Archive for category ICONS – Breaking news
Health warning over hip implants
Posted by admin in Hip replacement, ICONS - Breaking news, MHRA : UK Regulation, Orthopaedic surgery on January 29th, 2012
A type of artificial hip implant where both ball and socket are made of metal are now considered to be more of a hazard than was previously considered to be the case.
These implants were withdrawn from the UK market in 2010 following a Medical Device Alert.
It is now considered that up in 50% of these patients the implant will require to be replaced within 6 years. In addition there is a possibility that chromium and cobalt from the implant may leak into the bloodstream and cause problems in other parts of the body.
HEALTH WARNING OVER HIP IMPLANTS
COUNTRY: UK
“Medical regulators are drawing up new advice for more than 30,000 Britons who have received “metal-on-metal” devices because of fears that they are even more dangerous than previously thought, a Sunday Telegraph investigation has found.
Problems occur with such devices when friction between the metal ball and cup causes minuscule metal filings to break off, which can seep into the blood and cause inflammation, destroying muscle and bone.
There are also concerns that the fragments could put the nervous system, heart and lungs at risk of being slowly poisoned.
The problems have been found to affect people of all ages but studies have found young and petite women are particularly at risk.
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Temperamentally challenging breast fed babies
Posted by admin in Babies and toddlers, Breast Feeding, Child Health, ICONS - Breaking news on January 13th, 2012
I’ve thought for some time that today’s society is not conducive to breast-feeding. The extended family is defunct and nowadays most mothers have a job outside the home. Many will get stressed out just at the thought of how they might cope, and who will look after their child when their maternity leave ends.
In addition to working, and perhaps studying for further qualifications, mothers are expected to have an organised house, care for the other children in the family, respond to invitations to attend various “baby classes’ and meet other mothers in the community, take exercise to get into shape so that they can get back into their pre-pregnancy dress size. They are expected to have a social life and lovingly breast feed in coffee shops, restaurants and supermarkets as if life goes on normally, and the baby behaves like a kind of well-behaved appendage, when all you want to do is to just get home and behave like a broody hen.
And get some sleep…..
And then they are the midwives and health visitors who visit at various stages. Helpful they are too. But you have to run around before they come swivvering and vacuuming, dusting and swooshing and piling baby clutter behind the couch. Oh, and you better clean the loo. And what about the kitchen sink? Will they want to go into the kitchen inspect how you are sterilising stuff. You’d better get dressed properly for their visit and put on some make up too. If you don’t do all of these things they’ll think you have post-natal depression and give you loads of questionnaires to fill in.
And all you want to do is get some sleep…..
There can be an endless stream of visitors too after a baby is born. Many just drift in with an entourage of kids “just to see the baby” and perhaps with the exception of very close relatives create yet another pile of dirty dishes to be washed. All they want to do is talk, when all you want to do is spend some time alone bonding with your new child.
And get some sleep…….
I can remember when my children were born, the number of people that appeared just “to see the baby” drove me nuts. I can remember too being so grateful to my neighbour next door. She never intruded but most mornings, I would find a bag of home made cakes, scones or pancakes left at the back door with the message “ for your cup of tea or just in case you have visitors today.” She had been quietly observing the visitor trail. What a wonderful neighbour she was. She understood the problem when few others did.
It is difficult to breastfeed when you are exhausted through lack of sleep and entertaining all and sundry. The exhaustion and stress is passed on to the baby. Is it any wonder the breast fed baby becomes cantankerous?
Well, at long last it seems at least some of this is being recognised:
BREAST FED BABIES SHOW MORE CHALLENGING TEMPERAMENTS, STUDY FINDS
COUNTRY : UK
“Breastfed babies cry more, laugh less, and generally have “more challenging temperaments” than formula-fed infants, a study has found. But such behaviour is normal, and mothers should learn to cope with it rather than reach for the bottle, according to researchers.
Infant irritability was said to be a natural part of the “dynamic communication” between mothers and babies.
Bottle-feeding was akin to “comfort eating” – producing quieter and apparently more content babies who may be over-nourished and putting on weight too rapidly.The study rated the temperament of 316 babies at age three months using a 191-item behaviour questionnaire completed by their mothers.”
