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Jellyfish are not the 'simple creatures' once thought: New study may change an understanding of our own brains

Jellyfish could be much smarter than scientists previously thought, asserts a new study published in the journal Current Biology.

Jellyfish could be much smarter than scientists previously thought, asserts a new study published in the journal Current Biology.

Poisonous Caribbean box jellyfish can learn at a far more complex level than ever imagined, despite only having 1,000 nerve cells and no centralized brain, according to new research from the University of Copenhagen.

Scientists say their findings change the fundamental understanding of the brain — and could reveal more about human cognitive functions and the process of dementia.

BOOST BRAIN HEALTH AND SLOW MENTAL AGING WITH 10 INTRIGUING TIPS FROM LONGEVITY EXPERTS 

Jellyfish have been around for over 500 million years — yet until now, they've been thought of as simple creatures with very limited learning abilities.

The prevailing scientific opinion is that more advanced nervous systems equate with elevated learning potential in animals.

Jellyfish and their relatives, collectively known as cnidarians, are considered to be the earliest living animals to develop nervous systems.

Neurobiologist and professor Anders Garm has been researching box jellyfish — a group commonly known for being among the world's most poisonous creatures — for more than a decade, the study noted.

WASHINGTON FISHERMAN CATCHES MASSIVE RECORD-BREAKING MAHI MAHI: 'PRAYED FOR THAT'

The fingernail-sized species lives in Caribbean mangrove swamps; there, they use their impressive visual system, including 24 eyes, to hunt for tiny copepods (small crustaceans) among the roots, as SWNS reported on the background of the research.

Garm of the University of Copenhagen in Denmark said, "It was once presumed that jellyfish can only manage the simplest forms of learning, including habituation — the ability to get used to a certain stimulation, such as a constant sound or constant touch," according to SWNS.

"Now, we see that jellyfish have a much more refined ability to learn — and that they can actually learn from their mistakes… [and] modify their behavior."

One of the most advanced attributes of a nervous system, he said, is the ability to change behavior as a result of experience — to remember and learn.

As the tiny box jellyfish approach the mangrove roots, they turn and swim away. If they veer off too soon, they won’t have enough time to catch any copepods. Yet if they turn away too late, they risk bumping into the root and damaging their gelatinous bodies, the study noted.

Assessing distances is crucial for them, Garm said — and the research team discovered that contrast is the key.

"Our experiments show that contrast — how dark the root is in relation to the water — is used by the jellyfish to assess distances to roots, which allows them to swim away at just the right moment," he said, as SWNS noted.

"Even more interesting is that the relationship between distance and contrast changes on a daily basis due to rainwater, algae and wave action," the professor continued. "We can see that as each new day of hunting begins, box jellyfish learn from the current contrasts by combining visual impressions and sensations during evasive maneuvers that fail."

FISHERMAN IN ALASKA REELS IN CATCH THAT'S BRIGHT BLUE ON THE INSIDE: 'PRETTY CRAZY'

"So, despite having a mere 1,000 nerve cells — our brains have roughly 100 billion — they can connect temporal convergences of various impressions and learn a connection, or what we call associative learning," Garm said. "And they actually learn about as quickly as advanced animals like fruit flies and mice."

The findings contradict previous scientific perceptions of what animals with simple nervous systems are capable of, the study indicated.

"For fundamental neuroscience, this is pretty big news," Garm said. "It provides a new perspective on what can be done with a simple nervous system."

"This suggests that advanced learning may have been one of the most important evolutionary benefits of the nervous system from the very beginning."

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The research also indicated where the learning is happening inside the box jellyfish. The team said the discovery has given them unique opportunities to study the precise changes that occur in a nerve cell when it's involved in advanced learning.

Said Garm, "We hope that this can become a supermodel system for looking at cellular processes in the advanced learning of all sorts of animals," as SWNS noted.

"We are now in the process of trying to pinpoint exactly which cells are involved in learning and memory formation," he said. 

"Upon doing so, we will be able to go in and look at what structural and physiological changes occur in the cells as learning takes place."

If the team is able to pinpoint the exact mechanisms involved in jellyfish's learning functions, the next step will be to find out whether those apply only to them or if they can be found in all animals, Garm noted.

"Understanding something as enigmatic and immensely complex as the brain is in itself an absolutely amazing thing," he said. "But there are unimaginably many useful possibilities."

