Galway
Inquest rules Savita Halappanavar
death as 'medical misadventure'
left Savita Halappanavar who died in Galway University Hospital and right the the Consultant Obstetrician Dr Katherine Astbury who gave evidence at the inquest and said there were a lot of system failures in the hospital.
An inquest into the death of Savita Halappanavar has recorded a verdict of death by medical misadventure.
An inquest into the death of Savita Halappanavar has recorded a verdict of death by medical misadventure.
The jury delivered the verdict shortly after 3pm this afternoon, strongly endorsing the nine recommendations set out by Coroner Ciaran MacLoughlin earlier today. These included calling on the Medical Council to lay out clear guidelines on the measures that doctors and midwives can take to save the life of a mother, in order to remove the ‘doubt and fear’ currently present.
It was also recommended that proper procedures be put in place nationally to ensure blood samples are followed up correctly, that proper protocol and training be provided for medical personnel in dealing with sepsis and it was advised that the Department of Microbiology put together a set of guidelines for the treatment of sepsis, to be provided to each hospital in Ireland.
The recommendations also called for proper and efficient communication between on-call hospital staff and medical teams, with a dedicated time for such a handover. The Coroner advised that Early Warning Score charts be rolled out across all hospitals ‘ as soon as is practical’ and that no additional notes be made to a patient’s chart following a death.
He also clarified that the verdict of medical misadventure did not infer that medical failures in her care had contributed to Savita’s death.
Michael D Higgins gets a standing ovation at EU Parliament
‘Says we cannot ignore the suffering of Europeans’
Irish President Michael D Higgins
The Irish President addressed the many concerns of EU citizens with hope for the future.
President Michael D Higgins received a standing ovation from his audience at the EU Parliament in Strasbourg.
Addressing the Parliament, the Irish President urged the Union to connect with its citizens, calling attention to their suffering and reminding the Union that their citizens place their trust in parliament when they vote and rightly have expectations of them.
“We cannot, however, ignore the fact that European citizens are suffering the consequences of actions and opinions of bodies such as rating agencies, which, unlike parliaments, are unaccountable,” he said.
“Many of our citizens in Europe regard the response to the crisis in their lives as disparate, sometimes delayed, not equal to the urgency of the task and showing insufficient solidarity with them in their threatened or actual economic circumstances.
“They feel that in general terms the economic narrative of recent years has been driven by dry technical concerns; for example, by calculations that are abstract and not drawn from real problems, geared primarily by a consideration of the impact of such measures on speculative markets, rather than driven by sufficient compassion and empathy with the predicament of European citizens who are members of a union, and for whom all of the resources of Europe’s capacity, political, social, economic and intellectual might have been drawn on, driven by the binding moral spirit of a union.”
Higgins reminded the Union that its founding treaties were originally founded on values – “Respect for personal dignity; freedom; democracy; equality; the rule of law and respect for human rights,” and continued to voice how citizens need reassurance that the Union will keep faith with these founding treaties.
Firmly addressing the challenge of unemployment, Higgins said, “A first and urgent task must be to get Europe back to sustainable and fulfilling employment and a return to real growth. There is nothing more corrosive to society and more crushing to an individual than endemic unemployment, particularly among the young. Today there are 26 million people across the Union without work, 5.7 million young people, and 115 million in or at risk of poverty and social exclusion. We cannot allow this to continue.”
The President told MEPS that the current, dominant economic policy being used across Europe is “the flaw of our times” and is “insufficient as an approach for our problems and our future” and urged them to press for a new economic model that connects economy, society and policy.
Although President Higgins commended the European Council on the Youth Employment Initiative and the assurance that soon those under 25 will receive a good quality offer of employment, education, apprenticeship or training within four months of being unemployed, he urged for more to be done.
“We need to ensure that women participate in the workplace as equals; that older workers are not left on the sidelines; and that the long-term unemployed are fully equipped to find their way back into today’s workplace. We must, above all, ensure that, for all these European citizens that a loss of employment does not lead to exclusion from participation, particularly in the cultural space of one’s community.”
While addressing the current issues of the EU head on, Higgins’ speech was hopeful that the Union would move forward in a positive light, calling all citizens to “move out of the dark and into the light” to “achieve something worthy of Friedrich Schiller’s poem originally called “Ode to Freedom.”
Irish Dentists want key role in tobacco control strategy
The HSE is being urged to give dentists a key role in the development of its tobacco control strategy.
According to the Irish Dental Association (IDA), while many people are aware of the dangers of smoking-related diseases such as lung cancer, they are not as familiar with the damage tobacco can cause to oral health.
