18 FRIDAY NOVEMBER 7 2014 health care Keeping abreast of health care The countdown to the long awaited introduction of a National Health Scheme and the impact of the economic crisis on ordinary people as well as on the Health Ministry’s budget has once again catapulted health care into the spotlight. Yet despite the belt-tightening and the gripes about waiting lists at state hospitals, Cyprus still boasts excellent health care – adequate not only to cater for residents but to give substance to Cyprus’ push to establish itself as a regional medical centre. The introduction, in stages, of a National Health Scheme, is certain to absorb much of the media atten- tion and bring changes to medical services locally. At the same time, the campaign to attract medical tourism continues based on the package of experienced and highly qualified doctors, modern medical centres with ER facilities, cost-effective prices, convenient geographic location and fine weather. Services range from check-ups to cosmetic surgery, cardiac care, dental procedures and infertility treatment. Almost all medical treatments including surgery, angioplasty and coronary stenting (primary PCI) -with the exception of very special- ised procedures which are only 5% of all treatments and are extremely rare -- can now be done in Cyprus. This also 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. Residents not only have a choice of excellent medical care, but a number of options for medical insurance – perhaps the most prudent way to ensure the best possible healthcare for you and your loved ones. Virgil once said: “The greatest wealth is health.” Don’t miss out. SALARIES, INCLUDING SHIFT ALLOWANCES, OF PERMANENT STAFF ABSORBING HALF THE BUDGET Austerity hits Health Ministry budget T he Health Ministry faces another tough year in 2015, as Troika-enforced austerity measures continue to bite. For 2015, the budget will be marginally up by 0.9% over 2014, but under the bailout agreement, the Ministry has to make do with 10% less for the threeyear period of 2014 to 2016. Health Minister Philippos Patsalis said that the budget for 2015 was €535 million, marginally more than the €530.5m of 2014. It is expected to remain at the 2015 levels in 2016. The breakdown shows salaries, including shift allowances, of permanent staff absorbing half the money (€264.69 million or 49.2% of the total. Temporary workers who are paid by the hour account for an additional €52.47m or 8.78%. The Health Ministry plans to spend €95m or 17.74% of its budget on medicine and €10m or 1.87% on patients requiring treatment abroad. Another €12m or 2.24% goes on treatment here, and €38.1m or 7.12% for the purchase of disposables and other items. The ministry will also contribute €28.8m or 5.38% of its budget to the anti narcotics council, the oncology centre, the institute of neurology and other institutions. Other expenses include the purchase of medical, lab and IT supplies (€14.8m or 2.76% of the total budget) and operating costs (€72.47m or 13.53%). The minister said that the budget includes €24m in overtime, shift and oncall pay, adding that a constant effort is underway to curb spending. With a view to curbing public health expenditure, effectively managing pub- lic hospitals and successfully introducing the national health scheme, work is underway to make hospitals and medical centres autonomous. This is part of the restructuring process so as to offer effective management and develop into modern healthcare centres employing distinguished medical staff, in line with international models. In view of the curtailed budget, the ministry is promoting e-medicine by expanding a comprehensive health information system at the public hospitals at a cost of €4.5m. Expansion of the IT system will lead to an upgrade of the health services offered, help cut bureaucracy and formulate a health policy on precise statistics, he added. “Unfortunately, the Health Ministry’s budget must remain within the ceilings set by the bailout agreement and stands at €535m,” he said. With a budget slashed by 10% in comparison to pre-bailout days, the ministry had to deal with the challenges of the economic crisis, he added. These challenges are the long waiting lists and the insecurity this creates among citizens, the various operational problems at public hospitals that must cater for 85% of referrals, even though they have 55% of the total number of hospital beds and the problems facing the private sector. “The Health Ministry is focusing on increasing productivity, effectiveness and flexibility of public hospitals so that they too can deal with these difficulties,” he said. “At the same time, the ministry is serving citizens, such as in the case of waiting lists where services are bought from the private sector,” he added. health care FRIDAY NOVEMBER 7 2014 19 NHS legislation moves closer By Athena Karsera L egislation connected to the long-awaited National Health Scheme (NHS) is due to be voted in before the end of this month. The most recent estimates have placed the first phase of a comprehensive NHS in Cyprus due to begin operating on July 1 next year with Health Minister Philippos Patsalis over recent months repeatedly calling for FIRST PHASE OF A COMPREHENSIVE NHS IN CYPRUS DUE TO BEGIN OPERATING ON JULY 1 the vote to take place as soon as possible, indicating this would be before the end of November. Cyprus NHS’ first phase, providing primary medical care, will be followed by a second phase incorporating medications and specialist doctors from February 1, 2016. The third and final phase is set to begin on July 1, 2016. Patsalis late in October said Cyprus’ NHS had not been included in his ministry’s budget for next year, with a supplementary budget to be added when the cost had been calculated. The Cabinet has already approved proposed legislation aiming at reforming the health sector, including a roadmap for the required preparation. The roadmap outlines all the changes to the existing system as well as “the approximately 200 actions which through a precise timetable will over the next three years radically change the health system and through which the NHS will be implemented.” According to Patsalis, the Cabinet also, within the framework of the road map, approved the creation of a basic implementation team within the Health Ministry as well as a wider team responsible for implementing restructuring at other services. Patsalis has over recent months several times noted that implementation of the new system as soon as possible was crucial because the current health sector was ailing and almost beyond saving as more and more cash-strapped citizens turned to state hospitals for treatment. According to the ministry’s proposed legislation, Cyprus’ six state hospitals, Nicosia, Limassol, Larnaca, Famagusta, Paphos and Makarios Hospital will be re-classifed as ‘General District Hospitals’ while urban and rural health centres would come under the jurisdiction of their respective district hospitals. The district hospitals would be managed by boards of directors, appointed by Cabinet for a five-year term with a strong representation of government officials. The organisations will have the responsibility to independently secure and manage their revenues and expenses and will submit annual budgets to Cabinet for approval while the state budget would cover any deficits in the first three years of their operation with their finances being re-evaluated in the third year. In line with the legislation, this autonomy must be afforded before the implementation