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Miniature 'human brain' grown in lab

Written By Unknown on Kamis, 29 Agustus 2013 | 21.24

28 August 2013 Last updated at 13:00 ET By James Gallagher Health and science reporter, BBC News

Miniature "human brains" have been grown in a lab in a feat scientists hope will transform the understanding of neurological disorders.

The pea-sized structures reached the same level of development as in a nine-week-old foetus, but are incapable of thought.

The study, published in the journal Nature, has already been used to gain insight into rare diseases.

Neuroscientists have described the findings as astounding and fascinating.

The human brain is one of the most complicated structures in the universe.

Scientists at Institute of Molecular Biotechnology of the Austrian Academy of Sciences have now reproduced some of the earliest stages of the organ's development in the laboratory.

Brain bath

They used either embryonic stem cells or adult skin cells to produce the part of an embryo that develops into the brain and spinal cord - the neuroectoderm.

This was placed in tiny droplets of gel to give a scaffold for the tissue to grow and was placed into a spinning bioreactor, a nutrient bath that supplies nutrients and oxygen.

The cells were able to grow and organise themselves into separate regions of the brain, such as the cerebral cortex, the retina, and, rarely, an early hippocampus, which would be heavily involved in memory in a fully developed adult brain.

The researchers are confident that this closely, but far from perfectly, matches brain development in a foetus until the nine week stage.

The tissues reached their maximum size, about 4mm (0.1in), after two months.

The "mini-brains" have survived for nearly a year, but did not grow any larger. There is no blood supply, just brain tissue, so nutrients and oxygen cannot penetrate into the middle of the brain-like structure.

One of the researchers, Dr Juergen Knoblich, said: "What our organoids are good for is to model development of the brain and to study anything that causes a defect in development.

"Ultimately we would like to move towards more common disorders like schizophrenia or autism. They typically manifest themselves only in adults, but it has been shown that the underlying defects occur during the development of the brain."

The technique could also be used to replace mice and rats in drug research as new treatments could be tested on actual brain tissue.

Continue reading the main story

"Start Quote

I think it's just mindboggling"

End Quote Prof Paul Matthews Imperial College London
'Mindboggling'

Researchers have been able to produce brain cells in the laboratory before, but this is the closest any group has come to building a human brain.

The breakthrough has excited the field.

Prof Paul Matthews, from Imperial College London, told the BBC: "I think it's just mindboggling. The idea that we can take a cell from a skin and turn it into, even though it's only the size of a pea, is starting to look like a brain and starting to show some of the behaviours of a tiny brain, I think is just extraordinary.

"Now it's not thinking, it's not communicating between the areas in the way our brains do, but it gives us a real start and this is going to be the kind of tool that helps us understand many of the major developmental brain disorders."

The team has already used the breakthrough to investigate a disease called microcephaly. People with the disease develop much smaller brains.

By creating a "mini-brain" from skin cells of a patient with this condition, the team were able to study how development changed.

Continue reading the main story

"Start Quote

It's a long way from conscience or awareness or responding to the outside world. There's always the spectre of what the future might hold, but this is primitive territory"

End Quote Dr Zameel Cader John Radcliffe Hospital

They showed that the cells were too keen to become neurons by specialising too early. It meant the cells in the early brain did not bulk up to a high enough number before specialising, which affected the final size of even the pea-sized "mini-brains".

The team in Vienna do not believe there are any ethical issues at this stage, but Dr Knoblich said he did not want to see much larger brains being developed as that would be "undesirable".

Dr Zameel Cader, a consultant neurologist at the John Radcliffe Hospital in Oxford, said he did not see ethical issues arising from the research so far.

He told the BBC: "It's a long way from conscience or awareness or responding to the outside world. There's always the spectre of what the future might hold, but this is primitive territory."

Brain

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The "mini brain" is roughly the size and developmental level of a nine-week foetus

Dr Martin Coath, from the cognition institute at Plymouth University, said: "Any technique that gives us 'something like a brain' that we can modify, work on, and watch as it develops, just has to be exciting.

"If the authors are right - that their 'brain in a bottle' develops in ways that mimic human brain development - then the potential for studying developmental diseases is clear. But the applicability to other types of disease is not so clear - but it has potential.

"Testing drugs is, also, much more problematic. Most drugs that affect the brain act on things like mood, perception, control of your body, pain, and a whole bunch of other things. This brain-like-tissue has no trouble with any of these things yet."


21.24 | 0 komentar | Read More

Protein clue to old-age memory loss

29 August 2013 Last updated at 05:48 ET By James Gallagher Health and science reporter, BBC News

A clue to why memory deteriorates with age has been found by US researchers.

Experiments on mice suggested low levels of a protein in the brain may be responsible for memory loss.

It is hoped the discovery could lead to treatments to reverse forgetfulness, but it is a big leap from the mouse to a human brain.

The study, published in the journal Science Translational Medicine, said age-related memory loss was a separate condition to Alzheimer's disease.

The team at Columbia University Medical Centre started by analysing the brains of eight dead people, aged between 22 and 88, who had donated their organ for medical research.

They found 17 genes whose activity level differed with age. One contained instructions for making a protein called RbAp48, which became less active with time.

Memory boost

Young mice genetically engineered to have low RbAp48 levels performed as poorly as much older mice in memory tests.

Using a virus to boost RbAp48 in older mice appeared to reverse the decline and boosted their memory.

One of the researchers, Prof Eric Kandel, said: "The fact that we were able to reverse age-related memory loss in mice is very encouraging.

"At the very least, it shows that this protein is a major factor, and it speaks to the fact that age-related memory loss is due to a functional change in neurons of some sort. Unlike with Alzheimer's, there is no significant loss of neurons."

It is still not know what impacted adjusting levels of RbAp48 in the far more complex human brain or even it if is possible to manipulate levels safely.

Dr Simon Ridley, from Alzheimer's Research UK, said: "While the findings may seem clear cut from these studies, in reality people reaching older age may well have a combination of changes happening in the brain - both age-related and those involved in the early stages of Alzheimer's.

"Separating early changes in Alzheimer's from age-related memory decline in the clinic still presents a challenge, but understanding more about the mechanisms of each process will drive progress in this area."


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Hospital prosecuted for coma death

29 August 2013 Last updated at 09:49 ET

Mid Staffordshire NHS Trust is to be prosecuted over a patient who died after entering a diabetic coma, the Health and Safety Executive has said.

Gillian Astbury, 66, died at Stafford Hospital in April 2007 when two nurses did not spot she needed insulin.

A Nursing and Midwifery Council panel found Ann King and Jeannette Coulson guilty of misconduct.

Trust chief executive Maggie Oldham apologised for the "appalling care" Mrs Astbury received.

'Downright furious'

Peter Galsworthy from the Health and Safety Executive said the hospital would be prosecuted under the Health and Safety at Work Act.

He said: "The immediate cause of death was the failure to administer insulin to a known, diabetic patient.

Continue reading the main story

How could they miss she needed insulin? It's just basic care"

End Quote Catherine Beeson Gillian Astbury's daughter

"Our case alleges that the trust failed to devise, implement or properly manage structured and effective systems of communication for sharing patient information, including in relation to shift handovers and record-keeping."

The first hearing will be at Stafford Magistrates' Court on 9 October.

Speaking in 2010, Mrs Astbury's friend and full-time carer Ron Street said: "I am downright furious. I could not believe [her diabetes] was missed".

Catherine Beeson, Mrs Astbury's daughter, said: "I was shocked to get that call that evening. I was disbelieving.

"How could they miss she needed insulin? It's just basic care."


21.24 | 0 komentar | Read More

'Spider style' blood vessel building

Written By Unknown on Minggu, 25 Agustus 2013 | 21.24

22 August 2013 Last updated at 20:14 ET By James Gallagher Health and science reporter, BBC News

A way of building body parts similar to the way a spider spins its web has been demonstrated by researchers in the UK.

The team at University College London used a constant stream of cells mixed with a polymer to weave the new tissues.

They think the technique could produce better results than other ways of building body parts for transplant.

The team of researchers tested the technique by constructing blood vessels in mice.

There are many methods being used to grow organs in the laboratory.

Some start with a synthetic scaffold which is then seeded with a patient's own cells and implanted. There are some patients who have had new bladders built in this way.

Another technique has been to take a body part from a dead body, just like an organ transplant, and use a detergent to strip out the native cells leaving a protein scaffold behind. This is then seeded with the target patient's cells. New windpipes have been made through this process.

Spinning

The team at the University College London are using "electrospinning" technology to produce organs. They think it will overcome some of the challenges of seeding a scaffold by building the cells into the transplant in the first place.

It starts with a broth of cells and polymer. A 10,000 volt electric needle is then used to draw out a fibre.

Dr Suwan Jayasinghe told the BBC: "Like a spider weaves its web we are able to draw out this continuous fibre of polymer and cells and weave a web.