Currently in Ireland, oral cancer kills two people every week, with smokers who drink alcohol at the greatest risk. Furthermore, smoking affects the healing of wounds and can lead to dry socket, a painful condition that can last up to two weeks after a tooth is extracted.
Dental implants are also known to be less successful in people who smoke, not to mention the staining of teeth and bad breath that smoking can cause.
“Smoking is the single biggest cause of cancer and in Ireland one in three adults smoke. Sweden is the only country in Europe which has reached the World Health Organisation target of reducing the number of adults smoking to one in five,” said Dr Peter Gannon, chair of the IDA’s GP Committee.
Speaking at the IDA’s annual conference in Galway, he insisted that it was ‘no coincidence that Swedish dentists played a key role in that country’s tobacco control strategy’.
“Dentists are ideally placed to advise and encourage patients on the dangers of smoking and I would urge the HSE to work with the IDA so we can devise a fully effective tobacco control strategy,” Dr Gannon said.
He pointed out that dentists carry out cancer screening as part of their routine examinations of patients.
“That is why it is very important that people avail of the free annual oral examination which most adults are entitled to. If oral cancer is detected early, the five-year survival rate is around 85%. This drops with later detection. Dentists can also demonstrate to patients who smoke the effects it has on their oral health with the use of an intra oral camera and other aids,’ he explained.
Meanwhile, Dr Gannon also highlighted the detrimental effects cutbacks to the public dental service are having on children and people with special needs.
“For example, school screenings should take place in 2nd, 4th and 6th class. When this happens issues are spotted early and dentists can also advise young people on good oral health practice, such as the dangers of smoking. Now, due to the moratorium on hiring new staff, in many parts of the country, these screenings don’t take place until 6th class or until the children are in their teens,” he noted.
He said at that stage, it is ‘too late’.
“Our children have the highest consumption of sweets of any country in Europe and if they are not seen until 12 or 13, much of the damage has already been done.
“If children have dental issues the lack of screening affects their ability to get on orthodontic waiting lists, not to mention their quality of life in their formative years, with many experiencing lack of confidence, isolation or name calling,” he explained.
He added that staff levels in the public dental system are down 20% over the last few years and young people, those with special needs and older people ‘are suffering the consequences’.
“This isn’t right and it can’t be allowed to continue,” Dr Gannon told the conference.
EU-US trade pact could deliver €800m boost for Ireland, says Richard Bruton
EU trade commissioner says deal possible if he gets early mandate
A trade deal between the European Union and the United States could add €800 million to the Irish economy and create up to 4,000 jobs, Richard Bruton said yesterday.
The Minister for Enterprise, Jobs and Innovation was speaking after an informal council of EU trade ministers, which had been attended, in part, by US president Barrack Obama’s chief trade negotiator.
Taoiseach Enda Kenny, also speaking at Dublin Castle, said the successful liberalisation of trade and investment between the European Union and the US could prove to be a turning point for their 700 million inhabitants.
‘Sense of excitement’
Mr Kenny said there was a “sense of excitement and eagerness” to agree a Transatlantic Trade and Investment Partnership, adding that the Government had prioritised the issue during its presidency of the EU.
With “clear political consensus on both sides of the Atlantic” to complete the deal, he said it had the potential to greatly expand a trade and investment relationship that has long been the biggest in the world.
In pursuit of that objective, he has visited 11 US cities since becoming Taoiseach, he said.
Along with the 27 EU trade ministers and the European commissioner for trade Karel de Gucht, US president Barack Obama’s chief trade negotiator Michael Froman was invited to attend part of the ministerial meeting.
Mr Bruton, who chaired the meeting, said its informal nature had allowed a greater focus on strategic issues.
Speaking at a press briefing, Mr Bruton expressed optimism that the ministers would agree a mandate in June that would allow Mr de Gucht to begin negotiations with the US. He said the the completion of the partnership could lead to the creation of 4,000 additional jobs in Ireland and add €800 million to gross domestic product annually.
Mr de Gucht spoke of the trade partnership as a “cheap stimulus package” that could be worth €500 each year to every household in the EU.
The very act of agreeing such a deal would act as a further stimulus, he said, because it would reduce uncertainty for businesses on both sides of the Atlantic.
‘Search for solutions’
He went on to say that negotiators would have to be “aggressively in the search for solutions” to dismantling of remaining tariff barriers (taxes on imported goods) and the lowering of non-tariff barriers, such as costly customs checks.
Mr de Gucht siad that the transatlantic partnership could be concluded by the time the current commission’s term ends in the second half of 2014, provided member states give him the mandate to start negotiations in June.
Mr Froman said his country would do everything to support the rules-based global trading system and that multilateral liberalisation was “the ultimate goal”.