of the NHS, so state hospitals become competitive, financially viable and able to provide health care based on a modern administrative model. Following the success of a pilot programme, all state hospitals and medical centres are also set to digi- talise many of their practices. Electronic systems will be installed for use at all state hospitals and medical centres through which all the medical services would be managed. These, according to Patsalis, include electronic files, electronic prescription writing, electronic illustration of test results—like the MRI and clinical tests amongst others. Electronic systems have already been used on a pilot basis at Famagusta and Nicosia General Hospitals and, according to the minister, been “highly successful with very good functionality and significant savings.” Cabinet-approved legislation for the purpose includes provisions for the purchase and operation of electronic systems at all the public health centres through the method of monthly outsourcing – the contracting out of a business process to a third-party. Staying healthy with private health insurance The full implementation of Cyprus’ long-anticipated National Health Scheme (NHS) remains years off but, even then, private health insurance companies expect to continue to fulfil an important role in the local healthcare sector. Experts are confident the future of insurance companies does not depend on the NHS’s implementation for a number of reasons. These include the companies’ already expanding their activities in all sectors of commercial activity and private life. Also, the current financial climate has had a negative affect on chronic public health sector problems as overburdened hospitals struggle to deal with ever more patients. Health insurance provides the opportunity to turn to the private sector if you’re confronted with long waiting lists or choose a procedure not currently offered by state medical centres. Insurance also gives patients the benefit of being able to seek treatment from a doctor and clinic they already know and trust. Health insurance is also a must for many other reasons, including taking into consideration how a family budget could easily be obliterated if even one of its members became seriously ill. Uncertainty regarding the duration of medical care and the possibility of patients’ financial situation shifting at any given moment due to the crisis -meaning they may not otherwise be able to afford private treatment - are further reasons for obtaining health insurance. Experts also note private health insurance companies continue to thrive around the world, including in countries with their own NHS. Health schemes in Cyprus vary from one company to another, depending on individual agreements. However, they are typically divided into two categories, namely in-hospital care, where patients are compensated for treatment they receive in a hospital or clinic and plans which combine in and out-patient treatment, which in addition to covering hospital stays also compensate those insured for out-patient care such as doctor visits and medication. health care FRIDAY NOVEMBER 7 2014 20 YGIA Polyclinic YGIA Polyclinic is a 152-bed Private Hospital, serving the needs of every patient. YGIA Polyclinic was established in 1983 and commenced its operations in 1987. It is the largest and one of the best equipped private hospitals, in Cyprus, situated in the heart of Limassol. Our Vision Our vision is to be the leader in the healthcare sector as a reliable provider of high quality health care services. Our Mission Is the provision of high quality healthcare services by implementing current comprehensive clinical protocols. The epicentre of our mission is the fulfillment of mankind’s need for quality of life. Our Values ∏Respect ∏Ethics ∏Compassionate Care ∏Teamwork ∏Quality YGIA Polyclinic has extended the number of its operating theatres to 12, established and extended the capabilities of its Clinical Laboratory Department, Radiology Department (X-Ray, MRI, CT, Ultrasound), produced a multi-dynamic Intensive Care Unit (ICU), Obstetrics & Gynaecology, Pediatrics and Oncology (Chemotherapy) Departments. Furthermore, since 2012, a state-of-theart Cardio-Vascular Catheterisations Centre has been established at the hospital offering the only 24-hour acute PCI service in Cyprus. Moreover, the hospital has a range of fully equipped ambulances working 24 hours in order to be able to best respond to emergencies. Our Hospital is currently cooperating with more than 200 doctors with different specialties. In addition, YGIA Polyclinic employs 430 medical, nursing and administrative staff making us one of Cyprus’ largest employers. Our Hospital’s top priority is the health and wellbeing of our patients, staff and associate physicians. For this reason, our Hospital implements the following: ∏International Accreditation Standards according to CHKS ∏ISO 9001:2008 ∏OHSAS 18001:2007. YGIA Polyclinic now ranks among the finest international Hospitals that implement quality programmes Accreditation - Certification YGIA Polyclinic is undergoing a period of rapid development due to the new conditions in the private healthcare philosophy and competition. Assurance of prestigious values are based on the highly trained and experienced nursing, administrative staff and partner physicians, offering high quality medical and nursing care to our patients. The Accreditation and Certification that our Hospital has obtained by following the numerous quality management systems, has enabled us to systematically examine and improve issues related to the quality of our Hospital, as well as the services that consistently meet the requirements of our patients. In this way YGIA Polyclinic has once again outshined its competition as it is the only versatile Hospital in Cyprus to be accredited. In this modern era we live in, quality in the healthcare sector is of a great significance and concerns whatever contributes to the operation of the Hospital such as administration staff, nurses, doctors, equipment, facilities, etc. All of these factors play an active role in the proper, effective and efficient operation of our Hospital for the provision of high quality healthcare services. For this purpose the application of these standards at YGIA Polyclinic are permanent tools for the continuous improvement of the health services provided. and operates within a framework of sound and safe procedures with a focus on patient care. Moreover, Ygia Polyclinic, after a long process, has concluded a five-year contract with the British Ministry of Defence to provide healthcare services to the population of the British Bases in Cyprus after the decision to close down their hospital in Akrotiri. This honours our Hospital since the British Authorities have trusted in the long term the healthcare of their staff in a Cyprus Hospital after studies and audits. YGIA Polyclinic is also cooperating with the following universities for training medical and nursing students, using the Hospital’s infrastructure. ∏University of Nicosia, Medical School / St. George’s School of Medicine, London ∏Nursing School, Limassol ∏European University of Nicosia. ∏Frederick University ∏Cyprus University of Technology for research purposes. Our highly trained and dedicated staff works as a team, creating individualised treatment plans aimed at effectively addressing behavioral health needs and improving the quality of life for our patients and their families. Our clinical team comprises of a wide spectrum of medical specialties