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Counterfeit vodka warning issued

Written By Unknown on Senin, 31 Desember 2012 | 21.24

30 December 2011 Last updated at 19:28 ET

People seeking cheap alcohol as part of new year celebrations have been warned by council trading standards teams about the dangers of counterfeit vodka.

Fake vodka seized had high levels of methanol, which can cause blindness, as well as having industrial solvents.

Misaligned labels and liquid with an odour resembling nail varnish are among telltale signs of counterfeit vodka.

The Local Government Association in England and Wales warned that fake vodka could be deadly.

Cllr Paul Bettison, its regulation spokesman, compared the situation with that in India, where dozens of people have died after drinking illegal alcohol.

He said the "dreadful scenes" of those deaths highlighted the "fatal truth of what can happen if you drink fake alcohol".

Mr Bettison went on: "Everyone wants a bargain, especially at this time of year, but surely the potential health risks far outweigh any financial savings. Purchasing it also does nothing to help legitimate businesses stay afloat.

Continue reading the main story
  • Spelling mistakes on the label
  • Bottles of the same product look different
  • Bottles not filled to same level
  • Label not straight
  • Smell of nail varnish

"Frankly, if the offer seems too good to be true, then it probably is. If anyone is suspicious about a supplier or feels that they may have bought a bottle of counterfeit alcohol, please do not drink it. Instead, contact your local council or Consumer Direct for advice as a matter of urgency."

Labels with poor quality print and spelling mistakes, as well as bottles on the shelf not being filled to the same level are among signs that the alcohol is likely to be counterfeit.

One shopkeeper was given a £16,000 fine after Surrey County Council seized bottles of fake Glen's Vodka which was found to contain 235 times more methanol than the legal limit allowed.

West Berkshire and Wokingham Trading Standards seized 700 one-litre bottles of Drop Vodka that contained chloroform.

And Horsham District Council issued a warning after finding fake vodka marketed as Drop Vodka, Red Admiral, Arctic Ice and Spar Imperial that was found to contain industrial solvent Propan-2-ol.


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Scots cystic fibrosis drug call

30 December 2012 Last updated at 18:56 ET

A new drug for people with a particular form of cystic fibrosis, available in England, must also be prescribed in Scotland, a charity has said.

NHS patients in England will be able to access Kalydeco, also known as ivacaftor, from 1 January.

The Cystic Fibrosis Trust said not funding the drug in Scotland would cause "dismay and heartache".

The trust said it was appalled that people in Scotland were denied a potentially life-changing treatment.

Ed Owen, the trust's chief executive, has written to the Scottish Medicines Consortium (SMC) on the day before the NHS in England begins to fund it for all people over the age of six with the G551D cystic fibrosis mutation.

A decision by the SMC over the drug is expected on 14 January, the charity said.

In his letter Mr Owen said: "We trust that the SMC will reflect carefully on the decision in England, and its rationale, before making its decision on funding in Scotland.

"As the organisation representing people with cystic fibrosis across the UK, the Cystic Fibrosis Trust would be dismayed and appalled at a situation where people in Scotland were denied a potentially life-changing treatment freely available to those in England.

"Such an outcome would cause considerable and unacceptable heartache for families across Scotland."

The charity said around 4% of patients across the UK have the G551D mutation, compared to around 11% of the Scottish cystic fibrosis population.

It said this equates to about 80 people in Scotland who would be eligible for Kalydeco.


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Cosmetic ops 'hard sell' opposed

31 December 2012 Last updated at 07:35 ET

Responses to a public consultation on cosmetic surgery have shown strong support for a ban on cut-price deals and aggressive selling.

A summary of responses from patients, the public and industry has been published as part of the review set up after the PIP breast implant scandal.

A final report, by Sir Bruce Keogh, the NHS medical director leading the English review, is due in March 2013.

Cosmetic surgeons said procedures should not be sold as "a commodity".

The health secretary asked Sir Bruce to look at the regulation and safety of products used in cosmetic surgery and the care given to patients both during and after their treatment.

The review came after concerns over health risks associated with Poly Implant Prothese (PIP) implants made by a French company surfaced last December. It is thought up to 40,000 British women have the silicone implants, mostly done privately rather than on the NHS.

'Price over quality'

Writing in the foreword to the summary of responses, Sir Bruce said the responses "send a clear message that the current regulatory framework doesn't do enough to support consumer rights or patient safety".

Of the 180 responses to the consultation, the majority were in favour of tighter restrictions on the advertising of cosmetic surgery.

"The proliferation of advertising for cosmetic surgery and its use in TV make-over programmes was felt to trivialise surgery and its risks, while making excessive claims of its impact on people's emotional wellbeing," the summary said.

Continue reading the main story

'Once-in-a-lifetime chance'

Sabrina Elliott decided to have breast surgery 11 years ago, aged 23, following childbirth.

She says she feels the clinic she went to put "pressure" on her to sign up to the operation.

Ms Elliott says she was offered a "lifetime guarantee" at a consultation with a company secretary but was told the offer would expire within 48 hours.

She took up the offer after receiving a follow-up call on the same day telling her it was a "once-in-a-lifetime chance".

However, the firm went into liquidation two years later.

The implants she had fitted were PIP - and she says she now experiences pain on a daily basis. The NHS is currently refusing to remove them, she says.

"It's terrible. I'm a single mum now and a full-time student - sometimes it's difficult to pick up my two-year-old daughter because of the pain I'm in," she told BBC Radio 4's Today Programme.

There was also "very strong support" for the banning of financial inducements or time-limited deals, it said.

It added that such practices were seen as "unethical, placing undue pressure on the patient and emphasising price rather than quality".

Providing patients with photos of expected bruising, as well as more detail on the risks associated with surgery should be standard procedure too, some respondents said.

There was a "strong sense" that consultations should be with the person performing the procedure - or at the very least a medical professional - rather than a sales adviser, the summary said. Some respondents believed there should be a ban on free consultations.

Sabrina Elliott says she was put under "pressure" to sign up to a breast implant operation within 48 hours, so as to be entitled to a "lifetime guarantee".

Ms Elliott took up the offer but the company later went into liquidation and she says her PIP implants are causing a range of health complications, including a slow silicone bleed which means she is in pain on a daily basis.

"There was pressure. The pressure was to get that lifetime guarantee because it was really put to us that it was only with this company," she told BBC Radio 4's Today Programme.

She went on: "Unfortunately I paid nearly £4,000 to have harmful chemicals put in my body to which to date I am still suffering [from]."

Continue reading the main story

"Start Quote

It's time to scrub up and take action to restore confidence in our sector"

End Quote Rajiv Grover President, British Association of Aesthetic Plastic Surgeons

Sally Taber, director of Independent Healthcare Advisory Services, a trade body for the independent healthcare sector, said aggressive sales techniques were "totally inappropriate" and "all NHS members have signed up to the fact that they don't do that now".

She agreed with the review panel that prospective cosmetic surgery patients should not have free consultations and the industry had "looked at policies and procedures to ensure this does not happen".

Good medical practice clearly states that consultations should take place with a medical professional - and the industry has been told that, she said.

"It's totally inappropriate to see someone that isn't qualified and gives pressurised advice," she said in an interview with the Today Programme.

She said there are some "rogue providers out there" but there are also "plenty of providers that do things correctly".

'Safer environment'

GP Dr Rosemary Leonard, the BBC Breakfast doctor and review committee member, said patients should always talk to a doctor first.

"It is wrong that the first consultation is with a sales person rather than a medical professional," she said.

"Surgery - indeed any cosmetic intervention - is a serious step, and a patient must be told about the immediate side effects after surgery as well as any potential long term effects on their health."

Rajiv Grover, president of the British Association of Aesthetic Plastic Surgeons (BAAPS) also welcomed the call to end the practice of sales people holding consultations.

Vivienne Parry

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Review panel member Vivienne Parry says "people are not made aware of the risks"

He said: "We're pleased that the report - and public opinion - so strongly reflects our own views.

"We have made the comparison between cosmetic surgery being sold as a commodity, much as a washing machine or off-the-shelf beauty products, many times before.

"Medical procedures simply cannot continue to be promoted in this manner and although it is tragic that it has taken a crisis of the magnitude of PIP to make the world sit up and take notice, it seems we're finally making headway towards a safer environment for patients.

"It's time to scrub up and take action to restore confidence in our sector."

Respondents to the consultation were asked a series of questions about the way the current regulatory system functions.

The review panel said they would be used to inform their final recommendations.


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Winter vomiting cases pass a million

Written By Unknown on Minggu, 30 Desember 2012 | 21.24

28 December 2012 Last updated at 07:26 ET

Cases of the winter vomiting bug norovirus in England and Wales have topped a million, latest figures from the Health Protection Agency suggest.

It said there were 3,538 lab-confirmed cases up to 16 December - but that for each another 288 go unreported.

The figure is 83% higher than at this stage last year - but has not increased greatly since last week.

Norovirus is a highly contagious short-term illness and causes severe vomiting and diarrhoea.

It can be spread through contact with contaminated surfaces or objects, by contact with an infected person, or by the consumption of contaminated food or water.

The HPA's figures show that - so far this year - there are 83% more cases than there were at the same point in 2011 when there had been 1,934 norovirus cases reported.