"We could make one as thick as a mattress and the cells will be embedded right through it."

The electrospinning technology has been used to create blood vessels by cross-stitching the fibres on to a rotating cylinder which is half submerged in a liquid to nourish the living cells.

The latest studies published in the journal Small showed mouse blood vessels with three distinct layers could be produced.

Dr Jayasinghe said: "At the moment no technology can make an organ, we are coming up with the process to patch up a defective organ not replace an organ."

The idea is that a patch of heart muscle could improve function after a heart attack.

However, it is early days for the field of electrospinning. In comparison, other methods for producing body parts are already being used in patients.

"There have been some successes in the field which is great, but I don't think it is as easy as some people portray and I don't think we'll have it easy either," Dr Jayasinghe said.


21.24 | 0 komentar | Read More

Carers should 'get flexible hours'

24 August 2013 Last updated at 10:56 ET

The UK faces a "lose-lose situation" unless workers who care for elderly parents are offered flexible working hours, the health secretary has said.

Jeremy Hunt said an ageing population and a "dementia time bomb" meant helping carers stay in work was an "economic necessity" for the country.

But he said too few employers currently offer carers flexible work options.

Meanwhile, a report has warned England is facing a shortfall in the number of people able to give vital unpaid care.

Mr Hunt said many workers doubled as carers for people with dementia and, with the number of sufferers expected to rise from about 800,000 now to more than a million by the end of the decade, employers must help carers stay in work.

'Good for business'

"Too many people feel unable to combine caring for a family member with working - this will only get worse as we face the consequences of a dementia time bomb," Mr Hunt said.

"We know that supporting flexible working for parents is good for business and good for the economy - it is time that the same was recognised for carers.

Continue reading the main story

'Can't cope'

Council worker Barbara Chapman, from Saffron Walden in Essex, cares for her elderly father, who has lived with her since he suffered two strokes.

"I have always worked and my current job is 45 miles away from home," she says.

"Why can't the government introduce a salary sacrifice scheme to help provide carers for elderly people?

"I have interrupted sleep, getting up at 05:15 on weekdays so I can get dad washed, dressed and fed.

"My brother covers the lunch hour and I pay for care in the afternoon to ensure he is only left for two to three hours.

"I would like to pay for more care but the £14-an-hour cost is more than I get paid myself.

"I do work flexi-time and from home for a large borough council but I can no longer cope with the commuting or cost and need to find a job nearer home. "

"By encouraging employers to do more we can build a stronger economy in a fairer society.

"Supporting carers is an economic necessity - leaving them to balance work and care creates a lose-lose situation for everyone."

He said the UK could not afford to lose experienced workers who double as carers from the workforce.

The Work and Families Act 2006 gives carers the right to request changes to their working patterns to better manage their caring.

Employers can only reject such requests based on reasons listed in the act, most of which relate to negative effect on the business.

But Mr Hunt said a cultural change was needed among employers, saying carers should get the same flexible working opportunities as parents with young children.

Meanwhile, research by the London School of Economics (LSE) suggested a gap between the number of frail elderly people in need of care and those able to provide it free would begin to become evident in England by 2017.

By 2032, 160,000 elderly people could be left without the support they need, the researchers predicted.

LSE used population projections and survey data to compile the figures.

An estimated 675,000 older people currently rely on unpaid carers - mainly their children - as they fall outside the state support system, which is available to the poorest.

'Stressed staff'
Continue reading the main story

Flexible working options

  • Flexi-time (choosing when to do some or all of your hours)
  • Home working or tele-working (some or all work done away from work)
  • Job sharing
  • Part-time working
  • Term-time working
  • Shift-swapping or self-rostering (Employees agree shifts among themselves)
  • Staggered hours (Employees have various starting and finishing times)
  • Compressed hours (Employees work their total hours over fewer working days)
  • Annualised hours (Working hours are calculated over a whole year and then split into "fixed shifts" and "reserve shifts" which can be agreed on a more flexible basis)

Source: Carers UK

Carers UK chief executive Helena Herklots said the problem could have a profound impact on society.

"In addition to the personal costs to families, the costs will be felt across society and public services - more and more older people admitted to hospitals needing avoidable emergency care, businesses coping with stressed staff trying to care alongside work and the economy suffering as increasing numbers of workers are forced to quit work to care," she said.

Age UK charity director Michelle Mitchell added: "These projections once again underline the huge importance of ending the crisis in social care."

The 2011 census revealed that, at the time of the survey, 5.8m people in England and Wales provided some level of unpaid care for disabled, sick or elderly relatives - and 2.1m of those provided more than 20 hours of care per week.


21.24 | 0 komentar | Read More

NHS pay-offs top £1bn, says Labour

25 August 2013 Last updated at 08:11 ET

Some £1.4bn of the NHS budget has been spent on redundancies since the coalition came to power, Labour says.

Shadow health secretary Andy Burnham said the sum was "waste on a colossal scale at a time when the NHS needs every penny it can get".

Labour's figures are based on the NHS in England's accounts for 2012-13, which were published last week.

Health minister Norman Lamb said the government was slimming down an "over-bloated bureaucracy Labour created".

Shadow health secretary Andy Burnham

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Mr Burnham told BBC Radio 5 live the redundancies, many of them compulsory, stemmed from a restructuring of the NHS "no-one wanted and nobody voted for".

Strategic health authorities and primary care trusts were abolished in April under the terms of the Health and Social Care Act, with GPs given more responsibility for commissioning services.

Mr Burnham said the NHS' accounts showed there had been a total of 32,000 pay-offs since the coalition government was formed in 2010.

The latest figures showed more than 950 health workers received six-figure redundancy packages last year, up from around 620 in 2011-12, he added.

"We've had thousands of six-figure pay-offs for managers at a time when thousands of nurses are getting P45s," he said.

"Now if that doesn't show a government with its priorities wrong, then I don't know what does," said Mr Burnham.

'One-off cost'

The shadow health secretary accepted that while there was a case for reducing the number of managers in the NHS, it would have been "much better and much cheaper to do that through a voluntary route".

Health Minister Norman Lamb

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Mr Burnham said he was raising the issue of NHS redundancies after arguing recently that Labour needed to "shout louder" ahead of the next general election.

"People like me in the shadow cabinet - we need to be out there, week after week, exposing what this government are doing, but then putting forward positive plans that people can vote for," he said.

Mr Lamb told 5 live the Department for Health expected the total cost of redundancies since the reorganisation in April to be around £630m

"This is a one-off cost of sliming down the massive over-bloated bureaucracy Labour created when they were in office.

"They were spending money on a vast bureaucracy. We have managed through these reforms to reduce the cost of management and administration and every year we will be saving £1.5bn which will be reinvested in patient care."

Mr Lamb said he was confident the public would appreciate money being saved from the cost of administering the health service if it was to benefit front-line patient care.

According to a National Audit Office report published last month, the NHS changes introduced in April had cost £1.1bn to implement, and the Department of Health was "confident" the total costs would not exceed £1.7bn.

The NAO put the cost of redundancies stemming from the new NHS England structure at £435m.

The report also stated that since the changes had been brought in 10,000 full-time employees had left at an average cost of £43,095.

The NAO found 44 "very senior managers" laid off as a result had received up to £578,470 in redundancy payments. The average pay-off had been £277,273 and the lowest £33,771.

A Department of Health spokesperson said cutting administrator posts would save £5.5bn in the lifetime of the current parliament.

"Last year we started changes that put doctors and nurses in the driving seat as they are best placed to take decisions about care for their patients.

"The changes made as a result of the reforms mean a huge net gain for the taxpayer."


21.24 | 0 komentar | Read More

Half of kids 'need more exercise'

Written By Unknown on Sabtu, 24 Agustus 2013 | 21.24

21 August 2013 Last updated at 19:01 ET By Nick Triggle Health correspondent, BBC News
Children in Belfast

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One girl told the BBC's Chris Page: "When I grow up I would love to be in the Olympics but I do not think I would be as good as Jessica"

Half of all UK seven-year-olds do not do enough exercise, with girls far less active than boys, a study suggests.

University College London researchers found just 51% of the 6,500 children they monitored achieved the recommended hour of physical activity each day.

For girls, the figure was just 38%, compared with 63% for boys.

Half of the group also spent more than six hours being sedentary each day, although some of this would be spent in class, the researchers acknowledged.

The study, published in the online journal BMJ Open, found levels of activity varied among groups.

For example, children of Indian origin and those living in Northern Ireland were among the least physically active with 43% achieving the recommended levels, compared to 53% in Scotland.

'Worrying'

But the most marked difference was between girls and boys.

Researchers said this suggested there needed to be a focus on making sport and other activities more attractive to girls.

Kids on trampoline

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Report author Professor Carol Dezateux: "You need to get moving early... to stay active"

Prof Carol Dezateux, one of the lead authors, said: "There is a big yawning gap between girls and boys. We need to really think about how we are reaching out to girls.

