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11 Mayıs 2017 Perşembe

Move to decriminalise abortion in New South Wales voted down

A proposal to decriminalise abortion has been voted down in the New South Wales parliament.


Greens MP Mehreen Faruqi’s abortion law reform bill was defeated 25 to 14 in the state parliament’s upper house on Thursday. Public members in the gallery shouted “shame” as the result of the conscience vote was announced in the state’s legislative council.


The defeat means that abortion will remain an offence in the NSW Crimes Act, and unlawfully procuring abortion will continue to be punishable by up to 10 years’ imprisonment under the act.


Unlawfully supplying a drug or instrument for an abortion will also continue to be punishable by up to five years’ imprisonment.


Abortions in NSW are currently made legal by an interpretation of the Crimes Act by the NSW district court in 1971.


That interpretation, known as the Levine ruling, allows doctors to approve an abortion if a woman’s physical or mental health is in danger, and taking into account social, economic or other medical factors.


Proponents of reform said the current situation created considerable uncertainty for doctors and women, stigmatised abortion, and was archaic.


But the Catholic church mobilised in opposition to Faruqi’s bill, led by Sydney archbishop, Anthony Fisher.


“Archbishop Fisher has asked all Catholics in Sydney and others of goodwill to defend life by giving a voice to unborn and signing a petition to the NSW members of parliament,” a statement on the archdiocese’s website said last month.


The Greens’ bill had the support of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, Australian Lawyers for Human Rights, the NSW Council for Civil Liberties, Marie Stopes, Family Planning NSW and many other groups.


The ACT has decriminalised abortion completely and Tasmania and Victoria have also successfully pursued abortion law reform.


But similar attempts in Queensland ran into difficulty and were delayed earlier this year, following opposition from the state’s Liberal National party.



Move to decriminalise abortion in New South Wales voted down

19 Nisan 2017 Çarşamba

Prince Harry shows how NHS psychiatric services could move on | Letters

While experts are right to congratulate Prince Harry (Harry praised for telling of ‘chaos’ over Diana’s death, 18 April), and call for more spending on mental health, there is an elephant in the room. Mental health services are dominated by an outdated, simplistic medical model of distress that is rather at odds with the prince’s views. While he makes the obvious link between painful life events and mental health difficulties, our services are still telling distressed people that they have illnesses, like major depressive disorder, caused by chemical imbalances – an unsubstantiated drug company creation – and by inferior genes that make them more vulnerable than others to depression, anxiety, psychosis etc.


Unlike Harry’s psychosocial approach, this socially blind bio-genetic model actually increases prejudice, by using stigmatising labels and exaggerating differences. It has also led to over 62m prescriptions of antidepressants annually in England, at a cost of about £800m a day to the NHS. Our children too are being labelled and drugged at an equally alarming rate. Time for psychiatric services to move on from the failed diagnose-and-medicate approach and start asking us what happened to us, and what we actually need.
Professor John Read
University of East London


Is bereavement a mental illness? Does grief require medical treatment? It is a profound mistake to treat such essential aspects of the human condition, and our responses to them, as purely personal “in-the-mind” medical crises, evidence of “ill-health”.


It is the overwhelming assault of our culture on our sense of personal space, time to be, not just to do; that generates much of the distress. The shame and stigma won’t be removed from this distress until we realise that it is not simply an individual, personal illness – though sometimes it becomes that – but a social, cultural malaise that will be deepened, not alleviated, by pills or sometimes misdirected talk therapies.
Keith Farman
St Albans, Hertfordshire


Although Prince Harry’s revelations have rightly been praised by mental health experts, it would be helpful to focus on the particular issues surrounding those of us who have been bereaved in childhood.


First, the adults around us do not know how to approach us; second, we are commonly isolated in terms of the experience within our peer group; third, we have not yet developed the means to express our feelings effectively to the adult world around us. Add to that the “scorched earth of English repression”, as Richard Beard so brilliantly described it (Family, 8 April), and the fact that you miss out on natural processes in relationships that are part of growing into adulthood, and you may well finish up with a toxic foundation of anger within you.


Those bereaved in childhood have been widely misunderstood and ignored; the prince’s remarks allow us at least to start a debate as to how we should treat this most vulnerable group.
Alison Sesi
Billericay, Essex


Suzanne Moore writes (Harry got help. Many others deserve it too, 18 April) that no one touched the two young princes during their mother’s funeral service. But why would anyone want to display public emotion, knowing that columnists were looking down on them? The family she saw that day was no different to other families who do not show their emotions at a funeral. Many people, frozen in grief, cognitive processing and exhaustion, are paralysed when it comes to being on display while they deconstruct and reconstruct what is in the coffin in front of them.