"One major problem in the future will undoubtedly be various forms of dementia," he added, as SWNS also reported. 

"I don’t claim that we are finding the cure for dementia — but if we can gain a better understanding of what memory is, which is a central problem in dementia, we may be able to lay a building block to better understand the disease and perhaps counteract it."

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1 year 11 months ago

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Health News Today on Fox News

Jamaica declares Dengue fever outbreak with hundreds of confirmed and suspected cases

Health officials in Jamaica have declared an outbreak of the dengue fever Saturday with at least 565 suspected, presumed and confirmed cases in the Caribbean nation. 

Health officials in Jamaica have declared an outbreak of the dengue fever Saturday with at least 565 suspected, presumed and confirmed cases in the Caribbean nation. 

Jamaica’s Ministry of Health and Wellness says the outbreak comes as its National Surveillance Unit "advised that Jamaica has surpassed the dengue epidemic threshold for July and August and is on a trajectory to do the same for the month of September." 

"The dominant strain is Dengue Type 2, which last predominated in 2010," it said. "There are no dengue-related deaths classified at this time, however, six deaths are being investigated." 

Health officials say there currently are at least 78 confirmed cases of the mosquito-borne disease in Jamaica. 

MOSQUITOS, FEARED FOR SPREADING DENGUE, NOW BEING BRED TO FIGHT THE DISEASE 

"Meanwhile, approximately 500 temporary vector control workers have been engaged and deployed across the island to high-risk communities along with 213 permanent workers," the Ministry of Health and Wellness also said. 

The Centers for Disease Control and Prevention (CDC) says dengue viruses are "spread to people through the bite of an infected Aedes species mosquito." 

About one in four people infected will get sick, with mild symptoms including nausea, vomiting, rash, aches and pains, according to the CDC.

Recovery takes about a week. 

DENGUE FEVER CASES COULD REACH NEAR-RECORD HIGHS THIS YEAR 

Around 1 in 20 people infected will develop severe dengue, which the CDC says "can result in shock, internal bleeding, and even death." 

"The Ministry and Regional Health Authorities have made the necessary preparations for a possible outbreak," said Christopher Tufton, the Minister of Health in Jamaica. 

The Ministry is warning the public in Jamaica that the Aedes aegypti mosquito "breeds in any containerized environment" that can hold water, such as drums, tires, buckets and animal feeding containers. 

"Persons are urged to play their part in ensuring that the cases are minimized by monitoring water storage containers for mosquito breeding, keeping surroundings free of debris, destroying or treating potential mosquito breeding sites, wearing protective clothing, using mosquito repellent and, as much as possible, staying indoors at dusk with windows and doors closed," it also said. 

1 year 11 months ago

infectious-disease, World, caribbean-region, Health

Health – Dominican Today

Authorities do not know when dengue fever will decrease

Santo Domingo.- The Vice Minister of Collective Health, Eladio Perez, has no fixed date for the dengue epidemic to decline. He thinks that the country is now facing a plateau. If there is no drop in cases, the disease affecting the Dominican Republic could continue its impact until the end of the year, according to infectologists.

Santo Domingo.- The Vice Minister of Collective Health, Eladio Perez, has no fixed date for the dengue epidemic to decline. He thinks that the country is now facing a plateau. If there is no drop in cases, the disease affecting the Dominican Republic could continue its impact until the end of the year, according to infectologists.

The official has the perception that in the coming weeks if the current behavior continues, the disease could go down. He believes that there is a slight drop in patient admissions.

You can read Ariel Henry to the UN: “The Republic of Haiti is not at war with anyone.”

There will always be cases because the disease is endemic. The cessation of the high incidence will depend on the pattern; if it continues now, there will be fewer cases in the coming weeks, said the official who manages the country’s collective health.

“We need a little more time, if the disease continues to go down the country would be in improvement,” said the epidemiologist. In his opinion, the final phase of the disease cannot be determined by the behavior of a week.

Clinics to attend
The director of the National Health Service (SNS) hospital network, Yocasta Lara, asked the directors of the National Association of Private Clinics (Andeclip) to provide more beds.

In the public sector, the clinics refer patients to them, most of whom are under 19 years of age.

Almost all the cases are being attended by two large public hospitals and one of a patronage hospital.