In addition, there were 70 hospital outbreaks in the two weeks up to December 23rd, compared with 61 in the previous fortnight.

'Unpredictable'

There has been an earlier start than usual to the outbreak this year - a pattern that has been seen across Europe.

Continue reading the main story

Norovirus is very contagious, and very unpleasant"

End Quote John Harris, Health Protection Agency

Health Protection Scotland has also reported a rise in cases.

It could be there is simply an earlier peak in cases - or that figures will be higher overall this year.

The HPA stresses norovirus is unpredictable, and no two years are the same.

The norovirus "year" - the date from which experts start to count cases - begins in July and runs to the following June.

Laboratory confirmed reports represent a small proportion of the actual number of cases because most people do not see a doctor - and therefore their case is not recorded.

John Harris, an expert in norovirus from the HPA said: "The number of laboratory confirmed cases has risen once again as it appears that we have seen the rise in cases that usually begins in January start a little earlier than we normally expect.

"Norovirus is very contagious, and very unpleasant."

He said the best way to prevent the spread of the disease was to wash hands and stay away from hospitals, schools and care homes if unwell because closed environments were particularly prone to outbreaks "which can cause severe disruption".

A Department of Health spokeswoman said: "The NHS is well prepared for the winter. No A&Es have had to close so far this winter and we are providing additional funding to the NHS to help it cope with the added pressure that the winter brings.

"Our weekly published figures show the number of beds closed across the NHS due to norovirus symptoms is around 2.4%. This compares to 2.9% of beds that were closed during the peak of norovirus cases last winter."


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Military health expert knighted

28 December 2012 Last updated at 19:05 ET

A leading researcher into the mental health of military personnel has been knighted in the New Year's Honours.

Prof Simon Wessely, said he was "genuinely surprised and incredibly honoured" by the award.

He now heads the department of psychological medicine at the Institute of Psychiatry, King's College, London.

He became interested in "medically unexplained symptoms and syndromes" early in his career, and studied chronic fatigue syndrome (CFS) - or ME.

In 1991 he was involved in setting up one of the first NHS clinics for people with CFS symptoms and in the mid 1990s, he started to investigate Gulf War Syndrome.

This disputed condition had been linked to personnel who served in the first Gulf conflict in 1990-91.

Reported symptoms ranged from chronic fatigue, headaches and sleep disturbances to joint pains, irritable bowel, stomach and respiratory disorders and psychological problems.

Prof Wessely has said there may not be a distinct illness.

He said: "Gulf War Syndrome is a misnomer," he said. "Rather it's an illness or health effect.

"We established something happened, but we found no specific cause.

"The fascinating thing is that it didn't happen again in Iraq, and the reason for that remains enigmatic."

Prof Wessely continues to study the long-term effects on those now serving in Iraq and Afghanistan.

But he said that there had been improvements in the mental health care for armed forces personnel and those close to them.

"There is now improved psychological support, particularly for reservists and families."

'Huge honour'

He was among a large number of researchers, charity workers and NHS staff to receive honours.

Other health experts recognised included Stephen O'Brien, Chair of Barts and The London NHS Trust, who also receives a knighthood.

Respiratory health expert Prof John Britton and Caroline Shaw, chief executive of Manchester's specialist cancer hospital, The Christie are among those made CBEs.

One of those is Caroline Shaw, who is appointed a CBE for her work running The Christie cancer hospital in Manchester.

A former midwife, Ms Shaw was one of the youngest female NHS chief executives when she took over at the Christie in 2005.

She said: "I am incredibly proud... It is such a huge honour to be recognised in this way for my work in an industry I believe in and care passionately about."


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Training push for foreign doctors

30 December 2012 Last updated at 06:52 ET

Foreign doctors in the UK will face a more rigorous assessment, after figures showed a high proportion of doctors who are disciplined are from overseas.

In the last five years, 63% of doctors either struck off or suspended by the General Medical Council (GMC) were trained outside the UK.

Yet they make up only 36% of doctors on the medical register.

The GMC said new reforms included an induction programme, better checks and a review of the present testing system.

Niall Dickson, chief executive of the GMC, said: "We absolutely acknowledge that when it comes to the serious end of the scale, those from overseas are more likely to appear, and we have set about a series of reforms to address this."

A new induction programme for all arriving doctors is due to launch as a pilot scheme in early 2013.

It will combine online training in British medical practices with a one-day course covering some of the key issues facing new arrivals.

Continue reading the main story

The UK is still short of doctors and so we must ensure that those who come from overseas are given adequate support"

End Quote Dr Vivienne Nathanson BMA

There will also be a review of the Performance and Linguistic Assessments Board (PLAB) test for overseas doctors.

This is the system whereby doctors have to demonstrate their clinical skills and competence before they can join the medical register in the UK.

The GMC said there is also a new system of checks - known as revalidation - that began this month.

This requires all doctors in the UK to show they are keeping up to date and are fit to practise, based on an annual appraisal and feedback from patients, doctors, nurses and other colleagues.

The UK is the first country in the world to introduce such a system across its whole healthcare system, the GMC said in a statement.

The figures for disciplinary action were initially obtained in a Freedom of Information request to the GMC by the Sunday Telegraph.

They show that in the last five years, there have been 669 doctors either struck off or suspended, and 420 of them were trained abroad.

Dr Vivienne Nathanson, British Medical Association director of professional activities, said: "It is clear that doctors who have qualified overseas are more likely to be subject to disciplinary action.

"However, more research is needed to understand why this is the case. The UK is still short of doctors and so we must ensure that those who come from overseas are given adequate support to be able to practise medicine in the UK.

"It is critical that all doctors that work in the UK have appropriate clinical and communication skills as well as an understanding of UK law and culture and of how the NHS works."

'Shocking'

Julia Manning, chief executive of centre-right think tank 2020 Health, told the Telegraph the figures were "worrying and shocking" and said there was an urgent need to review the assessment of arriving doctors.

Dr Umesh Prabhu, national vice-chairman of the British International Doctors Association, told the paper there were cultural differences and communication problems, rather than differences in clinical training.

A Department of Health spokesman said the checks being introduced would "ensure that the small number of dangerous, often overseas trained, locum doctors who do not understand the British medical system are stopped from treating patients".

Doctors from outside the EU must take rigorous language tests but there are moves to extend this so that all doctors have to prove they are fluent in English.

This follows the death of a 70-year-old who was given a fatal painkiller overdose by a German locum doctor with poor English who was working his first and only shift in the UK in 2008.


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Graphic anti-smoking ad launched

Written By Unknown on Sabtu, 29 Desember 2012 | 21.24

28 December 2012 Last updated at 06:57 ET
New anti-smoking advert

Please turn on JavaScript. Media requires JavaScript to play.

The new Department of Health anti-smoking television advert

A series of hard-hitting government adverts featuring people smoking cigarettes with a tumour growing from the end is being launched in England.

The ads will tell smokers that just 15 cigarettes can cause a mutation that leads to cancerous tumours in what marks a return to shock campaigning.

It is eight years since government's "fatty cigarette" anti-smoking adverts appeared.

This £2.7m ad campaign will appear on TV, online and posters until February.

Smokers will also be told about NHS quit kits that are available free from pharmacies.

More than a third of smokers still believe the health risks from smoking are greatly exaggerated, recent statistics from the Department of Health showed.

'Risk'

Chief medical officer Prof Dame Sally Davies said smokers were still underestimating the serious health risks from smoking.

"We want smokers to understand that each packet of cigarettes increases their risk of cancer."

"People will see a man smoking and then a cancer growing out of the cigarette. That is what happens in people's bodies.

"We really want to catch all smokers but particularly the young who won't have seen hard hitting campaigns before. They don't understand what damage is happening in their bodies, what their risks are," she added.

The adverts follow the Stoptober campaign, which saw more than 270,000 sign up in a mass attempt to quit two months ago.

The ad campaign has received the backing of Cancer Research UK.

Its chief executive Dr Harpal Kumar said: "Hard-hitting campaigns such as this illustrate the damage caused by smoking and this can encourage people to quit or may even stop them from starting in the first place."

"Giving up smoking can be extremely difficult, so providing extra motivation and reminding people of just how harmful the habit is can help smokers to take that first step in quitting for good."

The charity said smoking is the single biggest preventable cause of cancer and causes about a quarter of all cancer deaths.


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Winter vomiting cases pass a million

28 December 2012 Last updated at 07:26 ET

Cases of the winter vomiting bug norovirus in England and Wales have topped a million, latest figures from the Health Protection Agency suggest.

It said there were 3,538 lab-confirmed cases up to 16 December - but that for each another 288 go unreported.

The figure is 83% higher than at this stage last year - but has not increased greatly since last week.

Norovirus is a highly contagious short-term illness and causes severe vomiting and diarrhoea.

It can be spread through contact with contaminated surfaces or objects, by contact with an infected person, or by the consumption of contaminated food or water.

The HPA's figures show that - so far this year - there are 83% more cases than there were at the same point in 2011 when there had been 1,934 norovirus cases reported.

In addition, there were 70 hospital outbreaks in the two weeks up to December 23rd, compared with 61 in the previous fortnight.