One message of the royals’ Heads Together campaign is not to judge other people, because you don’t know their circumstances.
Miriam Fitzpatrick
Dublin, Ireland


Prince Harry is fortunate to have had what is increasingly being called “real therapy”, meaning in-depth and enjoying a trusted relationship with the “shrink” (to use his word). This kind of private practice therapy has almost completely vanished from the NHS and the public sector because all funding is being sucked up by the Improving Access to Psychological Therapies scheme. In this manualised and medicalised state therapy system, with economic rather than psychological goals, it takes a long time and much judgmental evaluation before a few get even cognitive behavioural therapy. We can be pretty sure that CBT is not what was offered to the prince.


It is time for the Department of Health to acknowledge that the old-style psychotherapy and counselling did a lot of good, and that it is still possible to restore it.
Professor Andrew Samuels
Centre for Psychoanalytic Studies, University of Essex



Boxer


Non-contact boxing can help people with mental health issues, says Martin Bisp. Photograph: VisitBritain/Getty Images

I read, with interest and admiration, Prince Harry’s comments regarding how boxing helped him (Report, 18 April). This is something we, at Empire Fighting Chance, already know. We have had massive success with our own non-contact boxing programme for people with mental health issues, often engaging those that traditional services fail.


My co-founder and I have spoken at numerous all-party parliamentary groups about how it is possible to help those most in need by offering something different. However, there seems a real reluctance to invest in and integrate credible, community-based programmes.


Yet everyone can benefit from a community intervention: treatments are not class, race or postcode dependent. Deprivation is a huge factor for poor mental health and the poorer you are the less likely you are to know about or access services. Having something based in your community, provided by a name you know and trust, works. People are not embarrassed to attend – in our case they are proud to say they are going to the boxing gym. Once in it, they train like everyone else, they are not “on display” in some sterile leisure centre, so we get better results.


Finally in a time where funding is hard to come by, budgets are stretched and the health service is under tremendous pressure, we must recognise the role within that sports-led community projects can offer and look to innovate delivery. Resourcing them adequately appears to make sense from a business and, much more importantly, human angle.
Martin Bisp
Chief executive officer, Empire Fighting Chance


Today’s underfunded NHS is unlikely to increase access to the support needed by those processing emotional trauma. I and many others, in UK and internationally, have found help from co-counselling, a peer-support system that, after a 40-hour training course, gives access to lifelong listening support that is comfortable with emotions. Pills and professionals have their place, but, as Harry said, listening is more helpful than advice for working through emotional issues that are an inherent part of being human.
Jean Brant
Birmingham


Join the debate – email guardian.letters@theguardian.com


Read more Guardian letters – click here to visit gu.com/letters



Prince Harry shows how NHS psychiatric services could move on | Letters

10 Nisan 2017 Pazartesi

How the brain makes body parts move | Daniel Glaser

In a recent groundbreaking operation, a man paralysed from the neck down is now, after eight years, able to eat and drink without assistance – all thanks to the power of thought.


The story has captured everyone’s imagination because it seems miraculous that paralysis can be reversed simply by our thoughts. But neuroscientists have always known the information is there, it’s just a question of how you read it out.


In this instance scientists did not tap into the spinal cord. Instead, they used an implant in the patient’s head to read out his intentions from the motor cortex. In this part of the brain, which plans and controls movements, the various parts of the body are laid out like a map. This means that the intended actions can be read out by a sensor, like a message on a mobile. The scientists can then ‘spy’ on the signals and work out the neural trace of his movements. They are then relayed directly to the muscles, allowing the patient to move his arm.


It turns out that in neuroscience as in life, it’s often worth cutting out the middle man and tracing a story directly to its source.


Dr Daniel Glaser is director of Science Gallery at King’s College London



How the brain makes body parts move | Daniel Glaser

28 Mart 2017 Salı

New technology allows tetraplegic man to move hand with thought

A man who was paralysed from below the neck after crashing his bike into a truck can once again drink a cup of coffee and eat mashed potato with a fork, after a world-first procedure to allow him to control his hand with the power of thought.


Bill Kochevar, 53, has had electrical implants in the motor cortex of his brain and sensors inserted in his forearm, which allow the muscles of his arm and hand to be stimulated in response to signals from his brain, decoded by computer. After eight years, he is able to drink and feed himself without assistance.


“I think about what I want to do and the system does it for me,” Kochevar told the Guardian. “It’s not a lot of thinking about it. When I want to do something, my brain does what it does.”


The experimental technology, pioneered by the Case Western Reserve University in Cleveland, Ohio, is the first in the world to restore brain-controlled reaching and grasping in a person with complete paralysis.


For now, the process is relatively slow, but the scientists behind the breakthrough say this is proof of concept and that they hope to streamline the technology until it becomes a routine treatment for people with paralysis. In the future, they say, it will also be wireless and the electrical arrays and sensors will all be implanted under the skin and invisible.