Well, your truly is not at all convinced that “infant irritability “ is a natural part of “dynamic communication” between mothers and babies.
I think they are delving too deeply for answers, but maybe sometime, if I can find the original paper being referred to I might get round to reading it and the 191 item questionnaire that the mothers had to answer, but it probably won’t change my mind that today’s society is not conducive to breast feeding.
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Swimming pools and asthma
Posted by admin in ALLERGY, Air Quality, Asthma, EXERCISE, ICONS - Breaking news, Sport on January 12th, 2012
About a year ago there was some news that exposing babies to the chlorinated water of indoor swimming pools might precipitate asthma.
ASTHMA WARNING FOR SWIMMING BABES
There is now some news that elite swimmers show evidence of lung damage and this is being put down to exposure to swimming pool chlorine.
POOL CHLORINE TIED TO LUNG DAMAGE IN ELITE SWIMMERS
COUNTRIES : FRANCE AND CANADA
Competitive swimmers who train at indoor chlorinated swimming pools may have lung changes similar to those seen in people with mild asthma, a new study has found.
Researchers from France and Canada compared lung tissue and breathing tests from twenty-three elite Canadian swimmers, whose average age was 21, to ten mild asthmatics and 10 healthy, non-allergic people of the same age. Tissue samples and tests were taken during the off-season when swimmers were not competing.
The full article is published in The Journal of Allergy and clinical Immunology – Abstract available – paywall for access to whole paper:
Conclusion
Intense, long-term swimming training in indoor chlorinated swimming pools is associated with airway changes similar to those seen in mild asthma, but with higher mucin expression. These changes were independent from airway hyperresponsiveness. The long-term physiological and clinical consequences of these changes remain to be clarified.
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Department of Health statement on breast implants
Posted by admin in Breast implants, ICONS - Breaking news, MHRA : UK Regulation on January 6th, 2012
Department of Health statement on breast implants and response to expert group report
January 6, 2012
The wellbeing of women who have had PiP breast implants is our main priority. That is why the Health Secretary asked an expert group – led by the NHS Medical Director, Professor Sir Bruce Keogh – to review all available evidence and data on PiP breast implants.
The group has concluded that the advice given by the MHRA still stands and that there is not enough evidence to recommend routine explantation of these breast implants. The group also agrees there is no link with cancer.
However, it is undeniably the case that these implants are made up of non-medical grade silicone and therefore should not have been implanted in women in the first place. We recognise that this will be worrying for women with PiP implants and that they need to be properly supported by those that performed the implantations.
We have always recommended that if women are concerned they should speak to their surgeon or GP.
The NHS will support removal of PIP implants if, after this consultation, the patient still has concerns and with her doctor she decides that it is right to do so. The NHS will replace the implants if the original operation was done by the NHS.
We expect the private sector to do the same for their patients. We believe that private providers have a duty to take steps to provide appropriate after-care to patients they have treated.
Private providers have legal obligations to their patients. The NHS will offer a package of care for its patients, and we expect the private sector to do the same.
The NHS offer is:
All women who have received an implant from the NHS will be contacted to inform them that they have a PIP implant and to provide relevant information and advice. If in the meantime NHS patients seek information about the make of their implant then this will be provided free of charge.
Women who wish to will able to seek a consultation with their GP, or with the surgical team who carried out the original implant, to seek clinical advice on the best way forward.
If the woman chooses, this could include an examination by imaging to see if there is any evidence that the implant has ruptured.
The NHS will support removal of PIP implants if, informed by an assessment of clinical need, risk or the impact of unresolved concerns, a woman with her doctor decides that it is right to do so. The NHS will replace the implants if the original operation was done by the NHS.
We are working with the private sector to best ensure an equivalent model of care is provided – we do not think it is fair to the taxpayer for the NHS to foot the bill.
If a clinic that implanted PiP implants no longer exists or refuses to care for their patient – where that patient is entitled to NHS services, the NHS will support the removal of PiP implants in line with the guidance above. Any NHS service in that respect would not include the replacement of private cosmetic implants. The Government will pursue private clinics with all means at its disposal to avoid the taxpayer picking up the bill.
The expert group has not been able to establish if the rupture rate is higher for PiP implants than for others.
