The Cyprus Weekly - Health care by Phileleftheros Public Company LTD

health care 69

FRIDAY OCTOBER 30 2015

Good health in Cyprus Excellent medical facilities for residents and visitors By Athena Karsera

wise woman once said, “Looking after my health today gives me a better hope for tomorrow”. In Cyprus there is plenty of opportunity to do just what author, spiritual teacher, and healer, Anne Wilson-Schaef advises. The countdown to the long-awaited introduction of a National Health Scheme (NHS) and the impact of the economic crisis on ordinary people as well as on the Health Ministry’s budget often catapult health care into the Upon his appointment spotlight - and not always for the right reasons. However, despite this summer, new Health belt-tightening Minister George Pamboridis crisis-prompted and recurring gripes about waitmade restarting NHS talks a ing lists at state hospitals, Cyprus still boasts excellent healthcare. priority It’s more than adequate – catering not only to residents but giving tangible substance to Cyprus’ push to establish itself as a regional medical centre. There are also plenty of options here for those who are in generally good health and want to focus on their overall wellbeing (and even pampering).

The eventual introduction, in stages, of a NHS, is certain to absorb much of the media attention and bring long-awaited changes to local medical services. When appointed this summer, new Health Minister George Pamboridis made restarting NHS talks a priority. At the same time, the long-term campaign to attract medical tourism is continuing, based on a local league of experienced and highly qualified doctors, modern medical centres with ER facilities, cost-effective prices, convenient geographic location and fine weather. Recuperate in the sun Recuperating after surgery on a sandy beach, whilst sipping local drinks and receiving a full-body massage, is an attractive and affordable option in Cyprus. Services range from check-ups to cosmetic surgery, cardiac care, dental procedures and infertility treatment. With the exception of specialised procedures (which are only 5% of all treatments and are extremely rare) almost all medical treatments, including surgery, angioplasty and coronary stenting (primary PCI) can now be done in Cyprus. This means fewer patients now have to go abroad for treatment, while the creation of medical schools has given added momentum to an already well-established health sector. In recent years, Cyprus has also emerged as one of the Mediterranean’s leading spa destinations, thanks to the world-class facilities available at the island’s resorts. Here, pampering has been raised to an art form and spa services and rejuvenating treatments - either as part of a package or a la carte - add a wonderful dimension to any holiday. Current facilities offer spa experience that can last from a few hours at an urban day spa to a few weeks at a health resort, where a whole range of treatment, exercise and special diet are on the menu. Corporate pampering is certainly also an option

for all executives and a relaxing spa gift for an employee or client is a treat that is appreciated all the year round. Wellness holidays can take place at wonderfully preserved historical spaces, or at state-of-the-art wellbeing centres. The spas provide holistic wellness using the broadest range of popular techniques for the mind, body and soul including mineral spas, which make use of the natural qualities of thermal springs with healing properties, as well as hydrotherapy centres where the properties of water are used for therapeutic purposes. The island also offers thalassotherapy centres where use is made of the natural properties of sea water and its products including mud and seaweed.

FRIDAY OCTOBER 30 2015

HEALTH CARE

A history of health care Cyprus doctors have been treating patients for thousands of years By Athena Karsera

ravellers have been coming to Cyprus to be treated by Cypriot doctors since 9500 BC. Their ranks include Apollodoros of Kition as well as Synesis the Cypriot – who was mentioned by Aristotle. There was also Apollonios of Kition, who was also known as the Cypriot Hippocrates. Standards remain high today, so next time you need some health care, think about comToday, the island has bining it with a holiday in Cyprus. The island has many experienced experienced and highly and highly qualified qualified doctors trained doctors in Europe and the US, as well as modern medical centres with ER facilities, all at cost-effective prices. Add to that a destination that is convenient to get to from both Europe and the Middle East, a healthy climate and Mediterranean diet and what more do you want? In Cyprus, you can have all your medical needs met and medical standards are high. From annual check-ups, cosmetic or reconstructive surgery, physiotherapy, kidney dialysis, cardiac care, dental and surgical procedures to infertility treatment, the island offers healthcare holidays in a cheaper clime. And then there’s the convenience factor. In

STANDARDS remain high today with experienced and highly qualified doctors on staff

Cyprus it is quite possible for you to book an operation the day after you arrive. Same-day appointments are the norm and you could see an astounding range of specialists either in a single centre or within a short drive away from each other. Distances on the island are small and everything is near at hand. Nor will you have to wait too long for the results of your tests. A considerable number

of clinical laboratories offer a vast range of diagnostic tests both routine and specialised with speedy results. And afterwards you can look forward to recuperating in beautiful serene surroundings or touring the country and enjoying its many attractions and endless possibilities for activities. So whether you are contemplating a check-up or a major procedure, Cyprus is the best salve for you.

Apollonios of Kition Apollonios of Kition was a physician (c. 60 BC) belonging to the Empiric school of thought. He studied medicine in Alexandria under the surgeon Zopyrus, but he lived in Kition - modern-day Larnaca. One theory states that he studied medicine in Kition, although it is not clear whether a medical school existed at the time. Apollonios was known all over the Ancient Greek world and was considered to be the most important of all Cypriot physicians. His medical opinions were considered valid and authentic according to Herodian. Important personalities including Strabon, Cicero and Dioscorides have also written positive comments on Apollonios. Although primarily a physician, Apollonios had an interest in surgery and trauma and wrote several books. One that survived is ‘Peri Arthron’ (On Joints).

FRIDAY OCTOBER 30 2015

HEALTH CARE

High Quality Healthcare Services Y

gia Polyclinic Private Hospital was established in 1983 and commenced its operations in 1987. It is the largest and one of the bestequipped private hospitals, situated in the heart of Limassol. In 2007, after major renovations and an extension of its building facilities, YGIA Polyclinic boosted its capacity to 152 beds and extended the number of operating theatres to 12. The hospital also established and extended the capabiliThe largest private hospital ties of its Clinical Laboratory Department, Radiology in Cyprus Department (X-Ray, MRI, CT, Ultrasound), produced a multi-dynamic Intensive Care Unit (ICU), Obstetrics & Gynaecology, Paediatrics and Oncology (Chemotherapy) Departments. Furthermore, a state-ofthe-art Cardio-Vascular Catheterisation Centre has been established at the hospital, offering the only 24-hour acute PCI service in Cyprus. Moreover, the hospital has a fleet of fully equipped ambulances working 24 hours a day in order to best respond to emergencies. Our hospital currently cooperates with more than 200 doctors of different specialties such as: Allergy, Bariatric Surgery, Cardiology, Dermatology, Diabetology, EarNose-Throat Surgery (ENT), Gastroenterology, General Surgery, General/Internal Medicine, Hand Surgery - Microsurgery Reconstruction, Nephrology, Neurology, Neurosurgery, Obstetrics/ Gynaecology, Oncology (Chemotherapy), Ophthalmology, Oral and Maxillofacial Surgery, Orthopaedic Surgery, Paediatric Surgery, Paediatrics, Plastic Reconstructive Surgery, Psychia-

try, Rheumatology, Thoracic Surgery, Urology and Vascular Surgery. In addition, Ygia Polyclinic employs over 490 medical, nursing and administrative staff, making us one of Cyprus’ largest employers. The hospital’s top priority is the health and well-being of our patients, staff and associate physicians. Ygia Polyclinic ranks among the finest international hospitals that implement quality programmes and operates within a framework of sound and safe procedures with a focus on patient care. Ygia Polyclinic has also concluded a five-year contract with the British Ministry of Defence to provide healthcare services to the Sovereign Bases in Cyprus following the decision to close down the hospital in Akrotiri.

OPHTHALMOLOGY Dept. Alcon WaveLight® Refractive Suite

This is a great honour for our hospital and an indication of the trust that the SBA Authorities have in a Cyprus hospital for the long-term healthcare of their staff. Ygia Polyclinic also cooperates with a number of local universities for the training of medical and nursing students, using the hospital’s infrastructure. Ophthalmology Department

Ygia Polyclinic Ophthalmology Department is located in a brand new, state-of-the-art area where patients will be treated in a pleasant and relaxing environment. The new department is equipped with the latest generation of surgical facilities, including an eye theatre and a dedicated refractive laser

suite. Ygia Polyclinic’s Ophthalmology Department is the only eye unit with the most modern infrastructures and services in Cyprus. The department’s mission is to upgrade the quality of life by providing health services that improve vision and prevent blindness. A variety of procedures are being performed in the department, including: cataract surgery, strabismus, retina, vitreous, glaucoma, eyelids, lacrimal apparatus, ocular oncology and keratoplasty. YGIA Polyclinic’s Ophthalmology Department also includes in its premises an operating room dedicated for refractive surgery, laser surgery for correcting eye problems such as myopia, hyperopia, astigmatism and presbyo-

FRIDAY OCTOBER 30 2015

HEALTH CARE

The Mammography Selenia Dimensions System At YGIA Polyclinic Private Hospital, our top priority is to provide high quality healthcare services. Therefore showing our ongoing commitment to our patients, we have recently upgraded our services, by providing the Radiology Department with a state of the art new equipment, the Mammography Selenia Dimensions System®. The Mammography Selenia Dimensions System is a new, premier, latest technology, digital mammogram, which is the most innovative way of detecting breast cancer with three-dimensional (3D) tomosynthesis with the following advantages: • Excellent visibility with minimal radiation dose • With the same pressure in the breast, simultaneously performs mammography and tomosynthesis • It is flexible for any type of breast • Improved techniques • Ergonomic design for comfort and ease of use • Breast screening with three-dimensional (3D) tomosynthesis, is more accurate in detecting breast cancer compared to prior art mammography • Based on the latest scientific studies it can identify up to 30% more aggressive tumors.

