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Showing posts with label patient care. Show all posts
Showing posts with label patient care. Show all posts

Tuesday, September 29, 2015

Donie's Ireland daily news BLOG update

The Taoiseach opens New Research Centres to benefit front-line patient care in Galway

    

NUI Galway have opened the Lambe Institute for Translational Research and HRB Clinical Research Facility at University Hospital Galway.

The co-location of these two facilities in one building on hospital grounds will mean basic laboratory research conducted in the translational research facility can be evaluated in clinical trials in the clinical research facility and ultimately benefit patients faster.
Some examples of the types of studies undertaken in the two facilities will include: Predicting risk of breast cancer due to inherited characteristics. Stem cell trials to help improve blood flow in legs of diabetic patients and prevent amputation. Clinical trials in blood cancer patients to establish whether new treatments can be combined with existing treatment for better outcomes. How implantable medical devices can provide new solutions for patients.
Officially opening the building, An Taoiseach said, “I am delighted to celebrate the opening of this new clinical and translational facility made up of the Lambe Institute for Translational Research and the Health Research Board Clinical Research Facility. This project represents a truly innovative partnership between NUI Galway, Health Research Board, Saolta University Health Care Group, and HSE supported by private philanthropy through Galway University Foundation.
Ireland is recognised as an emerging global hub for the ‘medtech’ sector. Galway is at the very heart of this development and NUI Galway is the powerhouse for much of this progress.”
NUI Galway President, Dr Jim Browne, said,“Today is a milestone in the development of medicine at NUI Galway.
NUI Galway has given strategic priority to the development of biomedical engineering science. Over the past two decades we have invested heavily in this area, with major new research facilities on our campus. Our researchers advance scientific knowledge to address health challenges. Here in this building that scientific knowledge is being developed into novel treatments, which are then carefully applied in the clinical setting and tested in clinical trials led by NUI Galway.”
Commenting, Maurice Power, CEO, Saolta University Health Care Group said, “This exciting new facility brings together leading-edge medical research directly to the bedside of patients at University Hospital Galway and the wider Hospital Group.  For our patients, the facility will provide inpatient and outpatient beds, a minor operations room, endoscopy, endocrine and cardiorespiratory suites, a phlebotomy room and a biometrics unit.  As well as its primary function in benefiting our patients it will also allow our Hospital Group attract and retain the highest calibre of medical professionals.”
Speaking at the launch Dr Ronan Lambe, said, “It is a great privilege for my wife and I to be associated with such a state of the art facility which will enhance the reputation of NUI Galway as a centre of excellence for Bio Medical Research.”
The proximity of the University to UHG will enable direct patient access and collaborative trial input from the hospital Oncology/Haematology Clinical Trials Unit. The CRF will ensure that patients in the West and North West of Ireland have access to a number of new cancer therapies that would otherwise not have been available to them. Clinical trials are active in the treatment of melanoma, multiple myeloma, mantel cell lymphoma, breast, prostate, lung, care

Latest statistics show an increase in Ireland’s gun crime

Sharp drop in murders but 28% increase in car hijackings and related crimes

   

Possession of a firearm increased by 21%t to 214 cases in the 12-month period to the end of June. Many forms of serious crime have increased, though the murder rate has fallen significantly in the Republic.

Burglaries were up by 9%, to 27,890 cases reported to the Garda, in the latest 12-month period for which crime trends are now available.
The latest data, published by the Central Statistics Office, also revealed further increases in the level of those offences most closely associated with organised crime gangs.
Possession of a firearm increased by 21% to 214 cases in the 12-month period to the end of June, compared to the 12-month period to the end of June last year.
It may suggest resurgence in gun crime after a sharp decline since the 2007-2008 period when the drugs trade collapsed along with the wider economy.
However, the latest data also reveals cases of discharging a firearm were down by 2%.
Controlled drugs offences overall were down by 1.2% to 14,488 crimes.
Cultivation of drugs and possession of drugs for personal use were down, by 19% and 1% respectively.
However, the crime of drug dealing – possession of drugs for sale or supply – increased by 1%, to 3,448 cases.
There was a very sharp decline in murders; down by 37% to 38, from 60 cases in the previous periods
Sexual offences increased by 3% and within that rise was a jump of 7% in the crime of rape of a male or female, to 478 cases. Other sexual assaults were also up, by 7%.
Driving a vehicle under the influence of drugs and drink were both down; by 13% and 4% respectively.
Some 6,450 motorists were detected driving over the legal alcohol limit in the 12-month period while 232 were caught driving under the influence of drugs.
Car hijackings and related crimes increased by 28%, to 110 cases. There were 7,392 cars stolen in the period, three crimes lower than the previous year.
Homicide offences – of which murders are but one category – have decreased to 60 from 93, a fall of 36%.
Attempts of threats to murder, assaults and harassments are up 10%, to 16,054 offences.
Kidnapping and related offences have decreased by 4%, to 131 offences.
Fraud and other deception related crimes have shown an increase of 6%, to 5,337 crimes. Public order crime has decreased by 5%, to 32,866 offences.

Bullied obese children miss long periods of school year

  

Aoife Brinkley, a senior clinical psychologist at the child obesity service at Temple Street Children’s University Hospital, said seven out of ten children at the clinic reported bullying, with one tenth self-harming as a result, and suffering with depression and anxiety disorders.

With a quarter of Irish children classed as overweight or obese, it is thought more and more will be psychologically affected by bullying as a new international report pinpointed weight as the most common form of playground teasing.
Dr Brinkley said children with obesity can be so affected by bullying they can no longer face going into the classroom. “We see kids refusing to go to school. We would have a little group that have struggled or missed a huge amount of school because of the bullying they have experienced.”
The leading psychologist said she has seen bullying resulting in children becoming so socially anxious they can’t go outside their house.
“We would have a lot of children who have attempted to hurt themselves and harm themselves. We would have children with depression, symptoms of anxiety.
“There is a lot of social anxiety where children or teenagers are struggling to go outside the house because they feel so self-conscious.
“It can become a vicious cycle where a young person teased or bullied doesn’t want to leave the house and is gaining weight because they are not leaving the house.”
She said bullying can begin to have much more serious consequences towards the end of primary school.
“Maybe they have been bullied on and off from third class and fourth class but maybe things continuing into fifth class and sixth class, so it means that transition to secondary school is particularly difficult for those kids.”
She said a survey carried out among children with obesity attending the W82GO Healthy Lifestyles Programme in Temple Street, which sees an average of 150 children a year, showed 57% of children experienced moderate bullying with 11% subjected to severe bullying.
“With girls it tends to be name-calling, left out of games. As they get older it tends to be more of a serious nature. Targeted exclusion over a period of time, repeated comments and we have had some children where there has been quite serious cyber bullying on social media.”
She said there are also a lot of misconceptions around childhood obesity in Ireland. “A lot of the stigma is that people think that it’s simple — that they need to eat less or be more active. That is true to some degree but sometimes there are barriers to stop them doing that which are absolutely insurmountable whether it’s parents’ substance use or mental health within the family.
“I’d like to break down the myth that it is a simple thing or it is the parents’ fault. It is very complex and a really difficult thing to change.”

VHI policies are to rise by average of 2% from November

Health insurer says price rise is required to cover the increasing cost of customer claims

    

The Insurer says the increase is the first in 20 months.

The State’s largest health insurer VHI is to introduce an average premium price increase of 2% from November.
In a statement the company said the increases would range from between 1% and 5% depending on the cover.
Declan Moran, VHI’s director of marketing, said the increase was the first in 20 months and was necessary to cover the rising cost of claims.

Lovely Letterkenny scoops tidy towns of Ireland top spot

 

Clonegal, Co Carlow, Listowel Co Kerry and Westport among other category winners

Letterkenny, Co Donegal, has been named Ireland’s Tidiest Town for 2015 in the annual Supervalu National Tidy Towns Awards competition.has been named Ireland’s Tidiest Town for
Letterkenny, Co Donegal, has been named Ireland’s Tidiest Town for 2015 in the annual Supervalu National Tidy Towns Awards competition.
It beat 860 villages and towns across the State to become the eighth town in Donegal to win the award since the competition began in 1958. Letterkenny was also named as Ireland’s tidiest large urban centre.
Other winners included: Clonegal, Co Carlow, which was named tidiest village; Listowel, Co Kerry, which was named tidiest small town and Westport, Co Mayo, received the award of tidiest large town,

Evidence of water makes issue of life on Mars a hot topic

New discovery takes scientists tantalisingly close to uncovering actual life on Red Planet

   
Portions of the Martian surface shot by Nasa’s Mars Reconnaissance Orbiter show many channels on a scarp in the Hellas impact basin, in this photograph taken January 14th, 2011 and released by Nasa on March 9th, 2011. Scientists have found the first evidence that briny water may flow on the surface of Mars during the planet’s summer months, a paper published on Monday showed.
The answer to a question which has troubled scientists, science fiction writers and rock singers for generations has taken a giant leap forward with the discovery of liquid water flowing freely on the Red Planet.
While past Martian probes have revealed hints of rivers, lakes and even oceans which dried up a long time ago on the planet far, far away, this new discovery offering concrete evidence of water still flowing freely there – at least during the planet’s summer months – takes scientists tantalisingly close to uncovering actual life on Mars.
Nasa’s discovery of water running hundreds of metres down the planet’s canyons and craters has been hailed across this world as a scientific breakthrough of huge importance.
“It is the first verification of liquid flow on Mars and it is very significant,” said Kevin Nolan of the School of Applied Science at the IT in Tallaght. “It is so hard for liquid water to form on the Martian surface, so if we are finding it on the surface then it is very likely there are significant quantities underground too.”
He said it was an accepted scientific fact on Earth that “where there is water, there is life, there is no exception – and that is why Nasa has been following the water on other planets for decades”.
The Martian water only flows when the surface of the planet rises above -23C. Despite the freezing conditions, it can still flow because a high salt content drops the point at which it freezes far below zero degrees Celsius.
Scientists have yet to establish the source of the water but are working off theories that it rises up from underground ice or condenses out of the thin Martian atmosphere.
The newly discovered trickles will most likely by used by space explorers to map the best sites to seek out life on Mars and to establish landing spots for future human missions.
“If we find there is life on two of eight planets in our solar system then it suggests that life is widespread throughout the universe,” Mr Nolan said.   

Tuesday, November 19, 2013

Donie's Ireland daily news BLOG Monday

Safety targets to feature in Ireland’s 2013 National Service Plan

  
The HSE’s 2014 HSE National Service Plan will set out targets in respect of each programme area “to ensure that health, safety, quality of care performance can be evaluated throughout the year, in order to identify any emerging areas of concern,
The Minister for Health Dr. James Reilly has said should any such concerns arise, this will make it possible to implement necessary remedial measures without delay.
The 2013 Service Plan required the HSE to continue to focus its delivery of services on the dual challenge of protecting patient outcomes, while at the same time.reducing costs. 2014 will be no different in this regard and any measures impacting on the health system as a result of Budget 2014 will also be assessed against these criteria — with the outcomes of this consideration set out in the NSP for 2014, Dr Reilly said. The Plan will be submitted to Dr Reilly shortly for approval.
In setting out the operating framework for the delivery of HSE services throughout 2014, the Plan will look to deliver the maximum level of safe services possible, with prioritisation, where necessary, of certain services to meet the most urgent needs.
The healthcare system has, over recent years, had to deal with a number of major challenges, including reduced overall levels of funding and employment numbers, demographic pressures and increased numbers of people with chronic illnesses, said Dr Reilly.
Despite this, major improvements in mortality and morbidity rates have been achieved in certain core areas, including diseases of the circulatory system, where the death rate per 100,000 has fallen by almost 36 per cent since 2002. Overall cancer rates have reduced by 8 per cent in the same period.
“This has been achieved during a period when the average length of stay in acute hospitals has also reduced and the number of patients receiving the treatment they require without having to stay in hospital (i.e. day-case patients) has increased as a percentage of total discharges by over 50 per cent,” Dr Reilly told the Dáil.

Forty of the Ireland’s worst ghost estates to be demolished

 

Developments with no hope of being finished to be bulldozed next year after list of 40 drawn up

Council officials have been in touch with the property developers involved and their banks to draw up plans for dealing with the worst cases.
The demolition of the State’s worst unfinished ghost estates will begin next year under a plan devised by Minister of State for Housing Jan O’Sullivan.Ms O’Sullivan has drawn up a list of 40 estates for demolition in the next 12 months.Others are likely to be added when the initial programme is complete. A spokesman for the Minister of State said yesterday that 40 estates which have no hope of being developed will be bulldozed next year.
Some of them are at a very rudimentary stage with no completed houses in the developments.
Commercial viability
He said the Department of the Environment had been working with local authorities to identify estates with no hope of commercial viability.
Council officials have been in touch with the property developers involved and their banks to draw up plans for dealing with the worst cases.
The legal owners of the properties are now considering whether to comply with requests by the local authorities to clear the sites or propose alternative plans to deal with them.
Most of the ghost estates targeted for demolition are not close to the main urban centres and are owned by small local developers.
The spokesman said some of them have partially built houses on them but many have just foundations and groundworks and could be returned to green field status relatively easily.
The latest inventory of unfinished estates provided by local authorities to the department shows that there are less than 1,300 of them in the country. This compares with 1,770 a year ago.
A significant number of unfinished estates have been brought up to standard over the past year with local authorities providing proper road access as well as footpaths, roads, lighting and other services.
A fund of €10 million was allocated in the budget to provide these facilities in estates where most of the houses have been occupied.
Councils can apply to draw down money from this fund and Ms O’Sullivan is hoping that the provision of basic services will persuade developers to finish off the houses in the improved estates.
‘Private finance’
“If this works by attracting the private finance to finish out a number of estates we can make the case to do it again.
“As of now we have the funding for 2014 but €10 million is just enough for the first phase of a programme to deal with problem estates,” said the department spokesman.

Mothers granted leave to challenge law on resource hours for 

DOWN SYNDROME CHILDREN 

 

Two mothers have been granted leave to challenge the current rules on resource hours for children with Down Syndrome in the High Court next month.

The High Court has granted leave for two mothers of children with Down Syndrome to challenge the law on the provision of resource teaching hours to children with the disability.
One of the women. whose five-year-old son has Down Syndrome and is currently schooled in the mainstream system, wants her son to be allocated resource teaching hours, but Down Syndrome is not currently recognised as a disability by the Department of Education.
A child with the disability must be diagnosed with second disability from the Department of Education’s ‘Low Incidence Disability’ list in order to qualify for resource teaching hours.
“My son has Down Syndrome and he is not entitled to support in the mainstream schools,” the mother, who cannot be named for legal reasons, told TheJournal.ie today.
“We’re asking the State to recognise our children and give them adequate support.”
The State has been given until 5 December to respond to the case. The woman said this evening that she is “naturally nervous” but wants the nation to realise that Down Syndrome is a disability.
She said that having met with Education Minister Ruairi Quinn she feels this is now the only option left for her.

Doctors should always put patient care before cost

A top PROFESSOR SAYS

   
Doctors should always try to do the best they can for their patients without the consideration of cost, a leading ophthalmologist has said.
The Full Professor and Chair at the Department of Ophthalmology, University Vita-Salute, Scientific Institute, San Raffaele, Milan, Italy — described by the Irish College of Ophthalmologists (ICO) as one of the world’s top ophthalmic experts — commented: “Our role should not be to ask for less for our patients. As doctors, we work for the best for our patients, then someone else with responsibility for allocation of resources should worry about feasibility, maybe a politician.”
Prof Francesco Bandello, in Dublin last month for the International Retina and AMD Congress 2013, was commenting on the ongoing debate in the specialty — whether to prescribe Avastin (bevacizumab), a cheaper off-label drug originally licensed for cancer, or the relatively more expensive licensed Lucentis (ranibizumab), for the treatment of wet Age-related Macular Degeneration (AMD).
Irish Medical Times reports as the results of a ground-breaking investigation into the prevalence of the chronic eye condition in Ireland (some 7 per cent of over 50-year-olds have AMD) were presented by Principal Investigator of the Macular Pigment Research Group, Waterford IT, Prof John Nolan, at the International Retina Conference hosted in Dublin last week by Irish patient-led research charity Fighting Blindness.
However, Prof Bandello said: “The problem is financial. If we have enough money I think there is no question about it, we must use Lucentis, because it is developed specifically for ophthalmology with less side-effects. But if we have insufficient money, then it should be about watching the costs.”
Although he believes Avastin works equally well, Prof Bandello queried: “Were it your mother or brother or sister, you would give them Lucentis but what is the limit?”
Resources will become increasingly important in the future as people live longer and because all over the world nobody has money to treat everyone in the best possible way so we have become communistic,

Test’s for aggressive (tiger) type prostate cancer could help men

AVOID TOUGH DECISIONS ON SURGERY

   
Prostate cancer patients could be screened to detect aggressive tumours (like above left) after scientists identified a protein linked to severe forms of the disease.
Currently there is no reliable way to distinguish between life-threatening prostate cancers, known as “tigers”, and less harmful “pussycats” which cause few or no symptoms. 
Patients with high levels of the protein NAALADL2 are more likely to need surgery, chemotherapy or radiotherapy while those with low concentrations could be spared unnecessary treatment, researchers said.
Currently there is no reliable way to distinguish between life-threatening prostate cancers, known as “tigers”, and less harmful “pussycats” which cause few or no symptoms.
The Cancer Research UK scientists, from the University of Cambridge, studied biopsies of prostate tumours and found that NAALADL2 caused prostate cancer cells to behave more aggressively and invade healthy tissue.
Results published in the Oncogene journal showed that those with high levels of the protein were twice as likely to relapse after treatment than those with low levels.
The findings suggest that screening for high levels of the protein could help doctors pinpoint patients with aggressive tumours, researchers said.
Some 41,000 men are diagnosed with prostate cancer each year in the UK and about 10,700 die from the disease annually.
Lead author Dr Hayley Whitaker said: “This is early research, but if clinical trials confirm our results then it could help clinicians to tell which patients have a more aggressive tumour and need proportionally aggressive treatment, while sparing patients with low grade tumours unnecessary radiotherapy or surgery.
“This is an important step along the path to developing a much-sought after test that could distinguish between different types of prostate cancer.”
Professor Malcolm Mason, Cancer Research UK’s prostate cancer expert, added: “I hope that this research brings forward the day when I can say to patients: ‘We know that your cancer doesn’t need treatment’ – a crucial development that could spare thousands of patients from enduring arduous treatment with unpleasant side effects.

Egyptians mummified snack portions for journey of death

A STUDY REVEALS

Carefully embalmed and wrapped beef ribs all set for the hungry mummy on the way to the next world, from the tomb of Yuya and Tjuiu (1386-1349 BC). Photograph: PNAS. 

Embalmed portions of ribs and roasts placed in coffin as well as cats and dogs, researchers say

Carefully embalmed and wrapped beef ribs all set for the hungry mummy on the way to the next world, from the tomb of Yuya and Tjuiu (1386-1349 BC).
Ancient Egyptians if they were rich enough, planned ahead for their journey from life into death. They had their bodies mummified and had their cats and dogs turned into mummies so they could go too. Some went further still, taking along “meat mummies” so they could enjoy a snack on the way.A new study released this evening by the US Proceeding of the National Academy of Sciences shows that embalming treatments were used to prepare portions of ribs and roasts that were wrapped in bandages and placed in the coffin along with the mummy.

Prof Richard Evershed and colleagues from the University of Bristol analysed four of these packed lunches to see what was used to prepare them. The recipe seems to have varied depending on the meat mummy being analysed. The external bandages wrapped round a victual calf mummy contained a mix of substances derived from animal fat, but there were no waxes or resins. The researchers established that the balm used was deliberately applied and was not something that emerged from the meat itself.
Similar animal fat-derived compounds were found on a wrapped goat leg, but the balm was not used on mummified duck meat. But mummified beef ribs were a different matter, with a treatment used made of fat or oil along with beeswax and “Pistacia resin”, a luxury item in ancient Egypt, the authors note.
It is not clear why one recipe was used over another when preparing these handy meals, but there was no risk of going hungry when crossing over to the next world.