Or it would be if it wasn’t all about patient safety.

my review here http://community.advanceweb.com/blogs/pa_1/archive/2008/08/18/australia-top-doc-physician-assistant-use-too-risky.aspx

Health Workforce Australia report gives the nod to physician assistants

It says there is demand for PAs in rural and remote general practice; the private, non-government and community sectors; Aboriginal medical services; and defence. Rural and remote doctors are the strongest advocates for an urgent and positive consideration of the roles of PAs, it says. Interestingly, NSW is the only jurisdiction not to back PAs: all other states and territories were willing to consider PAs as part of their health workforce. (NSW representatives instead wanted more generalist medical positions such as hospitalists). The report notes that those with direct experience of PAs or PA students are confident about the safety and acceptability of PAs for the Australian health system. They also say that PAs would improve the productivity of other health professions, and would be unlikely to threaten the training of medical graduates or the advanced practice roles in other professions. Despite a decade of discussion and two successful pilot programs, says the report, there remains a high level of misunderstanding about the clinical role and professional attributes of PAs and how they might complement and add value to existing team structures. On a related note, the report says: Those who openly declared their opposition to introducing PAs in Australia were likely to advocate for the interests of existing professions, either nursing or medicine. (Croakey wonders if this gives any hint of the reason for the NSW resistance: are the medical and nursing lobbies more influential in NSW?) The report also notes the potential of PAs to reduce health care costs by providing a new workforce group to provide safe and effective services at lower cost. The report, considered by the Australian Health Ministers Advisory Council (AHMAC) in February, has been keenly awaited by PAs and their supporters, including one of the first PAs to graduate in Australia,Ben Stock, who writes below that action is now needed. *** Report represents overwhelming support for PAs Ben Stock writes: In 2011, Health Workforce Australia commissioned a report into the Physician Assistant and their potential role in the Australian health workforce. This report was completed in November 2011 and earlier this year was tabled to the Australian Health Ministers Advisory Council for consideration and it has now just been formally released. This comprehensive report conducted an extensive literature review of supporting documentation regarding Physician Assistants from overseas evidence and considered the impact of the two Australian Physician Assistant trials, which were conducted in Queensland and in South Australia. In addition the report also considered submissions from various key stakeholders such as personnel from the rule and remote health sector, Physician Assistant graduates and students from the Australian PA programs conducted by University of Queensland and other professional bodies representing nurses and doctors. The findings of this report are overwhelmingly supportive of the introduction of the Physician Assistant into the Australian health workforce. A number of concerns were raised by some respondents about introducing a new health professional, such as the competition of training placements for junior doctors and medical students, and potential competition with the existing nurse practitioner role. It is interesting to note that the report could not find any evidence that supported either of these two arguments.

online http://blogs.crikey.com.au/croakey/2012/08/24/health-workforce-australia-report-gives-the-nod-to-physician-assistants/

Australian Doctors Push For Smacking Ban

The Royal Australasian College of Physicians wants to ban parents from smacking their children.

The Royal Australasian College of Physicians wants to ban parents from smacking their children.Photo: ALAMY By Jonathan Pearlman, Sydney 3:34PM BST 26 Jul 2013 The Royal Australasian College of Physicians says the ban would prevent child assaults and make smacking a social taboo. “If you hit your dog you could be arrested – but it’s legal to hit your child,” said Susan Moloney, the president of the college’s paediatrics and child health division. “We protect children with legislation around pool fences and not smoking in cars, for example We know that a significant number of child homicides are a result of physical punishment which went wrong.” But critics of the proposal said a ban on smacking would make parenting more difficult. “Parenting is difficult enough now without people proposing laws that would be impossible to police, and it wouldn’t take it any further,” said Barry O’Farrell, the premier of the state of New South Wales. Related Articles Australian PNG detention centre ‘gulag claim’ 25 Jul 2013 “Parents have difficult times in raising children. I think most parents do it bloody well, and we shouldn’t be trying to make it any more difficult for them.” Bernie Geary, the children’s commissioner in the state of Victoria, said existing laws were adequate and prevented abuse of children. “We don’t really have situations in courts where there is a confusion about the matter,” he told ABC News. “I think that a parent cannot claim to own a child and therefore needs to treat them with as much respect as people in the community are asked to treat each other.” The proposal drew a mixed public response, with some parents saying it would create confusion and be impossible to enforce.. “Is a little tap on the hand smacking?” a mother, Perri Rolfe , told the Illawarra Mercury. “I think it would be very hard for a doctor to determine what actually constitutes smacking. And it would be very hard to determine what happens behind closed doors.” But doctors said there were bans in 33 countries and they had been effective in preventing assaults of children. “There are many cases where discipline has got out of hand, all paediatricians see it,” said Professor Kim Oates, from the college’s paediatrics division. “Children have been killed by parents and suffered many broken arms and black eyes and severe bruising We want the law to bring a message saying there are more effective ways to discipline children and in our society smacking is something in the past.”

click over here now http://www.telegraph.co.uk/news/worldnews/australiaandthepacific/australia/10204933/Australian-doctors-push-for-smacking-ban.html

Placebos Prescribed By More Than Three-quarters Of Uk Doctors, Survey Finds

Nearly all of the doctors 97 percent reported having used some kind of placebo treatment at least once, while 12 percent reported having used a fake pill. About 77 percent of doctors said they used some kind of placebo treatment every week; more than 80 percent of them said their use in some circumstances was ethical. The “placebo effect” treatments included unnecessary physical exams, joint injections, physical therapy, peppermint pills for a sore throat and antibiotics for infections where they would not be effective. Dr. Tony Calland, chairman of the British Medical Association’s Ethics Committee, said he was disappointed by the findings. “Prescribing something that you know is of no value is not ethical,” he said. A previous study found about half of U.S. doctors regularly give their patients treatments that probably won’t work without telling them, and the practice has been reported elsewhere, including Canada, Denmark and Switzerland. The American Medical Association says physicians may only use placebos if the patient is aware. In 2011, the German Medical Association recommended doctors use fake pills and other placebo treatments more often and said patients didn’t necessarily need to be told. Some small studies have found dummy pills work even when patients are explicitly told what they’re getting and others have documented the fake treatments can spark a biological effect in the body. “For illnesses where there is no truly effective treatment, a placebo or alternative therapy is a fine thing to do,” said Dr. Walter Brown, a clinical professor of psychiatry at Brown University and author of a recent book on placebos. He was not connected to the new study. Brown said doctors weren’t obligated to use the word “placebo” when prescribing the treatment. He said doctors should just be honest with patients and suggested they tell them the pill has no medication in it but might still somehow help.

reference http://www.huffingtonpost.com/2013/03/21/placebos-uk-doctors-prescribed-useless-drugs_n_2924122.html

Newport pals are Wales’ first emergency scene doctors (From South Wales Argus)

DOCTORS AT THE SCENE: Ex-Bassalrgh pupils James Chinery and Gareth Roberts

Former Bassaleg School pupils James Chinery and Gareth Roberts have been on standby to attend call-outs since September 2. A doctor would usually need to be taken away from accident and emergency departments to attend the scene. The Welsh Ambulance service said in what is claimed to be a UK first, the pair will provide quicker treatment to patients and ease the pressure on A&E. The two doctors, on a 12 month contract, are both specialists in anaesthetics. Each is working out of a rapid response vehicle or a Wales Air Ambulance – Mr Chinery in the north and Mr Roberts in the south – and is sent to appropriate incidents by the control centre. Newport-born Mr Roberts, who now lives in Cardiff, and who previously worked at the University Hospital of Wales, added: Were here to assist the crew already on scene, and work as a team. Were there if a patient needs that advanced care. Mr Chinery added: Our knowledge and experience means we can advise where is best for a patient to travel, whether it is a specialist emergency department or stroke unit. It might mean travelling that bit further, but us being on scene means we can start that critical care. Their official title is Pre-Hospital Emergency Medicine (PHEM) doctors. Richard Lee, Head of Clinical Services at the Welsh Ambulance Service, said: There is clear evidence that victims of major trauma do better when they are treated quickly by a senior clinical decision maker. Patients suffering a heart attack or stroke benefit from treatment at a specialist coronary unit or stroke unit. “Sometimes this means taking the patients past the local hospital.

more good stuff http://www.southwalesargus.co.uk/news/gwentnews/10677452.Newport_pals_are_Wales__first_emergency_scene_doctors/

Sensitive Stomach? Lourdes Gastroenterologist Advises Ibs Sufferers To Think Twice About What They Eat This Holiday Weekend