'Unpredictable'

There has been an earlier start than usual to the outbreak this year - a pattern that has been seen across Europe.

Continue reading the main story

Norovirus is very contagious, and very unpleasant"

End Quote John Harris, Health Protection Agency

Health Protection Scotland has also reported a rise in cases.

It could be there is simply an earlier peak in cases - or that figures will be higher overall this year.

The HPA stresses norovirus is unpredictable, and no two years are the same.

The norovirus "year" - the date from which experts start to count cases - begins in July and runs to the following June.

Laboratory confirmed reports represent a small proportion of the actual number of cases because most people do not see a doctor - and therefore their case is not recorded.

John Harris, an expert in norovirus from the HPA said: "The number of laboratory confirmed cases has risen once again as it appears that we have seen the rise in cases that usually begins in January start a little earlier than we normally expect.

"Norovirus is very contagious, and very unpleasant."

He said the best way to prevent the spread of the disease was to wash hands and stay away from hospitals, schools and care homes if unwell because closed environments were particularly prone to outbreaks "which can cause severe disruption".

A Department of Health spokeswoman said: "The NHS is well prepared for the winter. No A&Es have had to close so far this winter and we are providing additional funding to the NHS to help it cope with the added pressure that the winter brings.

"Our weekly published figures show the number of beds closed across the NHS due to norovirus symptoms is around 2.4%. This compares to 2.9% of beds that were closed during the peak of norovirus cases last winter."


21.24 | 0 komentar | Read More

Military health expert knighted

28 December 2012 Last updated at 19:05 ET

A leading researcher into the mental health of military personnel has been knighted in the New Year's Honours.

Prof Simon Wessely, said he was "genuinely surprised and incredibly honoured" by the award.

He now heads the department of psychological medicine at the Institute of Psychiatry, King's College, London.

He became interested in "medically unexplained symptoms and syndromes" early in his career, and studied chronic fatigue syndrome (CFS) - or ME.

In 1991 he was involved in setting up one of the first NHS clinics for people with CFS symptoms and in the mid 1990s, he started to investigate Gulf War Syndrome.

This disputed condition had been linked to personnel who served in the first Gulf conflict in 1990-91.

Reported symptoms ranged from chronic fatigue, headaches and sleep disturbances to joint pains, irritable bowel, stomach and respiratory disorders and psychological problems.

Prof Wessely has said there may not be a distinct illness.

He said: "Gulf War Syndrome is a misnomer," he said. "Rather it's an illness or health effect.

"We established something happened, but we found no specific cause.

"The fascinating thing is that it didn't happen again in Iraq, and the reason for that remains enigmatic."

Prof Wessely continues to study the long-term effects on those now serving in Iraq and Afghanistan.

But he said that there had been improvements in the mental health care for armed forces personnel and those close to them.

"There is now improved psychological support, particularly for reservists and families."

'Huge honour'

He was among a large number of researchers, charity workers and NHS staff to receive honours.

Other health experts recognised included Stephen O'Brien, Chair of Barts and The London NHS Trust, who also receives a knighthood.

Respiratory health expert Prof John Britton and Caroline Shaw, chief executive of Manchester's specialist cancer hospital, The Christie are among those made CBEs.

One of those is Caroline Shaw, who is appointed a CBE for her work running The Christie cancer hospital in Manchester.

A former midwife, Ms Shaw was one of the youngest female NHS chief executives when she took over at the Christie in 2005.

She said: "I am incredibly proud... It is such a huge honour to be recognised in this way for my work in an industry I believe in and care passionately about."


21.24 | 0 komentar | Read More

Minister wants magazine diets axed

Written By Unknown on Jumat, 28 Desember 2012 | 21.24

27 December 2012 Last updated at 04:30 ET
Jo Swinson MP

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Jo Swinson MP: "We need a more positive body image message"

A government minister has written to magazine editors asking them not to promote post-Christmas "miracle" diets because they pose a "health risk".

Equalities minister Jo Swinson wrote an open letter asking magazines to "shed the fad diets and fitness myths" in their January editions.

She suggested they "celebrate the beauty of diversity in body shape, skin colour, size and age" instead.

Ms Swinson is one of the co-founders of the Campaign for Body Confidence.

The letter was sent to magazines aimed at women and men, as well as health, celebrity and gossip publications.

'Negative consequences'

Ms Swinson wrote: "I am sure that you want to promote a healthy lifestyle for your readers but at this time of year in particular far too much of magazine coverage tends to focus on irresponsible, short-term solutions and encourages readers to jump on fad diet bandwagons.

"As editors you owe more to your readers than the reckless promotion of unhealthy solutions to losing weight.

"If your aim is to give practical, sensible advice about losing weight - and not how to drop a stone in five days - you should encourage reasonable expectations, instead of dangerous ones, along with exercise and healthy eating."

She later told the BBC she was opposed to "any diet that is encouraging you to lose weight at a miracle speed, which is an unhealthy speed, or cutting out food groups, or skipping meals.

"Any of these kind of fad diets actually can have negative health consequences, and most diets don't even work anyway."

Trusted advice

Jane Johnson, former editor of Closer and The Sun's Fabulous magazine, told the BBC that magazines do care about their readers and are very careful about the advice they give.

"Most magazines now are very much about holistic wellbeing.

"I don't think many magazines nowadays do the whole miracle fad diet thing. It's seen as very irresponsible and they want to make sure their readers stay with them, trust them and are loyal to them.

"Readers do go to them for advice, rather than the government," Ms Johnson said.

Biscuit ban

Rick Miller, a clinical dietician and spokesperson for the British Dietetic Association, said fad diets could cause major issues.

"A lot of them promote cutting out whole food groups but the problem is that you end up with massive nutritional imbalances.

"If people are losing weight rapidly the consequences are that they rebound - and that's just a waste of time."

Instead, he said those who want to lose weight should set realistic targets and write down everything they eat and drink.

"Don't have a biscuit with every cup of tea and don't have that extra portion you would normally have.

"Small changes are best."

Ms Swinson did concede that magazine editors would have decided their January content some time ago, making any late change to their content difficult, but added: "I hope that the editors will recognise that this is something their readers really do worry about.

"It's something which affects people of all ages and in particular, many parents are worried about the message that this sends to their children."


21.24 | 0 komentar | Read More

Graphic anti-smoking ad launched

28 December 2012 Last updated at 06:57 ET
New anti-smoking advert

Please turn on JavaScript. Media requires JavaScript to play.

The new Department of Health anti-smoking television advert

A series of hard-hitting government adverts featuring people smoking cigarettes with a tumour growing from the end is being launched in England.

The ads will tell smokers that just 15 cigarettes can cause a mutation that leads to cancerous tumours in what marks a return to shock campaigning.

It is eight years since government's "fatty cigarette" anti-smoking adverts appeared.

This £2.7m ad campaign will appear on TV, online and posters until February.

Smokers will also be told about NHS quit kits that are available free from pharmacies.

More than a third of smokers still believe the health risks from smoking are greatly exaggerated, recent statistics from the Department of Health showed.

'Risk'

Chief medical officer Prof Dame Sally Davies said smokers were still underestimating the serious health risks from smoking.

"We want smokers to understand that each packet of cigarettes increases their risk of cancer."

"People will see a man smoking and then a cancer growing out of the cigarette. That is what happens in people's bodies.

"We really want to catch all smokers but particularly the young who won't have seen hard hitting campaigns before. They don't understand what damage is happening in their bodies, what their risks are," she added.

The adverts follow the Stoptober campaign, which saw more than 270,000 sign up in a mass attempt to quit two months ago.

The ad campaign has received the backing of Cancer Research UK.

Its chief executive Dr Harpal Kumar said: "Hard-hitting campaigns such as this illustrate the damage caused by smoking and this can encourage people to quit or may even stop them from starting in the first place."

"Giving up smoking can be extremely difficult, so providing extra motivation and reminding people of just how harmful the habit is can help smokers to take that first step in quitting for good."

The charity said smoking is the single biggest preventable cause of cancer and causes about a quarter of all cancer deaths.


21.24 | 0 komentar | Read More

Winter vomiting cases pass a million

28 December 2012 Last updated at 07:26 ET

Cases of the winter vomiting bug norovirus in England and Wales have topped a million, latest figures from the Health Protection Agency suggest.

It said there were 3,538 lab-confirmed cases up to 16 December - but that for each another 288 go unreported.

The figure is 83% higher than at this stage last year - but have not increased greatly since last week.

Norovirus is a highly contagious short-term illness and causes severe vomiting and diarrhoea.

It can be spread through contact with contaminated surfaces or objects, by contact with an infected person, or by the consumption of contaminated food or water.

The HPA's figures show that - so far this year - there are 83% more cases than there were at the same point in 2011 when there had been 1,934 norovirus cases reported.

In addition, there were 70 hospital outbreaks in the two weeks up to December 23rd, compared with 61 in the previous fortnight.

'Unpredictable'

There has been an earlier start than usual to the outbreak this year - a pattern that has been seen across Europe.

Continue reading the main story

Norovirus is very contagious, and very unpleasant"

End Quote John Harris, Health Protection Agency

Health Protection Scotland has also reported a rise in cases.

It could be there is simply an earlier peak in cases - or that figures will be higher overall this year.