such us: •Allergy •Bariatric Surgery •Cardiology •Dermatology •Diabetology •Ear - Nose - Throat (E.N.T) Surgery •Gastroenterology •General Surgery •Internal Medicine •Maxillofacial Surgery •Microbiology •Microsurgical Restoration •Nephrology •Neurology •Neurosurgery •Obstetrics – Gynaecology •Oncology •Ophthalmology •Orthopaedics •Paediatric Surgery •Paediatrics •Plastic Surgery •Psychiatry •Pulmonology •Respiratory Medicine •Rheumatology •Thoracic Surgery •Urology •Vascular Surgery All of our staff is dedicated to providing compassionate and quality care for every YGIA Polyclinic Hospital patient and his or her family. Finally, “Ygia” Polyclinic in order to provide the best and most up-to-date treatments, continuously invests in new medical technologies and constant training of the staff in order to serve the patients in the best possible way. health care FRIDAY NOVEMBER 7 2014 21 Services provided Oncology Department YGIA Polyclinic would like to inform you that within the Hospital we have developed a Medical Oncology Department under the supervision of Dr George Astras, Medical Oncology Consultant, offering the following: • Personalised Oncology and Individualised Treatments • Chemotherapy and Targeted treatment services • Reliable Cancer Information Services • Consultations and Second Opinion Services • Palliative Care Services • Psychological Support • Private Chemotherapy area • 24 hour Support and advice We are the first in Cyprus to use an Electronic Prescribing System to ensure the safe handling and administration of Chemotherapy. M.R.I - CT Department Our hospital’s M.R.I 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 M.R.I and CT scan (CT 64 slices, MRI 1.5 Tesla exite technology) capable of handling a full range of examinations based on international protocols. In this way we offer immediate and accurate results, thus achieving better patient service. Moreover, the highly trained staff of the Department comprises of highly trained radiologists doctors and radiographers. The head of the department is Dr. Cleanthis Ioannides. Each year the department conducts more than 10,000 examinations. The department 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 imagingstaging) ∂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 localization with clip or wire) ∂Interventional radiology (biopsies, injections, aspirations, drainages, tumour ablation) ∂Quantitative Magnetic Resonance Imaging ∂Spectroscopy X-Ray Department Ygia Polyclinic’s Radiology Department has been operating for 25 years with highly experienced radiologists and medical radiographers. Our Hospital’s Radiology Department has modern and constantly upgraded equipment, thus providing the best quality services to our patients. Furthermore, the exams are digitized which leads to faster and more accurate patient results. Every year the Department conducts over 23,000 diagnostic tests. The head of the department is Dr. Annie Philippou Papoutsou. Our Hospital’s Radiology Department offers the following tests: ∂Fluoroscopy examinations ∂Plain X-Rays ∂Ultrasounds -Biopsy with Ultrasound Guidance ∂Mammograms - Stereotactic Breast Biopsies ∂Osteoporosis ∂Panoramic & Cephalometric Examinations Clinical Laboratory Ygia Polyclinic’s Clinical Laboratory plays a key role in the effective operation of the Hospital. Our goal is to provide Ophthalmology Centre YGIA Polyclinic is proud to announce the creation of a state of the art Ophthalmology Centre which will be fully equipped with the latest Laser equipment from Alcon, The Laser Wavelight Refractive Suite (A. Potamitis Medicare Ltd), that specialises in correcting myopia, hyperopia and astigmatism. The Laser Wavelight Refractive suite is from Germany and it is consists of FS200 Femtosecond Laser and EX 500 Excimer Laser. It is considered to be the most modern facility Laser. It is the fastest Laser that currently exists in the global market and needs just 1.4 seconds to high quality 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 135,000 tests. Ygia Polyclinic’s Clinical Laboratory operates 24 hours a day including weekends and public holidays, in order to provide patients with better service. Our Clinical Laboratory offers the following tests: ∂Haematological Tests ∂Biochemical Tests ∂Immunological Tests ∂Hormonal Tests ∂Microbiological Tests Cardiac Catheterisations Centre (Cath Lab) A Cardiac Catheterisations Centre is operating 24 hours a day to deal with scheduled as well as emergency cases. In charge of the department is Dr Majid Kalani. Cath Lab has been equipped with state of the 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: ∂Diagnostic Coronary Angiography ∂Coronary Angioplasty, including 24/7 primary PCI service for patients with acute heart attack. Coronary Angioplasty is a procedure used to open narrow or blocked coronary (heart) arteries by using balloon and stent. ∂Diagnosis of structural heart disease, including diseases of the heart valves, by right heart catheterisation, trans-thoracic and trans-esophageal echocardiography (ultrasound). ∂Pericardiocentesis, aspiration of fluid from the pericardium (the sac enveloping the heart). ∂Insertion of pacemaker. ∂Intra aortic balloon pump for patients with cardiogenic shock and severe heart failure. Intensive Care Unit (ICU) Our Intensive Care Unit has a capacity of fully equipped rooms for treating all cases arriving at the department. The department has an advanced telemetry technology which allows continuous patient monitoring, as well as ventilators, gas analysers, mobile cardiographs and portable x-ray equipment. The Department in conjunction with qualified and well-trained medical and nursing staff is ready to deal with any type of emergency. The head of the department is Dr. Efrosini Demetriadou. The Department is supported by the Ygia Polyclinic’s Clinical Laboratory and Radiology Departments, making it one of the best Intensive Care Units in Cyprus. correct one grade of myopia. It has the fastest and most accurate tracker (Eye Tracker) with a reaction time of 2 msec (millisecond). Furthermore it has the ability to monitor all aspects of eye movements and repositions the shots Laser accordance with the tiniest movements of the eye. It is approved by the American Health Agency FDA, for the treatment of myopia up to 14 degrees. The FS200 Femtosecond Laser and EX 500 Excimer Laser is the new generation equipment for the correction of myopia, hyperopia and astigmatism, maximizing the operations safety and reliability. Peadiatric Department The hospital has a Peadiatric Ward where children are treated in a comfortable and pleasant environment. The department is housed at the Hospital’s second floor. The head of the Paediatric Department is Dr. Elena Sotiriou, who supports the department along with the help of our cooperating paediatricians. The Department also includes a play area for children. All rooms are fully equipped and include amenities such as games, television and Internet connection. A parent or a guardian can accompany / remain with the child during his / her stay. The Department features child safety precautions, such as controlled access, protective covers for electrical outlets, controlled openings in windows and locks protecting the cupboards. Gynaecology & Obstetrics Department The Gynecology & Obstetrics Department is housed on the fourth floor of our hospital. The Department has 28 beds. The department has 2 fully equipped operating rooms. Our highly trained medical and paramedical / nursing staff is always on hand to serve our patients. Annually