The Hugo Mendoza pediatric hospital leads in admissions, followed by the Robert Reid Cabral and the General Hospital of the Plaza de la Salud in third place.

The Santiago Clinic, Unión Médica, and the Arturo Grullón hold the fourth place in the same city. The Jaime Mota de Barahona also has cases of children and adults.

Behavior
The end of this epidemic outbreak, as the authorities have called it, will depend on the behavior of the vector through which the disease is transmitted, the Aedes aegypti mosquito.

The hospitals
Dr. Yocasta Lara, director of the SNS hospital network, reported yesterday on the number of patients admitted with dengue fever.

She also reported that the Robert Reid Cabral hospital had 64 children admitted. Three children remain in intensive care at this center.

The Marcelino Vélez Santana hospital has 21 admissions, the Juan Pablo Pina, 10, the Arturo Grullón, 13, and 12 at the San Lorenzo de Los Mina. Lara indicated that the Jaime Mota hospital in Barahona has 26 patients admitted: Jacinto Mañón, seven; El Almirante, six; Boca Chica, 19; and Félix María Goico, three admissions.

Plaza de la Salud
At the Plaza de la Salud General Hospital (HGPS), where many patients, mostly children, have been treated, 17 patients were admitted yesterday and are still waiting.

1 year 11 months ago

Health, Local

Health – Dominican Today

Cases of dengue fever increase in children population in Santiago

Santiago, DR.- The number of patients affected by dengue fever has increased among children in the last few days here, while among adults, the cases are sporadic and isolated, according to reports from the three most important public hospitals in this province.

Santiago, DR.- The number of patients affected by dengue fever has increased among children in the last few days here, while among adults, the cases are sporadic and isolated, according to reports from the three most important public hospitals in this province.

Reports also indicate that private clinics continue to receive patients with symptoms of the disease transmitted by the Aedes aegypti mosquito.

The director of the children’s hospital, Dr. Arturo Grullon, Dr. Mirna Lopez, reported that this health center handles an average of 15 to 20 patients affected by dengue daily, experiencing a slight increase in emergency and outpatient consultations of febrile patients.

Dr. Mirna López, director of the children’s hospital, Dr. Arturo Grullón.

She said that of the total number of children admitted, only one is in intensive care, and his health remains stable. So far this year, two patients have died from the disease.

López explained that most of those affected by dengue come from different sectors of Santiago, such as Pueblo Nuevo, Cienfuegos, Jacagua, San José de Las Matas, as well as Montecristi and other towns of the Cibao region.

Meanwhile, in the hospitals José María Cabral y Báez and Presidente Estrella Ureña, the cases of dengue fever are sporadic. For example, at the Cabral y Baez hospital, there have been six cases of dengue in the last 15 days; 4 of them were admitted and subsequently sent home, according to the medical director, Manasés Peña.

Only two patients had been admitted to the Presidente Estrella Ureña Hospital recently.

President Estrella Ureña Hospital
On the other hand, the provincial authorities of Public Health informed that they continue the fumigation and cleaning up of garbage in various sectors of Santiago as a prevention against dengue fever and other diseases transmitted by vectors.

The cleaning activities, orientation, and education to combat dengue are conducted in schools, colleges, and neighborhood councils.

 

Dengue mosquito (External source)

Dengue mosquito (External source)

Corominas Clinic

At the Corominas clinic, one of the traditional private health centers in Santiago, there are currently 16 hospitalized patients, 2 of whom are in the intensive care unit, none of whom have died.

1 year 11 months ago

Health, Local

Health News Today on Fox News

Obesity maps: CDC reveals which US states have the highest body mass index among residents

All U.S. states have an obesity rate among their residents of higher than 20%, which is at least one in five adults — and many exceed that.

All U.S. states have an obesity rate among their residents of higher than 20%, which is at least one in five adults — and many exceed that.

The Centers for Disease Control and Prevention (CDC) published its 2022 Adult Obesity Prevalence Maps on Thursday, detailing obesity rates for the 50 states, the District of Columbia and three U.S. territories.

The three states with the highest obesity prevalence among their residents were Louisiana, Oklahoma and West Virginia, all of which had a 40% or higher rate.

HEART DISEASE DEATHS LINKED TO OBESITY HAVE TRIPLED IN 20 YEARS, STUDY FOUND: ‘INCREASING BURDEN’

Nineteen states had obesity rates between 35% and 40%, the report said.