“Our research is at an early stage, but we believe that this neuroprosthesis could offer individuals with paralysis the possibility of regaining arm and hand functions to perform day-to-day activities, offering them greater independence,” said Dr Bolu Ajiboye, lead author of a paper detailing the research in the Lancet medical journal.


“So far it has helped a man with tetraplegia to reach and grasp, meaning he could feed himself and drink. With further development, we believe the technology could give more accurate control, allowing a wider range of actions, which could begin to transform the lives of people living with paralysis.”


Functional electrical stimulation (FES) of the muscles and nerves has been tried before in patients with paralysis, but they have had to use whatever movements they have left, such as shoulder shrugs or head nods, to trigger it. Kochevar, however, only has to think about what he wants to do.


He underwent brain surgery to implant sensors in the motor cortex area responsible for hand movement, linked to a computer. Kochevar went through four months of training, thinking about the turn of the wrist or grip of the fingers that he needed in order to bring about the movement of a virtual reality arm, so that the computer could recognise the necessary signals from the motor cortex.


Then he had 36 muscle-stimulating electrodes implanted into his upper and lower arm, including four that helped restore finger and thumb, wrist, elbow and shoulder movements. These were switched on 17 days after the procedure, and began stimulating the muscles for eight hours a week over 18 weeks to improve strength, movement and reduce muscle fatigue.


Then the whole system was connected up, so that signals from the brain were translated via a decoder into electrical impulses to trigger movement in the muscles and nerves in his arm.


“It was wow – I can do that now!” he said. “In the future I will be able any time I want to take a drink of something or feed myself.”


Graphic of technology process

Kochevar lost all power of movement after an accident during a charity bike ride in Cleveland for the MS Society. He was riding behind a mail truck, he said, when it stopped suddenly. “I went head first into it,” he said.


Ajiboye said he wanted Kochevar to be able to move his arm easily. “That is the goal – to make the technology seamless to him, in the sense of he thinks about him moving his arm and it moves,” he said.


The limitation for now was the number of muscles that could be stimulated and the wires that extrude. The slowness of the movement was not something that bothered patients, he said. “If you ask the users what their primary goal is, it is function not speed.”


There is no question of curing paralysis through this technology – it circumvents the injury instead.


“The goal is futuristic: a paralysed individual thinks about moving her arm as if her brain and muscles were not disconnected, and implanted technology seamlessly executes the desired movement … this study is groundbreaking as the first report of a person executing functional, multi-joint movements of a paralysed limb with a motor neuroprosthesis,” said Dr Steve Perlmutter from the University of Washington, in a linked comment in the Lancet.


“However, this treatment is not nearly ready for use outside the lab. The movements were rough and slow and required continuous visual feedback, as is the case for most available brain–machine interfaces, and had restricted range due to the use of a motorised device to assist shoulder movements … Thus, the study is a proof-of-principle demonstration of what is possible, rather than a fundamental advance in neuroprosthetic concepts or technology. But it is an exciting demonstration nonetheless, and the future of motor neuroprosthetics to overcome paralysis is brighter.”



New technology allows tetraplegic man to move hand with thought

19 Şubat 2017 Pazar

Doctors condemn delay in brain-damage man"s move to care home

Doctors and health experts have condemned the “shocking” delays in moving a brain-damaged man to his new care home as further evidence of serious bed shortages in intensive care.


Malcolm Steward, 63, has spent months more than 100 miles from his wife. He cannot go to a care facility in Devon because of limited space at the nearby Torbay hospital. It does not have enough room in its intensive care unit to let Steward, who is severely ill, stay while he recovers from his journey down to the area.


Steward’s wife, Philippa, said that the situation had put a huge strain on the couple and their two sons, aged 19 and 27. “It’s outrageous,” she said. “A hospital cannot just choose who it treats.”


The Stewards’ case has emerged after weeks of troubling news for the government on NHS capacity issues. Leaked figures showed that January was the worst months for A&E delays on record. And last week, a coroner said the bed shortages in intensive care had led to the death of Mary Muldowney, who was refused surgery at three hospitals last year because of a lack of space.


Dr Mark Porter, who chairs the British Medical Association, said the “shocking” case of Malcolm Steward was further evidence that patients were “repeatedly and unfairly being let down by an overstretched system”. Porter added that delays for vulnerable patients were now the norm.


“The NHS is at breaking point and unfortunately demand is so great that in many hospitals there is simply no capacity left in the system,” he said. “When the appropriate care isn’t available in the right setting, patients can experience delays. This can affect the quality of the care they receive, and in this instance have a profound effect on the patient and their family’s experience of the NHS.”



Philippa Steward at her home in Torquay, South Devon.