Reports show that, of the PIP implants that have been tested, there is no risk of dangerous toxins leaking into the body if an implant did rupture.
However, we are not confident that the manufacturer did not change the silicone in the implants, so cannot rule out the possibility that some are toxic.
Going forward, we need to do everything we can to ensure the safety of people having cosmetic surgery.
It’s clear from the information we have received from the industry that the safety information it has provided to the regulator is patchy. Without good data, we have no way of knowing when problems arise.
Bruce Keogh’s Expert Group will examine the wider issues around quality of data, surveillance and enforcement of the sector and sector regulation more generally.
The Care Quality Commission is reviewing the evidence of providers’ compliance with registration requirements and considering a fuller programme of inspections based on that.
Franceand theUKwill continue to work together to share information and data. There is a shared determination between the two countries to prevent this situation from occurring again and theUKwould like to work with countries across the EU to understand fully where the failures of this incident fall.
Health Secretary Andrew Lansley said:
“Throughout the past few weeks, my main concern has been for the safety of and compassion for women who have had PIP implants. It has been a worrying time for these women. We have at every stage sought to offer them as much advice and evidence as is available to us.
“Our advice remains the same that there is not sufficient evidence to recommend routine removal. We have always recommended that women who are concerned should speak to their surgeon or GP. The NHS will support removal of PIP implants if, after this consultation, the patient still has concerns and with her doctor she decides that it is right to do so.
“We believe that private healthcare providers have a moral duty to offer the same service to their patients that we will offer to NHS patients – free information, consultations, scans and removal if necessary.
“Throughout this process we have followed expert advice. The data available to the experts has not been good enough to enable them to give a clear recommendation of the risk posed by PIP implants. We will therefore support women, including removal of the implant, if needed.”
Professor Sir Bruce Keogh said:
“The overriding consideration of the group is the safety and compassionate treatment of women with PiP implants.
“On the basis of the information we have, we do not think it is necessary to recommend the routine removal of these implants. But we understand that some women will be very concerned so we support the Government’s position that the NHS will support removal of PIP implants if the patient has concerns and with her doctor she decides that it is right to do so.”
POLY IMPLANT PROSTHESES (PIP) BREAST IMPLANTS: INTERIM REPORT OF THE EXPERT GROUP
COUNTRY: UK
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NHS REFORMS: Boring stuff? NO! It could be the end of the NHS!
Posted by admin in HEALTH POLITICS, ICONS - Breaking news, NHS : NATIONAL HEALTH SERVICE, NHS Reforms on October 2nd, 2011
The Health and Social Care Bill is complicated and boring, however one of the key issues is the clever use of “weasel” words replacing the previous terminology. This change could easily have been missed. These words concerns the government’s “Duty to Provide” health care for it’s citizens.
The Health and Social Care Bill that has recently been approved by the House of Commons is now about to move through the House of Lords. It needs the approval of the Upper House before it can become law.
One of the strange things about this Bill is that much of what it contains is already happening. Private companies are taking over large chunks of the clinical work in the NHS and some of the structures that were previously in place are being replaced by others proposed in the Bill.
The question that some are asking therefore is: “If these things are already happening, then why is it necessary to have a new Bill at all?”
It may well be because of the need to introduce the “weasel words.”
Sometimes, the medical blogosphere in the UK raises political questions before they reach the mainstream media. In March of this year a blogger who uses the pseudo-nom “Dr No” raised a key issue about the Bill in his blog “Bad Medicine”. These three short posts summarise the worries that most members of the medical profession have about this Bill. They are worth reading carefully because what is happening now in parliament will mean that when you or your family are ill, the NHS may no longer be there to treat you because the government are attempting to abdicate their responsibility for this service.
THE SECRET NAIL IN THE NHS COFFIN
Having succeeded in it’s journey through the House of Commons, the Bill is now in the first stages of it’s progression through the House of Lords.
HOUSE OF LORDS DEBATE: NHS FUTURE FORUM
Already key questions are being asked.
Scroll down to 15 September 2011 : Column 865:
“Baroness Wheeler: My Lords, this is an important debate. It is the first opportunity for the House to discuss the NHS following the First Reading of the Health and Social Care Bill last week. It takes place in the context of the continuing debate, controversy and deep unease over key aspects of the Bill, its incoherence and complexity even in this, its fourth iteration.”