Twenty-two states ranged from 30% and 35% for obesity rates, up from 19 states in 2021. 

These included Alabama, Arkansas, Delaware, Georgia, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, Nebraska, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Virginia, West Virginia and Wisconsin.

Regionally, the Midwest had the highest rates of obesity at 35.8%, followed by the Southern states (35.6%), the Northeast (30.5%) and the West (29.5%).

The report drew data from the Behavioral Risk Factor Surveillance System, a telephone interview survey conducted on an ongoing basis by CDC and individual state health departments.

"Our updated maps send a clear message that additional support for obesity prevention and treatment is an urgent priority," said Dr. Karen Hacker, director of the CDC’s National Center for Chronic Disease Prevention and Health Promotion, in a press release from the agency. 

"Obesity is a disease caused by many factors, including eating patterns, physical activity levels, sleep routines, genetics and certain medications," she went on.

BMI MEASUREMENT DEEMED ‘RACIST’ IN NEW MEDICAL REPORT: ‘THIS IS POLITICS, NOT MEDICINE'

"However, we know the key strategies that work include addressing the underlying social determinants of health, such as access to health care, healthy and affordable food, and safe places for physical activity."

Obesity rates were based on the share of adults who had a body mass index (BMI) equal to or greater than 30 based on their self-reported weight and height.

There was a wide variance among individual ethnic groups.

Among non-Hispanic Black adults, 38 states saw obesity rates of 35% or higher.

For non-Hispanic American Indian or Alaska Native adults, 33 states or territories had obesity rates of 35% or higher.

Hispanic adults had at least that level of obesity in 32 different states.

For non-Hispanic White adults, 14 states had 35% or higher obesity.

Non-Hispanic Asian adults did not have that rate in any state or territory.

People with higher levels of education were less likely to have obesity, the CDC found.

Adults without at least a high school diploma had the highest obesity rates, at 37.6%.

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Those with some college education had 35.9% obesity rates, followed by high-school graduates (35.7%) and college graduates (27.2%).

Young adults between 18 and 24 years old had the lowest obesity rate at 20.5%, while adults aged 45 to 54 had the highest rates (39.9%).

Dr. Brett Osborn, a Florida neurologist and longevity expert, calls obesity a "gateway disease" to type 2 diabetes, heart disease, cancer and even Alzheimer’s — "the diseases that kill most Americans," he told Fox News Digital.

"Unlike [with] the COVID-19 pandemic, during which people were acutely ill — it was obvious — obesity kills you insidiously," Osborn said.

"Obesity is a primer for age-related disease and early death," he went on. "Being categorically obese is associated with a two- to 10-year reduction in life expectancy.

"This would translate to hundreds of thousands of years of life lost — in a single year — given the CDC’s reported increase in obesity incidence among Americans."

Medical costs related to obesity totaled nearly $173 billion in 2019, the CDC reported.

Said Osborn, "Unless we fix the obesity problem — and referring to it as a ‘problem’ is an understatement — the population en masse will be at an increasing risk for a reduced health span and foreshortened lifespan."

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1 year 11 months ago

Health, Obesity, weight-loss, healthy-living, lifestyle

STAT

In North Carolina, a radical experiment targets social determinants of health with fresh produce and safe housing

Late last summer, Elizabeth Jacques brought her youngest daughter, Elena, for a medical checkup. At the time, Jacques and her family were experiencing housing instability after a two-year legal battle with their former landlord, who refused to clean up their unsanitary, unlivable conditions.

For Jacques, it was obvious she had to leave a housing situation that was putting her family’s health at risk. Black mold was growing on the walls of the trailer in which Jacques and her family had lived for five years. The mold caused everyone — Jacques, her husband, and her three younger daughters — to get more frequent headaches and stomachaches. It also impacted Jacques’ breathing because she is immune-compromised. “My ability to function as a normal human got worse and worse,” she said. Meanwhile, there were gaping holes in the trailer’s floor; Jacques fell through them in the bathroom twice.

Read the rest…

1 year 11 months ago

Health, access, Health Disparities, Medicaid, Nutrition

Health News Today on Fox News

TIAs and mini-stroke risks: Cardiologist shares warning signs and prevention tips

In the U.S., a person has a stroke every 40 seconds, according to the Centers for Disease Control and Prevention (CDC) — making strokes just as widespread as they are dangerous.