Philippa Steward at her home in Torquay, South Devon. Photograph: Jim Wileman for the Guardian

Dr Gary Masterson, president of the Intensive Care Society, said: “It is difficult to comment on this case specifically but in general terms a delay of several months resulting purely from critical care bed shortages is clearly unacceptable.”


Steward was left brain-damaged after having a stroke while driving in 2015. The crash left him with multiple injuries and he spent more than a year in hospital – moving between Southampton and Guildford.


Last month he was moved to a rehabilitation unit in Salisbury, but in the meantime his wife moved to Devon, where the couple had planned to relocate to before the accident. She found a local home that would take him and the move was set for last November. When this failed to happen, she was told that Torquay hospital, which backs up the care home, had blocked the move.



Malcolm Steward at a facility in Salisbury.


Malcolm Steward at a facility in Salisbury.

A letter from the hospital’s chief operating officer, sent at the end of October, said: “Torbay hospital has a small unit and if we are to accept people who may need long-term care we will significantly limit our ability to meet the needs of our local population.” It added that the hospital, which is south Devon’s main one, was to open in the spring and would be willing to accept a further referral then.


It currently has a nine-bed intensive care unit, which is almost 30 years old. The hospital has said that when the new unit opens in the spring it will add one new bed and then a further four over the next two years.


The hospital is concerned Malcolm Steward may need long-term care in one of their private rooms because of the complexity of his needs, limiting their ability to serve the local population. Doctors, however, said having long-stay patients was not unusual.


Philippa Steward travels four hours once a week to see her husband, which she says is affecting her health. After his accident she does not like driving at night but has no other option.


“I get no sleep because I am so worried about him,” she said. “If Torbay hospital don’t change their mind soon I fear I will lose my care home bed in Devon. There’s only one space available, which they may have to give to someone else. Another one might not come up in Malcolm’s lifetime.”


While her husband is unable to talk, he knows that she is there during these visits, she said. “He smiles and holds his hand out to me when I visit. He tries to give me a hug. He writes messages to me saying, ‘I want to come home and be with you.’”



Philippa Steward and her husband, Malcolm, before his stroke and car crash.


Philippa Steward and her husband, Malcolm, before his stroke and car crash.

Kevin Foster, the Conservative MP for Torbay, agreed the case had taken too long to resolve. “Although the case is with the [health service] ombudsman, I am still seeking a meeting with our local NHS to work out a quicker way to bring this matter to a satisfactory conclusion, which means bringing Malcolm nearer to his family here in the bay,” he said.


A spokesman for Torbay and South Devon NHS foundation trust said it could not comment on individual patients, but that its top priority in accepting a patient from another hospital “would be to ensure that we are able to put in place a safe pathway of care appropriate to that individual patient’s clinical needs”.


The spokesman added: “We regularly liaise with [the care home] Douglas House to ensure that any patient being transferred there has plans in place to ensure their safe care and treatment. We would never refuse a patient treatment in an emergency.”


The Stewards’ case will add further pressure on the government to address NHS bed shortages. In January Hull and East Yorkshire Hospitals NHS trust ran out of intensive care beds at its two hospitals and was struggling to provide normal care to the many patients needing treatment for life threatening conditions. Senior doctors told the Guardian that intensive care units were becoming so full that patient safety was increasingly at risk because life-saving operations were having to be delayed.


The BMA’s Mark Porter said: “We urgently need the government to look at the long-term funding, capacity and recruitment issues facing the system as a whole if we are to get to grips with the extreme pressure hospitals are now facing.”



Doctors condemn delay in brain-damage man"s move to care home

11 Aralık 2016 Pazar

"I felt pushed away": Beth Grant on having to move 380 miles for anorexia treatment

Beth Grant, 25, has been receiving treatment for anorexia on and off since she was 13, including five months in a hospital in Glasgow earlier this year, 380 miles from her home in Hertfordshire.




I was 13 when I was first diagnosed with anorexia. I didn’t have my first stay in hospital until I was in my 20s. Before that I received outpatient treatment, first through children’s and late adults mental health services. I was discharged when I went to university aged 21.


I got support while at university from the university’s counselling services, though I gradually declined while on my course. During the last month of my third year in 2015, I was admitted to the Priory hospital in Chelmsford, Essex, about 45 minutes from my family home near St Albans in Hertfordshire. It was a great place. As you progressed you got more freedoms, for example unsupervised snacks and home visits if you managed to get your Body Mass Index up to 15. That gave many of us something to aim for.


I left having regained a suitable amount of weight but was still not completely healthy. Then in February this year I relapsed after a family bereavement. I was told I couldn’t go back to Chelmsford. It’s my understanding that there are just over 300 beds in the country and there are thousands of people who need help. Chelmsford only has 12-14 beds, was small, intimate and a nice group of people.