there are 1000 births at YGIA Polyclinic’s Gynaecology & Obstetrics Department. Casualty Department The Casualty Department provides a 24 hour service, 365 days a year to take better care of all emergencies. In conjunction with the trained doctors and nurses, and the highly and specialised emergency equipment, the Department provides rapid assessment and management of all the emergency and critical cases. At the Department simple incidents are also considered that do not require hospitalisation. The department collaborates with all specialty physicians, who are on-call in order to handle all types of cases at any time. The head of the Department is Dr. George Economou. The department every year treats more than 14,000 cases. The department has fully equipped ambulances for the immediate transportation of patients to our casualty Department or other facilities, as required. Surgical Department Our hospital has 9 operating rooms fully renovated and equipped to handle all types of surgical cases. The nursing staff is trained appropriately for all invasive cases. The department works with all the surgical specialties and operates 24 hours a day, not only for scheduled but also for emergency operations. About 9000 surgeries are performed annually at “YGIA” Polyclinic. 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: [email protected], www.ygiapolyclinic.com 22 health care Treasuring your health in Cyprus FRIDAY NOVEMBER 7 2014 T ravellers have been coming to Cyprus to be treated by Cypriot doctors since 9500 BC including Apollodoros of Kition, Synesis the Cypriot – who was mentioned by Aristotle – as was Apollonios of Kition, who was also known as the Cypriot Hippocrates. Standards remain Wellness in Cyprus A NUMBER OF CLINICAL LABORATORIES OFFER A VAST RANGE OF DIAGNOSTIC TESTS high today so, next time you need some health care, think about combining it with a holiday in Cyprus. The island has experienced and highly qualified doctors trained in Europe or the USA, and 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 checkups, cosmetic or reconstructive surgery, physiotherapy, kidney dialysis, cardiac care, dental and surgical procedures to infertility treatment, the island offers health care holidays in a cheaper clime. And then there’s the convenience factor. In Cyprus it is quite possible for you to book an operation the day after you arrive. Same day appoint- ments 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 rou- tine 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 checkup or a major procedure, Cyprus is the best balm for you. Cyprus has also in recent years 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. Wellness holidays can take place at wonderfully preserved historical spaces, or at state-of-the-art well-being centres. The spars 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. Recuperating after surgery on a sandy beach with sipping local drinks and receiving a full-body massage is an attractive and affordable option in Cyprus. Corporate pampering: Corporate pampering is certainly an option for all executives, whether as a corporate spa gift for an employee or client, a relaxing spa treat is appreciated all the year round. RENOWNED CYPRUS HOSPITALS ARE EQUIPPED TO HANDLE ALL PHASEs OF HEART DISEASE AND MORE Available medical treatments Elective surgery: 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 phased 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), imppantation of pacemakers, implantable defibrillators (ICD) and CRT/D and catheterisation through radial artery as well as non-invasive interventions. Non-invasive 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 musculoskeletal 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, peridontology 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 argumentation, 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. 50 ON THE COUCH health Q&A By Fiona Caine Columnist and trained counsellor Fiona Caine offers her perspective on family dramas, emotional issues and dysfunctional relationships. Am I gay? Q I’ve been married for nearly 20 years to a nice man who is generous and kind but, to be honest, not very exciting. He and I have very little in common and I can’t really understand why we ever got together in the first place. My problem is not with him, though, it’s with a woman in my yoga class who excites me far more than my husband ever has. I’ve never had a relationship with a woman but I’m really beginning to wonder if I’m becoming a lesbian. I think it’s far too soon to be putting labels on yourself, you’ve not been attracted to women in general, but just one woman. You would really need to explore your feelings more fully before making a decision, because almost everyone has the capacity to feel like you do. A strong feeling for another person, regardless of their gender, doesn’t define your sexuality. Your marriage sounds as if it’s down but it may not yet be over and your husband still deserves a chance. If you were able to work at the relationship, perhaps it could still be revived - you loved him once and perhaps you could again if you were prepared to work at it. Can I suggest you need to examine your feelings very closely to decide whether they are the result of marital boredom or a genuine change in your sexual orientation? A few sessions with a counsellor could probably help you decide. A Can my affair work out? Q I’ve been seeing a married man and I feel bad about it because my ex-husband cheated on me so I know what it’s like to be on the receiving end. We’ve been seeing each other for nearly a year now and my new man says he will leave his family when the time is right. He’s got problems with a sick wife and a son who’s playing up at school, so I suggested perhaps we should stop seeing each other until he’s free. He said he couldn’t cope with not seeing me because I’m all that’s holding him together. Our time together is only snatched moments but I hate it when he has to go. None the less, do you think there’s any hope for us? A A ‘sick wife’ and ‘children with problems’ are old cliches for men conducting affairs, so do you know for yourself that his wife is ill and his son has problems? By telling you he can’t cope without you he is making you feel sorry for him and frankly, I don’t think that’s fair. If he really cared about you, he’d be giving you freedom to decide for yourself. Maybe your ex-husband made things work with the person he cheated on you with, but I’m afraid such happy endings aren’t always the case. I fear that these snatched moments are all you can expect and, as you’re clearly not happy with that, I think you’ve rather answered your own question. If you’d rather be with someone who is free and able to give you the sort of relationship you want, then you need to end this affair - as soon as possible. lifestyle FRIDAY NOVEMBER 7 2014 Stress: less flight Abi Jackson highlights some of the signs signalling we’ve reached our limit By Abi Jackson (PA) S tress, in many ways, is our friend. It’s part of our programming, that automatic fight or flight response that helps us dash for cover when we spot danger, or knuckle down to get jobs done. It’s all thanks to that surge of hormones - including adrenaline and cortisol - our bodies produce when the brain registers it’s time for action. But there are also times when stress is bad. When we’re screeching, jaw clenched, that somebody is really “stressing us out”, for instance, or yelling at everybody to get the heck out of the kitchen as we’re juggling what feels