There are different causes of stroke, but the most common is a blockage of blood flow to part of the brain, which is called an ischemic stroke. 

Transient ischemic attacks, or TIAs — sometimes also called mini-strokes — are also ischemic attacks, but they only last for a few minutes before blood flow is restored. 

HIGH BLOOD PRESSURE A CONCERN WORLDWIDE, LEADING TO DEATH, STROKE, HEART ATTACK: HOW TO STOP A 'SILENT KILLER'

That doesn’t mean they’re any less serious than a full-fledged stroke, though, noted Dr. Karishma Patwa, a cardiologist with Manhattan Cardiology, which provides cardiac testing and preventive treatment in New York.

Patwa shared with Fox News Digital the most important things to know about identifying and preventing mini-strokes. 

"Every second that the brain goes without oxygen increases the likelihood of serious and permanent brain damage," Patwa said. 

"Just like a stroke, a TIA deprives the brain of oxygen and should be treated with the same urgency."

There are several possible causes of a TIA. 

A clot could form in the brain itself, or a clot from another part of the body can break loose and make its way through the bloodstream until it becomes lodged in the brain, Patwa said. 

POPULAR ARTIFICIAL SWEETENER, ERYTHRITOL, COULD RAISE RISK OF HEART ATTACK AND STROKE: STUDY

"In order to best treat a TIA and prevent a future stroke, doctors will want to determine the exact cause of the TIA," the doctor said. 

"The longer a person goes without examination, the less likely doctors will be able to determine the cause, leading to a diagnosis of cryptogenic TIA — which means TIA of unknown origin."

Once someone has had a mini-stroke, the risk of having another stroke event is between 5% and 10% within the first seven days, Patwa warned.

"This number actually goes up to about 15% in the first month after a TIA and up to 35% over the course of a patient’s lifetime," she said. "That’s why early recognition and treatment of a TIA is extremely important — to prevent the more devastating complications of a large stroke."

The symptoms of a TIA are the same as symptoms of stroke, Patwa noted. 

KETO DIETS COULD INCREASE RISK OF HEART ATTACK AND STROKE, SAYS NEW STUDY

The symptoms can include:

"Symptoms tend to appear suddenly and without any obvious cause," Patwa said. 

"In the case of a TIA, the symptoms will last for less than a day, and often just a matter of minutes or even seconds, but it should still be treated as a medical emergency."

It’s important to act quickly as soon as the symptoms begin, she said.

WANT A MORE ACCURATE BLOOD PRESSURE READING? TRY LYING DOWN WHEN IT'S TAKEN, NEW STUDY SUGGESTS

"At that time, there’s no way to know whether an ischemic attack will be transient or not. Don’t wait to find out — call 911 immediately," she advised.

The doctor recommends using the FAST acronym, a common tool for remembering symptoms and action steps when someone is suspected of having a stroke or TIA.

"It’s important to stress that someone who just experienced a TIA should not get behind the wheel of a car," Patwa also said. 

"Calling 911 and requesting an ambulance would be the best course of action, and in lieu of that, the closest responsible adult should drive the person to the emergency room," she added.

For people who have had a TIA, prompt diagnosis and aggressive treatment are the best route to an improved outlook, Patwa said.

"People who delay or refuse examination and treatment are much more likely to experience a stroke during the next 90 days."

In most cases, a mini-stroke is diagnosed with a physical and neurological examination, medical history and imaging tests such as an MRI, CT scan or X-ray

"Depending on what is found during diagnosis, a treatment plan could include medication, the use of stents, angioplasty or surgical procedures," said Patwa. 

"There are also steps a person can take to help prevent a TIA, or to help prevent a stroke after having a TIA," said Patwa.

These preventative steps can include:

People who are at risk for stroke or coronary artery disease are at higher risk for transient ischemic attacks, Patwa said.

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"This includes the elderly, smokers and patients with diabetes, hypertension and high cholesterol," she noted. 

The highest risk factor for a TIA is a previous TIA or stroke, Patwa added.

"The most important thing is to not treat a TIA like a one-and-done anomaly," she said. 

"A TIA is a warning that a stroke is not only possible but likely, and in the near term."

She added, "Anyone suspected of experiencing a TIA should seek medical attention immediately."