The HPA stresses norovirus is unpredictable, and no two years are the same.

The norovirus "year" - the date from which experts start to count cases - begins in July and runs to the following June.

Laboratory confirmed reports represent a small proportion of the actual number of cases because most people do not see a doctor - and therefore their case is not recorded.

John Harris, an expert in norovirus from the HPA said: "The number of laboratory confirmed cases has risen once again as it appears that we have seen the rise in cases that usually begins in January start a little earlier than we normally expect.

"Norovirus is very contagious, and very unpleasant."

He said the best way to prevent the spread of the disease was to wash hands and stay away from hospitals, schools and care homes if unwell because closed environments were particularly prone to outbreaks "which can cause severe disruption".

A Department of Health spokeswoman said: "The NHS is well prepared for the winter. No A&Es have had to close so far this winter and we are providing additional funding to the NHS to help it cope with the added pressure that the winter brings.

"Our weekly published figures show the number of beds closed across the NHS due to norovirus symptoms is around 2.4%. This compares to 2.9% of beds that were closed during the peak of norovirus cases last winter."


21.24 | 0 komentar | Read More

Brain scan can sort dementia by type

Written By Unknown on Kamis, 27 Desember 2012 | 21.24

26 December 2012 Last updated at 20:45 ET

Scientists say they have found a way to distinguish between different types of dementia without the need for invasive tests, like a lumbar puncture.

US experts could accurately identify Alzheimer's disease and another type of dementia from structural brain patterns on medical scans, Neurology reports.

Currently, doctors can struggle to diagnose dementia, meaning the most appropriate treatment may be delayed.

More invasive tests can help, but are unpleasant for the patient.

Continue reading the main story

"Start Quote

This could be used as a screening method and any borderline cases could follow up with the lumbar puncture or PET scan"

End Quote Lead researcher Dr Corey McMillan
Distinguishing features

Despite being two distinct diseases, Alzheimer's and frontotemporal dementia, share similar clinical features and symptoms and can be hard to tell apart without medical tests.

Both cause the person to be confused and forgetful and can affect their personality, emotions and behaviour.

Alzheimer's tends to attack the cerebral cortex - the layer of grey matter covering the brain - where as frontotemporal dementia, as the name suggests, tends to affect the temporal and frontal lobes of the brain, which can show up on brain scans, but these are not always diagnostic.

A lumbar puncture - a needle in the spine - may also be used to check protein levels in the brain, which tend to be higher in Alzheimer's than with frontotemporal dementia.

A team at the University of Pennsylvania set out to see if they could ultimately dispense of the lumbar puncture test altogether and instead predict brain protein levels using MRI brain scans alone.

They recruited 185 patients who had already been diagnosed with either Alzheimer's disease or frontotemporal dementia and had undergone a lumbar puncture test and MRI scanning.

Continue reading the main story

Dementia

  • There are many causes of dementia, with Alzheimer's the most common
  • More than half a million people in the UK have Alzheimer's disease
  • Frontotemporal dementia tends to affects people who are younger - under 65 - and can affect a personality and behaviour
  • Other types of dementia include vascular dementia and dementia with Lewy bodies

The researchers scrutinised the brain scans to see if they could find any patterns that tallied with the protein level results from the lumbar puncture tests.

They found the density of gray matter on the MRI scans correlated with the protein results.

The MRI prediction method was 75% accurate at identifying the correct diagnosis.

Although this figure is some way off an ideal 100%, it could still be a useful screening tool, say the researchers.

Lead researcher Dr Corey McMillan said: "This could be used as a screening method and any borderline cases could follow up with the lumbar puncture or PET scan."

Dr Simon Ridley, Head of Research at Alzheimer's Research UK, said: "This small study suggests a potential new method for researchers to distinguish between two different types of dementia, and a next step will be to investigate its accuracy in much larger studies involving people without dementia.

"While this method is not currently intended for use in the doctor's surgery, it may prove to be a useful tool for scientists developing new treatments. The ability to accurately detect a disease is vital for recruiting the right people to clinical trials and for measuring how well a drug may be working.

"Ultimately, different causes of dementia will need different treatment approaches, so the ability to accurately distinguish these diseases from one another will be crucial."

The only drug currently licensed in England and Wales for treating frontotemporal dementia is rivastigmine.

There are four licensed treatments for Alzheimer's - donepezil, galantamine, rivastigmine and memantine.


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Minister wants magazine diets axed

27 December 2012 Last updated at 04:30 ET
Jo Swinson MP

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Jo Swinson MP: "We need a more positive body image message"

A government minister has written to magazine editors asking them not to promote post-Christmas "miracle" diets because they pose a "health risk".

Equalities minister Jo Swinson wrote an open letter asking magazines to "shed the fad diets and fitness myths" in their January editions.

She suggested they "celebrate the beauty of diversity in body shape, skin colour, size and age" instead.

Ms Swinson is one of the co-founders of the Campaign for Body Confidence.

The letter was sent to magazines aimed at women and men, as well as health, celebrity and gossip publications.

'Negative consequences'

Ms Swinson wrote: "I am sure that you want to promote a healthy lifestyle for your readers but at this time of year in particular far too much of magazine coverage tends to focus on irresponsible, short-term solutions and encourages readers to jump on fad diet bandwagons.

"As editors you owe more to your readers than the reckless promotion of unhealthy solutions to losing weight.

"If your aim is to give practical, sensible advice about losing weight - and not how to drop a stone in five days - you should encourage reasonable expectations, instead of dangerous ones, along with exercise and healthy eating."

She later told the BBC she was opposed to "any diet that is encouraging you to lose weight at a miracle speed, which is an unhealthy speed, or cutting out food groups, or skipping meals.

"Any of these kind of fad diets actually can have negative health consequences, and most diets don't even work anyway."

Trusted advice

Jane Johnson, former editor of Closer and The Sun's Fabulous magazine, told the BBC that magazines do care about their readers and are very careful about the advice they give.

"Most magazines now are very much about holistic wellbeing.

"I don't think many magazines nowadays do the whole miracle fad diet thing. It's seen as very irresponsible and they want to make sure their readers stay with them, trust them and are loyal to them.

"Readers do go to them for advice, rather than the government," Ms Johnson said.

Biscuit ban

Rick Miller, a clinical dietician and spokesperson for the British Dietetic Association, said fad diets could cause major issues.

"A lot of them promote cutting out whole food groups but the problem is that you end up with massive nutritional imbalances.

"If people are losing weight rapidly the consequences are that they rebound - and that's just a waste of time."

Instead, he said those who want to lose weight should set realistic targets and write down everything they eat and drink.

"Don't have a biscuit with every cup of tea and don't have that extra portion you would normally have.

"Small changes are best."

Ms Swinson did concede that magazine editors would have decided their January content some time ago, making any late change to their content difficult, but added: "I hope that the editors will recognise that this is something their readers really do worry about.

"It's something which affects people of all ages and in particular, many parents are worried about the message that this sends to their children."


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Hospital plan to spot abuse victims

27 December 2012 Last updated at 08:40 ET

An online system to identify children who may be in danger of abuse or neglect is being developed for use in hospitals across England.

The £9m Child Protection Information System will alert doctors and nurses in accident and emergency departments if children are known to be at risk or had urgent treatment at other hospitals.

It will be rolled out from 2015.

Ministers say abuse will be identified earlier. Labour criticised the delay in replacing a database shelved in 2010.

The government has said tragedies that followed missed warnings, such as the cases of Peter Connelly or Victoria Climbie, might be avoided if a common database was shared.

Under the new system, children arriving at a hospital accident and emergency or urgent care centre will be checked on the NHS computer system.

Lisa Harker from NSPCC

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Lisa Harker from the NSPCC: "It is people who keep children safe from abuse and neglect, not systems and databases"

That will clarify whether the youngster is on the register for children considered to be at risk, or in council care.

The system is also intended to make it easier for doctors and nurses to see if patients had other emergency admissions elsewhere in the country.

Ministers say by giving professionals the wider picture, abuse can be identified earlier.

Health minister Dan Poulter said the scheme should give professionals "the best tools for the job".

"Up until now, it has been hard for frontline healthcare professionals to know if a child is already listed as being at risk or if children have been repeatedly seen in different emergency departments or urgent care centres with suspicious injuries or complaints, which may indicate abuse," he said.

"Providing instant access to that information means vulnerable and abused children will be identified much more quickly - which will save lives."

Dr Simon Eccles, a consultant in emergency medicine at Homerton Hospital in London who helped set up the scheme, said innocent parents or carers would not come under suspicion.

He told BBC Radio 4's Today Programme: "It's quite straightforward I hope, most of the time, to ascertain whether this is just a child who is beautifully looked after but tends to play rough, or this is a child who is not ever being watched when they play and tend to hurt themselves."

Dr Eccles said that if a member of the clinical team - a nurse, doctor or paediatrician - made a judgement call and believes a child could be at risk, they could each escalate it "up the ladder", which could ultimately result in a visit to the home.

Continue reading the main story

Angela Harrison Social affairs correspondent, BBC News


At least one child dies in England every week from abuse or neglect. Most are babies and young children who often cannot speak out about what is going on - so adults who come into contact with them often offer them their only chance of escape.