"The school playground is an important starting point. Often you will find it dominated by boys playing football."

But she said there should still be concern about the activity levels across the board.

"The findings are particularly worrying because seven-year-olds are likely to become less active as they get older, not more."

To achieve the one hour recommendation children have to take part in moderate or vigorous activity, which includes everything from brisk walking and cycling to playing football and running.

The UCL research is not the first to suggest children are not active enough, but most previous studies have relied on self-reporting by children or parents estimating levels of exercise, whereas the latest one involved real-time monitoring.

During the study, which took place during 2008 and 2009, youngsters wore an accelerometer to measure exercise levels which was attached to an elastic belt around their waist. It was removed only when bathing or when the children went to bed.

In total, the experts were able to record more than 36,000 days of data based on the children wearing the accelerometer for at least 10 hours a day over the course of a week.

Dr John Middleton, of the Faculty of Public Health, said more research was needed into why certain groups were less active.

"We need our children to grow up to be fit and healthy adults, not just because it's what any civilised society would want for its children, but it's also best for our economy too," he added.

Dr Ann Hoskins, of Public Health England, agreed.

She said: "This study highlights that there is still much to do to keep children and young people active as they grow older, especially girls.

"The new school year is the perfect time to make healthy changes, swapping short car or bus journeys with walking or scooting to school."


21.24 | 0 komentar | Read More

'Spider style' blood vessel building

22 August 2013 Last updated at 20:14 ET By James Gallagher Health and science reporter, BBC News

A way of building body parts similar to the way a spider spins its web has been demonstrated by researchers in the UK.

The team at University College London used a constant stream of cells mixed with a polymer to weave the new tissues.

They think the technique could produce better results than other ways of building body parts for transplant.

The team of researchers tested the technique by constructing blood vessels in mice.

There are many methods being used to grow organs in the laboratory.

Some start with a synthetic scaffold which is then seeded with a patient's own cells and implanted. There are some patients who have had new bladders built in this way.

Another technique has been to take a body part from a dead body, just like an organ transplant, and use a detergent to strip out the native cells leaving a protein scaffold behind. This is then seeded with the target patient's cells. New windpipes have been made through this process.

Spinning

The team at the University College London are using "electrospinning" technology to produce organs. They think it will overcome some of the challenges of seeding a scaffold by building the cells into the transplant in the first place.

It starts with a broth of cells and polymer. A 10,000 volt electric needle is then used to draw out a fibre.

Dr Suwan Jayasinghe told the BBC: "Like a spider weaves its web we are able to draw out this continuous fibre of polymer and cells and weave a web.

"We could make one as thick as a mattress and the cells will be embedded right through it."

The electrospinning technology has been used to create blood vessels by cross-stitching the fibres on to a rotating cylinder which is half submerged in a liquid to nourish the living cells.

The latest studies published in the journal Small showed mouse blood vessels with three distinct layers could be produced.

Dr Jayasinghe said: "At the moment no technology can make an organ, we are coming up with the process to patch up a defective organ not replace an organ."

The idea is that a patch of heart muscle could improve function after a heart attack.

However, it is early days for the field of electrospinning. In comparison, other methods for producing body parts are already being used in patients.

"There have been some successes in the field which is great, but I don't think it is as easy as some people portray and I don't think we'll have it easy either," Dr Jayasinghe said.


21.24 | 0 komentar | Read More

Carers should 'choose work hours'

24 August 2013 Last updated at 09:16 ET

Employers should let staff who care for elderly parents choose their working hours, the health secretary has said.

Jeremy Hunt said Britain was facing a "dementia time bomb" and said many employers were not doing enough to offer flexible working hours to carers.

He told the Daily Telegraph the country could not afford to lose experienced workers who double as carers.

Meanwhile, a report has warned England is facing a shortfall in the number of people able to give vital unpaid care.

Mr Hunt said many workers doubled as carers for people with dementia and, with the number of sufferers expected to rise from about 800,000 now to more than a million by the end of the decade, employers must help carers stay in work.

'Good for business'

"A lot of employers have embraced flexible working policies, but some are simply not prepared for the scale of the dementia time bomb," Mr Hunt to the Telegraph.

"None of us can afford to ignore this problem."

He added: "We know that supporting flexible working for parents is good for business and good for the economy, it is time the same was recognised for carers."

Continue reading the main story

'Can't cope'

Council worker Barbara Chapman, from Saffron Walden in Essex, cares for her elderly father, who has lived with her since he suffered two strokes.

"I have always worked and my current job is 45 miles away from home," she says.

"Why can't the government introduce a salary sacrifice scheme to help provide carers for elderly people?

"I have interrupted sleep, getting up at 05:15 on weekdays so I can get dad washed, dressed and fed.

"My brother covers the lunch hour and I pay for care in the afternoon to ensure he is only left for two to three hours.

"I would like to pay for more care but the £14-an-hour cost is more than I get paid myself.

"I do work flexi-time and from home for a large borough council but I can no longer cope with the commuting or cost and need to find a job nearer home. "

He said leaving carers to balance work and care responsibilities created a "lose-lose situation".

The Work and Families Act 2006 gives carers the right to request changes to their working patterns to better manage their caring.

Employers can only reject such requests based on reasons listed in the act, most of which relate to negative effect on the business.

Meanwhile, research by the London School of Economics (LSE) suggested a gap between the number of frail elderly people in need of care and those able to provide it free would begin to become evident in England by 2017.

By 2032, 160,000 elderly people could be left without the support they need - about one in seven of those who will need help, the researchers predicted.

This is because the oldest age groups will grow at the fastest rate.

LSE used population projections and survey data to compile the figures.

An estimated 675,000 older people currently rely on unpaid carers - mainly their children - as they fall outside the state support system, which is available to the poorest.

But with the number of over-85s expected to rise at three times the rate of the 50- to 64-year-old age group - the key carers for elderly people - a shortfall will emerge.

'Stressed staff'
Continue reading the main story

Flexible working options

  • Flexi-time (choosing when to do some or all of your hours)
  • Home working or tele-working (some or all work done away from work)
  • Job sharing
  • Part-time working
  • Term-time working
  • Shift-swapping or self-rostering (Employees agree shifts among themselves)
  • Staggered hours (Employees have various starting and finishing times)
  • Compressed hours (Employees work their total hours over fewer working days)
  • Annualised hours (Working hours are calculated over a whole year and then split into "fixed shifts" and "reserve shifts" which can be agreed on a more flexible basis)

Source: Carers UK

Carers UK chief executive Helena Herklots said the problem could have a profound impact on society.

"In addition to the personal costs to families, the costs will be felt across society and public services - more and more older people admitted to hospitals needing avoidable emergency care, businesses coping with stressed staff trying to care alongside work and the economy suffering as increasing numbers of workers are forced to quit work to care," she said.

Age UK charity director Michelle Mitchell added: "These projections once again underline the huge importance of ending the crisis in social care."

The warning comes despite the plans to introduce a cap on care costs, because that will apply those who are in care homes.

The 2011 census revealed that, at the time of the survey, 5.8m people in England and Wales provided some level of unpaid care for disabled, sick or elderly relatives - and 2.1m of those provided more than 20 hours of care per week.


21.24 | 0 komentar | Read More

Half of kids 'need more exercise'

Written By Unknown on Jumat, 23 Agustus 2013 | 21.24

21 August 2013 Last updated at 19:01 ET By Nick Triggle Health correspondent, BBC News
Children in Belfast

Please turn on JavaScript. Media requires JavaScript to play.

One girl told the BBC's Chris Page: "When I grow up I would love to be in the Olympics but I do not think I would be as good as Jessica"

Half of all UK seven-year-olds do not do enough exercise, with girls far less active than boys, a study suggests.

University College London researchers found just 51% of the 6,500 children they monitored achieved the recommended hour of physical activity each day.

For girls, the figure was just 38%, compared with 63% for boys.

Half of the group also spent more than six hours being sedentary each day, although some of this would be spent in class, the researchers acknowledged.

The study, published in the online journal BMJ Open, found levels of activity varied among groups.

For example, children of Indian origin and those living in Northern Ireland were among the least physically active with 43% achieving the recommended levels, compared to 53% in Scotland.

'Worrying'

But the most marked difference was between girls and boys.

Researchers said this suggested there needed to be a focus on making sport and other activities more attractive to girls.

Kids on trampoline

Please turn on JavaScript. Media requires JavaScript to play.

Report author Professor Carol Dezateux: "You need to get moving early... to stay active"

Prof Carol Dezateux, one of the lead authors, said: "There is a big yawning gap between girls and boys. We need to really think about how we are reaching out to girls.

"The school playground is an important starting point. Often you will find it dominated by boys playing football."

But she said there should still be concern about the activity levels across the board.

"The findings are particularly worrying because seven-year-olds are likely to become less active as they get older, not more."