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1 year 11 months ago

Health, stroke, heart-health, health-care, healthy-living, lifestyle

Health Archives - Barbados Today

Local lab could become WHO centre to detect antimicrobial resistance



The Best-dos Santos Public Health Laboratory could soon become a World Health Organisation (WHO) collaborating centre for Antimicrobial Resistance (AMR) detection and surveillance.

This was revealed by PAHO/WHO Representative for Barbados and the Eastern Caribbean Countries (ECC) Dr Amalia Del Riego during the opening ceremony of a training workshop for laboratory technologists who work in public health laboratories in Barbados, Belize, Dominica, Haiti, St Vincent and the Grenadines and Suriname.

The workshop is taking place at the Best-dos Santos Public Health Laboratory from September 19 to 22.

Entitled Training on Molecular Detection and Diagnosis of Carbapenemase Genes in Gram-Negative Bacteria, the training forms phase two of the Cooperation among Countries for Health Development (CCHD) project on AMR detection and surveillance.

WHO collaborating centres assist WHO support countries to build capacity to develop and implement AMR surveillance.

Dr Del Riego said of the training: “This and many other multi-country trainings that have happened just this year in the Best-dos Santos Laboratory demonstrate the interest this laboratory and the Government of Barbados have in fostering south-to-south collaboration. We hope this soon translates into Best-dos Santos becoming a WHO collaborating centre on AMR.

“We appreciate the support provided by the Government of Argentina in the past, and currently for antimicrobial resistance detection and surveillance across the Caribbean. We wish to acknowledge the support of Malbran Institute (Buenos Aires, Argentina), a WHO collaborating centre for Antimicrobial Resistance Surveillance,” she added.

Molecular training provides countries with the capacity to diagnose AMR, one of the most important emerging threats. The training involves the detection of disease-causing organisms which are virtually resistant to all known antibiotics.

Chief Medical Officer Dr Kenneth George reiterated that AMR training is a priority for Barbados, noting that AMR diseases are becoming more prevalent.

He therefore thanked the Government of Argentina for continuing support for training. 

“Your support, both technically and financially, through the Malbran Institute is designed to support and promote antimicrobial stewardship across the Caribbean,” Dr George said.

The CMO recalled that in 2019, the World Health Assembly unanimously adopted a resolution calling for continued high-level commitments to implement multisectoral national action plans. 

“Barbados is in the process of developing a framework to achieve this goal,” he said.

Dr George also expressed his appreciation to PAHO for providing its technical expertise to the Best-dos Santos Public Health Laboratory. 

PAHO was credited with providing influenza surveillance and laboratory testing support, “with a view to establishing the Best-dos Santos Laboratory as a recognised influenza testing site in the subregion”. 

Chargé d’Affaires of the Embassy of the Argentine Republic in Barbados, Vanesa Romani, recounted that in 2018 Argentina, PAHO and the Caribbean Community (CARICOM) signed a commitment establishing the Cooperation among Countries for Health Development (CCHD) project. This made it possible for two technicians from the Best-dos Santos Laboratory to attend training in Argentina.

Romini said the training received has improved the ability to deal with emergencies. (PR)

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1 year 11 months ago

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Health Archives - Barbados Today

QEH clearing backlog of patients in Accident & Emergency Department

By Sheria Brathwaite

By Sheria Brathwaite

The number of patients backed up in the Accident and Emergency Department (AED) of the Queen Elizabeth Hospital (QEH) on Tuesday is now significantly reduced, but Barbadians are still being urged not to go there unless their conditions are life-threatening.

Communications specialist Shane Sealy said on Wednesday that medical personnel had been able to reduce the number of people waiting for treatment by more than half.

However he said, people with minor issues should continue to seek care at polyclinics and private health care providers, as advised on Tuesday.

“I can tell you that today, the situation has significantly improved. Yesterday, we were still waiting to see about 50 patients. I can tell you that number has been cut in half. So from 50 it’s gone to around 22. So we have made significant strides but we want to continue to appeal to the public if your situation is not an emergency, if it’s not life-threatening, you can seek alternate medical accommodation or treatment,” Sealy said.

“We’ve been seeing a number of patients coming there with elevated blood pressure levels, elevated sugar levels as well. And I just want to say that you can go to your medical doctor to have your situation assessed before deciding to come to the emergency department because in those cases, you will have to wait a bit longer to be assessed.