I was told that the only place available was in Glasgow, 380 miles and a six-hour drive from my home. I resisted the move at first because I really didn’t want to be that far from home. My family were similarly concerned. The problem was that I needed more help than my parents could offer. I was worried that if I lost any more weight I would end up on a medical ward. I didn’t want to leave, but I felt I had no choice.


My parents were so incensed that I had to go so far away that they refused to drive me up. So the NHS decided to transport me by taxi, which must have cost them over £1,000. After that I didn’t see my family for five weeks. My mum was going through treatment for breast cancer at the time so found it hard to come up. I stayed in Glasgow for the next five months but saw my mum a total of four times.


I felt let down. I felt I had been sent away originally just so people could get rid of me, like I was being pushed aside. During my time in Glasgow, no friends came up to visit. I know it sounds silly, but I felt ashamed about being in an inpatient unit and I didn’t want to tell too many people. The nurses were for the most part OK. Some clearly cared more than others, though they could be dismissive at times and sometimes they would simply ignore you. Staff weren’t as hands-on as they should have been and some of my friends were left for five hours during the day without being checked on. But the daily group programmes were very helpful, such as ‘nutritional education’ and ‘understanding your eating disorder’.


In June this year, I was eventually transferred because I was so homesick and depressed. Knowing I was so ill didn’t help as I blamed myself and believed that I deserved to continue to feel that bad. It felt even worse not to be near my mum and unable to physically support her while she was going through radiotherapy as well. I wasn’t putting on weight and it was decided that it would be better for me to be treated closer to home.


Having an eating disorder is extremely isolating; as a normally sociable person it feels like torture. Being so far from home just made it worse. I absolutely love food so for me anorexia is more of a self-punishment. I was bullied from a young age and withholding food became a way of controlling something in my life. I didn’t deserve food. I am also extremely driven, which is maybe linked to it somehow, although it holds me back.


I’ve been an inpatient at one other place since then, in Ealing in west London, which is not too far from my home. The very strict regime there meant I put on weight, but my mental health was no better. I left two weeks ago. I didn’t want to have to stay there over Christmas and I didn’t like the unbelievably strict, inflexible guidelines. I’m now in treatment through my old outpatient team and see a counsellor twice a week, a dietician and a social worker. Constant support is really important and having someone to talk to, or simply to sit with and be near when you don’t want to be alone, is what you need most when you are this unwell.”





"I felt pushed away": Beth Grant on having to move 380 miles for anorexia treatment

13 Kasım 2016 Pazar

Sore throats to be tested by pharmacists instead of GPs under NHS move

Sore throat sufferers will visit their pharmacist instead of their GP for an on-the-spot test to see if they need antibiotics under a new NHS initiative.


The planned walk-in “sore throat test and treat” service will be rolled out across the country over the next year, after a six-month pilot project. It could help relieve pressure on family doctors and tackle antibiotic resistance, according to NHS England.


The sore throat test and treat service, which was piloted with 35 patients treated at Boots pharmacies, involves taking a swab test with results provided in five minutes to see if a course of antibiotics is needed.


The initiative could save the health service £35m a year and reduce GP consultations by as many as 800,000 if the scheme is taken up nationwide, according to NHS officials. About 1.2 million people visit their GP with sore throat symptoms every year.


The NHS chief executive, Simon Stevens, said the scheme would be rolled out across the country over the course of the coming year and is one of eight medical innovations that will be introduced.


“Necessity is the mother of invention, and health care worldwide is now fizzing with smart innovation,” Stevens said. “In the NHS, we’re now taking practical action to develop and fast-track these new techniques into mainstream patient care.”


The introduction of the new walk-in scheme follows news last month that the Department of Health had drawn up proposals to cut funding for pharmacies by 12% from December. The pharmaceutical services negotiating committee described the cuts as madness, and said they would damage the NHS and social care, the BBC reported.


The initiative is part of the NHS innovation accelerator scheme, designed to help with the adoption of new treatments and technologies.


The programme’s founder, Sir Bruce Keogh, NHS England’s national medical director, said: “With rising demand and escalating costs, innovation is not an option but a necessity if we are to build a sustainable NHS.


“The innovations selected for this programme have the potential to deliver better value for the taxpayer whilst making patient interactions with the NHS safer and more personal.”


Meanwhile, the mayor of London, Sadiq Khan, has urged those eligible for a free flu vaccination to take up the offer.


As part of the national “stay well this winter” campaign, Khan called on people more at risk to prepare for the cold weather.


Children aged between two and seven, adults with chronic health conditions, pregnant women and people over 65 are eligible for a free fluvaccine, according to NHS England.


Claire Ward, the chair of Pharmacy Voice, welcomed the initiative as a means of reducing patient reliance on antibiotics but said the announcement had come at a time when community pharmacies faced “significant cuts”.