like five billion trays in the oven and, any minute now - never mind the gravy - we’re going to boil over. That’s stress when it’s being a bit of a pain in the proverbial, but that’s still very normal, and actually, quite helpful for getting stuff done. Once that irksome person’s backed off, or the grub’s on the table, your arteries are no longer bulging. So when is stress a health concern? We’ve all seen the headlines; it’s the modern epidemic, costing industries billions. Some 91 million working days are lost annually to mental ill-health, and half of these are related to stress and anxiety. Work isn’t the only factor; events and circumstances in somebody’s personal life, and other health conditions, for example, can also contribute. And while certain things - like house moves, redundancy and exams - are recognised as being ‘stressful’, there’s no way of measuring how much stress they’ll cause and how this might affect one person from the next. Stress is really a problem when it becomes a constant. When those adrenaline and cortisol surges are happening so frequently, and calm is not being adequately restored between ‘triggers’, that you eventually end up being in a constant fight-or-flight state. As a result, it can seem like your “stressed out” threshold gets lower and lower, and little demands become increasingly challenging. It can manifest physically too, suppressing the immune system and wreaking havoc with your sleep and digestive system. Research suggests it can even affect memory function, and make us more sensitive to physical pain. “Stress affects everyone differently, and what’s stressful for one person may not be for another,” says Emma Mamo, head of workplace well-being at mental health charity Mind. “However, there are some common symptoms to look out for.” Mood and character changes When struggling with stress, it’s usual to feel you’ve lost your pa- tience, and find yourself being irritable and snappy. “Long-term stress can increase irritability, aggression and anxiety,” says Mamo. “It can lead to depression, poor concentration, and someone experiencing stress at work, for example, may struggle with seemingly simple tasks, including motivation, punctuality and decision-making. They may behave differently - for example, a colleague who’s normally outgoing and chatty might become quiet and withdrawn.” Feeling overwhelmed Perhaps the clearest point that you’ve reached your stress tipping point is that desperate anxiety where you simply can’t handle any more on your plate. You feel at bursting point, and any additional demands sent your way - no matter how small they seem to others - are going to tip you over the edge or make you explode. Things you’d normally be able to handle now make you teary and afraid that you can’t cope. Excessive worrying We’re programmed to worry - it keeps us safe and functioning. But when you’re suffering with stress, it’s not unusual to find you’re suddenly worrying much more about everything, and possibly having more negative thoughts than usual about things that may happen in the future, which may be a symptom of anxiety too. Behaviour changes Sometimes, though we may not even be aware we’re doing it at first, stress can make us change our behaviours. This might be disengaging with hobbies, avoiding socialising, losing interest in things and neglecting physical appearance. Sometimes people might start drinking more, using drugs or binge-eating, for example, too. Sleep disturbance “Stress makes it incredibly difficult to ‘switch off ’ our brains, hence it is difficult to fall asleep and stay asleep,” says Mel Wakeman from Birmingham City University’s Faculty of Health. “Our normal sleep cycle gets disrupted, so we do not enter the essential deep phases of sleep. It’s a vicious cycle, as less sleep means we are less able to cope with everyday stresses.” Exhaustion Poor sleep inevitably leads to feeling drained the next day, but stress hormones can add to daytime fatigue too. “When we’re stressed, our body is wired and this means our metabolism’s running at a faster rate. This will have the effect of draining our energy stores, hence we feel tired,” adds Wakeman. Palpitations “Sometimes adrenalin can trigger our heart to beat very fast. It can be alarming and make you feel quite odd [pounding chest, heavy legs, light-headed],” says Wakeman. Palpitations - being suddenly more aware of your heartbeat or feeling your heart’s racing, pounding or fluttering in your chest and throat - can be very frightening, but it’s a common symptom in stress and anxiety and, most of the time, harmless. If you’re concerned, get it checked with your GP. Dizziness Feeling light-headed and dizzy can happen alongside palpitations, possibly as a symptom of a panic or anxiety attack. It can also happen on its own. “Vasovagal syncope is most commonly associated with emotional stress and the impact it has on the nervous system,” notes Nuffield Health physiologist Matthew Horsley. “Triggers include perceived stimuli, like the sight of blood for instance, which cause an increase in parasympathetic drive and subsequent drops in blood pressure and/or heart rate, thereby momentarily disrupting blood supply to the brain.” Weight loss or gain Some people gain, while others lose weight when they’re stressed. This may be linked with a loss of appetite, or comfort eating, and health FRIDAY NOVEMBER 7 2014 more fight 51 WELL-BEING Are you doing enough to curb cholesterol? By Lisa Salmon (PA) O ur bodies need cholesterol, and we actually produce it naturally. However, as we all know, having too much of it can also cause huge health problems. Raised cholesterol can lead to fatty material building up in artery walls, narrowing them and causing cardiovascular problems, including heart disease and strokes. The problem may also be due to metabolic factors associated with stressinduced hormonal changes. Muscle tension “Stress can also increase muscle tension, most commonly experienced via contraction of muscles in the upper limbs, neck and around the skull,” says Horsley. This can contribute to an increase in general aches and pains, as well as feeling ‘hunched’ and tight. Headaches Muscle tension is also a fac- tor in headaches, as are the increased levels of stress hormones. “These affect brain chemistry and lead to less control over blood vessel regulation,” says Horsley. “This leads to inflammation and the associated pain of headaches, alongside a reduced capacity to process sensory information, such as sound and light.” Being run-down, or existing health conditions worsen “Prolonged stress is linked with higher levels of cortisol and we know this chemical reduces the activity of our immune system, making it more likely we pick up bugs,” says Wakeman. You may find you take longer to shake off colds and infections, and they wipe you out more. Plus, stress can worsen symptoms, or ‘trigger’ episodes of pre-existing health conditions, particularly things like irritable bowel syndrome (IBS), psoriasis, or autoimmune diseases like rheumatoid arthritis. Five simple stress-busters Stress becomes a problem when it accumulates over time, but there is a lot we can do to help prevent and manage that: • Recognise you’re stressed - and also that you play a key role in addressing it. It won’t magically disappear but sometimes, a few small tweaks to your lifestyle and how you approach stress can make the world of difference. Make well-being a priority. • Get moving - physical activity, whether that’s swimming, the gym or short daily walks, is one of the greatest single things we can do for ourselves to help manage stress. • Eat well - to function well, physically and mentally, we need to support our bodies with a balanced, nutritious diet. Fuelling yourself well will go a long way to supporting other efforts to de-stress. • Rest up - we all need to recharge, so don’t feel guilty about saying no to things you don’t have the energy for. If you’re struggling to sleep, do yourself a favour and switch off the TV/laptop/ smartphone at least 45 minutes before bed. Slow, deep breathing will help quiet and calm a worried mind. • Speak up - if your workload or circumstances at work are contributing to your stress, speaking with your manager could really help. Or, speaking to your GP could be helpful. They may be able to suggest useful therapies, including CBT and counselling. Sometimes, just having your stress acknowledged can be a useful turning point and weight lifted. The body uses cholesterol, a fatty substance, to rebuild its cells and to make certain hormones, and around 80% of it is produced naturally in the liver. There are two main types of blood cholesterol: low-density lipoproteins (LDL), the ‘bad’ type, which carries cholesterol from your liver to the cells, and high-density lipoprotein (HDL), the ‘good’ stuff, which carries cholesterol away from the cells and back to the liver to be broken down. Too much ‘bad’ LDL cholesterol is what can lead to narrowing of the arteries (atherosclerosis). Some things that put you at increased risk can’t be changed, like your age, or having familial hypercholesterolaemia - an inherited condition in one in 500 people, that means their cholesterol levels are higher than normal from birth. The solution The good news is, there are lots of things people can do to tackle high cholesterol. Yes, there are those cholesterol-reducing (and controversial) drugs statins, but there are also many lifestyle changes that can help to reduce cholesterol and boost your heart health. 1. Quit smoking - chemicals found in cigarettes stops HDL transporting fatty deposits to the liver, leading to narrowing of the arteries. 2. Choose healthier fats - go for unsaturated fats such as rapeseed, olive or sunflower oils and spreads rather than butter, lard or ghee. 3. Cut down on foods high in saturated fat - the cakes, biscuits, and pastries have to go. 4. Go lean - choose lean cuts of meat and remove visible fat and skin. 5. Eat more fibre - the soluble fibre in oats, beans and fruit and vegetables can help lower your cholesterol. 6. Get active - regular, moderate physical activity, like brisk walking, helps to increase good HDL cholesterol. 7. Read food labels - all the information is there, you just need to take it in and choose foods that are lower in saturated and trans fat. 8. Lose weight - particularly by reducing and maintaining your waist circumference. The expert’s view Tracy Parker, heart health dietician, says: “High cholesterol is not something that should be taken lightly. It’s a major risk factor for cardiovascular disease and can significantly increase your risk of a heart attack or stroke. “That’s why it’s vital to make every effort to keep your cholesterol levels in check, and there are lots of simple steps you can take to reduce your risk. “If you’re worried about your cholesterol levels, speak to you GP for advice.” For more information about cholesterol, visit heartuk.org.uk or www.bhf.org.uk 59 Hearing and balance disorders identification and treatment health care FRIDAY NOVEMBER 7 2014 Hearing loss affects development, communication, and quality of life in people of all ages. Are there effective prevention methods? Hearing loss occurring across the lifespan can be caused by disease, exposure to oto-toxic factors like medications, chemicals, and loud sounds. Genetic predisposition plays an important role in developing hearing loss. Disease is usually treated medically, whereas exposures can be prevented or limited. In cases where medications affecting hearing need to be administered, the patient’s hearing is monitored for doses to be accordingly modified. Occupational exposures to chemicals or noise dictate regular monitoring of workers’ hearing via occupational hearing programs, along with measures for reducing exposure time and level. Intense sound can cause hearing loss: famous musicians advise avoidance of noise exposure and use of hearing protectors. Can we prevent hearing loss in children? Neo natal hearing loss can not be prevented; with timely diagnosis and appropriate intervention we can prevent communication and development aldelay. How is Cyprus Audiology Center contributing to prevention and treatment of hearing loss? We focus clinical and research activities on identification and treatment of hearing and balance disorders in all ages. Wecontributeto the Cyprus Newborn Hearing Screening Program by providing clinical expertise, scientific knowledge, and direct support. The program Neonatal and Infant Hearing was supported by the Cyprus Research Promotion Foundation (CRPF); we evaluated outcomes of the new- born screening program, with impressive results. Our ongoing Preschool Hearing Screening Program (supported by CRPF)identifies and treats hearing loss in preschool children, provides epidemiological information, and develops screening instruments and protocols. During our Adult Hearing Program (supported by EU funds), in collaboration with the Cyprus Association of Pensioners (EKYSY) we assessed over 3000 adults and provided information on hearing and hearing loss in older age. We also implement Occupational Hearing Conservation programs in several companies, in order to prevent hearing loss due to exposure in the work environment. How does Cyprus Audiology Center prevail in treatment of hearing loss? When a person has a permanent hearing loss that is not treatable by medical intervention (due to age, degenerating factors, heredity, or disease), the audiologist can prescribe and fit hearing aids and counseling in order to restore communication and remediate the hearing loss. Cyprus Audiology Center is supported by the highest qualified audiologist in Cyprus. Hearing aid fitting and use are affected by appropriate device choice, expert programming in order to provide the most natural and tolerable sound possible, proficient counseling of patient and family, as well as the patient’s pre-disposition toward hearing rehabilitation. Family counseling helps to better understand the patient’s communi- cation limitations and needs. Cyprus Audiology Center helps each patient with personalized hearing device fitting, individual counseling, and family support. Do you provide services for people with balance disorders? In collaboration with distinguished physicians we provide specialized evaluation of the vestibular (balance) system. Improving everyday function in people with balance problems is accomplished by special maneuvers or systematic prescription of exercises. Cyprus Audiology Center is very successful in treating balance disorders. Do you have a message for our readers related to hearing loss? Childhood hearing loss can be catastrophic for language and academic progress. Hearing loss in adults is related to poor quality of life and work, social isolation, depression, and memory loss. Hearing amplification technology today offers devices that are aesthetically inconspicuous and provide natural sound. Hearing aids that are appropriately selected and fitted adapt to various environments and help the user discriminate speech in all situations. People with hearing loss and For more