Teachers, doctors, nurses and police officers have a window on the lives of abused children and often raise the alarm, leading to thousands of children being taken out of danger every year.

But the deaths of Victoria Climbie and Peter Connelly exposed weaknesses in the child protection system. Both had been taken to hospital with injuries and were seen by social workers, the police and others, but both were left to suffer at the hands of their abusers.

The death of Peter Connelly has led to a dramatic increase in children being taken in to care in England. The hope is that this new online system might lead to more being taken out of danger.

"This database is not trying to solve the entire problem but simply adding another layer of information that previously was hard to get," he added.

Labour claims the coalition undermined child protection when in 2010 it scrapped a much larger child database, introduced by the previous government.

Some charities have also raised concerns.

They say simply sharing information alone will not be enough without better training for medical professionals to spot abuse.

A national flagging system was a key recommendation of the Laming report which came out in 2003, which followed Victoria Climbie's death in 2000.

It was being introduced as part of the Integrated Children's System - a national computer system that flagged up children thought to be at risk from abuse.

But the system was scrapped in 2009 following claims, after the Peter Connelly case, that the system in its early form was too cumbersome and bureaucratic.

Eight-year-old Victoria died from abuse and neglect in 2000 while living with her aunt, Marie-Therese Kouao, and her boyfriend, Carl Manning.

The child was seen by dozens of social workers, nurses, doctors and police officers before she died but all failed to spot and stop the abuse as she was tortured to death.

'Take responsibility'

Peter Connelly, known as Baby P or Baby Peter, died in August 2007 at home in Haringey, north London, after months of abuse which left him with more than 50 injuries.

Details of his case revealed incompetence by social workers, doctors, lawyers and police.

The mother of the 17-month-old boy, her boyfriend and a lodger were later jailed for causing or allowing Peter's death.

Lisa Harker, from the NSPCC, said the charity welcomed the latest plans as a "helpful step", but it was "only part of the solution".

Speaking on BBC Breakfast News, she said it was "people rather than processes" that would make a difference.

She called for better training for doctors and nurses, so that they felt confident to take action if they had suspicions that a child was being abused or neglected, rather than thinking it was enough to "raise the alarm".

"Time and again when we have seen children killed as a result of abuse or neglect, we have seen that professionals have seen it as their responsibility to alert someone else to the problem rather than taking action themselves," she said.


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Doctors save man by using alcohol

Written By Unknown on Rabu, 26 Desember 2012 | 21.24

24 December 2012 Last updated at 05:10 ET

UK doctors have saved a man's life using an unconventional treatment - a shot of neat alcohol into the arteries supplying his heart.

Ronald Aldom, 77, from Portishead near Bristol, had an unusual heart rhythm called ventricular tachychardia that can be fatal if left unchecked.

Medics had tried to treat it using standard methods but with no success.

They resorted to using pure ethanol to trigger a controlled heart attack and kill off some of his heart muscle.

Ethanol ablation

The procedure involved passing a catheter into a blood vessel in the groin and guiding it up towards the heart.

Once the catheter identifies which part of the heart the dangerous rhythms are coming from, the ethanol dose can be delivered.

This kills the area of the heart muscle causing the problem allowing the heart's rhythm to return to normal.

This rare treatment has only been conducted a handful of times in the UK.

Cardiologist Dr Tom Johnson, who carried out the procedure at the Bristol Heart Institute, said Mr Aldom was now "much better".

"He wasn't going to leave hospital unless something was done. There was no other option."

Mr Aldom, who is now out of hospital, said: "I think it's wonderful that the doctors tried everything to help me.

"If they hadn't have done this I wouldn't be here now."


21.24 | 0 komentar | Read More

Simple eye scan can reveal MS damage

24 December 2012 Last updated at 19:27 ET

A simple eye test may offer a fast and easy way to monitor patients with multiple sclerosis (MS), medical experts say in the journal Neurology.

Optical Coherence Tomography (OCT) is a scan that measures the thickness of the lining at the back of the eye - the retina.

It takes a few minutes per eye and can be performed in a doctor's surgery.

In a trial involving 164 people with MS, those with thinning of their retina had earlier and more active MS.

The team of researchers from the Johns Hopkins University School of Medicine say larger trials with a long follow up are needed to judge how useful the test might be in everyday practice.

The latest study tracked the patients' disease progression over a two-year period.

Unpredictable disease

Multiple sclerosis is an illness that affects the nerves in the brain and spinal cord causing problems with muscle movement, balance and vision. In MS, the protective sheath or layer around nerves, called myelin, comes under attack which, in turn, leaves the nerves open to damage.

There are different types of MS - most people with the condition have the relapsing remitting type where the symptoms come and go over days, weeks or months.

Usually after a decade or so, half of patients with this type of MS will develop secondary progressive disease where the symptoms get gradually worse and there are no or very few periods of remission.

Another type of MS is primary progressive disease where symptoms get worse from the outset.

There is no cure but treatments can help slow disease progression.

It can be difficult for doctors to monitor MS because it has a varied course and can be unpredictable.

Brain scans can reveal inflammation and scarring, but it is not clear how early these changes might occur in the disease and whether they accurately reflect ongoing damage.

Scientists have been looking for additional ways to track MS, and believe OCT may be a contender.

OCT measures the thickness of nerve fibres housed in the retina at the back of the eye.

Unlike nerve cells in the rest of the brain which are covered with protective myelin, the nerve cells in the retina are bare with no myelin coat.

Experts suspect that this means the nerves here will show the earliest signs of MS damage.

The study at Johns Hopkins found that people with MS relapses had much faster thinning of their retina than people with MS who had no relapses. So too did those whose level of disability worsened.

Similarly, people with MS who had inflammatory lesions that were visible on brain scans also had faster retinal thinning than those without visible brain lesions.

Study author Dr Peter Calabresi said OCT may show how fast MS is progressing.

"As more therapies are developed to slow the progression of MS, testing retinal thinning in the eyes may be helpful in evaluating how effective those therapies are," he added.

In an accompanying editorial in the same medical journal that the research is published in, MS experts Drs Robert Bermel and Matilde Inglese say OCT "holds promise" as an MS test.


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UK medics 'to help in disasters'

26 December 2012 Last updated at 03:09 ET

UK doctors, nurses and surgeons will be able to register ways they might help in the event of an overseas disaster, the government has announced.

Medical professionals who want to deploy to emergencies will now be able to put their names on the International Emergency Trauma Register (UKIETR).

It is hoped up to 400 personnel will be registered and trained by 2014.

The announcement comes on the anniversary of the Indian Ocean tsunami on Boxing Day 2004.

More than 230,000 people were killed when an earthquake caused a massive tidal wave to hit the shores of 14 countries.

Outlining the UK government's plan, International Development Secretary Justine Greening said: "This is one way the UK can help to stop problems spiralling out of control and also helps us to develop our own disaster resilience."

The UKIETR was set up by the medical charity UK-Med in 2011 and has already deployed surgical team members in Haiti, Libya and Tunisia.

Ms Greening's Department for International Development and the Department of Health have now incorporated the register into the UK's official overseas disaster response.

Continue reading the main story

We're looking for healthcare professionals, particularly doctors and nurses, surgeons and anaesthetists, and particularly any theatre nurses"

End Quote Professor Tony Redmond UK-Med

The register co-ordinates the use of volunteers, ensuring there is the right mix of skills, training and experience for the specific situation being faced.

Professor Tony Redmond of UK-Med said: "The register is a major step forwards in harnessing the skills and goodwill of UK healthcare workers and bringing them to the immediate benefit of those most in need.

"Although not its primary purpose, the experience gained in both training and deployment overseas can only reinforce our response to disasters here at home."

He also told BBC that the charity wanted people with existing medical skills to volunteer now, ahead of any ongoing disaster.

"We will make sure you get properly trained, you have the appropriate skills, and that you can link in to all the other services that are being provided internationally at the scene of a big disaster."

Prof Redmond gave an example of treatment being administered in Haiti following an earthquake there in 2010.

"The amputation rate between foreign medical teams varied between 2-5% for the experienced teams and over 45% for the non-experienced teams. It gets as practical as that."

He said the register being set up was "working towards the concept of a national team, this is the UK's international trauma response.

"We're looking for healthcare professionals, particularly doctors and nurses, surgeons and anaesthetists, and particularly any theatre nurses."


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Two bowel cancer genes discovered

Written By Unknown on Selasa, 25 Desember 2012 | 21.24

23 December 2012 Last updated at 23:38 ET

UK researchers believe they have explained why some families are incredibly vulnerable to bowel cancer.

They have found two genes, which are passed from parent to child, that greatly increase the risk of a tumour forming.

The study, published in Nature Genetics, analysed DNA from 20 people with a strong family history.

The findings could be used to develop a test to judge someone's risk of the disease.

One of the people who took part in the study, Joe Wiegand from Hampshire, was diagnosed with bowel cancer when he was 28. Most of his colon had to be removed.

"There's a very strong history of bowel cancer in my family - my dad's mother and sister both had it, my dad was diagnosed with it at 43 and a few cousins have had bowel cancers and brain tumours.

"It's clear that something's going on in our family."