To achieve the one hour recommendation children have to take part in moderate or vigorous activity, which includes everything from brisk walking and cycling to playing football and running.

The UCL research is not the first to suggest children are not active enough, but most previous studies have relied on self-reporting by children or parents estimating levels of exercise, whereas the latest one involved real-time monitoring.

During the study, which took place during 2008 and 2009, youngsters wore an accelerometer to measure exercise levels which was attached to an elastic belt around their waist. It was removed only when bathing or when the children went to bed.

In total, the experts were able to record more than 36,000 days of data based on the children wearing the accelerometer for at least 10 hours a day over the course of a week.

Dr John Middleton, of the Faculty of Public Health, said more research was needed into why certain groups were less active.

"We need our children to grow up to be fit and healthy adults, not just because it's what any civilised society would want for its children, but it's also best for our economy too," he added.

Dr Ann Hoskins, of Public Health England, agreed.

She said: "This study highlights that there is still much to do to keep children and young people active as they grow older, especially girls.

"The new school year is the perfect time to make healthy changes, swapping short car or bus journeys with walking or scooting to school."


21.24 | 0 komentar | Read More

MRSA and C. diff deaths fall again

22 August 2013 Last updated at 04:53 ET

The number of deaths from two hospital infections, MRSA and Clostridium difficile, have continued their long-term downward trend, according to figures for England and Wales.

Office for National Statistics figures show deaths from MRSA fell by 20% from 364 in 2011 to 292 in 2012.

The number of deaths from MRSA has now fallen by more than 75% since 2008.

There were 1,646 deaths from C. difficile in 2012, down from 2,053 in the previous year.

Both infections have shown large declines over the past five years after being repeatedly targeted by government policies.


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'Spider style' blood vessel building

22 August 2013 Last updated at 20:14 ET By James Gallagher Health and science reporter, BBC News

A way of building body parts similar to the way a spider spins its web has been demonstrated by researchers in the UK.

The team at University College London used a constant stream of cells mixed with a polymer to weave the new tissues.

They think the technique could produce better results than other ways of building body parts for transplant.

The team of researchers tested the technique by constructing blood vessels in mice.

There are many methods being used to grow organs in the laboratory.

Some start with a synthetic scaffold which is then seeded with a patient's own cells and implanted. There are some patients who have had new bladders built in this way.

Another technique has been to take a body part from a dead body, just like an organ transplant, and use a detergent to strip out the native cells leaving a protein scaffold behind. This is then seeded with the target patient's cells. New windpipes have been made through this process.

Spinning

The team at the University College London are using "electrospinning" technology to produce organs. They think it will overcome some of the challenges of seeding a scaffold by building the cells into the transplant in the first place.

It starts with a broth of cells and polymer. A 10,000 volt electric needle is then used to draw out a fibre.

Dr Suwan Jayasinghe told the BBC: "Like a spider weaves its web we are able to draw out this continuous fibre of polymer and cells and weave a web.

"We could make one as thick as a mattress and the cells will be embedded right through it."

The electrospinning technology has been used to create blood vessels by cross-stitching the fibres on to a rotating cylinder which is half submerged in a liquid to nourish the living cells.

The latest studies published in the journal Small showed mouse blood vessels with three distinct layers could be produced.

Dr Jayasinghe said: "At the moment no technology can make an organ, we are coming up with the process to patch up a defective organ not replace an organ."

The idea is that a patch of heart muscle could improve function after a heart attack.

However, it is early days for the field of electrospinning. In comparison, other methods for producing body parts are already being used in patients.

"There have been some successes in the field which is great, but I don't think it is as easy as some people portray and I don't think we'll have it easy either," Dr Jayasinghe said.


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Half of kids 'need more exercise'

Written By Unknown on Kamis, 22 Agustus 2013 | 21.24

21 August 2013 Last updated at 19:01 ET By Nick Triggle Health correspondent, BBC News
Children in Belfast

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One girl told the BBC's Chris Page: "When I grow up I would love to be in the Olympics but I do not think I would be as good as Jessica"

Half of all UK seven-year-olds do not do enough exercise, with girls far less active than boys, a study suggests.

University College London researchers found just 51% of the 6,500 children they monitored achieved the recommended hour of physical activity each day.

For girls, the figure was just 38%, compared with 63% for boys.

Half of the group also spent more than six hours being sedentary each day, although some of this would be spent in class, the researchers acknowledged.

The study, published in the online journal BMJ Open, found levels of activity varied among groups.

For example, children of Indian origin and those living in Northern Ireland were among the least physically active with 43% achieving the recommended levels, compared to 53% in Scotland.

'Worrying'

But the most marked difference was between girls and boys.

Researchers said this suggested there needed to be a focus on making sport and other activities more attractive to girls.

Kids on trampoline

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Report author Professor Carol Dezateux: "You need to get moving early... to stay active"

Prof Carol Dezateux, one of the lead authors, said: "There is a big yawning gap between girls and boys. We need to really think about how we are reaching out to girls.

"The school playground is an important starting point. Often you will find it dominated by boys playing football."

But she said there should still be concern about the activity levels across the board.

"The findings are particularly worrying because seven-year-olds are likely to become less active as they get older, not more."

To achieve the one hour recommendation children have to take part in moderate or vigorous activity, which includes everything from brisk walking and cycling to playing football and running.

The UCL research is not the first to suggest children are not active enough, but most previous studies have relied on self-reporting by children or parents estimating levels of exercise, whereas the latest one involved real-time monitoring.

During the study, which took place during 2008 and 2009, youngsters wore an accelerometer to measure exercise levels which was attached to an elastic belt around their waist. It was removed only when bathing or when the children went to bed.

In total, the experts were able to record more than 36,000 days of data based on the children wearing the accelerometer for at least 10 hours a day over the course of a week.

Dr John Middleton, of the Faculty of Public Health, said more research was needed into why certain groups were less active.

"We need our children to grow up to be fit and healthy adults, not just because it's what any civilised society would want for its children, but it's also best for our economy too," he added.

Dr Ann Hoskins, of Public Health England, agreed.

She said: "This study highlights that there is still much to do to keep children and young people active as they grow older, especially girls.

"The new school year is the perfect time to make healthy changes, swapping short car or bus journeys with walking or scooting to school."


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MRSA and C. diff deaths fall again

22 August 2013 Last updated at 04:53 ET

The number of deaths from two hospital infections, MRSA and Clostridium difficile, have continued their long-term downward trend, according to figures for England and Wales.

Office for National Statistics figures show deaths from MRSA fell by 20% from 364 in 2011 to 292 in 2012.

The number of deaths from MRSA has now fallen by more than 75% since 2008.

There were 1,646 deaths from C. difficile in 2012, down from 2,053 in the previous year.

Both infections have shown large declines over the past five years after being repeatedly targeted by government policies.


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Deadly virus found in tomb bat

22 August 2013 Last updated at 07:05 ET By Rebecca Morelle Science reporter, BBC World Service

The deadly Mers coronavirus has been isolated in a bat in Saudi Arabia, scientists report.

The virus was detected in a faecal sample taken from an Egyptian tomb bat, collected close to the home of the first known Mers victim.

The research is published in the journal Emerging Infectious Diseases.

But while scientists found a genetic match, they think it is unlikely that bats are responsible for passing the virus to humans.

Instead they think the virus is spreading from the winged mammals to other animals before it is reaching people.

Another piece of research was recently published in the journal Lancet Infectious Diseases, which suggested that this intermediary animal could be the dromedary camel.

However, only antibodies - the proteins produced to fight infections - were detected in camels, rather than the virus itself, and more work needs to be done to confirm this finding.

'Identical sequence'

The Mers coronavirus first emerged in the Middle East last year.

Continue reading the main story

In this case we have a virus in an animal that is identical in sequence to the virus found in the first human case"

End Quote Dr Ian Lipkin Columbia University

So far, there have been 94 confirmed cases and 47 deaths.

While the virus has been spreading between humans, most cases are thought to have been caused by contact with an animal.

But scientists have struggled to work out which one.

In October 2012 and April 2013, researchers collected samples taken from different bat species found close to the home of the first known victim of Mers.

These were sent to Columbia University in New York. However, the first batch was opened at US customs, and thawed to room temperature. The April batch arrived intact.

Of the 1,000 samples collected, only one taken from the Egyptian tomb bat contained any signs of the virus.

Dr Ian Lipkin, director of the Center for Infection and Immunity from Columbia University and a co-author of the study, said: "In this case we have a virus in an animal that is identical in sequence to the virus found in the first human case."

Narrowing hunt

The finding suggests that bats could be the origin of the disease, but scientists are looking for another animal that is involved in its spread. Samples taken from camels, sheep, goats and cattle are now being analysed.

Commenting on the research, Prof Jonathan Ball, a virologist from the University of Nottingham, said: "We have long suspected that bats are likely to be the original source of Mers. They've been around for millions of years and have picked up a lot of viruses on the way - bats are a source of lots of human virus infections, like Ebola, henipahvirus, rabies and Sars.