“Clearly we’re concerned this would make it difficult for some communities to have access to the healthcare professionals delivering these kinds of services if the cuts result in fewer pharmacists being available.


“Here is the NHS doing what we would expect it to do, but at the same time it is in the context of the pay master – the Department of Health – making significant cuts to community pharmacies.


“We need this type of service to be accessible to all community pharmacies. We are concerned that while on the one hand it is promoting great ideas and visions, on the other it’s taking away the funding that makes community pharmacies viable.”



Sore throats to be tested by pharmacists instead of GPs under NHS move

8 Eylül 2016 Perşembe

"People are nicer to each other when they move more slowly": how to create happier cities

When Charles Montgomery first started talking about urban happiness, people laughed at him. As his colleague Omar Dominguez explains, “happiness is kind of an out-there concept for some people”.


Montgomery and Dominguez work at Happy City, a Canadian organisation named after Montgomery’s 2013 book, which makes the case for retrofitting cities for happiness and argues that streets, parks, shopping centres, housing estates – indeed most urban infrastructure – can be designed to make people feel happier, behave better and be kinder.


“If we give a damn about human wellbeing in cities, we need to study the emotional effects of spaces and systems,” says Montgomery. “We need to use evidence to help fix the horrific mistakes we’ve made over the last century.”


To beat the sceptics, the team at Happy City gathers evidence from psychology, neuroscience, public health and behavioural economics. They know that hospital patients who can see trees through their bedside windows heal faster than those who only see brick walls. They know that commuters at rush hour suffer more anxiety than fighter pilots or riot police facing angry mobs. They even know that the friendliest front gardens are precisely 10.6ft deep.


And they conduct their own research, particularly around Montgomery’s theory that the most important ingredient for human happiness is social connection. An experiment in Seattle found that passersby are four times more likely to help lost tourists on lively streets filled with lots of small shops than on pristine, but essentially characterless, blocks, where people tend to move more quickly.


“We think the kindness effect was a result of velocity,” says Montgomery. “People are nicer to each other when they move more slowly and have time to make eye contact.”


At the Project for Public Space conference in Vancouver from 12 to 15 September 2016, Happy City will host walking tours of the city. Participants will be hooked up to sensors that measure their physiological arousal, enabling scientists to test people’s physical and emotional responses to their surroundings, as they walk through community gardens or down dark alleys.


‘An explosion of interest’


But the real problem is that this kind of evidence rarely makes it outside academia. With one foot in research and another in urban planning, Happy City tries to bridge the gap between them. It is a consultancy, advising local governments, developers and any other organisations that have control over how cities grow, including the World Health Organisation.


Montgomery says he’s seen an “explosion of interest in the field” of happiness and urban planning over the past three years – and not just from Scandinavian countries. “I’m especially thrilled to see that property developers are embracing the wellbeing agenda,” he says.


Happy City has helped British Land, the UK’s largest real estate investment trust, to weave wellbeing principles into its new development practices.


“But we’re seeing an awakening in other parts of the world, too,” says Montgomery, referring to Ahura Builders, which invited Happy City to hack the designs for a community of 8,000 people in Punawale, India. “Our happiness interventions included breaking up imposing superblocks, investing in quiet streets that are safe and friendly for pedestrians and creating a village heart to which residents could walk and shop.”


Another project was based in Mexico City. Chaotic, crowded and with high levels of crime, it’s an unusual setting for the happiness agenda. But in the autumn of 2014 the local government’s innovation unit commissioned Happy City to do a three-day “happiness audit” of Colonia Doctores, a poor neighbourhood in the south-west of the city.


Dominguez, Happy City’s director of operations and sustainability, gathered together public officials, city planners, architects and – most importantly – local residents. On the first day they discussed key principles that influence wellbeing, such as access to nature and the ability to have positive social interactions on a daily basis.


“One of the key concerns in Mexico is safety. What people do when they’re concerned about their safety is to fortify,” says Dominguez. “Actually, one of the best things you can do is generate a sense of trust and calm.”


On the second day the group toured Colonia Doctores, applying the principles to physical aspects of the neighbourhood and on the third they presented their findings. Recommendations included opening a new museum and pedestrianising an area outside the local wrestling arena, turning it into a cultural corridor around Mexican wrestling. “That sense of community is good for their wellbeing,” says Dominguez.


‘Happiness is good for the bottom line’


One thing the Happy City team is really passionate about is making the business case for happiness. “Building healthier, happier places is not more expensive. In fact, these places save society money in the long run,” says Montgomery.


He can, of course, point to the proof. People who are socially connected are more resilient and more productive at work. Cities that encourage social interaction foster greater levels of creativity and trust, both of which correlate with GDP growth.