information or for an appointment in Nicosia, Larnaca, Limassol, please call 22769971, www.cyprusaudiology.com. their families experience a distinct improvement in their communication with appropriate scientific and technological support in hearing restoration. Cyprus Audiology Center is on their side for efficient prevention, diagnosis, restoration, and better quality of life. We excel with the combination of scientific excellence, compassionate support, and cutting edge technology. ATLANTIC INSURANCE The Pioneers in Health Insurance SUPER A MINI EXECUTIVE Description of covers Maximum annual limit (Worldwide) EXECUTIVE MAXI EXECUTIVE All coverage limits are in Euro 60.000 80.000 150.000 1.000.000 Maximum annual limit for USA/Canada 30.000 40.000 75.000 200.000 Maximum per ailment/condition (entire duration of insurance) 120.000 160.000 Unlimited Unlimited Inpatient Hospital Accommodation Drugs & Dressings Surgeon’s/Physician’s Fees Anaesthetist's Fees Theatre Fees Diagnostic Examinations full refund Laboratory Fees Physiotherapy (based on usual, reasonable and customary expenses) Parent’s Accommodation OUTPATIENT OPERATIONS OR DAY CARE OPERATIONS CT, MRI & PET SCAN RADIOTHERAPY/CHEMOTHERAPY MOTOR AMBULANCE Outpatient (per year) 1.500 GP/Specialist’s Fees, Drugs & Dressings 2.250 3.000 5.000 Certain restrictions apply Diagnostic Examinations Laboratory Fees Homenursing (up to a maximum of 10 days) Private Health Check 150 150 200 250 Private Health Screening for Women 150 175 200 225 Allergies 150 150 200 250 5.000 7.500 10.000 15.000 Outpatient Physiotherapy (per year) 400 500 700 1.000 Pre-existing/Chronic or Recurring (per year) 175 175 200 250 Allowance for free treatment (daily up to a maximum of 60 days) 60 60 100 100 Personal Accident Insurance 10.000 10.000 15.000 20.000 Travel Insurance 1.000 1.000 1.000 1.000 Other benefits Emergency Evacuation (per year) Travel Medical Assistance by INTER PARTNER Why Atlantic: Friendly & Reliable company with 31 years presence in the market Trusted & Respected by Doctors and Clinics Competitive prices and very wide covers Highly Personalised Service Network of biggest Hospitals and Clinics in Cyprus Prompt and Fair Settlement of claims 62 FRIDAY NOVEMBER 7 2014 health care Look at me… I am not cancer AUDIOVISUAL EXHIBITIONINSTALLATION FEATURING THE TRUE STORIES OF WOMEN WITH ADVANCED BREAST CANCER A groundbreaking audiovisual exhibition-installation featuring the true stories of women with advanced breast cancer (ABC) opens at Famagusta Gate in Nicosia this afternoon. Entitled ‘I am not cancer’, the exhibition is being organised in Cyprus for the first time by Novartis Pharma Services Inc. Cyprus’ Oncology Department in cooperation with Europa Donna Cyprus and with the support of the Cyprus Oncology Society, the Cyprus Anti-Cancer Society and the Cyprus Association of Cancer Patients and Friends. To be inaugurated by First Lady Andri Anastasiades, the exhibition is part of a Europe-wide ‘Here & Now’ campaign to inform and make people more aware of ABC. The show has already been exhibited to great success in a number of other countries and received widespread critical acclaim. Through their installation, British artists John Wynne and Tim Wain- wright offer up a brief but penetrating look at the physical, emotional and practical consequences on the lives of women with ABC. Three Cypriot patients are also participating by sharing their thoughts, experiences and feelings, in an effort to help other women with ABC who may otherwise feel isolated and neglected by society. The exhibition will be open to the public from 4-8pm today and from 10am-1pm and 4-8pm tomorrow with 10-minute screenings at regular intervals. Entrance is free. The exhibition is taking place under the auspices of Health Minister Philippos Patsalis. According to the campaign’s website: “As recognised in international guidelines, the level of care and support available for early breast cancer (EBC) is not available to patients with ABC. There is also a growing body of evidence that shows there is a high degree of unmet social and psychological need in ABC.” It also notes the Here & Now campaign uncovers new insights into the impact of ABC, “to better understand how barriers to optimal patient care can be overcome in order to improve the level of care and support across Europe.” According to official figures accompanying the exhibition, breast cancer is the most prevalent form of cancer in woman around the world. It mainly affects women aged over 50 and represents an estimated 23% of new cancer cases. One in six women diagnosed with breast cancer for the first time are already at an advanced stage and 6% of these will be at a highly advanced stage. Some 30% of women with early breast cancer will go on to develop ABC, when the cancer has grown and spread beyond its original site. There is no cure. “Success in cancer medicine mainly consists of succeeding in preventing the disease progressing to advance stage. While there have been advances in the treatment of ABC, no cure is within sight. “Medical treatment minimises the symptoms, prolongs life and improves the quality of that life. For a small minority it has become, to a limited degree, a manageable illness rather than something acute and life-threatening in the short or even the medium term. An accurate diagnosis of ABC, though, remains a death sentence, however long its execution may be suspended,” literature accompanying the exhibition notes. In Cyprus, 590 new cases of breast cancer were diagnosed in 2013 and 90 women lost their lives to ABC, the figures said. Visit http://wearehereandnow.com/ for more information on the campaign. Important Molecular Embryology findings at UCY I Plaudits for transplant centre President Anastasiades has praised the success of the transplant centre at Nicosia General Hospital, saying that it was on a par with some of the best centres in the world. He said that the results were impressive: 99% success in organ transplants and 99% survival of patients for the 95 transplant operations held in the least three years. Addressing an event held by the Association of Friends of Kidney Patients at the Presidential Palace, Anastasiades said that the dialysis unit of the hospital has been expanded from 24 to 29 ports, while plans are underway to create a new centre that will have 40 ports. mportant findings with implications for genetic diseases and cancer have been announced by the University of Cyprus’ Laboratory of Developmental Biology and Nanobiotechnology. According to a UCY announcement this week, a research team composed of PhD candidate Nicoletta Petridou and Assistant Professor Dr Paris A. Skourides identified novel roles of the Focal Adhesion Kinase (FAK) in spindle orientation and cell division. Their findings have been published in the prestigious journal Nature Communications. The announcement said the team had specifically shown that FAK “is a crucial regulator of cell division and is required for the proper orientation of cell division in cultured cells and in vertebrate tissues and organs.” Orientation of cell division is a very important process both for proper development of embryonic tissues and organs as well as for the maintenance of tissues and organs in adults. Loss of the ability to orient cell division results in severe developmental defects in the embryo and is responsible for a number of diseases in adults includ- ing neurological disorders like Huntington’s as well as others like polycystic kidney disease. “Importantly, loss of division orientation is involved in tumour progres- sion and metastasis which in combination with FAK’s established role in tumorigenesis emphasises the significance of these findings,” the UCY announcement said. health care FRIDAY NOVEMBER 7 2014 63 Reliability, Innovation, Accountability, Integrity 24 Years at the Forefront Ayios 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 cutting-edge technologies in the field of medical diagnoses and together with its experienced 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 un- dertaking of many local and international research projects, publications in international medical journals, collaboration with many international medical centres 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), 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. Similarly, the 256-multislice CT is the only one in Cyprus and amongst the first of its kind installed in the world. In Larnaca - Aradippou 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. 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 specialized 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 ionization radiation dose in a breath-hold. The γ-camera offers diagnostic and therapeutic treatment for a wide range of organ targets. MEDICAL STAFF and is also a reference centre for radioisotopic synovectomy on patients suffering from arthritis. •Dr Thyrsos Posporis MD (General Manager) •Dr Marios Patziaris, Special Neurologist, MD, PhD (associate) Graduate of Aristotle University of Thessaloniki specialised in 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 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 Ioannina. 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 re- Dr Thyrsos Posporis with the first MRI on 1990. ceived her specialty certification in Radiodiagnosis in June 2008. She has published articles in Greek and international medical journals and has taken part in postgraduate 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 Nuclear 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 •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. 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 in 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: [email protected], www.ayiostherissos.com.cy 64 health care G.A.P. Vassilopoulos was established in 1964 and is listed on the Cyprus Stock Exchange. The Group operates via a network of 2,000 offices and associates throughout Cyprus, the United Kingdom and now in Israel. It employs over 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 FRIDAY NOVEMBER 7 2014 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 and Travel Insurances • Motor • Medical Insurance Schemes • Yacht Insurance • Expatriate Insurance • Credit Insurance • Loss of Money • Goods in Transit Where to best insure… We are Lloyd’s Coverholder for 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 class of business. Lloyd’s is the world’s specialist insurance market where members join together to provide insurance protection worldwide. They insure businesses from over 200 countries and territories worldwide and are dedicated to offer excellent financial security to policy holders. Business at Lloyd’s is still conducted face-to-face, and the bustling Underwriting Room is central to the smooth running of the market. The market structure encourages innovation, speed and better value, making it attractive to policyholders and participants alike. Immediate access to decision-makers means that answers on whether a risk can be placed, are made quickly, enabling the broker to provide fast, good-value solutions. Lloyd’s Syndicates currently enjoy ‘A’(excellent) rating from A.M. Best and A+ (Strong) ratings from Fitch Ratings and Standard & Poor’s • Founded in London in 1688 • Gross Written Premiums are in excess of £25.000.000.000 • Accepts business from over 200 countries and territories worldwide • Provides cover for over 95% of the FTSE 100 and over 85% of Dow Jones industrial average companies • Vision to be the global centre for specialist insurance and reinsurance The Catlin Insurance Group is a publicly listed Property, Casualty Insurer and Reinsurer. Catlin has demonstrated Underwriting Ambition through a flexible and forward-looking approach to business. The Catlin Group has consistently produced superior financial results and offers its policyholders excellent financial security. Their underwriting philosophy is based on three fundamental pillars: access to specialty niche markets, accurate pricing and portfolio management. They achieve global reach by operat- ing offices in more than 50 cities across six underwriting hubs: London/UK, Bermuda, the United States, Europe, Asia Pacific and Canada. Catlin Insurance Company (UK) Ltd is authorized and regulated by the Financial Conduct Authority of the United Kingdom and Wales. They specialize as property/casualty insurer and reinsurer writing more than 30 classes of business in 20 countries. They work in parallel with clients and their brokers to develop imaginative and effective risk management solutions. Catlin Insurance is rated‘A’ (Excellent) by A.M. Best Company and ‘A’ (Strong) by Standard & Poor’s. G.A.P Vassilopoulos has been representing Catlin Insurance Co (UK) and Catlin Syndicate at Lloyd’s (2003) since 2005. • Founded as a Lloyd’s underwriting agency in 1984 • Premiums in excess of $ 5.000.000.000 • Operations in 20 countries • A worldwide team of more than 2,400 underwriters, actuaries, claims specialists and support 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 to 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. Through a family of companies, they can provide around-the-clock medical management services, trip cancellation programs, stop loss insurance to reduce employer risk and an internationally based service center. The company is regulated by the UK Financial Conduct Authority and is compliant with the EU Insurance Mediation Directive. IMG enjoys ratings of ‘A’ (excellent) by A.M. Best and ‘A’- by Standard & Poor’s. • Established in 2002 • Covering travellers and expatriates in more than 170 countries • Providing on-site, multi-lingual claims administrators and customer service representatives • Processes tens of thousands of claims each year The Atradius Group provides Credit Insurance Surety and International Debt Collection services through 160 offices in 45 countries. The Atradius Group has more than 85 years of experience in the credit insurance business. Offering credit management solutions that protect companies from payment risks associated with selling products and services on credit. Atradius’ mission is to strengthen their customers’ credit management and support their growth by providing them with accurate assessments of the payment default risk of their buyers, effective collections of overdue invoices and reliable surety protection against a range of contractual defaults. By insuring trade receivables against non-payment the bad debt exposure is reduced, ensuring a more stable cash flow. • Financial Strength Rating from A.M. Best Company is ‘A’ (Excellent) –September 2013 • Employs 3.300 people worldwide • Total Premium income of more than €1.600.000.000 • Access to credit information on 100 million companies worldwide • More than 20.000 trade credit limit decision daily G.A.P. Vassilopoulos Insurance Dept. Tel: + 357-22710500, Fax: +357-22514099, [email protected], G.A.P. Vassilopoulos Group, Tel: +357-22710000, Fax: +357-22514081, [email protected], www.gapgroup.com
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