"But there are still some crucial unknowns. They sequenced a very small part of the virus genome - and a highly conserved part at that. We would need to see more extensive analysis involving other more variable genes before we can definitively say the viruses are related.

"Even if this proves to be the case, bats are unlikely to be the source of the continuing Mers outbreaks. Humans and bats just don't interact very much. It's much more likely that an intermediate animal is involved - and finding out what this animal is is key if we are to eradicate this virus before it becomes a bigger problem."

Prof Ian Jones from the University of Reading added: "The surprising overall message is that the bats of (Saudi Arabia) are not awash in the virus, quite the opposite as only one example was found and that appeared to be incomplete.

"The main reservoir for this virus and how it gets to infect people remains unclear at this stage."


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Men 'more vulnerable' to skin cancer

Written By Unknown on Rabu, 21 Agustus 2013 | 21.24

20 August 2013 Last updated at 19:07 ET By Michelle Roberts Health editor, BBC News online
Two people sunbathing on deck chairs

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Adeyinka Ebo from Cancer Research UK says the figures may be partly down to men avoiding their GPs

Far more men than women are dying from skin cancer, despite similar numbers being diagnosed with the disease, a report suggests.

Cancer Research UK said each year, the most serious type of skin cancer, malignant melanoma, kills 1,300 men and 900 women, a gap expected to widen.

A reason could be men delaying seeking help, but biology may also play a part.

Prof Julia Newton-Bishop, a Cancer Research UK dermatologist, suspects women have stronger immune systems.

Continue reading the main story

"Start Quote

Stage for stage, men do less well with this cancer so there's something very important that this is telling us about how the body deals it"

End Quote Prof Julia Newton-Bishop Researcher

German researchers have already identified a gene that appears to make men, but not women, more susceptible to melanoma.

Prof Newton-Bishop, from the University of Leeds, said: "Research has suggested the difference between the sexes could be in part because men are more likely to be diagnosed when melanoma is at a more advanced stage.

"But there also seem to be strong biological reasons behind the differences, and we're working on research to better understand why men and women's bodies deal with their melanomas in different ways.

"Stage for stage, men do less well with this cancer so there's something very important that this is telling us about how the body deals it.

"We think it is something to do with the immune system rather than hormones because pre- and post-menopausal fare the same."

Delayed diagnosis

Another concern is late diagnosis.

Men, unlike women, more often develop the cancer on their back rather than arms and legs which may make it more difficult for them to spot.

Continue reading the main story

Known risk factors

  • Fair skin that burns easily
  • Lots of moles or freckles
  • A history of sunburn
  • Red or fair hair
  • Light-coloured eyes
  • A personal or family history of skin cancer

Source: Cancer Research UK

"Asking your partner to check your back is a good idea," said Prof Newton-Bishop.

Malignant melanoma death rates have been increasing in the UK since the early 1970s, largely because more people are developing the disease.

Male incidence rates are now more than five times higher than they were 30 years ago - rising from 2.7 per 100,000 to 17.2 per 100,000.

Getting too much sun and using sun beds increases the risk of this largely preventable disease.

To protect their skin, people are advised to use a sunscreen with at least SPF15 and good UVA protection - the higher the star rating, the better - and to be aware of changes in the skin, including a new growth or a spot or mole that itches, hurts, bleeds or will not heal.

Treatment is more likely to be successful if melanoma is spotted early.


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NHS stop-smoking service 'a success'

20 August 2013 Last updated at 19:46 ET By Nick Triggle Health correspondent, BBC News

The first decade of NHS stop-smoking services in England has been hailed a success by researchers.

The team said the service was the "jewel in the NHS crown" after it helped nearly 146,000 people to quit between 2001 and 2011.

But the researchers from University College London also pointed out there was plenty of room for improvement.

The number of quitters would have doubled had all the services performed as well as possible, they said.

There was a two-fold difference in the success of different areas.

If all the services had performed to their potential it would have meant more than 300,000 people becoming long-term quitters, which is defined as abstaining for at least a year.

Nonetheless, the researchers said, the service should still be considered one of the best in the NHS in the past decade.

That is because the numbers using the service rose three-fold during the period to nearly 800,000 a year, which is about 8% of all smokers.

And in terms of cost - an estimated £84m a year - versus impact, it is well within the threshold used by the NHS to judge treatments, such as new drugs, the report on the British Medical Journal website said.

The service also seemed to be successful in reaching out to disadvantaged groups as more than half of the smokers taking part in the most recent year got free prescriptions, which are offered to those on low incomes among others.

'Cost-effective'

Prof Robert West, who led the team, said stop-smoking services could be considered the "jewel in the NHS crown".

"It has been a real success. These services are important because the people who are using them are the heaviest smokers who are the least likely to give up.

"But there is plenty of room for improvement. There was a two-fold variation between the best performing services and the worst. We need to address that."

Continue reading the main story

These services helping smokers to quit have been one of the most cost-effective services on the NHS"

End Quote Martin Dockrell Action on Smoking and Health

He said one of the key factors of the service, which combines counselling with medication like nicotine replacement therapy, was having staff whose job was dedicated to the service rather than asking practice nurses and pharmacists to fit it in around their day jobs.

Prof West also said he was concerned about the future.

Stop-smoking services became the responsibility of local councils under the shake-up of the NHS earlier this year.

"Money is tight and there is a risk that services will be cut," he added.

Dave Jones, tobacco control delivery adviser at Public Health England, said support would be given to councils with the services.

"There is still more to do but it is great to have this reflection on the bedrock established over the last 10 years."


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Measles clinic claims 'misleading'

20 August 2013 Last updated at 19:52 ET

A clinic selling separate measles, mumps and rubella vaccines has been told to remove "misleading" claims from its website implying a link between the MMR jab and autism.

Complaints were made about the Cheshire-based Children's Immunisation Centre during the measles outbreak centred on Swansea.

The Advertising Standards Authority (ASA) decided the clinic's language "could have caused fear and distress".

The centre said it had now complied.

One person died and a total of 1,219 suspected measles cases were diagnosed during the Swansea area measles epidemic, which was officially declared over in July.

As part of the response from public health officials, almost 76,000 unscheduled MMR vaccinations were given to people around Wales who had not been immunised in a bid to bring the epidemic under control.

The Children's Immunisation Centre offered single vaccines to parents, running a clinic in Swansea and others in England.

Continue reading the main story

"Start Quote

We told Children's Immunisation Centre not to promote prescription-only medicines and to remove claims not supported by objective scientific evidence"

End Quote ASA report

In its response to the ASA, the centre said it offered a safe alternative for parents who needed to have their children protected from childhood diseases but did not wish to undergo government or NHS programmes such as the MMR vaccine.

It also argued its website information did not constitute advertising.

But the ASA said because the centre "promoted non-government recommended vaccination and because the overall context of the website focused on their claim that a single MMR vaccination was linked with autism, we considered the language used could have caused fear and distress without justifiable reason and we concluded the website was irresponsible".

Three complainants, including a GP, challenged whether the centre's 100% safety claim could be substantiated, while two said the advert was irresponsible and could cause fear and distress because it appeared during the measles outbreak in south Wales.

The ASA ruled that the website breached regulations because it advertised prescription-only medicines.

The centre told the ASA each of its 20,000 patients had a record card and not one had been hospitalised or had regression, autism or other health issues after vaccination.

Continue reading the main story

SWANSEA MEASLES OUTBREAK

  • Began in November 2012
  • There have been no laboratory-confirmed cases in the affected area since May and the outbreak was cleared over in July
  • Some 75,868 unscheduled vaccinations were given to people around Wales who had not been immunised to control the epidemic
  • In the outbreak area more than 30,000 doses of the MMR vaccine were given
  • GP surgeries administered 16,500 and drop-in clinics have given more than 8,500
  • School and occupational health clinics administered more than 5,300 jabs

But the ASA noted that a sample complaint log supplied by the centre confirmed some children had developed minor and major complications as a result of receiving a vaccination ranging from a rash and high temperature to emergency hospital admission.

The ASA said: "Because Children's Immunisation Centre did not have a 100% safety record, we concluded the claim was misleading."

It added: "We considered the website had probably been live for some time before the outbreak of measles in Wales, during April and May 2013.

"However, we noted two links referenced the Welsh measles outbreak."

The ASA said it had not seen robust evidence that linked a single MMR vaccine with autism, concluding that that website was misleading.

It ruled: "The ad must not appear again in its current form.

"We told Children's Immunisation Centre not to promote prescription-only medicines and to remove claims not supported by objective scientific evidence."

Dr Andrew Wakefield's research linking the MMR jab to autism was published in 1998 has since been entirely discredited.

In a statement to BBC Wales, Zoe Miller from the Children's Immunisation Centre said: "We're now fully ASA compliant, everything that was requested has been taken off the website."