Despite this, he said that completing the current round of global trade talks, known as the Doha round, was “not feasible”. In order to drive trade liberalisation, the US was continuing to negotiate bilateral deals with its trading partners.
Noting that past efforts to lower transatlantic trade and investment barriers had been “modest”, Mr Froman said that now was the right time to push the transatlantic partnership. “The US and the EU can lean lead on global rules and standards,” he added.
French reservations
Significantly, the only EU trade minister to hold a press conference at Dublin Castle yesterday was Nicole Bricq of France. France has traditionally been the EU member state that has shown least enthusiasm for trade liberalisation and has acquired a reputation as the most protectionist-minded member country.
Ms Bricq questioned the size of the gains in jobs and economic growth from the putting in place of the partnership between the EU and the US, and cautioned against moving too fast to negotiate a deal.
She said that “partnership” was a very strong word in French and that it required a respect for the values and interests of both sides.
She was emphatic in reaffirming France’s traditional opposition to the freeing of trade in areas of culture and defence, saying that neither item could form part of the European Commission’s negotiating mandate.
Kepler telescope spies ‘two more most Earth-like World’s’ out there
The search for a far-off twin of Earth has turned up two of the most intriguing candidates yet.
Scientists say these new worlds are the right size and distance from their parent star, so that you might expect to find liquid water on their surface.
It is impossible to know for sure. Being 1,200 light-years away, they are beyond detailed inspection by current telescope technology.
“They are the best candidates found to date for habitable planets,” stated Bill Borucki, who leads the team working on the US space agency Nasa’s orbiting Kepler telescope.
The prolific observatory has so far confirmed the existence of more than 100 new worlds beyond our Solar System since its launch in 2009.
The two now being highlighted were actually found in a group of five planets circling a star that is slightly smaller, cooler and older than our own Sun. Called Kepler-62, this star is located in the Constellation Lyra.
Its two outermost worlds go by the names Kepler-62e and Kepler-62f.
They are what one might term “super-Earths” because their dimensions are somewhat larger than our home planet – about one-and-a-half-times the Earth’s diameter.
Nonetheless, their size, the researchers say, still suggests that they are either rocky, like Earth, or composed mostly of ice. Certainly, they would appear to be too small to be gaseous worlds, like a Neptune or a Jupiter.
Many assumptions
Planets 62e and 62f also happen to sit a sufficient distance from their host star that they receive a very tolerable amount of energy. They are neither too hot, nor too cold; a region of space around a star sometimes referred to as the “Goldilocks Zone”.
Given the right kind of atmosphere, it is therefore reasonable to speculate, says the team, that they might be able to sustain water in a liquid state – a generally accepted precondition for life.
“Statements about a planet’s habitability always depend on assumptions,” said Lisa Kaltenegger, an expert on the likely atmospheres of “exoplanets” and a member of the discovery group.
“Let us assume that the planets Kepler-62e and -62f are indeed rocky, as their radius would indicate. Let us further assume that they have water and their atmospheric composition is similar to that of Earth, dominated by nitrogen, and containing water and carbon dioxide,” the Max Planck Institute for Astronomy in Heidelberg researcher went on.
“In that case, both planets could have liquid water on their surface: Kepler-62f gets less radiation energy from its host star than the Earth from the Sun and therefore needs more greenhouse gases, for Instance more carbon dioxide, than Earth to remain unfrozen.
“Kepler-62e is closer to its star, and needs an increased cloud cover – sufficient to reflect some of the star’s radiation – to allow for liquid water on its surface.”
Key signatures
None of this can be confirmed – not with today’s technology. But with future telescopes, scientists say it may be possible to see past the blinding glare of the parent star to pick out just the faint light passing through a small world’s atmosphere or even reflected off its surface.
This would permit the detection of chemical signatures associated with specific atmospheric gases and perhaps even some surface processes. Researchers have spoken in the past of trying to detect a marker for chlorophyll, the pigment in plants that plays a critical role in photosynthesis.
Dr Suzanne Aigrain is a lecturer in astrophysics at the University of Oxford.
She said ground-based experiments and space missions planned in the next few years would give more detailed information on distant planets like those announced by the Kepler team.
Astronomers would like to pin down the masses of the planets (information difficult to acquire with Kepler), as well as getting that data on atmospheric composition.
Dr Aigrain told BBC News: “What we do next is we try to find more systems like these; we try to measure the frequency of these systems; and we try to characterise individual systems and individual planets in more detail.
“That involves measuring their masses and their radii, and if possible getting an idea of what’s in their atmospheres. But this is a very challenging task.”
Kepler meanwhile will just keep counting planets beyond our Solar System.
It is equipped with the largest camera ever launched into space. It senses the presence of planets by looking for a tiny “shadowing” effect when one of them passes in front of its parent star.