Continue reading the main story

These two faults are rare, but if you inherit them your chance of bowel cancer is high"

End Quote Prof Ian Tomlinson University of Oxford

The researchers looked at the genetic code of 20 people and found faults in two genes could increase the chance of developing the cancer.

Prevention

Lead researcher, Prof Ian Tomlinson from the University of Oxford, said: "There are some families where large numbers of relatives develop bowel cancer, but who don't have any of the known gene faults that raise the risk of developing the disease.

"These two faults are rare, but if you inherit them your chance of bowel cancer is high."

He said that, in the short-term, the findings could be used to work out which people had a high risk of developing bowel cancer and, in families with a high incidence of the cancer, to work out which people were at risk and needed more regular screening.

He said it was "conceivable" that specific therapies could be designed to overcome these mutations in the future.

Prof Richard Houlston, from the Institute of Cancer Research, said the finding was "one of the most important discoveries in bowel cancer genetics in years".

Dr Julie Sharp, from Cancer Research UK, said the research was "another piece of the puzzle" for at-risk families.

She said the findings mean, "doctors can help families with a strong family history by preventing cancer from developing or diagnosing it earlier to help more people survive".


21.24 | 0 komentar | Read More

Doctors save man by using alcohol

24 December 2012 Last updated at 05:10 ET

UK doctors have saved a man's life using an unconventional treatment - a shot of neat alcohol into the arteries supplying his heart.

Ronald Aldom, 77, from Portishead near Bristol, had an unusual heart rhythm called ventricular tachychardia that can be fatal if left unchecked.

Medics had tried to treat it using standard methods but with no success.

They resorted to using pure ethanol to trigger a controlled heart attack and kill off some of his heart muscle.

Ethanol ablation

The procedure involved passing a catheter into a blood vessel in the groin and guiding it up towards the heart.

Once the catheter identifies which part of the heart the dangerous rhythms are coming from, the ethanol dose can be delivered.

This kills the area of the heart muscle causing the problem allowing the heart's rhythm to return to normal.

This rare treatment has only been conducted a handful of times in the UK.

Cardiologist Dr Tom Johnson, who carried out the procedure at the Bristol Heart Institute, said Mr Aldom was now "much better".

"He wasn't going to leave hospital unless something was done. There was no other option."

Mr Aldom, who is now out of hospital, said: "I think it's wonderful that the doctors tried everything to help me.

"If they hadn't have done this I wouldn't be here now."


21.24 | 0 komentar | Read More

Simple eye scan can reveal MS damage

24 December 2012 Last updated at 19:27 ET

A simple eye test may offer a fast and easy way to monitor patients with multiple sclerosis (MS), medical experts say in the journal Neurology.

Optical Coherence Tomography (OCT) is a scan that measures the thickness of the lining at the back of the eye - the retina.

It takes a few minutes per eye and can be performed in a doctor's surgery.

In a trial involving 164 people with MS, those with thinning of their retina had earlier and more active MS.

The team of researchers from the Johns Hopkins University School of Medicine say larger trials with a long follow up are needed to judge how useful the test might be in everyday practice.

The latest study tracked the patients' disease progression over a two-year period.

Unpredictable disease

Multiple sclerosis is an illness that affects the nerves in the brain and spinal cord causing problems with muscle movement, balance and vision. In MS, the protective sheath or layer around nerves, called myelin, comes under attack which, in turn, leaves the nerves open to damaged.

There are different types of MS - most people with the condition have the relapsing remitting type where the symptoms come and go over days, weeks or months.

Usually after a decade or so, half of patients with this type of MS will develop secondary progressive disease where the symptoms get gradually worse and there are no or very few periods of remission.

Another type of MS is primary progressive disease where symptoms get worse from the outset.

There is no cure but treatments can help slow disease progression.

It can be difficult for doctors to monitor MS because it has a varied course and can be unpredictable.

Brain scans can reveal inflammation and scarring, but it is not clear how early these changes might occur in the disease and whether they accurately reflect ongoing damage.

Scientists have been looking for additional ways to track MS, and believe OCT may be a contender.

OCT measures the thickness of nerve fibres housed in the retina at the back of the eye.

Unlike nerve cells in the rest of the brain which are covered with protective myelin, the nerve cells in the retina are bare with no myelin coat.

Experts suspect that this means the nerves here will show the earliest signs of MS damage.

The study at Johns Hopkins found that people with MS relapses had much faster thinning of their retina than people with MS who had no relapses. So too did those whose level of disability worsened.

Similarly, people with MS who had inflammatory lesions that were visible on brain scans also had faster retinal thinning than those without visible brain lesions.

Study author Dr Peter Calabresi said OCT may show how fast MS is progressing.

"As more therapies are developed to slow the progression of MS, testing retinal thinning in the eyes may be helpful in evaluating how effective those therapies are," he added.

In an accompanying editorial in the same medical journal that the research is published in, MS experts Drs Robert Bermel and Matilde Inglese say OCT "holds promise" as an MS test.


21.24 | 0 komentar | Read More

Doctors save man by using alcohol

Written By Unknown on Senin, 24 Desember 2012 | 21.24

24 December 2012 Last updated at 05:10 ET

UK doctors have saved a man's life using an unconventional treatment - a shot of neat alcohol into the arteries supplying his heart.

Ronald Aldom, 77, from Portishead near Bristol, had an unusual heart rhythm called ventricular tachychardia that can be fatal if left unchecked.

Medics had tried to treat it using standard methods but with no success.

They resorted to using pure ethanol to trigger a controlled heart attack and kill off some of his heart muscle.

Ethanol ablation

The procedure involved passing a catheter into a blood vessel in the groin and guiding it up towards the heart.

Once the catheter identifies which part of the heart the dangerous rhythms are coming from, the ethanol dose can be delivered.

This kills the area of the heart muscle causing the problem allowing the heart's rhythm to return to normal.

This rare treatment has only been conducted a handful of times in the UK.

Cardiologist Dr Tom Johnson, who carried out the procedure at the Bristol Heart Institute, said Mr Aldom was now "much better".

"He wasn't going to leave hospital unless something was done. There was no other option."

Mr Aldom, who is now out of hospital, said: "I think it's wonderful that the doctors tried everything to help me.

"If they hadn't have done this I wouldn't be here now."


21.24 | 0 komentar | Read More

'Disgust' over hospital's neglect

23 December 2012 Last updated at 11:42 ET

Health Secretary Jeremy Hunt has said he is "disgusted and appalled" at accounts of patient neglect at a hospital in Worcestershire.

It was claimed in one case an 84-year-old man starved to death at Redditch's Alexandra Hospital in 2009.

Worcestershire Acute NHS Hospital Trust will apologise to the families of 38 people and many will receive a payment of, on average, about £10,000.

In a statement, the trust issued an apology over its "shortcomings".

'Appalling failings'

The incidents happened between 2002 and 2011, with 35 cases brought against the Alexandra Hospital and three against the Worcestershire Royal Hospital, Worcester.

Lawyers for the families started a class action against the trust 15 months ago, after failings in basic day-to-day care were highlighted in a report by health watchdog the Care and Quality Commission (CQC).

Inspectors concluded the trust was breaking the law in failing to meet "essential standards".

Health bosses at the trust agreed in November to write to each of the families apologising for lapses in care, but have not admitted legal liability.

The financial payments will total £410,000.

Continue reading the main story

The most shocking thing about these cases is the fact that they went on over so many years"

End Quote Solicitor Emma Jones

Lawyer Emma Jones, who brought the legal action, said the failings uncovered were "appalling".

Some patients treated by the trust were left thirsty with drinks left out of reach, while others were left to sit in their own excrement, she said.

A man was unable to feed himself and nurses would simply take his uneaten food away, according to his daughter.

There were further claims from the families of a man whose ribs were broken while hospital staff tried to lift him and a great-grandmother whose hip fracture went undetected by doctors.

Former nurse Patricia Brindle, 86, was left unwashed for 11 weeks despite her son Peter begging nurses for her to be bathed, he said.

Mrs Brindle, from Redditch, was admitted to the Alexandra Hospital in 2008 after a suspected mild stroke. She was transferred to another hospital but died a few days later.

Mr Hunt said: "I am disgusted and appalled to read these accounts of what patients and their relatives went through.

"These are examples of the sort of 'care' that should simply not happen in the NHS and there is no excuse for them.

"We will be keeping a careful eye on this situation, and will take further action if necessary."

'Significant changes'

Ms Jones said: "The most shocking thing about these cases is the fact that they went on over so many years, despite repeated assurances given from the management of the hospital.

"Families who complained were told that changes would be made so others would not have to endure these kinds of failings but, in fact, the problems were not tackled.

"Although the issues went on for almost a decade, we are pleased that the current management seems to be taking the matter seriously and making changes, and righting wrongs."

In March 2011, CQC inspectors arrived unannounced at the Alexandra Hospital and concluded the trust needed to improve care.

The trust said in a statement: "Whilst the trust has accepted that certain aspects of the care afforded to some patients fell below the standard that they were entitled to expect, all of the cases cited are several years old, in many incidences, more than a decade old.

"A number of very serious allegations made by the families of deceased patients are not borne out by the medical records.

"Nevertheless, the trust accepts that the care afforded to some patients some years ago - between 2002 and 2009 - fell below the requisite standard and has apologised for the shortcomings."