There’s an app that analyses the cost to society of commuting: driving to work incurs costs you might not think of, such as infrastructure, accidents, pollution, congestion and lost productivity due to ill health. Cycling, meanwhile, offers savings to the healthcare system and improved productivity from exercise – making that bike lane look like a great investment, Montgomery says.


The private sector also has a lot to gain from from designing workplaces where employees can be more productive, or shopping centres that encourage loyalty from customers and businesses. Some developers understand that places that promote health and happiness are also good for their bottom line, says Montgomery.


Talk to us on Twitter via @Guardianpublic and sign up for your free weekly Guardian Public Leaders newsletter with news and analysis sent direct to you every Thursday.



"People are nicer to each other when they move more slowly": how to create happier cities

21 Ağustos 2015 Cuma

Can You Persuade Your Aging Mother or father  Move To Assisted Residing?

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My 93 12 months previous mom in law, Alice resisted the urgings of her little ones to move to a seniors’ neighborhood for a long time. Out of the blue, she just transformed her thoughts and allow us know about her selection without having prompting. A quick video of her selection-creating tells you her thoughts. She’s intelligent and considerate, and we are blessed.


Can You Persuade Your Aging Mother or father  Move To Assisted Residing?

9 Temmuz 2014 Çarşamba

Blue Cross" $65 Billion Move Away From Fee-For-Service Medicine

In the most current blow to fee-for-service medication, the nation’s Blue Cross and Blue Shield ideas say they are paying a lot more than $ 65 billion annually — about 20 % of the healthcare declare dollars they pay out — on “value-based” care that rewards greater outcomes and keeps sufferers healthier.


The moves by the nation’s 37 Blue Cross and Blue Shield organizations, a summation of which was announced right now, are the most current push away from the standard charge-for-services approach to medicine that can lead to overtreatment and unnecessary medical exams and procedures.


The Blue Cross Blue Shield Association, which is the trade group and lobby for Blue Cross plans, mentioned its member programs have a portfolio of much more than 350 “locally-created, value-based mostly programs in 49 states, Washington, D.C. and Puerto Rico.” These far more accountable contracts are with a lot more than 215,000 physicians, the association said.


The Blue Cross Blue Shield Association says the contracts with companies are taking on numerous types. They incorporate “pay for efficiency plans,” “episode-primarily based payment plans,” “patient-centered health care homes” as nicely as so-named accountable care organizations (ACOs), a rapidly emerging overall health care delivery system that rewards physicians and hospitals for doing work collectively to enhance high quality and rein in fees.


“Studies estimate that 30 cents of every single healthcare dollar goes to care that is ineffective or redundant,” Scott Serota, chief executive officer of the Blue Cross and Blue Shield Association said in a statement. “With the nation investing $ two.eight trillion on healthcare every single yr, The Blues think we need to lead in bettering care while assisting to deal with expenses.”


The Blue Cross strategies are the most recent of a parade of health insurance coverage organizations touting their moves away from charge-for-support medication as much more Americans appear for cost-effective overall health care coverage, especially the 8 million folks who purchased ideas on exchanges beneath the Reasonably priced Care Act. Blue Cross ideas are huge players on government-run exchanges below the well being law.


Blue Cross rivals like Aetna Aetna (AET), Cigna Cigna (CI), Humana Humana  (HUM) and UnitedHealth Group (UNH) are also rising the amount of worth-based contracts they have with doctors and hospitals. These insurers, which are publicly-traded, are very likely to update their efforts throughout second quarter earnings reviews over the up coming month.


UnitedHealth, for illustration, has mentioned it expects accountable care contracts to a lot more than double from $ 30 billion annually right now to $ 65 billion by the end of 2018. And Aetna has said much more than 20 percent of its health-related charges will come from value-based mostly contracts this yr.


The insurers say value-primarily based contracts are regional in nature and there is not a a single-size-fits-all approach to worth-based mostly care. Says the Blue Cross association’s Serota: “We’ll carry on to broaden locally-delivered, nationally-leveraged worth-based applications with the needs of patients in mind.”


Asking yourself how Obamacare will influence your wellness care? The Forbes eBook Inside Obamacare: The Correct For America’s Ailing Well being Care Technique answers that question and far more. Accessible now at Amazon and Apple. 



Blue Cross" $65 Billion Move Away From Fee-For-Service Medicine

26 Haziran 2014 Perşembe

Indigenous wellness and schooling dangers impartiality by move to PMs office

The outgoing chair of the Council of Australian Governments reform council has warned of the loss of an independent voice on Indigenous health and training when the prime minister’s workplace requires on the process of reporting outcomes from the Closing the Gap campaign.


The council’s final report, a supplement that focuses on well being outcomes for Indigenous individuals, was launched on Thursday, with the council chairman, John Brumby, warning the proposed $ seven co-payment to see a GP could lead to worsening overall health in the Indigenous community.