At the heart of the continuing problems are two issues that are fundamental to the ethos of an NHS that is free at point of need and provides a national public service. First, there is the importance of the Secretary of State having a continuing duty to ensure that we have a comprehensive NHS. Secondly, we must address the real concerns over Part 3 of the Bill, which places competition at the heart of the NHS and sets up an economic regulator that still has substantial powers to promote competition in the NHS. The Future Forum was clear on these issues and the recommendations are welcome and straightforward. However, the amendments to the Bill do not reflect that or translate the Future Forum’s intentions into legislation.
The Commons deliberations have failed to resolve the issue of the Secretary of State’s duty and role in relation to the NHS. Indeed, as the noble Baroness, Lady Williams, said in her recent Observer article, “confusion thickens”. My honourable friends in the other place, supported by authoritative legal opinion, have underlined that if the Bill becomes law then the duty to provide a National Health Service would be diluted and lost. The Government argue strongly for greater freedom for clinical commissioners from political interference. However, as the noble Baroness, Lady Williams, has said,
“to throw out accountability in order to tackle petty interference is to undermine democracy itself”.
A select committee in the House of Lords has followed up with this statement.
it is not clear whether the existing structures of political and legal accountability with regard to the NHS will continue to operate as they have done hitherto if the Bill is passed in its current form. As such, the House will wish carefully to consider whether these changes pose an undue risk either that individual ministerial responsibility to Parliament will be diluted or that legal accountability to the courts will be fragmented.
Moreover, it is not self-evident that the proposed changes are a necessary component of the Government’s reform package. Given the uncertainty as to the interpretation of the provisions proposed in the Bill, could not the relevant wording contained in the 2006 Act be retained?
The newspapers are now reporting on the possible abdication of the Secretary of State for Health.
NHS SHAKEUP POSES THREAT TO POLITICAL CONTROL, LORDS COMMITTEE CLAIMS
The coalition’s reorganisation of the NHS risks diluting the government’s “constitutional responsibilities” to the health service, an influential Lords committee has warned.
The health secretary currently has to a legal duty provide key NHS services, such as hospital accommodation, ambulances, maternity and nursing. The NHS bill going through parliament envisages that the health secretary would only have to monitor their provision and intervene in the case of failure. The government would not be legally and constitutionally responsible.
The future of the NHS is now in the hands of The House of Lords. Hopefully, unlike the Members of Parliament in The House of Commons they will not be whipped into toeing the party line.
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The Health and Social Care Bill passed in the Commons
Posted by admin in HEALTH POLITICS, ICONS - Breaking news, NHS : NATIONAL HEALTH SERVICE, NHS Reforms on September 8th, 2011
There is quite a lot of consternation going on within the UK medical profession at the moment. It concerns The Health and Social Care Bill that is currently wending its way through parliament.
Yesterday it completed its journey through the House of Commons with a vote of 316 for (the “Ayes” to the right) and 251 against (the “Noes” to the left) giving a “healthy” majority of 65. Apparently 4 LibDems voted against the Bill and 10 abstained from voting. It now has to be debated further in the House of Lords, and cannot proceed further to become law until it has the consent of The Upper Chamber.
THE PASSAGE OF A BILL THROUGH PARLIAMENT
All of this seems boring stuff, but I have been following the progress of this Bill through parliament and am beginning to find the system quite interesting. In fact, to be truthful, I’m no longer bored by it all.
The Health and Social Care Bill, if successful, will be the biggest change in the NHS since it’s inception in 1948. Many, including myself, believe it will be the end of the end of the NHS as we know it in England. The main fear is that the NHS will become a kite-mark used by private companies to give them legitimacy to profit from tax-payers money which funds them for the clinical services they provide. The other countries of the UK are autonomous in organising how they run the NHS so, for the moment, if the HSCB becomes law only England will be affected.
It is a mighty, lengthy Bill, but there is one key element of the Bill that should not be overlooked. Maybe the Bill is so long and mighty because it is hoped the key element would slip through un-noticed!
I’ll come back to this key element again. Why? Because I hope some day my children in particular will not only find this blog useful in finding reliable health information when they feel they need it, but I hope too they will look back and it will help them understand my views at this critical time for the NHS. At the moment these changes are of no interest to them at all. They all think they have more important things to concern themselves with, but someday they will find that they need they NHS to be there for them without them having to worry about how they will fund their own healthcare and those of their own children.
In the meantime, here is this monster of a Bill.
THE HEALTH AND SOCIAL CARE BILL
There will be very few people who have read it in full.
And fewer still who understand it.
More later…….
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Have a daily chocolate spa!
Posted by admin in DIETS, ICONS - Breaking news on August 30th, 2011
Nobody really seems to know the reason why, but latest research appears to show that eating chocolate is good for you as long as it doesn’t make you fat! So I suppose the thing to do is go on a diet that is low on chocolate and other fattening things until your reach your ideal weight and then indulge yourself daily with chocolate, fruit, veg and all other things in moderation.
And exercise too of course!
CHOCOLATE CONSUMPTION AND CARDIOMETABOLIC DISORDERS: SYSTEMIC REVIEW AND META-ANALYSIS
COUNTRY: UK AND COLOMBIA
Abstract
Objective To evaluate the association of chocolate consumption with the risk of developing cardiometabolic disorders.Design Systematic review and meta-analysis of randomised controlled trials and observational studies.
Data sources Medline, Embase, Cochrane Library, PubMed, CINAHL, IPA, Web of Science, Scopus, Pascal, reference lists of relevant studies to October 2010, and email contact with authors.
Study selection Randomised trials and cohort, case-control, and cross sectional studies carried out in human adults, in which the association between chocolate consumption and the risk of outcomes related to cardiometabolic disorders were reported.
Data extraction Data were extracted by two independent investigators, and a consensus was reached with the involvement of a third. The primary outcome was cardiometabolic disorders, including cardiovascular disease (coronary heart disease and stroke), diabetes, and metabolic syndrome. A meta-analysis assessed the risk of developing cardiometabolic disorders by comparing the highest and lowest level of chocolate consumption.
Results From 4576 references seven studies met the inclusion criteria (including 114 009 participants). None of the studies was a randomised trial, six were cohort studies, and one a cross sectional study. Large variation was observed between these seven studies for measurement of chocolate consumption, methods, and outcomes evaluated. Five of the seven studies reported a beneficial association between higher levels of chocolate consumption and the risk of cardiometabolic disorders. The highest levels of chocolate consumption were associated with a 37% reduction in cardiovascular disease (relative risk 0.63 (95% confidence interval 0.44 to 0.90)) and a 29% reduction in stroke compared with the lowest levels.
Conclusions Based on observational evidence, levels of chocolate consumption seem to be associated with a substantial reduction in the risk of cardiometabolic disorders. Further experimental studies are required to confirm a potentially beneficial effect of chocolate consumption.
Here is what The Guardian says about the research.
CHOCOLATE IS GOOD FOR YOU, DECLARES STUDY (WELL, SORT OF)
And here is a link to some of their chocolate recipes (only to be indulged in if you have reached your ideal weight!)
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Measuring blood pressure at home
Posted by admin in Blood Pressure, Hypertension, ICONS - Breaking news on August 24th, 2011
At last, at last, at last…….
The bells are beginning to ring in the committee rooms where doctors, scientists, economists and others talk.
Learned individuals are coming to the conclusion that maybe, what we, since the beginning of time have always called “The White Coat Syndrome” does really exist and needs to be addressed because it is leading to patients who don’t require it being put on medication for high blood pressure.
Furthermore, and this is the sceptic in me, there is a real sense of urgency now driving these committee decisions, because needless therapy to lower blood pressure is costing the NHS an awful lot of money!
The fact is that many people are nervous about visiting their doctor or a hospital clinic. Why wouldn’t they be? Doctors after all may be the bearers of bad news. In addition, we are all nowadays bombarded with information on how to stay healthy, and we watch documentaries and dramas night after night on TV about the terrible illness that “strike people down” or are our own fault because we don’t eat well enough, exercise well enough, or abstain well enough!
Most doctors I know have been suspicious that too many people with hypertension are being treated unnecessary, but there is nowadays a problem with the “Guidelines” that are continually presented to us. But this enters the political arena and is for another post in the future.