It said that following an inspection by the CQC in early 2011, "significant changes have been made to ensure patient care is excellent".


21.24 | 0 komentar | Read More

Two bowel cancer genes discovered

23 December 2012 Last updated at 23:38 ET

UK researchers believe they have explained why some families are incredibly vulnerable to bowel cancer.

They have found two genes, which are passed from parent to child, that greatly increase the risk of a tumour forming.

The study, published in Nature Genetics, analysed DNA from 20 people with a strong family history.

The findings could be used to develop a test to judge someone's risk of the disease.

One of the people who took part in the study, Joe Wiegand from Hampshire, was diagnosed with bowel cancer when he was 28. Most of his colon had to be removed.

"There's a very strong history of bowel cancer in my family - my dad's mother and sister both had it, my dad was diagnosed with it at 43 and a few cousins have had bowel cancers and brain tumours.

"It's clear that something's going on in our family."

Continue reading the main story

These two faults are rare, but if you inherit them your chance of bowel cancer is high"

End Quote Prof Ian Tomlinson University of Oxford

The researchers looked at the genetic code of 20 people and found faults in two genes could increase the chance of developing the cancer.

Prevention

Lead researcher, Prof Ian Tomlinson from the University of Oxford, said: "There are some families where large numbers of relatives develop bowel cancer, but who don't have any of the known gene faults that raise the risk of developing the disease.

"These two faults are rare, but if you inherit them your chance of bowel cancer is high."

He said that, in the short-term, the findings could be used to work out which people had a high risk of developing bowel cancer and, in families with a high incidence of the cancer, to work out which people were at risk and needed more regular screening.

He said it was "conceivable" that specific therapies could be designed to overcome these mutations in the future.

Prof Richard Houlston, from the Institute of Cancer Research, said the finding was "one of the most important discoveries in bowel cancer genetics in years".

Dr Julie Sharp, from Cancer Research UK, said the research was "another piece of the puzzle" for at-risk families.

She said the findings mean, "doctors can help families with a strong family history by preventing cancer from developing or diagnosing it earlier to help more people survive".


21.24 | 0 komentar | Read More

Mother loses cancer court battle

Written By Unknown on Minggu, 23 Desember 2012 | 21.24

21 December 2012 Last updated at 13:33 ET

A seven-year-old boy can be given radiotherapy treatment against his mother's wishes, a judge has ruled.

Neon Roberts has undergone two operations to remove a cancerous brain tumour and nodule but his mother Sally did not want him to have radiotherapy.

Doctors have told the High Court Neon could die without further treatment, but the survival rate for children with radiotherapy was between 80 and 86%.

Mrs Roberts' legal team has said she plans to appeal against the judgement.

Summing up, Mr Justice Bodey said: "One can't enjoy a quality of life if one isn't alive.

Continue reading the main story

"Start Quote

I am worried that her judgement has gone awry on the question of the seriousness of the threat which Neon faces"

End Quote Mr Justice Bodey

"The mother has been through a terrible time. This sort of thing is every parent's nightmare.

"But I am worried that her judgement has gone awry on the question of the seriousness of the threat which Neon faces.

"The alternative treatments put forward were complementary and alternative medicine. Nothing put forward has undergone rigorous clinical trials.

"I find it difficult to see that doctors would withhold alternative treatment that would improve survival."

'Out of date'

Neon's father Ben Roberts had agreed to the boy having radiotherapy.

Solicitor Gwen Williams

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Gwen Williams, solicitor for Neon's father: ''Neon's health and recovery has always been Mr Robert's priority''

His solicitor Gwen Williams said: "Mr Roberts is relieved that the judge has been able to make a final ruling on Neon's treatment.

"He now hopes that Neon can be allowed to recover from his latest operation and start the radiotherapy and chemotherapy that the doctors have outlined without any further delay."

The hospital and health trust involved in the case cannot be identified for legal reasons.

The Family Division of the High Court had been told by a Dr A: "We have always said there are side effects and I do understand the family's anxiety, but it does not reflect the risk-benefit balance."

Mrs Roberts told the court she believed conventional cancer treatment was "out of date". She said she feared radiotherapy would reduce Neon's IQ, shorten his life, put him at risk of having strokes and make him infertile.

Continue reading the main story

Analysis - radiotherapy

Radiotherapy can cause a number of short-term side effects including hair loss on the area of the head being treated, sickness and tiredness.

Sometimes it can make symptoms worse before they get better because it causes swelling, which increases pressure in the head. This can be treated with steroids.

Some patients go on to develop new symptoms weeks to months after treatment, which include poor appetite, sleepiness, lack of energy and a worsening of old symptoms. This may be due to damage caused to nerve tissue or healthy brain cells, and the symptoms usually disappear over time.

A minority of patients develop long-term, enduring side effects, which are caused by more permanent changes in the brain tissue.

These can include problems thinking clearly, poor memory, confusion, and personality changes.

These symptoms are less common than they once were because modern radiotherapy can be delivered very precisely to diseased areas.

They tend to be more common in children, whose nervous systems are still developing.

It is important to stress that for most the benefits of radiotherapy far outweigh the risks.

But the counsel appointed for Neon argued "standard treatment" is the only option that could save his life.

The court heard the survival rate for children having chemotherapy only was about 35% whereas with radiotherapy it was between 80 and 86%.

The court was also told Neon's father needed the security of a residence order to allow the boy to live with his father during the treatment.

Neon had surgery in October after being diagnosed with a medulloblastoma brain tumour, but the judge ruled he should have further surgery after MRI scans showed a tumour nodule where the original operation was performed.

Mrs Roberts asked the court to delay its decision, claiming other "credible" alternative treatment was available.

She asked the court for more time to research any alternatives.

Ian Peddie QC, for Ms Roberts, told the judge : "Her stance merely reflects the love that she has for him.

"The mother, having considered the pros and cons of radiotherapy, does not believe it is in his best interests because of the significant and long-term consequences of this dramatic, powerful brain-altering treatment."

Mr Justice Bodey asked Ms Roberts whether "some sort of tie-up" with the media was influencing her thinking.

She said: "My son is the only important thing to me."

Earlier this month New Zealand-born Mrs Roberts went into hiding with her son.

Mr Justice Bodey said it would be remiss of the court not to prevent that recurring.


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Prince Charles urges 'caring NHS'

22 December 2012 Last updated at 07:46 ET

The Prince of Wales has called for a national health service with more compassion.

Writing in the Journal of the Royal Society of Medicine, Prince Charles called for a service that accounts for "the core human elements of mind, body and spirit" as well as disease.

He urged medical professionals to develop a "healing empathy" to help patients find their own path to health.

The Patients Association said "compassion" was "lacking" in the NHS.

'Holistic approach'

In his article, Prince Charles set out his vision of a health service with a wider perspective - one that acknowledges "physical and social environment, education, agriculture and architecture".

Continue reading the main story

This is an important article and the prince's vision for health is engaging"

End Quote Dr Kamran Abbasi Journal of the Royal Society of Medicine

He said those in the industry must "listen and honour what is being said and not said by patients," adding that symptoms "may often be a metaphor for underlying disease and unhappiness".

A scientific and therapeutic approach that "understands, values and uses patient perspective and belief rather than seeking to exclude them" would allow patients to discover better health.

However, he emphasised he did not wish to confront accepted medical wisdom.

The prince's article - which draws on the work of several of his charities based in the Lancashire town of Burnley - said inequalities in the area had led to a reduction in life expectancy to one of the worst levels in Britain.

He insisted that a focus on improving the built and natural environment - including work on education, business and the arts - would lead to improvements "not only in health, but also in the overall cost-efficiency and effectiveness of local services".

By encouraging clinicians to emphasise "the value of caring, continuing relationships and for society to adopt a more holistic approach to health and disease that maximises the potential of the physical and social environment so that healing and better health can thrive," he wrote.

Speaking to BBC News, Dr Mike Smith, vice chairman of the Patients Association, said he thought the prince was right.

"The chief nursing officer of the Department of Health only recently has set out her six Cs, one of which is compassion care," he said.

"So the pair of them are singing from the same hymn sheet. And that's what we've seen lacking over the last half dozen years, when increasingly the care element of the NHS has been not up to its previous standard."

'Vision for health'

The journal's editor, Dr Kamran Abbasi, welcomed the article, describing Prince Charles as "a prominent and influential voice".

"When he sets out his vision for health, something he clearly thinks deeply about, speaking directly to medical professionals is the best way of allowing a constructive debate to flourish," he said.

"This is an important article and the prince's vision for health is engaging."

A Department of Health spokeswoman agreed that "wider determinants of health - such as housing and environment - are very important to our wellbeing", underlining government plans to start "putting local councils in charge of improving the public's health".

"They will have the power and the budget to tackle the causes of poor health in their areas. This should help to reduce health inequalities and mean that everyone has the same opportunity to lead a healthy life."

She added: "Ensuring that patients get the best possible care is a priority... Nursing leaders recently launched a new drive to ensure values such as compassion and courage are at the heart of the NHS and the public health and care sectors."


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'Disgust' over hospital's neglect

23 December 2012 Last updated at 06:44 ET

Health Secretary Jeremy Hunt has said he is "disgusted and appalled" at accounts of patient neglect at a hospital in Worcestershire.