“We have been able to cut down the waiting times as well. But again, we don’t want to be inundated like what we saw yesterday and over the past 48 to 72 hours. But we have been able to address that significantly.”

Sealy added that the wait was long since priority was given to people in critical condition.

“Through the triage system, there is a priority list. Categories one and two are those gunshot victims, those people with heart attacks and resuscitation; they will be seen immediately. So then in those cases, it would push back those other patients who would have to wait a bit longer for care,” he said.
sheriabrathwaite@barbadostoday.bb

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1 year 11 months ago

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Health Archives - Barbados Today

QEH ophthalmology department faced with staff shortages, increase in patients seeking treatment

Staff shortages, ageing equipment, an increase in people requiring eye care and a backlog of patients in need of operations are some of the major issues impacting the Ophthalmology Department at the Queen Elizabeth Hospital (QEH).

Head of the department Mr David Callender said that section of the hospital had the busiest outpatient clinic, with more than 20 000 patients annually “but that number has been increasing yearly”.

He said the department was in need of more hands to operate effectively.

“We don’t have enough staff; we still have a shortage of staff. We are working on getting some more junior doctors on staff. We have, on any given day, one or two consultants in the clinic and five junior doctors,” he said on Wednesday at the Lions Eye Care Centre as his department received a donation of four slit lamps from the Barbados Canada Foundation.

“So that’s also a limiting factor. We are hoping to get another two junior doctors on staff.”

Consultant ophthalmologist at the QEH Dr Dawn Grosvenor said the University of the West Indies (UWI) Cave Hill campus’ recent capability to train doctors locally would assist in this regard in the future.

“A big part of being able to maintain our staffing is that we can now train our doctors in the department locally. We didn’t [always] have the opportunity and we had to go overseas to train, and inevitably you would lose some people through brain drain. So it means that we can train staff here, retain them more and then those persons then feed back in and continue to give back locally and continue to train other people.

“So we’ve been doing that through the university’s postgraduate training programme . . . and that started in 2016. And since about 2020/2021, we’ve been producing graduates from that programme who now contribute as consultants at the hospital and they then will train more junior doctors. So, that is really helping us to retain more staff. And now we’re starting to attract very high-level applicants,” she said.

Regarding the eye surgery backlog, Callender said the department was working to reduce patients’ wait time to three months.

“We still have a backlog again. We had an issue with our operating theatre – the cooling system and the equipment challenges because of humidity in the operating theatre. So we couldn’t do as many surgeries as we would like during that period a few months ago,” he said.

The surgeon said the cooling system has been fixed and surgeries have increased but the department was still limited given the current staff numbers, which have also been affected by vacation leave for consultants and nurses.

“We try to do what we can in between, but when we have everybody on staff again, I guarantee we’ll get our numbers back up to at least a minimum of 80 cataract [surgeries] a month. Currently, the number is at 60 per month,” he explained.

“In terms of the [overall] backlog, we have hundreds of patients who are getting cataract surgery. We will never clear the backlog. There’s a constant addition to the waiting list . . . . We are trying to make patients wait for a shorter time so that we can have a short wait time for surgery, but there will always be a waiting list so our aim is to do as many cataracts as we can so that as patients are added, we take them off within about three months. So we are aiming for three months’ wait time for surgery. That’s a long-term goal, but it would take a while to get there.”

The ageing equipment in the department has also impacted the medical staff’s ability to assess patients in a timely manner. However, Callender said the donation of the slit lamps – machines that use a bright light to examine the eyes – would improve that situation.

The department head expressed concern about the increasing number of people, especially those with non-communicable diseases, presenting for treatment.

“I think that we are seeing more patients coming through the hospital for financial reasons rather than going to a private doctor. So that number has increased because of that. We are seeing more patients with diabetes who have eye problems – a lot of them present with diabetic eye disease – and you have a lot of patients with glaucoma. So even though we focus on cataracts a lot, we still have to share theatre time with other specialists who need to deal with those problems.

“More patients are referred from doctors . . . . Especially now we have more equipment, they are going to send more patients here. We try to keep pace with the workload and manage that but we still try to deliver other services. So it is a work in progress and we need all hands on deck to help us achieve our goals,” Callender said.

sheriabrathwaite@barbadostoday.bb

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