MRI

pia. The department is equipped with the most advanced system worldwide, Excimer Laser (Wavelight Refractive Suite - Alcon), that promises painless surgery, fastrecovery and excellent results.

tion with clip or wire) • Interventional radiology (biopsies, injections, aspirations, drainages, tumour ablation) • Quantitative Magnetic Resonance Imaging

MRI – CT Department

Our hospital’s MRI and CT Scan Department is one of the most up-to-date and well-equipped in Cyprus. The Department has been fully renovated and equipped with the latest technology MRI and CT scan (CT64 slices, MRI 1.5 Tesla excite technology) capable of handling a full range of examinations based on international protocols. The head of the Department is Dr Cleanthis Ioannides. Each year, the department conducts more than 10,000 examinations. It offers the full spectrum of diagnostic and interventional examinations performed with the most recent CT and MRI international protocols for dose protection and accurate diagnosis including: • Neuro-spinal imaging • Body imaging (head and neck, chest, abdomen-pelvis, liver imaging, urogenital system, oncological imaging-staging) • Cardiac imaging (coronary angiography, cardiac MRI) • Imaging of the Musculoskeletal System with CT guided interventions (injections, arthrographies, bone tumour ablation, biopsies) • MR-CT angiographies (whole body, carotids, cranial angiography, peripheral angiography, pulmonary angiography) • Breast MRI and MR guided breast interventions (biopsies and lesion localisa-

X-Ray Department

Ygia Polyclinic’s Radiology Department has been operating for 27 years and our staff is constantly training to ensure the best possible services are provided to all the patients who visit the department. It is one of the most advanced Radiology Departments in Cyprus. The head of the department is Dr Annie Philippou Papoutsou. Each year, the department conducts more than 30,000 examinations. Most of our X-ray rooms use the latest digital detectors providing superior quality images almost instantly, and are linked to a fully integrated RiS/PACS System (Radiology Information System and Picture Archiving and Communication System). The department conducts the following examinations: • Plain imaging (X-Rays) e.g. chest, abdominal, skeletal X-rays • Breast Imaging Unit with a new stateof-the-art, full-field digital 3D mammography system for screening mammograms, stereotactic biopsies and localisation • Fluoroscopy, e.g. barium swallow, barium meal, enema, HSG, IVP • Ultrasound examinations with high accuracy e.g. organs, triplex, soft tissue, biopsies and localisation

• Panoramic & Cephalometric • Bone Density testing Clinical Laboratory

Ygia Polyclinic’s Clinical Laboratory plays a key role in the effective operation of the hospital. Our goal is to provide highquality service and reliability. The laboratory has a full range of modern equipment, highly trained technicians, and computer systems that allow the continuous monitoring and management of the execution of the tests. The head of the department is Dr Ersi Pieri. Each year, the laboratory conducts 150,000 tests. Ygia Polyclinic’s Clinical Laboratory operates 24/7, including weekends and public holidays, in order to provide the best service. Our Clinical Laboratory offers the following tests: • Haematological Tests • Biochemical Tests • Immunological Tests • Hormonal Tests • Microbiological Tests Cardiac Catheterisations Centre (Cath Lab)

The Cardiac Catheterisations Centre operates 24 hours a day to deal with scheduled as well as emergency cases. Dr Majid Kalani is in charge of the department. The Cath Lab has been equipped with state-ofthe-art equipment and trained personnel ready to deal with a wide range of cardiac diseases including acute myocardial infarction (heart attack). The Centre offers diagnostic and therapeutic services including:

• Coronary Angiography and coronary Angioplasty, including 24/7 primary PCI service for patients with acute heart attack. • Insertion of pacemaker for conditions such as bradycardia and heart failure, and defibrillator for patients at risk of lifethreatening arrhythmia. • Diagnosis of structural heart disease, including diseases of the heart valves, by right heart catheterisation, trans-thoracic and trans-oesophageal echocardiography (ultrasound). • Pericardiocentesis, aspiration of fluid from the pericardium (the sac enveloping the heart).

New Service Provided:

Electrophysiology studies and treatment (ablation) of arrhythmia such as atrial fibrillation and flutter, supraventricular and ventricular arrhythmia. These services are provided in collaboration with Arrhythmia Centre in Stockholm, Sweden.

All members of our staff are dedicated in providing compassionate and quality care for every YGIA Polyclinic Hospital patient and his or her family. In order to provide the best and most up-to-date treatments, Ygia Polyclinic continuously invests in new medical technologies and the constant training of staff to provide high-quality healthcare services.

X-RAY Dept. Selenia Dimensions System, Hologic CATH LAB

21 Nafpliou Street, 3025 Limassol, Cyprus, P.O. Box 56174, 3305 Limassol, Cyprus, National Line: 77.77.77.90, Tel.: +357-25.88.46.00 , Fax: +357-25.35.38.90, email: info@ygiapolyclinic.com, www.ygiapolyclinic.com

FRIDAY OCTOBER 30 2015

HEALTH CARE

The highest medical technology in Cyprus A

yios Therissos Diagnostic Medical Centre has been in operation for the past 24 years. It was established on the 1st of September, 1990 with the installation of the first MRI in Cyprus which represented a breakthrough in the field of medical diagnosis. In the course of time there have been a number of changes and today, Ayios Therissos is an enviable medical diagnostic centre enjoying international reputation. It employs cuttingedge technologies in the field of medical diagnoses and together with its ex-perienced medical, paramedical and administrative stuff serving as its supporting pillars, has gained the trust of the medical community both in the public and private medical sector, as well as that of the patients. The participation of the medical and paramedical stuff in local and international conferences, as well as the undertaking of many local and international research projects, publications in international medical journals, the collaboration with many international medical centres

25 Years at

the Forefront. Reliability, Innovation, Accountability, Integrity

DR Thyrsos Posporis with the first MRI on 1990 and the organisation of medical conferences has rightly placed our medical centre amongst the most successful and best organised medical diagnostic centres. Today, there are two Ayios Therissos medical centres in operation, one in Nicosia and one in Larnaca – Aradippou. In Nicosia there are two MRI systems (Philips Intera 1.5 and Achieva 3 Tesla respectively), one 256-multislice Philips Brilliance-iCT, one ultrasound unit and two dual head γ-cameras. The Achieva 3.0 is the only one 3 Telsa MRI in Cyprus which provides the leading edge in musculoskeletal and neurological examinations.

MEDICAL STAFF •Dr Thyrsos Posporis MD (General Manager) •Dr. Eleni Eracleous, Scientific Manager, Radiologist, MD, DMRD, FRCR, PhD, ESSR She studied at the National and Kapodistrian University of Athens and University of Edinburgh Medical School. After having been awarded a scholarship by WHO (World Health Organisation) she was trained in Radiology at the Royal Infirmary of Edinburgh from where she gained a diploma in Radiology and became a member of the Royal College of Radiologists in the UK. She holds a diploma from the European Society of Skeleton Radiology (ESSR). She has received ongoing postgraduate training in CT and Magnetic Tomography more specifically in Neuroradiology and Musculoskeletal System at (Manchester Royal Infirmary in the UK, Dijkzipt Hospital in Rotterdam, Holland, Edinburgh Royal Infirmary in Scotland, National Hospital for Nervous Diseases in London and Massachusetts General Hospital in Boston, USA). She has served as a chief of the Radiology Department in Nicosia General Hospital and today she is the scientific director of Ayios Therissos Medical Centre. She is a founding member of Cyprus Radiological Society where she worked as a secretary for many years and is an active member of the Radiological Society of North America and European Radiological Society (where she also served as Cyprus’ representative in the Scientific Committee). She is a member of the editorial team of the “International Angiology” magazine. She was responsible for the review of papers in the scientific magazines of European Journal for Radiology and International Angiology. She has published more than 20 scientific papers in international medical magazines including European Radiology, Pediatric Radiology and Neuroradiology, 32 scientific conference presentations including that of the Radiological Society of North America and the European Congress of Radiology. She has also given more than 100 lectures as a guest speaker in various conferences in Greece, Cyprus and abroad. She has taken part in numerous research programmes of the centre. •Dr. Dimitra Ziaka, MD, Doctor of medicine specialising in Radiodiagnosis with specialty training in Ultrasound, CT and MRI and especially in coronary CT angiography. She graduated from the Medical School of the University of Io-