It was claimed in one case an 84-year-old man starved to death at Redditch's Alexandra Hospital in 2009.

Worcestershire Acute NHS Hospital Trust will apologise to the families of 38 people and many will receive a payment of, on average, about £10,000.

In a statement, the trust issued an apology over its "shortcomings".

'Appalling failings'

The incidents happened between 2002 and 2011, with 35 cases brought against the Alexandra Hospital and three against the Worcestershire Royal Hospital, Worcester.

Lawyers for the families started a class action against the trust 15 months ago, after failings in basic day-to-day care were highlighted in a report by health watchdog the Care and Quality Commission (CQC).

Inspectors concluded the trust was breaking the law in failing to meet "essential standards".

Health bosses at the trust agreed in November to write to each of the families apologising for lapses in care, but have not admitted legal liability.

The financial payments will total £410,000.

Continue reading the main story

The most shocking thing about these cases is the fact that they went on over so many years"

End Quote Solicitor Emma Jones

Lawyer Emma Jones, who brought the legal action, said the failings uncovered were "appalling".

Some patients treated by the trust were left thirsty with drinks left out of reach, while others were left to sit in their own excrement, she said.

An elderly woman went unwashed for 11 weeks and later died. A man was unable to feed himself and nurses would simply take his uneaten food away, according to his daughter.

There were further claims from the families of a man whose ribs were broken while hospital staff tried to lift him and a great-grandmother whose hip fracture went undetected by doctors.

Mr Hunt said: "I am disgusted and appalled to read these accounts of what patients and their relatives went through.

"These are examples of the sort of 'care' that should simply not happen in the NHS and there is no excuse for them.

"We will be keeping a careful eye on this situation, and will take further action if necessary."

'Significant changes'

Ms Jones said: "The most shocking thing about these cases is the fact that they went on over so many years, despite repeated assurances given from the management of the hospital.

"Families who complained were told that changes would be made so others would not have to endure these kinds of failings but, in fact, the problems were not tackled.

"Although the issues went on for almost a decade, we are pleased that the current management seems to be taking the matter seriously and making changes, and righting wrongs."

In March 2011, CQC inspectors arrived unannounced at the Alexandra Hospital and concluded the trust needed to improve care.

The trust said in a statement: "Whilst the trust has accepted that certain aspects of the care afforded to some patients fell below the standard that they were entitled to expect, all of the cases cited are several years old, in many incidences, more than a decade old.

"A number of very serious allegations made by the families of deceased patients are not borne out by the medical records.

"Nevertheless, the trust accepts that the care afforded to some patients some years ago - between 2002 and 2009 - fell below the requisite standard and has apologised for the shortcomings."

It said that following an inspection by the CQC in early 2011, "significant changes have been made to ensure patient care is excellent".


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Mother loses cancer court battle

Written By Unknown on Sabtu, 22 Desember 2012 | 21.24

21 December 2012 Last updated at 13:33 ET

A seven-year-old boy can be given radiotherapy treatment against his mother's wishes, a judge has ruled.

Neon Roberts has undergone two operations to remove a cancerous brain tumour and nodule but his mother Sally did not want him to have radiotherapy.

Doctors have told the High Court Neon could die without further treatment, but the survival rate for children with radiotherapy was between 80 and 86%.

Mrs Roberts' legal team has said she plans to appeal against the judgement.

Summing up, Mr Justice Bodey said: "One can't enjoy a quality of life if one isn't alive.

Continue reading the main story

"Start Quote

I am worried that her judgement has gone awry on the question of the seriousness of the threat which Neon faces"

End Quote Mr Justice Bodey

"The mother has been through a terrible time. This sort of thing is every parent's nightmare.

"But I am worried that her judgement has gone awry on the question of the seriousness of the threat which Neon faces.

"The alternative treatments put forward were complementary and alternative medicine. Nothing put forward has undergone rigorous clinical trials.

"I find it difficult to see that doctors would withhold alternative treatment that would improve survival."

'Out of date'

Neon's father Ben Roberts had agreed to the boy having radiotherapy.

Solicitor Gwen Williams

Please turn on JavaScript. Media requires JavaScript to play.

Gwen Williams, solicitor for Neon's father: ''Neon's health and recovery has always been Mr Robert's priority''

His solicitor Gwen Williams said: "Mr Roberts is relieved that the judge has been able to make a final ruling on Neon's treatment.

"He now hopes that Neon can be allowed to recover from his latest operation and start the radiotherapy and chemotherapy that the doctors have outlined without any further delay."

The hospital and health trust involved in the case cannot be identified for legal reasons.

The Family Division of the High Court had been told by a Dr A: "We have always said there are side effects and I do understand the family's anxiety, but it does not reflect the risk-benefit balance."

Mrs Roberts told the court she believed conventional cancer treatment was "out of date". She said she feared radiotherapy would reduce Neon's IQ, shorten his life, put him at risk of having strokes and make him infertile.

Continue reading the main story

Analysis - radiotherapy

Radiotherapy can cause a number of short-term side effects including hair loss on the area of the head being treated, sickness and tiredness.

Sometimes it can make symptoms worse before they get better because it causes swelling, which increases pressure in the head. This can be treated with steroids.

Some patients go on to develop new symptoms weeks to months after treatment, which include poor appetite, sleepiness, lack of energy and a worsening of old symptoms. This may be due to damage caused to nerve tissue or healthy brain cells, and the symptoms usually disappear over time.

A minority of patients develop long-term, enduring side effects, which are caused by more permanent changes in the brain tissue.

These can include problems thinking clearly, poor memory, confusion, and personality changes.

These symptoms are less common than they once were because modern radiotherapy can be delivered very precisely to diseased areas.

They tend to be more common in children, whose nervous systems are still developing.

It is important to stress that for most the benefits of radiotherapy far outweigh the risks.

But the counsel appointed for Neon argued "standard treatment" is the only option that could save his life.

The court heard the survival rate for children having chemotherapy only was about 35% whereas with radiotherapy it was between 80 and 86%.

The court was also told Neon's father needed the security of a residence order to allow the boy to live with his father during the treatment.

Neon had surgery in October after being diagnosed with a medulloblastoma brain tumour, but the judge ruled he should have further surgery after MRI scans showed a tumour nodule where the original operation was performed.

Mrs Roberts asked the court to delay its decision, claiming other "credible" alternative treatment was available.

She asked the court for more time to research any alternatives.

Ian Peddie QC, for Ms Roberts, told the judge : "Her stance merely reflects the love that she has for him.

"The mother, having considered the pros and cons of radiotherapy, does not believe it is in his best interests because of the significant and long-term consequences of this dramatic, powerful brain-altering treatment."

Mr Justice Bodey asked Ms Roberts whether "some sort of tie-up" with the media was influencing her thinking.

She said: "My son is the only important thing to me."

Earlier this month New Zealand-born Mrs Roberts went into hiding with her son.

Mr Justice Bodey said it would be remiss of the court not to prevent that recurring.


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Cannabis 'makes pain more bearable'

21 December 2012 Last updated at 20:02 ET

Cannabis makes pain more bearable rather than actually reducing it, a study from the University of Oxford suggests.

Using brain imaging, researchers found that the psychoactive ingredient in cannabis reduced activity in a part of the brain linked to emotional aspects of pain.

But the effect on the pain experienced varied greatly, they said.

The researchers' findings are published in the journal Pain.

The Oxford researchers recruited 12 healthy men to take part in their small study.

Participants were given either a 15mg tablet of THC (delta-9-tetrahydrocannabinol) - the ingredient that is responsible for the high - or a placebo.

The volunteers then had a cream rubbed into the skin of one leg to induce pain, which was either a dummy cream or a cream that contained chilli - which caused a burning and painful sensation.

Each participant had four MRI scans which revealed how their brain activity changed when their perception of the pain reduced.

Continue reading the main story

Cannabis appears to mainly affect the emotional reaction to pain in a highly variable way."

End Quote Dr Michael Lee Oxford University

Dr Michael Lee, lead study author from Oxford University's Centre for Functional Magnetic Resonance Imaging of the Brain, said: "We found that with THC, on average people didn't report any change in the burn, but the pain bothered them less."

MRI brain imaging showed reduced activity in key areas of the brain that explained the pain relief which the study participants experienced.

Dr Lee suggested that the findings could help predict who would benefit from taking cannabis for pain relief - because not everyone does.

"We may in future be able to predict who will respond to cannabis, but we would need to do studies in patients with chronic pain over longer time periods."

He added: "Cannabis does not seem to act like a conventional pain medicine. Some people respond really well, others not at all, or even poorly.

"Brain imaging shows little reduction in the brain regions that code for the sensation of pain, which is what we tend to see with drugs like opiates.

"Instead cannabis appears to mainly affect the emotional reaction to pain in a highly variable way."

Mick Serpell, a senior lecturer in pain medicine at Glasgow University, said the study confirmed what was already known.

"It highlights the fact that cannabis may be a means of disengagement for the patient, rather than a pain reliever - but we can see that happen with opioids too."

The study was funded by the UK Medical Research Council and the National Institute for Health Research (NIHR) Oxford Biomedical Research Centre.


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