The council is currently being wound up on 30 June as portion of the government’s price range measures and the prime minister’s office will presume accountability for reporting on Closing the Gap outcomes. Brumby mentioned the council’s reviews had kept the government accountable and assisted emphasis efforts in Indigenous education and overall health, but also showed there was still a long way to go.


“I have a fantastic deal of respect for the Division of the Prime Minister and Cabinet and I’m confident there are individuals with the skills to do that in PM&ampC. However, what the COAG reform council did that was particularly particular was hold governments to account on the promises they have produced, but did so independently of any 1 government,” he mentioned.


“We report independently on the progress of all nine of Australia’s governments – the commonwealth, the states and the territories – in closing the gap. That independence ensured that our reporting was impartial and aim. Who will do this in the long term?”


The report identified lung cancer prices amongst Indigenous folks had been still twice as substantial as amid the non-Indigenous population Indigenous men and women had been waiting longer for elective surgery and to get into nursing residences and were drinking considerably much more alcohol in single sessions.


A ten-year gap remains in existence expectancy but youngster mortality and immunisation costs have improved greatly.


Brumby warned the government towards spending budget measures which could harm the possibilities of reaching Closing the Gap targets and lead to specific struggling between Indigenous individuals.


“As you know, the expense of healthcare is quite topical at the second. Australians are becoming asked to contemplate what they would pay for accessibility to a major care physician,” he mentioned on Thursday in Melbourne.


In accordance to the council, 12% of Indigenous people previously delayed or determined against a check out to a GP because of value and 34.6% delayed or did not gather prescribed medicine due to expense.


“When people begin to avoid going to their primary or neighborhood care supplier due to the fact of price or other reasons, they frequently finish up in hospital,” Brumby mentioned.


“And what we identified was that costs of potentially preventable hospitalisations for Indigenous folks were previously 3 to 4 occasions greater than charges for other Australians. These benefits provide context for governments when they are considering policies close to entry to principal care.”


He added: “Governments ought to be cautious that they do not place up barriers to healthcare access for Indigenous folks as it may undo the very good work that has been accomplished in this room in excess of 5 years and finish up creating a distinct burden on the hospital program.”


According to the council’s report, in 2011–13 the Indigenous grownup smoking price was 41.1% even though the non-Indigenous charge was sixteen% and rates for the two groups had fallen given that 2008.


Of Indigenous 5-year-olds, 89.eight% are entirely immunised, compared with 90.eight% of all children. In 2012, Indigenous one particular-year-olds had been behind other a single-12 months-olds in currently being entirely immunised but they caught up from when they had been about two years previous.


Indigenous people waited an common of forty days for elective surgical treatment in 2012–13, while other Australians waited an regular of 36 days.


The report says 14.2% of Indigenous folks waited nine months or a lot more for a nursing property location in 2012-13 whilst 11.seven% of non-Indigenous folks waited far more than nine months. This was an improvement on 2011-twelve, when 18% of Indigenous individuals waited nine months or much more.


Even though there was no considerable variation in the risk of long-term harm from alcohol, the report identified Indigenous people tended to drink a lot more in a session.


Of individuals who had drunk alcohol in the previous year, 44% of Indigenous guys reported drinking 11 or a lot more common drinks in one session, in contrast with 33.five% of non-Indigenous guys. Of Indigenous girls, thirty.eight% reported they had drunk 7 or much more regular drinks in a session, compared with 21.% of non-Indigenous ladies.


“What we identified was that Indigenous people had been three times as very likely to die of an avoidable cause. This indicates that 3-quarters of deaths of Indigenous folks aged under 75 have been avoidable both by means of early prevention or remedy,” Brumby said.


“By way of comparison, two-thirds of all Australians died from avoidable triggers. It is a tragedy to think of all of those taken just before their time purely because they did not acquire care early adequate or did not make the lifestyle alterations to stop ailment.”



Indigenous wellness and schooling dangers impartiality by move to PMs office

25 Haziran 2014 Çarşamba

Senators Say Walgreen Domicile Move Like "Giving Up On America"

Dick Durbin, the second-most powerful U.S. Senator in Washington, is upping the ante and “chiding” a sudden flurry of U.S. companies considering taking advantage of a loophole that allows them to avoid higher corporate taxes here by reincorporating overseas.


Amid mounting Congressional criticism of so-called inversions, the Illinois Democrat, No. 2 leader in the U.S. Senate and close ally of President Obama’s this week introduced his Patriot Employer Tax Credit Act that would offer a tax credit of about $ 1,200 per employee to corporations that kept their headquarters in the U.S. To get the credit, companies would also have to provide their workers with “fair wages” and retirement benefits, Durbin said.


The loophole already costs the U.S. