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11 Ocak 2017 Çarşamba

Child "sugar scourge": thousands having teeth removed in hospital

More than 40,000 children and young people a year are having rotten teeth removed in hospital in further evidence of what doctors call the “costly scourge of sugar”.


New NHS figures obtained by the Local Government Association (LGA) show that 40,800 under-18s in England had at least one tooth taken out last year under general anaesthetic because of decay. Performing the procedures cost £35.6m.


The children involved had such advanced decay that they could not be treated by a dentist and had to go to hospital instead. NHS surgeons carried out 161 such operations each working day.


“These figures are a stark reminder of the damage excessive sugar consumption is doing to our children’s teeth,” said councillor Izzi Seccombe, chair of the LGA’s community wellbeing board.


“It is deeply worrying that the type of dental treatment required is beyond the capacity of a local dentist, due to the severity of the tooth decay, and as a result has to be done in hospital,” she added.


The 161 operations a day should serve as “a wake-up call” to ministers to introduce tougher curbs on sugar, not just the planned levy on sugary soft drinks, said Prof Nigel Hunt, the dean of the faculty of dental surgery at the Royal College of Surgeons.


“The awful impact sugar is having on our children’s teeth is brutally evident in the number of under-18s we are seeing daily that need more than one tooth extracted due to tooth decay. It is shameful that a problem which is 90% preventable continues to plague our children in this way,” Hunt said.


“Having teeth removed can be very traumatising for children and requires time away from school for them, as well as time away from work for their parents.


“The government’s sugar tax will go some way to cutting sugar consumption that leads to tooth decay, but it also needs to support public health campaigns that remind parents of good oral health,” Hunt added.


The LGA, which represents councils in England and Wales, wants ministers to let it help decide how proceeds from the sugar tax should be spent.



Child "sugar scourge": thousands having teeth removed in hospital

8 Eylül 2016 Perşembe

Can A Skin Tag Be Removed Naturally Without Surgery?

What on earth is a skin tag? As if having acne blemishes, warts and discolorations on the skin aren’t enough to get you down, there is this little bit of hanging skin that can develop called a skin tag. Many people will opt for surgical removal or using over the counter remedies for getting rid of skin tags but you don’t have to go under the knife, have them frozen or burned off to be rid of these fleshy little bits. Many are opting for a more natural way to be rid of these. Let’s take a look at some of the top natural remedies beings used for skin tag removal.


Baking soda works to dry the skin tag, while castor oil cleans and softens the skin. The combo has long been used for a variety of skin ailments, such as removing brown spots, tumors, moles and those annoying skin tags.  Castor oil can be used on its own, rubbed onto the skin tag several times a day.  The other option is to blend it with baking soda into a thick paste and apply this to your skin tags. Cover the area with a bandage and leave it to sit overnight. This should be repeated each night for a period of up to ten days, where the skin tag will die off and fall away on its own.


Coconut and Oregano Oils


Oregano is known for its anti-inflammatory, anti-bacterial, antiseptic, anti-spasmodic and antioxidant properties. It can take anywhere between three weeks to two months to remove a skin tag using this method. Oregano oil can be mixed with coconut oil and be applied by rubbing it onto your skin tags three times per day. You will slowly see the skin tag turning darker as it dies and finally dies off and falls away. 


* This remedy should not be used on the eyelids


Lemon Juice


The citric acid found in lemon juice works by drying out the skin tags while it kills off any bacteria. Lemons also have calcium and magnesium, which helps to boost the immune system. Lemon juice has been used to prevent a variety of skin issues when it is used as a cleanser. Take 1 whole lemon and squeeze this to extract the juice, which can then be applied to your skin tags 3 times a day. You will generally see results within 2 to 3 weeks.


Pineapple


Pineapple has been used as a natural remedy to remove skin tags because it is rich in antioxidants, minerals and vitamins. It hydrates your skin to give it a smoother and more youthful appearance to start. It also assists in clearing away dead skin cells and helps to promotes the production of collagen. Used to remove skin tags, a few pieces of pineapple are blended and the juice is used to apply to the area. This can be repeated three times per day, with results being seen within 2 to 4 weeks.


Garlic

Garlic is an age old remedy for many ailment due to its anti-oxidant properties. It also has selenium and enzymes that break down your skin tags. Use 4 cloves of fresh garlic and puree, mince or crush these into a paste. Apply this paste to your skin tag, then cover it and leave it to sit over night. Wash this off in the morning and then repeat the process each night. Results should be seen in about 3 to 4 weeks.


Turmeric and Aloe Vera

Turmeric is known for its anti-bacterial properties, which purify and fight off infections. Aloe Vera has a history as a healing plant that goes back centuries and is also known for its anti-inflammatory and antibacterial properties. The combo together works to break down the bacteria found within and under the skin tag. The gel from a fresh Aloe Vera leaf can be mixed with Turmeric until you have a paste, which is applied to the skin tag. Cover this up and leave it on over night. Repeat this every day until the skin tag falls off on its own.


These are just a few of the natural remedies you can find for removing skin tags. If you’re uncertain about whether your bumps and lumps are skin tags, you should see your doctor. You can also find images and information online. 



Can A Skin Tag Be Removed Naturally Without Surgery?

20 Ağustos 2015 Perşembe

The day I removed a toy dinosaur from a woman"s vagina

As student nurses, we pick one of our 2nd-12 months placements and are recommended to go into an location that interests us most. I chose to do a 5-week stint in a sexual wellness clinic. Sexual health clinics are magical areas in which surprises spring from the walls. I once walked into work to find an aggressive looking – but pretty – nurse loudly spelling the word “gonorrhoea” down the telephone although slurping white sizzling chocolate from a mug with the c-word on it. All before seven.30am.


I manufactured specific friends with a doctor – we’ll phone him Dr Ray. He was a genial Nigerian guy who possessed the sense of abandon that could only arise from being a married religious specialist who has noticed a lot more vaginas than Charlemagne. Dr Ray asked me to lead a couple of his appointments he had a ton of paperwork to get by way of and was faced with acquiring it completed or really seeing his individuals (thank you NHS management). He suggests an apparent win-win circumstance: we both sit in the consulting room, I foremost the appointments and he sitting in the corner, quietly knuckling down to his paperwork but on hand must I need him.


I am chuffed – I’m even now a pupil, I’ve never ever run a clinic before and it’s fantastic encounter. We very carefully choose my initial ever patient, paying specific attention to the age and gender. She’s in her 50s, which would recommend she’s unlikely to have something specifically unusual going on. Pompously, I walk into the waiting room and contact her name. As she gets up and walks in excess of, I recognize a peculiar gait: “Thrush” I feel, “She’s clearly acquired a actually nasty bout of thrush.” Other than the hobble, she seems to be totally standard.


As soon as in the space, I make clear who I am, who Dr Ray is, and how we will go about issues. I ask her about her sexual background, whether she has youngsters and so forth. She tells me in a clipped accent that she’s been married for twenty years and has two younger kids. She hasn’t slept with anyone else since acquiring married. “Thrush!” I smugly congratulate myself. “Irrefutably thrush.”


“So what brings you here right now, Mrs T?” I request, demurely. “Well” she commences, shifting her place and wincing, “I was taking part in with my son’s dinosaur, and it is stuck.”



We come encounter to encounter with Rex, who is poised for battle with my forceps, claws up, as it were



“OK, Mrs T, but why are you in the sexual wellness clinic right now?” I continue, somewhat bemused.


“It’s caught,” she repeats, providing me a pointed seem.


There is a extended pause, the penny’s even now in the air for me, but I can see the outline of Dr Ray’s shoulders silently heaving as he is made up of his giggles.


“I’m even now not very with you. Can you elaborate on that please?” I inquire.


“It’s a T-Rex,” she adds. She gestures helplessly in direction of her crotch and looks stricken. “It’s caught.” The penny finally drops.


I am overwhelmed with a range of inquiries but, understandably, misplaced for phrases. At this level Dr Ray interjects and suggests we get our patient on to the sofa. Speculum in, we come face to face with Rex, who is poised for battle with my forceps, claws up, as it had been. There is a element of the female anatomy referred to as the posterior fornix, a minor trench, correct up by the cervix – “whose anatomical purposes, among other individuals, include pooling sperm” I feel to myself. This bad tiny fornix had pooled a 5cm tall toy T-Rex (produced in China). Rexy had managed to get lodged so when searching towards the cervix using a speculum you could just see his head and front claws over this anatomical parapet.


Right after some deft manoeuvring with the forceps and a prophylactic course of antibiotics, the offending item was deposited in the medical waste bin. One of the very best sentences I have ever uttered as a nurse, scratch that, 1 of the greatest sentences I’ve ever said, is: “I really don’t advise inserting children’s toys during sexual action, even so if you do choose to masturbate with a toy dinosaur, I advocate acquiring your own, and maybe putting it in a condom, or tying a leash to its foot.”


Connected: General practice might seem to be like a circus act but the display must go on


The lady nods appreciatively and hobbles off. Dr Ray and I wait in silence, poised until finally she’s safely out of earshot, before we both break down with laughter. It took each and every ounce of my power to stay professional that day, and I realized never to pre-empt patients or their circumstances again.


If you would like to publish a piece for our new series Blood, sweat and tears, study our recommendations and get in touch by emailing healthcare@theguardian.com.


Join our network to read much more pieces like this. And follow us on Twitter (@GdnHealthcare) to preserve up with the newest healthcare news and views.


The author writes beneath a pseudonym



The day I removed a toy dinosaur from a woman"s vagina

15 Nisan 2014 Salı

Pregnant girl dies right after ovary removed by blunder

The mom-of-3 gave birth to a nevertheless-born boy and died on the operating table on November ten following a second operation to take away her appendix, the tribunal heard.


The two medical doctors are dealing with fitness to practise proceedings at the Health-related Practitioners Tribunal Service in Manchester, the place they could encounter being struck off.


Opening the situation Peter Horgan, representing the Standard Medical Council, told the Health-related Practitioners Tribunal Services advised the panel Mrs De Jesus, known as Patient A, was admitted to hospital with serious stomach discomfort on October 21, 2011, and was diagnosed with appendicitis two days later.


Trainee surgeon Christopher Liao, who had been working at the hospital for much less than three weeks, made the decision she required her appendix eliminated and Mr Coker agreed.


The consultant was informed Mr Al-Abed, a fifth-12 months trainee, who had also only been at the hospital for three weeks, was performing emergency operations and she was additional to his listing.


There had been a amount of other employees current in the theatre on Sunday October 23, including a youthful physician “keen to get some encounter”, Osman Chaudhary.


Mr Chaudhary was permitted to make the very first incision, but when issues arose Mr Al-Abed took in excess of.


“Patient A had begun to bleed quite heavily. Anything was not proper,” Mr Horgan explained.


“In the midst of this, Mr Al-Abed eliminated what he clearly believed to be the appendix. He believed he found it, removed it and gave to a nurse what later on turned out to be Patient A’s ovary.”


A colleague later reported that the medic “appeared reluctant to call for aid” and Mr Coker was by no means called.


He had been in the coffee room although the operation took spot and acquired no details it was underway.


“He had lunch, then went home and didn’t turn out to be mindful till Monday,” stated Mr Horgan.


“Thereafter Patient A remained in hospital till she was discharged on October 31. She returned to hospital and was readmitted on November seven suffering abdominal pains.


“On November 9 it was found by an additional physician that in fact the histology report showed an ovary had been eliminated and not the appendix.


“Tragically on November eleven Patient A gave birth to a even now-born male baby.”


Mrs De Jesus once again consented to go under the knife and this time her appendix was removed by Mr Liao.


“But sadly later on that afternoon Patient A died whilst on the operating table,” Mr Horgan mentioned.


The submit-mortem concluded she had died of a number of organ failure brough on by septicemia, the panel heard.


Dr Coker admits to failing to appropriately undertake his part in not attending or supervising the operation, but denies a number of other comparable costs.


Dr Al-Abed has admitted the bulk of the expenses. The hearing continues.



Pregnant girl dies right after ovary removed by blunder

Pregnant girl dies following ovary removed by error

The mother-of-3 gave birth to a still-born boy and died on the operating table on November ten following a 2nd operation to remove her appendix, the tribunal heard.


The two doctors are dealing with fitness to practise proceedings at the Healthcare Practitioners Tribunal Support in Manchester, the place they could face becoming struck off.


Opening the situation Peter Horgan, representing the General Health-related Council, advised the Healthcare Practitioners Tribunal Services advised the panel Mrs De Jesus, recognized as Patient A, was admitted to hospital with extreme abdominal soreness on October 21, 2011, and was diagnosed with appendicitis two days later on.


Trainee surgeon Christopher Liao, who had been functioning at the hospital for significantly less than 3 weeks, decided she essential her appendix eliminated and Mr Coker agreed.


The consultant was told Mr Al-Abed, a fifth-yr trainee, who had also only been at the hospital for 3 weeks, was executing emergency operations and she was additional to his record.


There had been a quantity of other personnel current in the theatre on Sunday October 23, which includes a youthful physician “keen to get some knowledge”, Osman Chaudhary.


Mr Chaudhary was permitted to make the first incision, but when complications arose Mr Al-Abed took above.


“Patient A had begun to bleed quite heavily. Some thing was not right,” Mr Horgan said.


“In the midst of this, Mr Al-Abed removed what he plainly believed to be the appendix. He considered he located it, eliminated it and gave to a nurse what later on turned out to be Patient A’s ovary.”


A colleague later reported that the medic “appeared reluctant to phone for support” and Mr Coker was in no way called.


He had been in the coffee room whilst the operation took location and received no information it was underway.


“He had lunch, then went residence and didn’t become aware until finally Monday,” said Mr Horgan.


“Thereafter Patient A remained in hospital till she was discharged on October 31. She returned to hospital and was readmitted on November 7 struggling abdominal pains.


“On November 9 it was discovered by one more physician that in fact the histology report showed an ovary had been removed and not the appendix.


“Tragically on November eleven Patient A gave birth to a nevertheless-born male child.”


Mrs De Jesus once more consented to go underneath the knife and this time her appendix was eliminated by Mr Liao.


“But sadly later that afternoon Patient A died while on the operating table,” Mr Horgan said.


The publish-mortem concluded she had died of several organ failure brough on by septicemia, the panel heard.


Dr Coker admits to failing to appropriately undertake his position in not attending or supervising the operation, but denies many other related charges.


Dr Al-Abed has admitted the majority of the charges. The hearing continues.



Pregnant girl dies following ovary removed by error