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Physios given prescribing powers

Written By Unknown on Selasa, 20 Agustus 2013 | 21.24

19 August 2013 Last updated at 19:42 ET

Physiotherapists and podiatrists have been given prescribing powers in the UK, meaning they can give medicines to their NHS patients.

The legislation should improve access and speed of treatment.

Staff will need to prove they have completed the necessary training before they can start handing out drugs.

Nurses and pharmacists are already allowed to prescribe under similar arrangements brought in by the government some years ago.

Continue reading the main story

This is a landmark moment that will lead to patients receiving faster, more effective treatment for their condition"

End Quote Phil Gray Chartered Society of Physiotherapy

Until now, physiotherapists and podiatrists could prescribe medication, such as painkillers, only when working with the written authority of a doctor as a 'supplementary prescriber'.

Care and Support Minister Norman Lamb said the move would not only benefit patients by making it more convenient to get treatment, but would also free up valuable GP time.

"Physiotherapists and podiatrists are highly skilled professionals and these changes will allow them to give better care to the millions of people with acute and long-term conditions," he said.

Phil Gray, chief executive of the Chartered Society of Physiotherapy, said: "This is a landmark moment that will lead to patients receiving faster, more effective treatment for their condition.

"Physiotherapists being able to independently prescribe - for the first time anywhere in the world - will remove bureaucracy, free up time for doctors and save money for the NHS."

Around 15 million people are currently living with a long term condition which requires trips to hospital or to the GP.

Many of these could benefit from the new legislation.


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Copper linked to Alzheimer's

19 August 2013 Last updated at 19:46 ET By James Gallagher Health and science reporter, BBC News

A lifetime of too much copper in our diets may be contributing to Alzheimer's disease, US scientists say.

However, research is divided, with other studies suggesting copper may actually protect the brain.

The latest study in Proceedings of the National Academy of Sciences showed high levels of copper left the brain struggling to get rid of a protein thought to cause the dementia.

Copper is a vital part of our diet and necessary for a healthy body.

Tap water coming through copper pipes, red meat and shellfish as well as fruit and vegetables are all sources of dietary copper.

Barrier

The study on mice, by a team at the University of Rochester in New York, suggested that copper interfered with the brain's shielding - the blood brain barrier.

Mice that were fed more copper in their water had a greater build-up of the metal in the blood vessels in the brain.

The team said this interfered with the way the barrier functioned and made it harder for the brain to get rid of a protein called beta amyloid.

One of the hallmarks of Alzheimer's disease is the formation of plaques of amyloid in the dying brain.

Lead researcher Dr Rashid Deane said: "It is clear that, over time, copper's cumulative effect is to impair the systems by which amyloid beta is removed from the brain."

He told the BBC that copper also led to more protein being produced: "It's a double whammy of increased production and decreased clearance of amyloid protein.

"Copper is a very essential metal ion and you don't want a deficiency and many nutritious foods also contain copper."

However, he said taking supplements may be "going overboard a bit".

Mixed evidence

Commenting on the latest findings, Chris Exley, professor of bioinorganic chemistry at Keele University, said there was "no true consensus" on the role of copper in Alzheimer's disease.

His research on human brains reached the opposite conclusion: "In our most recent work we found evidence of lower total brain copper with ageing and Alzheimer's. We also found that lower brain copper correlated with higher deposition of beta amyloid in brain tissue.

"He said at the moment we would expect copper to be protective and beneficial in neurodegeneration, not the instigator, but we don't know.

"The exposure levels used mean that if copper is acting in the way they think it does in this study then it must be doing so in everyone."

Dr Eric Karran, from Alzheimer's Research UK, said: "While the findings present clues to how copper could contribute to features of Alzheimer's in mice, the results will need replicating in further studies. It is too early to know how normal exposure to copper could be influencing the development or progression of Alzheimer's in people. "

Dr Doug Brown, from the Alzheimer's Society, said: "Considering copper is a vital mineral for the body, people should treat these results with caution and not cut it out of their diet. More research is needed to understand the role that copper might play in the brain."


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Doubts over 40-plus health checks

20 August 2013 Last updated at 04:11 ET By Michelle Roberts Health editor, BBC News online

Health checks offered to millions of people over 40 are a waste of time, says the UK's leading GP.

Dr Clare Gerada, chair of the Royal College of GPs, says the government is promoting its NHS Health Check programme "against good evidence".

Her comments come after The Times newspaper published a letter from Danish researchers criticising the programme.

The Nordic Cochrane Centre group found health MoTs did not reduce deaths.

In England, people aged 40-74 are offered a free health check.

Continue reading the main story

"Start Quote

We should be focusing on the hard-to-reach groups instead and policies like plain packaging for cigarettes and minimum pricing for alcohol"

End Quote Dr Clare Gerada Chair of the RCGP

The initiative, launched in 2009, is designed to spot conditions such as heart disease, stroke and diabetes by looking for silent risk factors such as high blood pressure and cholesterol.

Ministers have said the scheme could save 650 lives a year.

But Danish researchers are questioning the policy and say health checks have no proven benefits.

Under review

Their review, published in October 2012, looked at health checks offered in a number of countries, including some pilot trials in the UK a decade or more ago, though not the post-2009 programme.

It concluded that general health checks failed to benefit patients and could instead cause them unnecessary worry and treatment.

Dr Gerada of the RCGP shares these concerns.

She said: "Governments seem to be promoting this against good evidence.

"They [health checks] are not based on good evidence. They are pulling in an awful lot of people who have nothing wrong with them. And the very people you would want to be dragging in do not attend."

Continue reading the main story

NHS Health Check

The NHS estimates, each year, the programme could:

  • prevent 1,600 heart attacks and strokes
  • avoid at least 650 premature deaths
  • prevent over 4,000 new cases of diabetes
  • detect 20,000 cases of diabetes or kidney disease earlier
  • The estimated cost per quality adjusted life year (QALY) is approximately £3,000

Source: Public Health England

She said the money involved would be better spent on targeted intervention.

"We should be focusing on the hard-to-reach groups instead and policies like plain packaging for cigarettes and minimum pricing for alcohol."

Barbara Young, chief executive of Diabetes UK, defended the programme saying: "Far from being useless, there is good evidence that, if properly implemented, it could prevent thousands of cases of Type 2 diabetes a year, as well as having a positive impact for heart disease, kidney disease and stroke.

"And while the £300 million it costs to run might sound like a lot of money, diabetes and other chronic conditions are expensive to treat. This means that once you factor in the savings in healthcare costs, the NHS Health Check is actually expected to save the NHS about £132 million per year."

The Department of Health says the NHS Health Check programme is based on expert guidance that is continually reviewed.

A spokeswoman for Public Health England said the existing relevant evidence, together with operational experience accruing on the ground, was "compelling support for the programme".

She added: "We are establishing an Expert Clinical and Scientific Advisory Panel that will provide oversight of the NHS Health Check programme.

"This panel will be responsible for reviewing emerging evidence and research needs. It will also promote future research, development and evaluation of this programme."

When the Danish research was published in 2012, the NHS Health Check sent out an eBulletin warning that the Cochrane conclusions had little if any relevance to the NHS programme.

The Cochrane authors responded rebutting the criticism and asked to have their reply published alongside. They say this was denied.


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Figures show regional cancer divide

Written By Unknown on Senin, 19 Agustus 2013 | 21.24

19 August 2013 Last updated at 05:47 ET

The wide variation in the odds of getting and surviving cancer across the UK has been highlighted by a cancer charity.

Cities in the north of England have some of the lowest survival rates.

Cancer Research UK has launched a new tool that allows people to compare cancer statistics in their area with those in the rest of the country.

It hopes the local data will help doctors and politicians tackle the specific problems in their patch.

There is separate data for England, Scotland, Wales and Northern Ireland.

In Scotland, the greater Glasgow area had the highest cancer mortality while Shetland had the lowest.

Mortality was much higher in Belfast than the rest of Northern Ireland.

Merthyr Tydfil was one of the worst performing parts of Wales, while Ceredigion had better cancer survival rates.

Harrow, Richmond and Surrey in the south of England performed better than areas further north such as Stoke, Hartlepool and Nottingham.

Smoking

A significant factor in the regional variation is differences in lifestyle, such as smoking, which is linked to lung cancer.

Kensington and Chelsea, East Sussex and Devon all had fewer than 35 cases of lung cancer per 100,000 people.

The rate is more than double - in excess of 85 per 100,000, in cities such as Hull, Manchester and Liverpool.

A similar website presented by Public Health England led Health Secretary Jeremy Hunt to describe the differences in England as "shocking".

Charlotte Williams, the executive director of London Cancer, said: "[The tool] means it's easier to identify where we're doing well, and where we could do better, and how we could potentially learn from others.

"This will pinpoint where we need to improve to help ensure everyone gets the best care possible."

Sara Hiom, director of patient engagement and early diagnosis at Cancer Research UK, said: "In the UK we are privileged to have access to valuable information about cancer diagnosis and treatments for different parts of the country.

"We've created this website because we hope that it will allow policymakers and healthcare professionals to understand what's going on in their area and support local insight and decision-making."


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Immune system boost 'fights cancer'

18 August 2013 Last updated at 13:38 ET By James Gallagher Health and science reporter, BBC News

A way of firing up the body's immune system in order to attack cancer has been discovered by US researchers.

The immune system is delicately balanced so it attacks invaders but not the body's own tissues.

Animal studies suggested that shifting the balance could open up new treatments for cancer, the team from the Children's Hospital of Philadelphia said.

The findings were published in Nature Medicine.

There are many diseases caused by the immune system turning on the body's own tissues - such as type 1 diabetes or multiple sclerosis.

'New cancer immunotherapy'

One popular area of research in both cancer and autoimmune diseases has been Treg cells.

They are a part of the immune system which normally calm everything down to prevent the immune system attacking the body.

The researchers were trying to disrupt Treg's function - effectively taking the brakes off the immune system - so it would attack cancer.

One of the researchers, Dr Wayne Hancock, said: "We needed to find a way to reduce Treg function in a way that permits antitumor activity without allowing autoimmune reactions."

The researchers bred mice which lacked a chemical needed for Tregs to work effectively. They then used a drug which produced the same effect in normal mice.

In both experiments, the shift in the immune system restricted the growth of a type of lung cancer.

"It really moves the field along towards a potentially major, new cancer immunotherapy," Dr Hancock said.

However, this is still a long way from any treatment for patients with cancer. Further tests will be needed to see if the same processes can be manipulated in the human immune system before it could even be tested in clinical trials.

Dr Emma Smith, from Cancer Research UK, said: "Turning the power of our immune system against cancer is a promising field of research and something scientists around the world, including our own, are studying.

"These findings go another step towards developing new treatments that act in this way, but the research is still at an early stage and we don't know yet whether this approach will be safe or effective in people."


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Patients of HIV dentist contacted

19 August 2013 Last updated at 07:50 ET

Two NHS boards have contacted thousands of patients as a precaution after a dentist who treated them was found to have the HIV infection.

The former dentist practised at Kelburne Dental Surgery in Paisley until March of this year.

The dentist also provided locum Sunday emergency cover at Nithbank Hospital in Dumfries between April 2004 and 2007.

The health boards said patients had been advised of the "very slight risk" they had been exposed to the virus.

Continue reading the main story

It is very rare for HIV to be passed from a health care practitioner to a patient because all work follows strict 'infection control' measures "

End Quote Dr Syed Ahmed NHS Greater Glasgow and Clyde

Approximately 3,000 NHS and private patients registered with the Paisley surgery had been treated by the dentist - who is no longer practising - between January 2004 and March 2013.

The majority have been contacted by letter by NHS Greater Glasgow and Clyde, but there are about 250 NHS patients and 230 private patients who have not been traced.

NHS Dumfries and Galloway has written to most of the 247 patients concerned but 14 of them no longer live in the region and have not been contacted.

A statement from the two boards said there had been 30 similar patient notification exercises in the UK in the last 25 years.

It said some 10,000 people have been tested as a result and not a single person was found to have contracted HIV as a result of medical or dental treatment.

Dr Syed Ahmed, NHSGGC consultant in public health medicine, said: "It is very rare for HIV to be passed from a health care practitioner to a patient because all work follows strict 'infection control' measures.

"These measures are designed to prevent infections like HIV being passed between people and through our investigations into this case we are confident that all appropriate infection control measures were followed by the dentist.

"Whilst we therefore think the risk is extremely low we cannot guarantee that there is no risk, so we have set up a freephone help-line where patients can ask questions and then decide if they want to have an HIV test."

Confidential helpline

Anyone who has been treated at the Kelburne Dental Surgery and has not received a letter but has concerns has been asked to contact that number.

Dr Derek Cox, director of public health for NHS Dumfries and Galloway, said: "We have identified that 247 patients were treated by this dentist.

"Of these we are unable to find addresses for 14, almost certainly because they no longer live in Dumfries and Galloway.

"If you were seen at a Sunday Emergency Dental clinic at Nithbank between April 2004 and April 2007 and have not yet received a letter, it is unlikely that you were treated by the dentist in question.

"Nevertheless, if you are concerned that you may have been missed off the list please contact the helpline."

The confidential free phone helpline is on 0800 028 2816 and will be open daily from 08:00 to 22:00 until Sunday 1 September.


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Judge backs sterilisation first

Written By Unknown on Minggu, 18 Agustus 2013 | 21.24

16 August 2013 Last updated at 13:33 ET

A High Court judge has sanctioned the sterilisation of a man "in his best interests" in a landmark legal ruling.

The 36-year-old, from the Midlands, has learning difficulties and already has a son, born in 2010, with his girlfriend.

Mrs Justice Eleanor King ruled that a vasectomy could take place after hearing that another child could cause the man "psychological harm".

Experts said he was capable of sexual consent but did not have the capacity to make decisions about contraception.

The case came to court because of undisputed evidence that the man - referred to as DE - does not have the capacity to decide whether or not to consent to sterilisation, meaning a judge had to make the decision.

'Relationship strain'

The Court of Protection in London has heard that DE does not want to become a father again.

But he could not be relied upon to use condoms or other birth control methods effectively to prevent pregnancy, the court was told.

Continue reading the main story

There have been cases before of women ordered by the courts to undergo sterilisation, but never of a man. That marks this judgement out as a landmark.

But it's unlikely to lead to a slew of other legal requests for sterilisation because the facts in this case were so unusual, with no-one involved opposed to the application.

More than the legal issues, what marks this case out is that it's a heartwarming story of a loving and long-standing relationship between two people with learning difficulties, the potential breakdown of which the judge said would be a "real and enduring loss" to DE.

Mrs Justice Eleanor King's compassion and understanding shone through in the judgement, describing her "utmost admiration" for DE's parents who'd helped him have a life separate from them which included his girlfriend.

In her ruling, Mrs Justice King said DE lived with his parents but had a long-standing, loving relationship with his girlfriend PQ, who also has learning disabilities, but of a less severe nature.

The birth of the couple's first child had had a "profound" effect on both families, and measures were taken to ensure there was no further pregnancy, including keeping the couple apart and supervising any contact between them.

The judge said the couple's relationship "nearly broke under the strain, but remarkably weathered the storm".

DE's social worker, who specialises in looking after disabled adults, had told the court "how very unusual it is to see such an enduring relationship between two significantly disabled people", adding it was "remarkable and very precious and should be valued and protected in their interests".

Mrs Justice King said DE had suffered considerable distress during the separation with his girlfriend and had his confidence shaken by the loss of his independence.

Surgeons performing operation - library photo

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She concluded that another pregnancy would cause "further and probably more serious psychological distress and consequences for DE".

'Re-establishing normal life'

One medical expert had regarded the "most magnetic factor" in favour of a vasectomy as DE's desire not to have any more children.

But the judge said: "Allowing DE to resume his long-term relationship with PQ and restoring to him his lost skills and independence are as important, if not more so, when determining his best interests."

The overall picture, she said, pointed to "re-establishing as normal a life as possible as soon as possible for DE".

Consequently, she said it was now "lawful and in DE's best interests" that he should undergo a vasectomy and all "reasonable and proportionate steps" should be taken to enable the operation to go ahead.

The application to allow a vasectomy had been made by the man's local NHS trust, with the support of his parents, GP and the local authority involved in his care. None of them must be identified, by court order.

Beverley Dawkins of the mental health charity, Mencap

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Beverley Dawkins of Mencap said it was a decision that had been reached ''very well'' by the Court of Protection

An application for the sterilisation of a man came to court in 1999 but was refused, making the new ruling the first time in England and Wales a court has sanctioned a man's sterilisation.

Beverley Dawkins, of learning disability charity Mencap, said Britain must not return to "routine" sterilisation of people with learning disabilities seen in the past.

"We know at Mencap that very many people with learning disabilities make very good and loving parents," she said.

A Mencap spokeswoman said "enforced sterilisations" of people with learning disabilities had been "common practice" in the UK in the 1960s.

She said this practice, carried out in long-stay hospitals, become less common in the 1970s but cases still occurred in the 1980s.


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HIV patients 'told to rely on God'

16 August 2013 Last updated at 14:38 ET By Alex Strangwayes-Booth BBC News

Some young HIV patients are giving up their medicine after being told by Pentecostal Church pastors to rely on faith in God instead, doctors warn.

Medical staff told the BBC a minority of pastors in England were endangering young church members by putting them under pressure to stop medication.

Healing is central to Pentecostalism, a radical belief in the power of prayer and miracles.

But one pastor denied people would ever be told to stop taking their medicine.

The Children's HIV Association surveyed 19 doctors and health professionals working with babies and children in England; its members had reported hearing anecdotal evidence of HIV patients deciding to stop taking their anti-retroviral drugs because their pastors had told them to do so.

Among 10 doctors who said they had encountered the problem in the last five years, 29 of their patients had reported being put under pressure to stop taking medicine and at least 11 had done so.

The doctors and health professionals reported a variety of cases:

  • Some said they had dealt with parents who felt under pressure to stop giving their young children their HIV medicine - and some had actually done so
  • Others were breastfeeding mothers with HIV who refused the medicine that would stop the virus being passed onto their babies
  • Some were young people, making the decision for themselves

The healthcare workers also reported that some patients had been told by their pastors they would be healed by prayer or by drinking blessed water.

'Miracle cure'

Sixteen-year-old Oliver (not his real name) said he was told by a pastor to swap his HIV medicine for a plastic bottle containing water that would heal him.

He said many others had come under the same pressure.

"I've been to other churches where... the pastor stands forth there, and he says 'come take this water... if you drink it for this certain amount of days, you are going to be healed'," he said.

Later, after his mother had experienced what he believed was a miracle cure, Oliver stopped taking his medication, and his condition quickly deteriorated.

He has since gone back on his medication and said he believed he needed to combine his drugs with his belief in faith healing.

Continue reading the main story

We need to stay engaged with the families and understand that... their faith is an important part of the support they get in their condition"

End Quote Steve Welch Children's HIV Association

Dr Toni Tan, a consultant paediatrician, said some Pentecostal pastors were endangering the lives of sick followers.

"It's my view that it's very wrong for faith leaders to actively encourage their congregations to stop taking their medication... it will lead to their deaths."

Pentecostals and other Christians see healing, like speaking in tongues, as a sign of the presence of God.

Pentecostal pastor Stevo Atanasio, from the East London Christian Church, said that among his congregation, blind people had recovered sight, deaf people had heard again, and what were considered terminal illnesses had been cured.

"We don't say to people 'don't take your medication don't go to the doctor'. I mean we never say that," he said.

"But we believe that the first healing comes from inside, it's a spiritual healing. Some people are hurt, they have broken hearts. If you are healed from inside, then you are healed from outside as well."

'Avoid culture clash'

Pentecostalism is booming. The number of Pentecostal churches in London, for example, has doubled since 2005.

The overall number of incidents of HIV patients being told to give up medicine is thought to consist of a minority of churches and a small group of people.

But the Rev Israel Olofinjana, who is a former Pentecostal pastor and now a Baptist minister, said he had seen it happening.

"I've heard languages like that - 'put your trust in God, don't put your trust in medicine'."

He said many of these churches served migrants with an exalted view of the authority of pastors.

"Within the context of African churches, if you're coming from a culture where the pastor is like your fathers or mothers, like your community keepers, the word of your pastor becomes very important," he explained.

"It becomes very significant... there is a minority who say 'because God can heal absolutely... what's the need for medicine?'."

Dr Steve Welch, who is chairman of the Children's HIV Association, said it found it difficult to engage with the faith leaders of churches where healing was an integral part of the worship.

"We need to stay engaged with the families and understand that... their faith is an important part of the support they get in their condition, and engage positively with them and not make it a clash of cultures.

"I think it's about engaging with the pastors and faith leaders who are giving this advice because that's how we will actually address the root of the problem."


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GPs predict longer waiting times

16 August 2013 Last updated at 20:29 ET By Nick Triggle Health correspondent, BBC News

Patients will find it more difficult to see a GP in the future as budgets get squeezed, doctors are predicting.

A Royal College of General Practitioners poll of 206 UK GPs found that more than 70% were forecasting longer waiting times within two years.

Eight in 10 also said they did not have enough resources to provide high-quality care, the survey showed.

A Patients Association report this year suggested that people were already having to wait longer.

Six in 10 of those polled by the royal college said patients in England were waiting longer than the recommended 48 hours.

Primary care, which includes GP services, has been one of the worst hit by the funding squeeze in the health service.

Spending has effectively been frozen for the past six years in England, and while there have been rises in funding elsewhere in the UK, they have been smaller compared with those given to other parts of the health service such as hospitals.

'Breaking point'

The RCGP said this situation was beginning to have an impact.

Chairman Dr Clare Gerada said: "GPs are grappling with a double whammy of spiralling workloads and dwindling resources, and big cracks are starting to appear in the care and services that we can deliver for our patients.

"We are particularly concerned about the effect this is having, and will continue to have, on waiting times for GP appointments.

"The profession is now at breaking point and we do not have the capacity to take on any more work without extra funding and resources to back it up."

The poll showed that 78% of GPs had already seen a reduction in opening hours over the past two years, while nearly half had cut back on the range of services they offered.

Ben Dyson, of NHS England, said: "We fully recognise that demands and patterns of healthcare are changing, and that this is increasing pressure on parts of the NHS.

"That's why we have recently published a call to action about the future of general practice to help stimulate new, innovative approaches to providing services and ensuring every patient gets the care they need."


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Judge backs sterilisation first

Written By Unknown on Sabtu, 17 Agustus 2013 | 21.24

16 August 2013 Last updated at 13:33 ET

A High Court judge has sanctioned the sterilisation of a man "in his best interests" in a landmark legal ruling.

The 36-year-old, from the Midlands, has learning difficulties and already has a son, born in 2010, with his girlfriend.

Mrs Justice Eleanor King ruled that a vasectomy could take place after hearing that another child could cause the man "psychological harm".

Experts said he was capable of sexual consent but did not have the capacity to make decisions about contraception.

The case came to court because of undisputed evidence that the man - referred to as DE - does not have the capacity to decide whether or not to consent to sterilisation, meaning a judge had to make the decision.

'Relationship strain'

The Court of Protection in London has heard that DE does not want to become a father again.

But he could not be relied upon to use condoms or other birth control methods effectively to prevent pregnancy, the court was told.

Continue reading the main story

There have been cases before of women ordered by the courts to undergo sterilisation, but never of a man. That marks this judgement out as a landmark.

But it's unlikely to lead to a slew of other legal requests for sterilisation because the facts in this case were so unusual, with no-one involved opposed to the application.

More than the legal issues, what marks this case out is that it's a heartwarming story of a loving and long-standing relationship between two people with learning difficulties, the potential breakdown of which the judge said would be a "real and enduring loss" to DE.

Mrs Justice Eleanor King's compassion and understanding shone through in the judgement, describing her "utmost admiration" for DE's parents who'd helped him have a life separate from them which included his girlfriend.

In her ruling, Mrs Justice King said DE lived with his parents but had a long-standing, loving relationship with his girlfriend PQ, who also has learning disabilities, but of a less severe nature.

The birth of the couple's first child had had a "profound" effect on both families, and measures were taken to ensure there was no further pregnancy, including keeping the couple apart and supervising any contact between them.

The judge said the couple's relationship "nearly broke under the strain, but remarkably weathered the storm".

DE's social worker, who specialises in looking after disabled adults, had told the court "how very unusual it is to see such an enduring relationship between two significantly disabled people", adding it was "remarkable and very precious and should be valued and protected in their interests".

Mrs Justice King said DE had suffered considerable distress during the separation with his girlfriend and had his confidence shaken by the loss of his independence.

Surgeons performing operation - library photo

Please turn on JavaScript. Media requires JavaScript to play.

She concluded that another pregnancy would cause "further and probably more serious psychological distress and consequences for DE".

'Re-establishing normal life'

One medical expert had regarded the "most magnetic factor" in favour of a vasectomy as DE's desire not to have any more children.

But the judge said: "Allowing DE to resume his long-term relationship with PQ and restoring to him his lost skills and independence are as important, if not more so, when determining his best interests."

The overall picture, she said, pointed to "re-establishing as normal a life as possible as soon as possible for DE".

Consequently, she said it was now "lawful and in DE's best interests" that he should undergo a vasectomy and all "reasonable and proportionate steps" should be taken to enable the operation to go ahead.

The application to allow a vasectomy had been made by the man's local NHS trust, with the support of his parents, GP and the local authority involved in his care. None of them must be identified, by court order.

Beverley Dawkins of the mental health charity, Mencap

Please turn on JavaScript. Media requires JavaScript to play.

Beverley Dawkins of Mencap said it was a decision that had been reached ''very well'' by the Court of Protection

An application for the sterilisation of a man came to court in 1999 but was refused, making the new ruling the first time in England and Wales a court has sanctioned a man's sterilisation.

Beverley Dawkins, of learning disability charity Mencap, said Britain must not return to "routine" sterilisation of people with learning disabilities seen in the past.

"We know at Mencap that very many people with learning disabilities make very good and loving parents," she said.

A Mencap spokeswoman said "enforced sterilisations" of people with learning disabilities had been "common practice" in the UK in the 1960s.

She said this practice, carried out in long-stay hospitals, become less common in the 1970s but cases still occurred in the 1980s.


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