Similarly, the 256-multislice CT is the only one in Cyprus and amongst the first of its kind installed in the world. In Aradippou, Larnaca the MRI Scanner installed is Avanto 1.5 Telsa of the higher technology (32 channels) from Siemens in Cyprus. The variety, possibilities and expertise of Ayios Therissos medical systems offer a personalised choice for the most appropriate system to achieve the best diagnostic results. Ayios Therissos has served, so far, more than 200,000 patients and has rightfully won the prominent place it deserves in medical community in Cyprus.

annina. She received her training in Radiodiagnosis in the Evangelismos General Hospital of Athens in the full spectrum of Radiology-Mammography, CT, MRI, Ultrasound and colour Doppler, and trained in Interventional Radiology and Angiography. She received her specialty certification in Radiodiagnosis in June 2008. She has published articles in Greek and international medical journals and has taken part in post-graduate radiology seminars and conferences in Greece and Europe. She received specialist training in CT Coronary Angiography at the Radiology Department of Kiel University Hospital in Germany in 2009. Since September 2008 she has been working for Ayios Therissos Medical Diagnostic Centre, where her duties cover Ultrasounds, CT, and MRI, and more specifically CT Angiography. •Dr. Sofoclis Sofocleous, MD, PhD Nuclear Doctor He has graduated from Gottingen Medical School, West Germany and was specialised in Nuclear Medicine at the University of Hannover, Germany having the founder of Nuclear medicine in Europe, K-H Hundershagen as his mentor. Dr. Sofokleous is a distinguished professor in the above university. His PhD thesis was titled “Thyroid gland cancer, diagnosis, treatment and prognosis”. He has also worked as health editor and director in private nuclear medicine clinic in Germany. He is the writer of the book “Σύντομο Εγχειρίδιο Σύγχρονης Πυρηνικής Ιατρικής” (Brief Manual of Modern Nucle- ar Medicine). He is a member of the publishing committee of “Greek Nuclear Medicine” magazine. He has published various scientific works in magazines, in Greece, Cyprus and abroad and has delivered many scientific presentations in conferences in Greece, Cyprus and abroad. Ayios Therissos Nuclear medicine Centre, of which he is founder and director, completed in July 2010, fourteen years of service in the field of diagnostic and therapeutic nuclear medicine. Apart from conducting normal nuclear medicine medical tests our centre is known for its expertise on the field of diagnosis and treatment for thyroid gland diseases (more specifically cancer), it has a modern nuclear cardiology laboratory and is also a reference centre for radioisotopic synovectomy on patients suffering from arthritis. •Dr Marios Patziaris, Special Neurologist, MD, PhD (associate) Graduate of Aristotle University of Thessaloniki specialised in

We cover a wide spectrum of MRI and CT examinations, including Brain (with dedicated examinations of functional MRI, MR Perfusion and Spectroscopy), Pituitary gland, Optic & Acoustic nerves, Neck, Whole Spine (cervical, dorsal and lumbar regions), Whole Body (Thorax, Abdomen, Pelvis), Upper & Lower extremities with Dedicated joints (Shoulder, Wrist, Hand, Elbow, Hips, Knee, Ankle and Foot). There is also specialised software to cover MRI enteroclysis for investigation of inflammatory bowel diseases (Crohn’s and Ulcerative Colitis) and MR Mammography on the 3 Tesla magnet system for pre-& post-op analysis/investigation for breast cancer, as well as, implants’ integrity. Both modalities employ remote operated contrast injectors for the optimum MR and CT angiographies of the brain & neck vessels, aorta and upper & lower extremities vessels. The multislice CT with its specialised cardio/coronary software performs the examination with the lowest ionisation radiation dose in a breathhold. The γ-camera offers diagnostic and therapeutic treatment for a wide range of organ targets.

neurology in the Psychiatric Hospital of Thessaloniki and B Neurology Clinic of Aristotle University of Thessaloniki. He received postgraduate training in the use of ultrasounds in Neurology in Irvine Laboratory of St. Mary’s Hospital, London and in the treatment of Acute Ischemic Stroke in Massachusetts General Hospital of Harvard’s Medical School in Boston. He has been working at the clinical department of Cyprus Institute of Neurology and Genetics since 1995. He has been a collaborator of Ayios Therissos medical Centre since 1996, specialised in ultrasound extra cranial and intracranial examinations. He took part in various research projects for the pathogenesis and treatment of Multiple Sclerosis, Acute Ischemic Stroke treatment, monitoring the epidemiological and genetic impact of thrombophilia on population of Cyprus etc. •Dr Margarita Marinou, MD, Radiologist She graduated from the Medical School of the Aristotle University in Thessaloniki, Greece and started her training in radiology at the University hospital of Umea in north Sweden to continue and complete her training at the radiology department of Sahlgrenska University Hospital in Gothenburg, Sweden. She received training in X-rays, Fluoroscopy, CT, MRI, Ultrasound and colour doppler and contrast enhanced ultrasound, ultrasound guided biopsies, Paediatric Radiology, Mammography, Interventional Radiology and Nuclear medicine. Then she worked at the Mammography department of the same hospital with diagnostic and screening mammograms, breast ultrasound and MR mammography for almost two years. She has been to various Swedish and international courses. •Dr Costas Voulgaris BSc, MD, Radiologist (EDiR) Has received his Bachelor of Science in PreMed Biology from the University of California in Irvine, USA on July 1994. He graduated from the Medical School of the University of Crete, Greece on July 2000 and completed his training in Radiology in the University Hospital of Heraklion, Crete, Greece on February 2013, having also a clinical background in internal medicine of two years in the UK and two years in Greece. He has received his European Diploma in Radiology (EDiR) in Vienna, Austria on March 2013. He has been working at Ayios Therissos Medical Diagnostic Centre since August 2013, as a clinical radiologist with interests in ultrasound, MRI and CT.

Nicosia: 92 Spyrou Kyprianou Ave, 2033, Strovolos, Tel: 22442630, Fax: 22315922, Larnaca: Kyriakou Matsi 24, 7102, Aradippou, Larnaca, Tel: 24-812400, Fax: 24-637400, Email: ayiostherissos@cytanet.com.cy, www.ayiostherissos.com.cy

FRIDAY OCTOBER 30 2015

HEALTH CARE

Chairman of the Board of the Health Insurance Organisation (HIO), the public body responsible for the implementation and management of the National Health Scheme (NHS) in Cyprus, Thomas Antoniou, has outlined the state-ofplay in an exclusive interview with the Cyprus Weekly THE NHS aims to provide high quality health care for all

Moving ahead Why the full implementation of Cyprus’ NHS is the only way forward By Athena Karsera

homas Antoniou is the Chairman of the Board of the Health Insurance Organisation (HIO). This week, he outlined some of the current obstacles to the full implementation of Cyprus’ National Health Scheme (NHS) and also revealed what we can expect once it is introduced. Cyprus Weekly: What do you believe are some of the current main obstacles to the full implementation of the NHS? Thomas Antoniou: Cyprus The current healthcare remains the only country in the EU without a comprehensive healtharrangement was system. The current healthdesigned in the 1950s and care care arrangement was designed in is collapsing with tragic the 1950s and is collapsing, with results for the people of our tragic results for the people of our country. Today, a scientifically and country technocratically tried-and-tested healthcare system has been designed, based on wider social cohesion and moulded on the Cyprus reality. The implementation of the NHS is an imperative social need. There are no obstacles to its implementation beyond indecisiveness and a fear of change. It was also included in the Troika’s Memorandum of Understanding (MoU) with the Republic of Cyprus. A prerequisite of this reform is the cooperation of all involved — STATE hospitals the government, political parties, providers, unions, are now labour organisations and those entitled to care. overburdened with There are, of course, practical issues which need patients ultimately to be solved and properly handled but these are not paying the price obstacles to the implementation of the NHS because its principals, priorities and vision are shared. CW: How are the efforts for hospital autonomy progressing? TA: The issue of the autonomy and reorganisation of public hospitals is in the hands of the Health Ministry which, as far as we are aware, is formulating its own strategic plan. In terms of the HIO, we are prepared to provide any necessary support to the ministry in this effort, as well as to private hospitals in their effort to reform and prepare for functioning within the NHS environment. The reformation, modernisation and autonomy of

hospitals cannot take place from one day to the next. It is a process and the implementation of the NHS will have the role of a catalyst in its success. For this reason, the process of the autonomy and modernisation of hospitals must be simultaneous with the implementation of the NHS.

having comprehensive, fair, up-to-date and quality access to health services. Based on the current plans, and also, if you like, based on the most recent MoU, Cyprus is obliged to implement the NHS within 2017 and this is the goal we are working towards.

CW: Has there been progress on the issue of the involvement of private insurance companies? TA: As it has been designed, the NHS includes the management of a fund which will be used for the collection of contributions and compensation of providers through one organisation - the HIO. This is the plan which was unanimously voted in by the House of Representatives and confirmed after a long social debate. Beyond this, many studies by internationally acclaimed institutions, most recently the World Health Organisation (WHO), have shown this is the strongest and most efficient plan under conditions such as those we have in Cyprus. This, of course, does not mean that there will not be a place for private insurance company activity in the health sector. On the contrary, it is our conviction that insurance companies will be able to offer supplementary health insurance packages for services that will not be covered by the NHS. This is the case in most European countries with a national health system in place.

CW: What can you reveal in connection to amounts people can expect to pay once the NHS is in place? TA: Today, citizens of Cyprus spend 5-6% of their income on healthcare which is triple the amount paid by the average EU citizen. The cost for certain groups of the population such as the elderly, those with chronic illnesses, the unemployed and the poor is even greater. It would be good to mention that the NHS will not add, or indeed subtract, from today’s healthcare cost but will achieve its fairer distribution. Based on the study undertaken by Mercer in 2013, the contribution percentages related to the 10-year funding of the NHS is as follows:

CW: At what stage is the IT infrastructure that will play such an important role in the NHS? TA: The implementation of the IT system is of vital importance for the smooth functioning of the NHS in Cyprus. The system will link those entitled to services with those who will provide them. The HIO will allow the direct issuing of referrals, provider compensation, the issuing and filling of prescriptions, the briefing of entitled users, and more. The HIO is at the stage of issuing a call for the final tender for obtaining the IT system for the NHS as it has now completed dialogue with the chosen parties. We will await the tenders’ submission and then evaluate them, with a decision to be made within the first three months of 2016. CW: Is there a new timetable for the full implementation of the NHS? Are we under pressure from our obligations to the Troika or EU? TA: It is not our obligations to the EU or Troika that make the implementation of the NHS urgent but the need springing from the collapse of the current system. This has resulted in the people of Cyprus not

Contributor Category Employees Employers Self-employed Pensioners Private income earners State

Percentage of contribution 2.30% 2.93% 4.10% 2.30% 2.30% Based on the standing forecast for public expenditure for health The patient will also be charged a small supplementary amount when receiving services from the NHS. The final amounts for contributions and supplementary payments will be reached following consultations with provider representatives. CW: Is there anything else you would like to add or underline? TA: It has been acknowledged by all that the current healthcare system is collapsing. Public hospitals are overburdened and understaffed with the result of long waiting lists. Private hospitals are underperforming, with the result of their having to overcharge to remain viable. People are then trapped between high costs and long waiting lists. It is therefore, universally acknowledged that the implementation of the NHS, as it has been planned and agreed on, is the only way out and the only solution to the dead-end in the health sector. The health of our people is not and cannot become a commercial commodity. It is a social and political right that can only be realised with the implementation of the NHS.

FRIDAY OCTOBER 30 2015

HEALTH CARE

Treat hearing loss now or later? F

Dr Chryssoula Thodi, Audiologist, CCC-A, FAAA

rom enhancing quality of life, to helping protect against several health consequences linked to unaddressed hearing loss, the case for early treatment is strong. Considering that we ‘hear’ with our brain, when we have a hearing loss the connections in the brain that respond to sound become reorganised. Hearing aids provide the sound stimulation needed for the brain to restore the normal organisation of connections to its “sound centre” so it can react to and process the “missing” sounds. For many years, experts have known the positive impact that addressing hearing loss has on quality of life. People with hearing loss who use hearing aids see an improvement in their ability to hear in many settings; and many see an improvement in their relationships at home and at work, in their social lives, and in their ability to communicate effectively in most situations. Many even say they feel better about themselves and life overall. Moreover, researchers are discovering a significant link between hearing loss and other health issues, such as cognition, dementia, depression, falling, hospitalisation, mortality, and overall physical and mental health. Then latest findings support early treatment of hearing loss with indications from several health areas. Cognition: Unaddressed hearing loss not only affects the listener’s ability to “hear” the sound accurately, but it also affects higher-level cognitive functioning. Specifically, it interferes with the listener’s ability to accurately process the auditory information. For instance, older adults with mild-to-moderate hearing loss performed poorer on cognitive tests than those of the same age who had good hearing. Researchers state that: “The sharpness of an individual’s hearing has cascading consequences for various aspects of cognitive function. Even if you have just a mild hearing loss that is not being treated, cognitive load increases significantly. You have to put in so much effort just to perceive and understand what is being said that you divert resources away from storing what you have heard into your memory.” Risk of dementia: Seniors with hearing loss are significantly more likely to develop dementia over time than those who retain their hearing. Older adults with hearing loss are more likely to develop problems thinking and remember-

ing than older adults whose hearing is normal. Brain shrinkage: Although the brain becomes smaller with age, the shrinkage seems to be fast-tracked in older adults with hearing loss. Use of MRI to look at the effect that hearing loss has on both brain activity and structure revealed that people with poorer hearing had less grey matter in the auditory cortex, a region of the brain that is necessary to support speech comprehension. Researchers hypothesise that when the sensory stimulation is reduced due to hearing loss, corresponding areas of the brain reorganise their activity as a result. Risk of falling: People in middle age (40-69) with even just mild hearing loss were nearly three times more likely to have a history of falling. The intensive listening effort demanded by unaddressed hearing loss may take cognitive resources away from what is needed for balance and gait, experts have suggested. Increased hospitalisations: Older adults with hearing loss were 32% more likely to have been admitted to a hospital than their peers with normal hearing. Older adults with hearing loss were 36% more likely to have prolonged stretches of illness or injury (lasting more than 10 days). Mortality: Hearing loss is tied to greater risk of dying for older men from any cause and particularly from cardiovascular causes. Men and women who used hearing aids, although they were older and had more severe hearing loss, had significantly lower mortality risk compared with hearing impaired men and women who did not use hearing aids. Depression: Several studies have found a link between depression and hearing loss. Older adults with hearing loss were 57% more likely to have deep episodes of stress, depression or bad mood than their peers with normal hearing. Hearing loss is associated with an increased risk of depression in adults of

all ages, but is most pronounced in 18 to 69-year-olds. Working adults – aged 35 to 55 - with untreated mild to moderate age-related hearing loss were more prone to depression, anxiety, and interpersonal conflict than those with no hearing problems. Treating hearing loss early offers substantial improvement in quality of life and long-term prognosis. Cyprus Audiology Center provides rehabilitation services that include expert hearing and balance evaluation and intervention, hearing aid selection and fitting, verification of hearing amplification benefit, and training of family members to better support loved ones with hearing loss. The variety of hearing devices with outstanding quality of amplification, in combination with accessories that connect to television and telephone, allow seamless efficient hearing in all situations. Our expert support and superb technology alleviate health risks AND improve quality of life for patients and families. For more information, please call 22-76971, or visit www.cyprusaudiology.com

Scientific excellence, compassionate support, ingenious technology Hear the sounds of life: the highest qualified audiologist in Cyprus supports your hearing and balance. Our international research supports our clinical work for the best hearing you can have!

Widex hearing aids, hearing technology trailblazers for 59 years -Wireless connection to mobile, TV, phone, MP3 -Best enhancement of speech in noise Join us for a complete assessment and validated hearing aid selection and fitting.

FRIDAY OCTOBER 30 2015

HEALTH CARE

The public body responsible for implementation and management of the National Health Scheme in Cyprus recently published this up-to-date outline of what to expect once the NHS is implemented

Everyone contributes and the services are in turn used by those who require them

What is the NHS?

PALLIATIVE care services and medical rehabilitation will be included in the NHS

What you need to know about the new system

he Health Insurance Organisation (HIO) is the public body responsible for the implementation and management of the National Health Scheme (NHS) in Cyprus. They have released the following material outlining the aims of the NHS.

What is the National Health Scheme (NHS)? The NHS is a modern health system with the main purpose of providing health services to citizens based on their needs. The NHS ensures: universal coverage and equal treatment, an integrated health services package, high-quality health services, the free choice of provider according to the patient’s preference and the fair distribution of the cost of services.

Who are the beneficiaries of the NHS? · Cypriot citizens who have their habitual The healthcare providers residence in the governunder the NHS must all ment-controlled areas of the Republic. meet requirements related to · European citizens qualifications, infrastructure residing and employed, and equipment or those who have acquired the right of permanent residence in the government-controlled areas of the Republic. · Third country nationals who have their permanent residence in the government-controlled areas of the RePATIENTS public. will also have access to physiotherapists

What health services are offered by the NHS? · Health care provided by doctors in an outpatient environment · Hospital care · First Aid Services · Medication · Clinical laboratory tests · Medical services provided by nurses, clinical psychologists, clinical dietitians, physiotherapists, midwives, occupational therapists and speech therapists · Preventive dental services for children · Palliative care services and medical rehabilitation

Who provides health services under the NHS? Healthcare providers in the private and public sectors. The healthcare providers under the NHS meet minimum requirements related to qualifications, infrastructure and equipment. How are health services accessed? The beneficiaries of the NHS gain access to health services once they have registered with the General Practitioner (GP) or paediatrician of their choice. Beneficiaries navigate the health system through referrals from their GP. The referral defines the specialty of the provider and is valid for a specified period and for a specified number of visits. The selection of a provider is always made by the patient. With the referral, the patient may undertake repeat visits to a specific specialist or obtain a second medical opinion from another specialist. The beneficiaries receive clinical laboratory testing services and medication through prescriptions. irect access to Is there direct ces? health services? Access to health services is through thee GP. lly, recipients Additionally, ht to have achave the right cess, without extra charge, other servicess in the following cases: · Visits to gynaecologists and obsteomen tricians to women omwho have com-

THE beneficiaries of the NHS gain access to health services once they have registered with the GP or paediatrician of their choice

pleted their 15th year of age. · Visits to dentists to provide preventive dental care of children until the completion of their 16th year of age. · Visits to the Casualty Department for accidents and/ or emergencies. In cases of direct access to a specialist for cases not covered above, the beneficiary must pay a specific amount. How is the NHS financed? The NHS is financed by contributions. Contributions are made on the basis of income. This way everyone contributes to the services which are in turn used by those who require them. The NHS is financed by contributions from: · The state · Employers · Employees · The self-employed · Pensioners and · Those with a private income The contributions are collected by the Social Insurance Servi Services, the Tax Department and the Treasury. Apart from f the contributions, patients will contribute to covering cove the cost of the health services paying a small amount amo for the services they receive. How is th the provision of high-quality health services ensured? · The NHS N has been designed to apply the best practices aimed aime at improving the quality of health services, such as th the introduction of the principal of a GP, the applicat application of guidelines, the use of an integrated IT system system, etc. · The Th GP maintains a close and long-term relationship w with the patient, administering and monitoring his m medical records and offering effective care. · He or she also plays an important role in ad addressing chronic diseases, promoting good he health and disease prevention by implementin ing prevention and detection programmes. · The implementation of guidelines aimed at ensuring e quality and scientifically proficient healt health services. Th integrated IT system ensures efficient man· The agement and monitoring of patients by physicians, quick serv service, constant control, and the prevention and detection oof any fraud or abuse of the system. www www.hio.org.cy

FRIDAY OCTOBER 30 2015

HEALTH CARE

Manage Your Hearing Loss and/or Tinnitus – Easy – Effortless - Effective! I

f you, a friend or a family member suspect you may have hearing loss, simply visit an audiologist for a hearing test. Should hearing loss be present, you can discuss the symptoms and impact on your lifestyle, have your hearing test explained, and be offered professional advice to help you choose the most appropriate hearing solution for you. Hearing Loss in Adults Once hearing loss is diagnose diagnosed, themoreresidu ual the more residual h hearing one has, bene the more the benefit one can obta obtain

from a hearing device. Therefore, it is important to have hearing aids fitted as soon as the permanent hearing loss is detected. It is also important to have realistic expectations in order to benefit more from your hearing aids. Should hearing loss be bilateral, two hearing aids (right and left) work better than one, as the brain normally works with binaural stimulation. Two hearing aids do not suggest that a person is ‘deafer’ than another person wearing one device. On the contrary, it means that the binaurally fitted person can hear easier, better, clearer and are better able to localise sound, e.g. the telephone ringing, alarm, bell etc, more effectively. Acclimatising to a hearing device takes a few days to a few weeks. It is important to acknowledge that hearing aids do not restore normal hearing but they can significantly: - Improve speech understanding - Provide clarity in noise and in quiet - Facilitate communication - Help restore lost confidence - Improve Quality of Life - Optimise personal and professional activities Hearing Loss in Children Permanent or persistent hearing loss in children may lead to problems in communication, academic performance, psychosocial behaviour, and emotional development. It can also affect the family and society, causing tension and disruption, social isolation and a breakdown in social communication and interaction. Early identification and rehabilitation is essential to try to avoid these various potential complications by maximising a child’s ability to hear, and facilitating normal speech and language development and communication.

Adult and Paediatric Hearing Solutions Today, computer-based digital technology and scientific methods are used for diagnosing hearing loss and programming hearing aid systems. Solutions for people who suffer from hearing loss or tinnitus are now discreet and sophisticated with unrivalled performance. They do not whistle, unless poorly fitted, and they can provide the user with effortless hearing. The most expensive hearing aid is not always the best for everyone. There are many affordable suitable models to choose from, ranging from discrete, custommade digital aids to sophisticated behind-the-ear hearing aids. Impressions of your ears may also need to be taken however, some hearing aid types can be fitted on your first assessment-appointment, which saves you going back for a separate fitting session. Hearing Aid Styles Each hearing aid style has its own advantages. Selecting the right style depends on a number of factors, including: 1. The degree of hearing loss 2. The ear size and shape 3. Personal preferences and needs 4. Manual dexterity

Completely-in-the-canal These are also custom designed. They fit deep into the ear canal so they are not easily visible. They may also reduce the problem of wind noise. Additionally, due to exposure to moisture and ear wax, CIC need good care and cleaning.

Behind-the-ear (BTE) These are now much smaller and neater than in the past and fit comfortably over the ear with a slim thin tip or a custom earmould worn in the ear. Because the components are housed outside of the ear, BTE aids tend to be the most durable, require less repairs and last longer. They can be worn easily, even with spectacles. Open ear These are housed in a tiny case that fits over the ear coupled to an ultra-thin tube that fits in the ear. These are appropriate for people with normal to nearnormal hearing in the low pitches (bass tones), and a mild to moderately severe loss in the high pitches (high tones). This is normally a result of noise-induced hearing loss (e.g. ex-military, factory workers, pilots) or ototoxicity. They are very comfortable, cosmetically appealing and reduce the occlusion effect some people may get by hearing their own voice too loud. In-the-canal (ITC) and In-the-ear (ITE) ITCs are custom designed, small in size, and fit deeper into the ear canal than the in-the-ear hearing aids. They fit comfortably and securely in the ear. CROS/BI-CROS hearing aid This is the best way to fit mono-aural hearing loss. This allows the person to pick up sound on the poor ear side and hear it on the better side making the person hear from both sides and localise sound easily! Invisible-in-the-canal (IIC) These are the latest technology in size! They are smaller than the CIC as they are deep in the canal making it difficult for someone to detect them. This type is heavily based on the hearing loss degree and the size of the ear canal, as it does not fit in all ears.

FRIDAY OCTOBER 30 2015

HEALTH CARE

Where to best insure… G.A.P. Vassilopoulos was established in 1964 and is listed on the Cyprus Stock Exchange. The Group operates via a network of 3,000 offices and associates throughout Cyprus, the United Kingdom, Holland, Belgium, Luxembourg and Israel. It employs 1,000 highly experienced personnel who are supported by the latest technology. The Group provides a complete spectrum of insurance products and continually

expands its portfolio while representing prestigious International Insurance Companies. Our Insurance Services Include: • Marine Cargo Insurance • Property Fire and Perils • Loss of Profits • Burglary • Householders combined • Foreign Workers Medical • Employer’s Liability • Public Liability

• Products Liability • Personal Accident • Travel Insurances • Motor • Medical Insurance Schemes • Yacht Insurance • Expatriate Insurance • Credit Insurance • Loss of Money • Goods in Transit • Electronic Equipment • Fine Arts

IMG - GlobalFusion International Medical Insurance

G.A.P. Vassilopoulos Group represents the “INTERNATIONAL MEDICAL GROUP – IMG EUROPE” in Cyprus

IMG is a worldwide leader in providing a range of international medical and health related insurance products to individuals, families and companies. Their full-service approach in providing international medical insurance products includes servicing vacationers,those working or living abroad for short or extended periods, people travelling frequently between countries, and those who maintain multiple countries of residence. As an experienced company working closely with clients worldwide, IMG Europe understands the intricacies of global healthcare delivery. While IMG provides complete plan administration expertise, the globally recognised underwriter, Sirius International Insurance Corporation, offers the financial security and reputation demanded by international consumers. Rated A (excellent) by A.M. Best and A- by Standard & Poor’s. The IMG GlobalFusion difference: • Five plan options to meet a wide range of budgets • Family cover includes free coverage for two children under age 10 for the first year when both parents are insured, and 50% off published rate on first renewal

G.A.P. VASSILOPOULOS GROUP is also a Lloyd’s Coverholderfor a number of Lloyd’s Syndicates, meaning that we are authorised to enter into contracts of insurance and/or issue insurance documentation, on behalf of the members of a syndicate for specific classes of business. Lloyd’s Syndicates currently enjoy A rating from A.M. Best, AA- ratings from Fitch Ratings and A+ from Standard & Poor’s.

• Choice of payments frequency if paying by Visa, MasterCard or American Express • Choice of underwriting terms – Full Medical Underwriting or Moratorium • Ability to seek eligible treatment with any doctor or hospital within geographical area of cover, including home country • Worldwide Accident and Emergency out of area of cover • State Hospital Cash Benefits available on all plans

Clients can create custom plans by choosing: • A medical plan option Bronze/Silver/ Gold/Gold Plus/Platinum • Select optional benefits if needed • Select geographical area cover

The Global Fusion offers five different plans with the following maximum limits as appear in table 1. This plan is competitively priced and offers a choice of four benefit levels. A. Inpatient and Day Patient Treatment B. Outpatient Treatment, Wellness Benefits and Other Coverages C. Travel, Transportation and Out of Area Benefits D. Dental Treatment and Vision Care Benefits

• Select currency: USD$/GBP£/Euro€ • Select payment options: VISA, MasterCard, or American Express. Bank Transfers and cheques are accepted for annual payments

Optional Benefits include: Maternity, Extra Terrorism Cover, Extended Sports Cover. Table 1. Benefits Lifetime Max. Limit per Individual Insured Person

Area 1 - Europe Area 2 - Worldwide, excluding USA, Canada, China, Hong Kong, Macau, Japan Singapore and Taiwan Area 3 - Worldwide

The second lowest cost benefit level, GlobalFusionSilver, offers far more than just inpatient cover. It also includes many valuable out-patient benefits, which is not always the case for other “entry level” plans in the market. GlobalFusionSilver is ideal for customers living in Cyprus.

Bronze $2,500.000

Silver $5,000,000

Gold $5,000,000

Gold Plus $5,000,000

Platinum $8,000,000

£1,375.000

£2,750,000

£4,400,000

€1,675.000

€3,350,000

€5,360,000

G.A.P. Vassilopoulos Group offers high standard insurance policies in Cyprus through the following insurance organisations:

XL Catlin based in the United Kingdom is the result of the merger between XLInsurance and Catlin in May 2015. The new insurance administration has: - Capital: $17bn - Premiums: $10bn Financial Strength Rating, A from A.M. Best, A+ from Fitch, A2 from Moody’s, A+ from Standard and Poor’s.

The Atradius Group provides Credit Insurance Surety and International Debt Collection services through 160 offices in 45 countries. • Financial Strength Rating fromA.M. Best Company is ‘A’ (Excellent) • Employs 3,300 people worldwide • Total Premium income of more than €1.6 billion • Access to credit information on 100 million companies worldwide • More than 20,000 trade credit limit decisions daily

G.A.P. Vassilopoulos Insurances Dept. Tel: +357-77777775, Fax: +357-22514099, insurance@gapgroup.com, G.A.P. Vassilopoulos Group, Tel: +357-22710000, Fax: +357-22514081, info@gapgroup.com, www.gapgroup.com

FRIDAY OCTOBER 30 2015

HEALTH CARE

Robotic surgery Operating without a scalpel in Cyprus By Kika Kasinidou

obotic surgery, a specialised medical service, is a new concept for Cyprus, offered only by a handful of medical centres in the private sector. The first operations began in 2008 on patients with urological ailments and some years later extended to gynaecological cases while they now cover all types of general surgery. Robotic surgery is the evolution of laparoscopic Less traumatic and endoscopic surgery. It is essentially a laparoand evasive, better scopic or endoscopic proaesthetic result, cedure carried out with smaller scars, the assistance of a robot. quicker recovery This makes it a less traumatic and invasive method of surgery during which surgical moves are undertaken with exceptional precision with the help of very delicate and flexible tools. These are inserted into the patient’s body through tiny openings in the skin, thus avoiding the need for large and painful incisions. During robotic surgery, as it is carried out today, the surgeon sits in front of a surgical robotic control panel on a computer. The surgeon can see 3D and magnified images of the site of the operation onto a large screen. The surgeon then carries out the operation with the use of two specialised controls that look somewhat like videogame joysticks. The movements carried out by the surgeon with the help of these controls are digitally transferred to a state-of-the-

art computer, processing and transferring with unprecedented accuracy, the relevant movements onto the operation site where they are carried out by the articulate hands of the robot. These movements are entirely controlled by the surgeon and if the surgeon as much as turns his head away from the screen, the movement stops. The robot cannot move on its own or be programmed but acts only according to the surgeon’s movements. Surgeons are specially trained to be able to use surgical robots. Significant advantages The advantages of robotic surgery are significant and include the follow-

ing: Least possible surgical trauma to the tissue, better aesthetic result and small scars, and quicker recovery and patient mobility. They also include minimal blood loss, fewer blood transfusions, reduction in post-operative pain, quick exit from the hospital, lower cost of time spent in hospital, and a faster return to everyday activities and work. Other advantages include the ability to magnify an image 10 to 15 times, better lighting availability, minimal postoperative complications connected to trauma such as infection, decay, hernias, chronic pain, scar tissue deformation. This type of surgery also has less impact on the heart and lungs and can

be used on patients with a difficult medical history. Also, 3D visuals, colour images and the ability to magnify an image 10 to 15 times results in complete control of the situation. Because the surgeon’s movements on the console are faithfully replicated by the mechanical arms, natural hand trembling is eliminated. This ensures the best possible accuracy. The laparoscopic tools making up the robotic arms can not only carry out every movement of the human hand (seven degrees of freedom of movement), but also rotate almost 360 degrees within the surgery site, surpassing even the capabilities of the human hand.

Going under the knife Plenty of elective surgery options in Cyprus

MANY different kinds of elective procedures are available in Cyprus

In Cyprus, there are as many different kinds of elective procedures available as there are bones in the body. They can include fertility treatments, cardiovascular treatments, gynaecological surgery, musculoskeletal surgery, and more. Cardiology: Renowned Cyprus hospitals are equipped to handle all phases of heart disease from the elementary to the latest clinical procedures such as interventional cardiac catheterisation, coronary angiography, and coronary angioplasty with stent implantation (PTCA), implantation of pacemakers, implantable defibrillators (ICD) and CRT/D and catheterization through radial artery as well as non-invasive interventions. Noninvasive intervention includes stress echo, 3D echo, myocardial scintigraphy and Cardiac CT and Cardiac MRI. Orthopaedic surgery: A number of orthopaedic procedures are available such as hip and knee replacement, bone transportation, spine surgery and limb sparing surgery, all kinds of mus-

culoskeletal problems, ranging from arthritis to sports injuries, to complex broken bones, bone tumours and childhood conditions like scoliosis, can be treated most effectively. Dentistry: State-of-the-art dental surgeries equipped with cutting-edge technologies, fibre optic instruments, soft laser for the healing of the mucous membrane, panorama X-rays and conscious sedation equipment, offer the full range of services including aesthetic dentistry, orthodontics, paediatric, periodontology and implantology. Cosmetic and Plastic Surgery: The patient’s motivation, to look and feel better, is directly related to their sense of self-esteem. Available treatments include laser peel or facelift, breast augmentation, external ultrasound lipolysis and hair replacement, to mention a few, all aimed at improving one’s appearance and generating a new sense of confidence. Eye surgery: Specialist centres in Cyprus provide treatments for a wide range

of eye disorders. Highly trained ophthalmic specialists deal with the full range of eye diseases including laser vision correction, cataract, glaucoma and cornea treatment. Advanced Reproductive Technology: Specialist clinics provide the most up-to-date fertility techniques with high levels of success. Treatments include conventional IVF treatments, pre-implantation genetic screening and egg donation. Climatotherapy Treatments: Scientifically positioned centres make full use of the advantages of the island’s climate for therapeutic purposes. For example, children’s asthma is treated at centres whereby a dry climate, protected from northern winds, is considered ideal. The island of Aphrodite, with over 300 days of sunshine proudly offers its bright climate to alleviate any symptoms resulting from a lack of sunshine visitors may experience in their home countries.

FRIDAY OCTOBER 30 2015

HEALTH CARE

Second medical opinion What is iMER?

MER stands for International Medical Evaluation and Referral. We are an independent, global medical services provider. We at iMER provide a professional framework of comprehensive medical services, for patients around the globe. What is iMER and what can iMERdo for you? •If your doctors have difficulties to correctly diagnose your condition. •If you are looking for a Second Medical opinion from the top experts. •If your condition requires a specific treatment that is not available in your country. •If your medical problem requires a multidiscipline approach and a professional medical and logistic coordination. •If you need an urgent medical evacuation to a specialised intensive care unit or top academic hospital. If any of the above applies to you or anyone dear to you, we at iMER will provide a solution that fits your needs: •iMER will find the better medical institution anywhere in the world to diagnose your condition •iMER will provide you with a second medical opinion by globally acclaimed leading professionals in the corresponding field •iMER will search and find the most adequate medical institution capable to treat your condition •iMER will do all of the above, to meet your requirements and budget. How does iMER work? iMER works to the highest professional standards. iMER is a recognised health service provider by health authorities of the countries from where patients are referred and, as well as by major insurance companies, big corporate, charity funds and more. We use our self-developed modern tele-medicine technology, video conferencing and virtual flow management of each medical case. iMER professionals

can access the patients’ files from anywhere in the world and can provide worldwide consultations for the best resolution of each case. We provide a transparent, comprehensive, medical evaluation and referral service where each patient’s management programme is finalised, priced and mutually agreed to by the parties before the process starts. iMER offers a complete care programme for all patients. This includes translation, visa and security arrangements, help upon arrival to and departure from country of destination. We also take care of the accommodation, scheduling of appointments, as well as accompanying the patient and interpreters, where necessary, to facilitate consultations, tests, etc. We work closely with the home treating physicians. iMER aspires to be considered a partner in the patient medical management and with the patient’s physician at home. How does it work? iMER provides the complete Medical Case Management. This process is orchestrated by a professional medical case manager with the full support of a state-of-the-art computerised system. The following list shows a typical process. 1. Collecting patient’s medical data The patient will provide iMER with general demographic details and all previous medical information available to him. All previous radiology images will be uploaded to the system via iMER’s tele-medicine platform, allowing our medical manager to access the updated medical information. 2. Initial medical assessment When the relevant medical information has been collected and uploaded, our medical director will provide an initial assessment that will address the following top level issues: •Urgency of the case. •The expertise required to arrive at a

differential diagnosis. •Short term recommendations for evaluation and referral. •Referral for medical consultation and investigation steps.

and transportation as needed. •iMER will provide translation from the patient’s mother tongue to the language of the Institution or specialist involved.

3. Second medical opinion If the patient or family seek a second opinion from a specialised multidiscipline medical team, iMER will coordinate a non-biased Second Medical Opinion offered by the finest available specialists in the field. A formal report will be issued to support or reject a suspected diagnosis and/or treatment previously proposed to the patient.

7. Escorting patient during the logistic process iMER’s patient advocate team specialises in escorting patients and their families during their consultation or stay in the hospital: •They will guarantee that the process is well-prepared. •They will address unforeseen events with a professional reply on the spot. •They will provide translation for the patient and the family as required. •Offer continued emotional support.

4. Medical evaluation plan If there was not a consensus with the original diagnosis and treatment plan, a medical evaluation plan will be proposed. The evaluation plan will include: • A step-by-step proposed plan • Data relating to the medical experts recommended for consultation and the institution where they work. •iMER will provide a financial framework as well as complementary terms and conditions for the plan. 5. Coordination of a patient’s visit When the medical evaluation plan is accepted by the patient, the iMER team will organise the required logistic process, including but not limited to: •Admission to the required medical institution. •Organising of all needed tests. •Coordination of appointments with all the relevant medical experts. •Coordinate all of the proposed medical facilities and backup team. 6. Logistic support for patient’s visit The iMER team will assist the patient and the family with all the logistics needed, including but not limited to: •Emergency evacuation by air ambulance if required. •Assistance with all travel documents and any other permits required. •Arrangements of accommodation

8. Follow-up support As the patient is discharged from the hospital, the iMER patient advocate will ensure that: •A medical report is provided by the institution or physician outlining the admission, progress and suggested further treatment and follow up. •The patient and family will receive answers to questions and concerns, and they will provide a point of contact for any future clarifications.

FRIDAY OCTOBER 30 2015

HEALTH CARE

Health insurance in Cyprus Sector challenges and prospects ahead of NHS implementation By Giorgos Douloulakis

ntil now, if someone was talking about health insurance in Cyprus, mention could only be made of the private insurance sector. Private insurance has been developed to provide a series of insurance products aiming to cover the health protection needs of a large proportion of the local population within the conditions of the specific market. Population groups entered insurance company portfolios through individual or group policies with the aim of securing adequate protection of their health. The development of the private health insurance sector, apart from the obvious benefits it has provided the population groups, has also contributed to the general improvement to social welfare standards through its Private insurance companies intervention into the health sector. will have to adjust their The main elements of the products and services to sector’s general contribution fit new needs, including to improving Cyprus’ health infrastructure include the folpossible new categories lowing: of clients • The provision of significant funds to health services which helped improve their facilities and upgrade the level of treatment provided. CYPRUS’ Connected to the above is the element of lessening private health the burden on the public sector, particularly in terms insurance of the additional funding it would require if private sector is insurance companies had not taken on covering the expected to healthcare needs of a large part of the population. change • The obtaining of important technological knowsignificantly how connected to the management of the ‘insuranceonce the NHS risk’ connected to an illness within the specific health, is up and institutional, financial and social environment of Cyrunning prus. • The creation and promotion, on a scientific and technological level, of highly-developed technical and administrative health-related tools that create new conditions for the management of health insurance provisions. These are in line with being able to access a high quality of medical services, while at the same time limiting

the cost of treatment. Particularly in connection to this final point, the role and activities of companies specialising in the management of insurance programmes and health services is important. These support the private insurance sector providing and developing the aforementioned tools and techniques, adjusting them to the specific insurance and medical environment. In this way, they create the framework of cooperation between insurance sector stakeholders and the providers of medical care. This, in turn, ensures that the goal of quality health care services at the best possible cost is met. Health sector reforms and NHS implementation Currently, the greatest intervention into the health sector of Cyprus is under way. It is expected create a new base for this sensitive sector. One of the most important changes anticipated with the full implementation of the NHS will transform the country’s insurance sector. The high aims set on a financial and cultural level have been in place for some time and are very clear: Comprehensive insurance coverage of the population through the system’s adequate and permanent social funding. In general, the theory of funding a social-insurance system, which in this case is connected to the health of the population, requires social, macroeconomic, financial goals and coordinates that fall beyond the horizon of the current financial crisis. Some choices, out of necessity, can be characterised as political and mainly keeping in mind the priorities created by the social and financial implications of the insurance system’s function. Whatever the choices made by the political leadership, the main elements in creating Cyprus’ new health system must create the vital conditions for the viability of health insurance system. These are financial balance, flexible coverage of the needs of the population, constant encouragement for the improvement of the quality of health services provided, policies for limiting and/or wiping out improper use, and an adequate level of satisfaction on the part of the insured population. Under the weight of the responsibility of ensuring the above and the effective operation of the new framework set out by Cyprus’ Health Insurance Organisation, important decisions have to be made on

the following: - The structure and character of the insurance system. Here, the basic question is whether a cumulative or multi-insurance health system is introduced. - The types and extent of insurance risk that will be covered by the public health system. - The means and timeframe for implementing all the necessary institutional interventions to the highest possible detail. - The pre-required actions on a level of infrastructure, know-how, education and training, organisational adjustment. - The level and form of action of all those making up the health system of Cyprus, including the private insurance companies. In parallel to decisions being taken on the above, the Health Ministry has implemented a series of interventions with which it hopes to transform the country’s health sector and put in place new models of healthcare provision. These include the introduction of the Diagnosisrelated group (DRG) system to classifying hospital cases, the planning of ‘Gatekeeping’ in primary care reducing patient referrals to specialists, formalising medical protocols etc. The size and depth of all these interventions and changes signal Cyprus’ health sector reform. They also set out the new role which the private insurance sector will play in Cyprus. New conditions Private insurance companies will have to adjust their products and services to fit new needs including possible new categories of clients. Pricing will also have to be adjusted as well as the accessibility of services such as being able to get insurance coverage online. Insurance companies may also be able to combine coverage with that provided by the public sector to the benefit of all involved. Schemes tailored for chronic and serious ailments can be planned, including coverage of disease management programmes. Private insurance companies can also play an important role in transferring know-how or even providing services to the public system, something which has been done for some years now in Greece. Giorgos Douloulakis is a health insurance expert

FRIDAY OCTOBER 30 2015

HEALTH CARE

Yiannoukas Medical Laboratories ‘The Quest for Excellence’

iannoukas Medical Laboratories (YML) was established in 1975 by Dr Nicos Yiannouka and over the next 40 years, it has managed to become one of the island’s largest accredited laboratories. Our laboratories are comprised of our main premises in the centre of Nicosia, seven sampling centres and a nationwide number of mobile units, making us the only laboratory able to provide services throughout all of Cyprus. Today, the laboratory is managed by Mr Kyriacos Yiannouka (FIBMS) and Dr Harris Stefanou, together with another 15 university graduates. All our staff is highly trained, based on the laboratory’s accreditation system and this ensures that we provide high quality laboratory services. These days, the clinical laboratory is the main tool used in the medical profession for the correct prognosis, diagnosis and patient therapy. Therefore, we must be able to produce highquality,analytical test results in the shortest possible time, with precision, accuracy and with the minimum possible cost. In order to meet the expected needs of high-quality results - for both Doctor and Patient alike - we the management of YML have ensured that our laboratory is accredited with the ISO 15189. The management of the YML believes that: • We are committed to continue our policy demanding ‘The Quest for Excellence’ in our Laboratory. • Our first priority is our customers and other interested parties that use our services and rely upon our test results to base their diagnosis and treatment. We aim to enhance customer satisfaction. • Our aim and future goal is to maintain and continuously improve and upgrade our services to the highest professional standards; to this effect we must provide the necessary infrastructure, i.e. new equipment, new ideas and the appropriate education and funds to both management and employees. • We provide the necessary training programmes to ensure implementation and continuity of the high quality test results expected from our employees and management. • Our staff is dedicated to respecting and maintaining confidentiality with regards to all information concerning

the customer’s results or personal data and not to disclose or permit the disclosure of any such information and data. • Both management and employees are free from any undue commercial, financial and other pressures and influences that may adversely affect the quality of our work. • Our ‘Quest for Excellence’ will always be an achievable goal; we will maintain and improve our Laboratory’s Quality System, all personnel implement the related policies and procedures in their work at all time. The Laboratory Nicos. S. Yiannouka, Ph. D: Executive Adviser Nicos Yiannouka received his BSc in Clinical Biochemistry from the University of Salford in 1967 and his MSc in Medical Virology and Bacteriology a year later from the University of Manchester. In 1970, he was awarded a PhD by the University of Manchester for his research on Inducible Enzymes. Between 1967-1970, he was chief clinical laboratory assistant at Manchester University Hospital and between 1970-

He has published several articles on Osteoporosis, Lipids and Atherosclerosis, Allergy, and Disorders of Lipid and Lipoprotein Metabolism in Children and Adolescents. Kyriacos. N. Yiannouka, BSc, MSc, FIBMS: Managing Director Kyriacos Yiannouka received his BSc in Clinical Sciences from the University of London in 1997 with First Class Honours and his MSc in Haematology

sociation of Clinical Chemistry (AACC), the AOAC (dedicated to analytical excellence) and a Fellow of the Institute of Biomedical Science U.K.(FIBMS). From 2005-2010 he was a member of the Board of Directors of The Association of Clinical Laboratory Directors of Cyprus. •Business Particulars: a) Medical Diagnostic Services: The core business of YML is the provision of diagnostic analyses in clinical biochemistry, microbiology, virology, immunology, toxicology, parasitology, infectious diseases, allergy and other tests relevant to medicine. b) Veterinary Diagnostic Services: YML offers diagnostic analyses in veterinary, biochemistry, microbiology, virology, immunology, toxicology, parasitology, infectious diseases and other tests relevant to veterinary medicine.

1972, he was assistant to the principal biochemist Salford Royal Infirmary. In 1973, he returned to Cyprus and established himself in private practice as a sole practitioner until 1979, when he established YML. Nicos Yiannouka is a member of the American Association of Clinical Chemistry, the Association of Clinical Biochemists UK, and a Fellow of the Chemical Society UK, also an associate of the Royal Institute of Chemistry.

with Merit in 1998. During his final BSc year at Kings College London, he carried out an experimental project under the supervision of Professor Kypros Nicholaides at the Harris Birthright Centre at Kings College Hospital. The project’s aim was to determine the prevalence of antiphospholipid antibodies (lupus anticoagulant and/or anticardiolipin antibodies) in the plasma of women with spontaneous abortion or foetal death during their pregnancy and with no history of previous foetal loss. His MSc project deals with genotypically different α-thalassaemia patients and their α/β globin ratios. During his time in London, Kyriacos worked at University College Hospital Laboratories under the Supervision of Mr Manolis Gavalas. In 2007 & 2008, he received an MSc in Biochemistry and Microbiology respectively by distance learning, from the International Accreditation Agency for Online Universities. In 2009, he received a certificate for First Aid and in 2010 for Phlebotomy Services from the Phlebotomy Training Services UK. He is a member of the American As-

c) Food Analyses and Related Services: We have formed collaboration with NutriLab Cyprus and offer the following services. We verify the quality and safety of food, water and various consumers’ items, the authenticity of product content labels as well as carrying out specialist research and consulting projects such as environmental impact studies (ISO 17025). In addition to operating our stateof-the-art clinical laboratory, we have provided our Cyprus patients with a smartphone laboratory application (App store, Google play) unique to its kind providing tests results, laboratory news, the ability to pay online, whilst on the move. We also run a highly informative service providing the latest laboratory news to our customers. The objective of this service is to provide regular updates on matters of common interest such as the proper procedure for patient preparation, sample collection for the different tests, normal ranges, the availability of new tests and, of course, the familiarisation of patients with the clinical significance of test results in relation to preventive medicine.

FRIDAY OCTOBER 30 2015

HEALTH CARE

Apollonion Private Hospital T

he Apollonion Private Hospital is an ultra-modern hospital, purposely built to offer the best and most complete medical care to its patients. The daily contact of many doctors of various specialties, their exchange of ideas and scientific collaboration, in combination with the fully equipped and comfortable areas, makes our medical care unique. By visiting our website, you will find information relating to your stay at the Apollonion Private Hospital. If you have any doubts or questions, our doctors on duty or the administrator of the hospital are at your disposal to answer your quires. Our true concern lies in offering you the best possible health care and we wish you a speedy recovery. The Apollonion Private Hospital is situated on Lefkotheon Ave in Makedonitissa, near Makarion Stadium -- 200

metres from the Archangelos traffic lights. It is built on an area of eight acres. The Apollonion consists of 80 beds, in either single or double rooms. All

Accident and Emergency Department Apollonion Private Hospital’s Emergency Department operates on a 24-hour basis, fully staffed with doctors, clinical personnel and ambulance service. In order to provide a better service to

our patients and clients, we operate a Microbiology, Biochemistry and Haematological Laboratory as well as Radiology, CT Scan and Ultrasound and Mammography Department also on a 24-hour basis.

Apollonion Private Hospital Cath Lab

rooms are equipped with central heating, central air conditioning, bath, radio, television, telephone, internet and central oxygen supply.

Doctors’ Specialties ANAESTHESIOLOGY Dr Aleka Vriki Dr Antigoni Pontikou Pantela Dr Maria Alaeddine Dr Maria Miliatou Dr Martha Pouangare Dr Perikles Zavrides Dr Revecca Anastasiadou BARIATRIC SURGERY Dr Pericles Paleomylitis Dr Petros Myrianthefs CARDIOLOGY Dr Constantinos Economides Dr Ioannis Stephanou Dr Petros M. Petrou Dr Stelios Hadjistylllis COLON AND RECTAL SURGERY Dr Pericles Paleomylitis Dr Petros Myrianthefs DERMATOLOGY VENEREOLOGY Dr Michalis St. Michaelides EAR, NOSE AND THROAT SURGERY Dr Iacovos Kakkouras Dr Kyriaki C. Sevastidou Dr Xenakis Pouangare

THE supporting equipment of the lab provides cover for any complications and emergencies

• The Cath Lab as part of the Cardiology Clinic is a reference point for Apollonion Private Hospital at the leading edge in the provision of complete medical services of the highest quality.

• The Cath Lab is manned by specialised medical and healthcare staff on a 24-hour basis, as required by a modern Cardiology Clinic

• The lab is equipped with the latest digital vascular equipment (INNOVA IGS 530). This meets the needs for the performance of complex diagnostic and invasive operations in the fields of invasive cardiology, electrophysiology and interventional radiology.

The patients can communicate with the nurses on duty at any time with the internal nurse-call system available in all the rooms.

ENDOCRINOLOGY/ DIABETOLOGY Dr Costas Oxynos Dr George Georgiades GASTROENTEROLOGY HEPATOLOGY Dr Giorgos Potamitis Dr Marios Christoforou Dr Marios Panos GENERAL SURGERY Dr Andreas Dimitriou Dr Christoforos Varianos Dr Christos Elisseos Dr Louben Kroushiovski Dr Michael Taliadoros

Dr Panicos Nicolaou Dr Pericles Paleomylitis Dr Petros Myrianthefs Dr Sofoulis Papavarnavas GYNAECOLOGY Dr Charilaos Kymisis Dr Christos Ppouris Dr Constantinos Antoniades Dr Irene Andreou Dr Kyriakos Kakoullis Dr Marios Eleftheriou Dr Marios Phylactou Dr Tasos Christodoulou HEMATOLOGY Dr Maria Michael INTENSIVE CARE MEDICINE Dr Stelios Kakoullis INTERNAL MEDICINE Dr Andreas Kallis Dr Avgi Vryonidou Dr Costas Oxynos Dr Giorgos Potamitis Dr Kyriacos Yiallouros Dr Stelios Vouniotis INTERVENTIONAL CARDIOLOGY Dr Giorgos M. Georgiou MAXILLO-FACIAL SURGERY Dr Stavros Kallis NEPHROLOGY Dr Polys Polycarpou NEUROLOGY Dr Costas Pouyiouros Dr Kyriakos Kyriallis NEUROSURGERY Dr Achilleas Perdios Dr Alkis Lapithis Dr Costas Violaris ONCOLOGY Dr Giorgos Astras

OPTHALMOLOGY Dr Elena Hadjioannou ORTHOPEDICSTRAUMATOLOGY Dr Alexander Kroushovski Dr Alkis Lapithis Dr Andreas Christou Dr George Shiamishis Dr Ioannis Papayiannis Dr Louis Loizou Dr Nicos Maroudias Dr Panikos Atalianis Dr Phivos Kynighos Dr Stelios Hadjichristofi PAEDIATRIC Dr Michalis Anastasiades PAEDIATRIC SURGERY Dr Panikos Theodorou PLASTIC SURGERY Dr Christos Kitsios Dr Giorgos Anayiotos Dr Nicos Mantas PNEUMONOLOGY Dr Evis Bagdates Dr Stelios Kakoullis RADIOLOGY Dr Antonis Papaleontiou RHEUMATOLOGY Dr Marilena Solonos Haralambous Dr Nedi Hadjichristofi THORACIC SURGERY Dr Nicolaos Polydorou UROLOGY-ANDROLOGY Dr Andreas Myrianthous Dr Mikis Christofides Dr Prodromos Philippou VASCULAR SURGERY Dr Constantinos Kouyiallis Dr Lakis Hadjimichael Dr Petros Petrides