In the meantime this is what the BBC are saying about this news which originates from NICE. More on the original NICE documentation later.
BLOOD PRESSURE GUIDELINES REVISED IN ENGLAND AND WALES
COUNTRY : ENGLAND AND WALES
Patients thought to have high blood pressure should have the diagnosis confirmed at home, according to new guidelines.
Patients in England and Wales will be offered extra checks using a mobile device that records blood pressure over 24 hours, says the watchdog NICE.
A quarter of patients may find visiting a GP stressful, leading to misdiagnosis and being given drugs they do not need.
The move could save the NHS £10.5m a year, predictions suggest.
High blood pressure (blood pressure of 140/90mmHg or more) affects about a quarter of all adults in the UK. It is a leading risk factor for heart disease or stroke and costs the NHS about £1bn a year in drugs alone.
Currently, most patients found to have high blood pressure for the first time are given a formal diagnosis if their blood pressure is raised at two subsequent visits to the doctor.
They may then be prescribed medication to lower their blood pressure.
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Passive smoking and pregnancy
Posted by admin in Babies and toddlers, Child Health, ICONS - Breaking news, Smoking on March 14th, 2011
Long before the epidemiologists proved the association between cigarettes and lung cancer, chronic obstructive airways disease, vascular disease and other conditions, it is likely that most thinking individuals would intuitively have realised that smoking was likely to harm the lungs.
Most people nowadays accept the medical evidence that active smoking causes harm to the individual concerned and this is backed up by scientific evidence.
The problem then was how to stop people continuing with this addictive habit and how to prevent youngsters from starting.
It is many years ago now that restrictions in advertising and sponsorship were introduced, large warnings were placed on cigarette packets and smoking on the media was frowned upon. More recently in the UK smoking was forbidden in public places because of the risk of others of passively inhaling smoke in the atmosphere.
Much of this has worked to the extent that the number of smokers has decreased substantially and society has even imposed a feeling of guilt on many of those who continue with the habit.
But what is the risk from passive smoking in pregnancy, and before conception?
Researchers at the University of Nottingham reviewed 19 studies from around the world and concluded that pregnant women should not be exposed to passive smoke and furthermore, suggest that fathers who smoke prior to conception may damage sperm.
PASSIVE SMOKING INCREASES STILLBIRTH RISK : BBC
COUNTRY : UK
“Fathers-to-be should stop smoking to protect their unborn child from the risk of stillbirth or birth defects, scientists say.
University of Nottingham researchers found that pregnant women exposed to smoke at work or home increased their risk of stillbirth by 23% and of having a baby with defects by 13%.”
“The combined data from the studies suggests that being exposed to more than 10 cigarettes a day is enough for the risks to be increased.”
“”What we still don’t know is whether it is the effect of sidestream smoke that the woman inhales that increases these particular risks or whether it is the direct effect of mainstream smoke that the father inhales during smoking that affects sperm development, or possibly both.
“More research is needed into this issue although we already know that smoking does have an impact on sperm development, so it is very important that men quit smoking before trying for a baby.”
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Apples and pears
Posted by admin in ICONS - Breaking news, Obesity, WEIGHT on March 11th, 2011
Fat folk used to be able to obtain some comfort about the effect of their shape on their health risk. Being pear shape was thought to be less unhealthy than being apple shape.
A report funded by the British Heart Foundation and the UK Medical Research Council in this weeks Lancet disputes this concept. Fat anywhere is a problem. The BBC covers the main points in the article.
DOUBTS EMERGE OVER HEART RISK TO “APPLE SHAPE” – BBC
COUNTRY : UK
“Doubts have been raised over the idea that being overweight and “apple shaped” increases heart attack risk.
A study in the Lancet found the risk of heart attack was not increased by fat being concentrated around the waist.
It contradicts previous work that found overweight people with “apple shaped” bodies were three times as likely to suffer heart attacks than those with more generally distributed fat.
But experts warned obesity was bad for the heart, no matter where the fat was.”
The BBC website links to the abstract of the original article in the Lancet. Thanks, BBC, hope you continue to do this linking because some readers may want to examine the article critically for themselves (although access to the full Lancet article requires a subscription).
LANCET ABSTRACT OF ORIGINAL ARTICLE
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