VNASI Luncheon will honor nine with awards

Limit your fat intake – Fried and fatty foods, such as hamburgers and fried chicken slow down your digestive system and can cause cramping and abdominal pain in some IBS sufferers. Dr. Sokol suggests buying lean meat with the lowest fat percentage you can find. Grilled chicken and fish are safe options. Dont scream for ice cream – Dairy products can be a problem for people with IBS if they have difficulty digesting lactose, the sugar found in milk. If this is the case for you, steer clear of cheese on your burgers, ice cream and the like. Italian ice and sorbet are good alternatives. Think big, eat small – For IBS suffers, an overstuffed stomach is more likely to result in cramping and diarrhea. The key is to eat moderately and slowly. This will avoid overeating and will give your body time to digest. If you suffer from abdominal discomfort on a regular basis and/or your symptoms get worse after eating, make an appointment with a gastroenterologist or primary physician.

helpful resources http://www.newsday.com/business/sensitive-stomach-lourdes-gastroenterologist-advises-ibs-sufferers-to-think-twice-about-what-they-eat-this-holiday-weekend-1.5328702

Danischewski is a certified public accountant and chair of the board of directors of VNASI (parent company). Dr. Daniel Megna, a gastroenterologist in private practice, is associate clinical professor of medicine at SUNY Downstate Medical Center and an attending physician at SIUH. Jesse Metz is the retired AVP and Community Relations director of Citibank on Staten Island, and a former member of the VNASI board of directors. Jack Oehm is a retired FDNY battalion commander, a member of VNASI board of directors, and a full-time volunteer at the Stephen Siller Tunnel to Towers Foundation, where he is managing director of residential reconstruction for Hurricane Sandy Relief. Dr. Constance Salhany, a licensed psychologist, is founder and clinical director of Cognitive Therapy of Staten Island. Dr. Vincent Sottile, a gastroenterologist in private practice, is director emeritus of gastroenterology at SIUH and clinical assistant director at SUNY / Health Science Center, Brooklyn. Linda and Irwin Steinman are the co-founders of Camp Good Grief, held at the Joan and Alan Bernikow JCC. Special recognition also will be given to the recipients of the 2013 VNASI Nursing Scholarships, Francesca Messina, CSI; David Rabinowitz, St. Paul’s School of Nursing, and Bernadette C.

websites http://www.silive.com/news/index.ssf/2013/09/vnasi_luncheon_will_honor_nine.html

Dr Alister George, MD on how to find a good gastroenterologist

Dr Alister George, MD is considered to be a doctor’s doctor. He is the gastroenterologist to many top doctors, actors and public figures in this beautiful community located just 40 miles northwest of Los Angeles. Dr Alister George, MD has great advice to those who are in need of a gastroenterologist. When asked what to look for in a doctor, “I tell people to look for qualities that I hope others see in me,” says Dr Alister George, MD . The first thing Dr Alister George, MD will tell you is to seek a gastroenterologist who is board certified by the American Board of Internal Medicine. A gastroenterologist who is board certified demonstrates that he or she has the proper skills and expertise, comprehension, and experience to practice the gastroenterology specialty of medicine. Dr Alister George, MD will recommend you ask family members or trusted friends when looking for a great doctor. A recent survey at the office of Dr Alister George, MD showed 98 percent of his patients were completely satisfied with the care and service they received. This survey also acknowledged that his patients plan to refer their own friends and family to him. Dr Alister George, MD was awarded the Vitals.com Patient’s Choice Award from 2008 through 2011 by a noteworthy online health resource. In 2010, he was awarded the Vitals.com Compassionate Doctor Recognition Award. The relationship between patient and doctor is not only confidential but also vulnerable. Patients are sometimes reluctant to tell doctors things that can be considered important because they don’t want to feel judged. Dr Alister George, MD says it is extremely important to look for a doctor who cares and who will take the time to listen.

a fantastic read http://finance.yahoo.com/news/dr-alister-george-md-good-172400527.html

Canadian Medical Image App Tops In Us

Canadian Specialist Hospital conducts medical check-ups for Dubai Duty Free employeesFree

During the check ups.

These rules are detailed in the apps FAQ. And if a doctor accidentally uploads a face, the app has a face-detection algorithm that blocks it. The Figure 1 app comes with consent forms that patients can sign on their smartphone. And tools make it easy to anonymize an image. If you take a picture of an X-ray and theres a name in the corner, just draw your finger across it. You can also use one of the tools to annotate, and weve also got an arrow you can use to indicate the site of interest, said Landy. Some users have described Figure 1 as an Instagram for the medical community, but Landy, who is passionate about medical education and technology, prefers to think of it as more of a Wikipedia model. This is medical education. Its not diagnostic, its educational. That means the app is not designed as a utility, but rather as a way to share knowledge. It works really well, said David Maslove, a critical care specialist in the Toronto area with an interest in biomedical informatics, who beta-tested Figure 1. Theres a general interest among physicians to share things, thats the nature of our training and the way we learn. Increasingly we share things online or though mobile devices especially when we see something unusual that would make a good exemplar. It took less than two months to build the app, but many more months of due diligence, especially on the legal and privacy fronts. For now, Figure 1 is only available in North America and only for iPhones. But the team is working on a web platform for desktops and also one for the Android platform. Its hoped that both will be available later this year.

check over here http://www.cmaj.ca/site/earlyreleases/10july13_Canadian_medical_image_app_tops_in_US.xhtml

Wendy Levinson, a professor of medicine at the University of Toronto who worked on the Choosing Wisely campaign in the U.S. Levinson, who chairs Choosing Wisely Canada, said society has built an underlying belief that more is better. But when you talk about not ordering a test . . . Canadians can think this is about rationing, said Levinson. This is not about cost-cutting. Its about changing the culture and starting to talk about overuse and waste and harm. I dont think patients really appreciate that when they ask for a CT scan or imaging, thats unnecessary X-ray radiation. Or drugs that can cause side effects. Levinson hopes to launch the Choosing Wisely Canada campaign next spring, with the first lists of potentially overused or harmful tests and procedures in hand. The Ontario government has already replaced funding for annual checkups with periodic health visits and cut money for what it called unnecessary X-rays, MRIs or CT scans of the lower back when there are no suspected or known problems such as tumours or osteoporosis. We value respectful and thoughtful discussion.

browse this site http://www.thestar.com/life/health_wellness/2013/08/22/canadian_doctors_to_tackle_unnecessary_medical_tests_1.html

Canadian doctors to tackle unnecessary medical tests

Nagi El Saghir elected as Chair of the… Canadian Specialist Hospital (CSH), one of the largest private hospitals in Dubai catering to the tertiary health care needs of the Middle East, conducted free medical check-ups today, for the employees of Dubai Duty Free (DDF), living in Dubai Silicon Oasis. The event, attended by over 200 people, was held in one of the residential clusters occupied by the employees of DDF. In addition to the health check-ups, staff of DDF also benefited from a free consultation with the General Practitioner from the hospital. The medical tests conducted by the CSH team included: Blood Pressure Blood Sugar Cholesterol Dr Hayder Al Zubaidy, CEO of CSH said, “The initiative undertaken with the Dubai Duty Free coincides with our mission to contribute towards a better and healthier UAE , by frequently organizing campaigns that create awareness around many of the serious and growing health concerns in the UAE . We share a vision of a healthy life for everyone with the DDF and various other government and private organizations, which is why we hold these periodical health drives. At CSH, we always stand for going beyond routine and traditional medical services, and I would like to thank my team for implementing this so well.” The event was a part of the hospital’s periodical health drives with various government organizations, which aims to ensure the upgrading of medical services and to improve the overall health aspect in the country. During the check ups. Disclaimer Articles in this section are primarily provided directly by the companies appearing or PR agencies which are solely responsible for the content. The companies concerned may use the above content on their respective web sites provided they link back to http://www.ameinfo.com Any opinions, advice, statements, offers or other information expressed in this section of the AMEinfo.com Web site are those of the authors and do not necessarily reflect the views of Mediaquest FZ LLC. Mediaquest FZ LLC is not responsible or liable for the content, accuracy or reliability of any material, advice, opinion or statement in this section of the AMEinfo.com Web site. For details about submitting your stories, please read the guide – all content published is subject to our terms and conditions Accept

over at this website http://www.ameinfo.com/canadian-specialist-hospital-conducts-medical-check-ups-325551

Decision Resources: 68% Of Gastroenterologists Select Remicade For Crohn’s Treatment

Physicians’ favorable opinion of Remicade’s efficacy for treating moderate to severe Crohn’s disease and the drug’s higher price compared with Crohn’s disease therapies for which generic versions are available, such as prednisone and azathioprine, contribute to Remicade’s status as the current sales leader in this market. Decision Resources’ analysis of the Crohn’s disease drug market reveals that surveyed physicians who regard Remicade as the most efficacious therapy were most satisfied with the drug’s efficacy in induction of remission and response and its impact on quality of life. However, they were least satisfied with Remicade’s effect on maintenance of remission, corticosteroid-free remission, and response, presumably because of patients’ tendency to lose response to the drug over time. In contrast to surveyed gastroenterologists, the majority (60 percent) of surveyed managed care organizations’ (MCOs) pharmacy directors selected Abbott/Eisai’s Humira (adalimumab) as the most efficacious therapy for Crohn’s disease. Surveyed payers who selected Humira as the most efficacious therapy were most satisfied with the drug’s induction and maintenance of remission and response. The findings also reveal that surveyed gastroenterologists who selected Humira as most efficacious were most satisfied with its ability to improve patients’ quality of life. “Although only 23 percent of surveyed gastroenterologists chose Humira as the most efficacious therapy for Crohn’s disease, these physicians expressed a high level of satisfaction with Humira’s impact on quality of life and its effect on maintenance of remission, which will likely contribute to Humira’s increased use in the maintenance setting,” said Decision Resources Analyst MaryEllen Klusacek, Ph.D. “Considering all assessed efficacy end points, surveyed gastroenterologists were least satisfied with Humira’s effect on mucosal healing and fistula closure.” The findings also reveal that the Crohn’s disease drug market will experience modest growth over the next decade, increasing from approximately $3.2 billion in 2009 to $4.2 billion in 2019 in the United States, France, Germany, Italy, Spain, the United Kingdom and Japan. This moderate growth rate will mask dramatic changes as market growth from newer and emerging biological agents outpaces the decline in sales of older, established agents, which will face increasing generics competition and declining use. Tumor necrosis factor-alpha (TNF-alpha) inhibitors, namely Remicade and Humira, dominated the market in 2009, capturing nearly 77 percent of major-market sales. Additionally, several therapies with novel mechanisms of action are expected to launch for Crohn’s disease beginning in 2013, including Millennium Pharmaceuticals’ vedolizumab, Centocor Ortho Biotech/Janssen-Cilag’s Stelara (ustekinumab) and GlaxoSmithKline/ChemoCentryx’s GSK-1605786 (formerly CCX-282B or Traficet-EN).

your domain name http://www.news-medical.net/news/20110324/Decision-Resources-6825-of-gastroenterologists-select-Remicade-for-Crohns-treatment.aspx

CORPAK Acquires Merck Serono’s UK Gastroenterology Sales and Distribution Operation

Finance Thu, Sep 12, 2013, 9:35 PM EDT – U.S. Markets closed CORPAK Acquires Merck Serono’s UK Gastroenterology Sales and Distribution Operation Press Release: Mergers and Acquisitions Tue, Oct 2, 2012 8:00 AM EDT Print Related Content BUFFALO GROVE, IL–(Marketwire – Oct 2, 2012) – CORPAK MedSystems, Inc., a leading developer, manufacturer, and marketer of medical devices for the enteral-feeding and bedside-location markets, today announced it will acquire the gastroenterology sales and distribution operation of Merck Serono Limited in the UK and Ireland. Merck Serono had previously served as CORPAK’s distribution partner for the region. “The acquisition of the Merck Serono gastroenterology business strengthens our presence in Europe and our direct operation will support high levels of customer service and continued growth,” says Tom Kuhn, President of CORPAK. “I would like to thank the employees at Merck Serono for their support in building the CORPAK business in the UK and Republic of Ireland.” “The gastroenterology business is a strong and growing operation in the UK and Ireland, but Merck Serono has made a strategic decision to focus on our core pharmaceutical business,” explains Charles Dring, Commercial Director of Merck Serono Limited. “We have been working very closely with CORPAK to make the transition as seamless as possible for our customers.” There will be no change to the product range and all CORPAK products will continue to be available on the current codes and prices. The acquisition keeps relationships with existing sub-distributors unchanged. “We are especially pleased to be able to welcome the gastroenterology employees from Merck Serono to the CORPAK family,” says Jeff Blair, CEO of CORPAK. “We are confident that the UK and Ireland team will continue the history of excellence and dedication that has benefitted our customers in the past.” “This acquisition represents an important step in expanding our international presence and we look forward to continuing to provide our innovative, quality products to the European market,” added Eric Larson, Chairman of the CORPAK Board. CORPAK MedSystems UK ( http://www.corpakmedsystemsuk.com )

super fast reply http://finance.yahoo.com/news/corpak-acquires-merck-seronos-uk-120000602.html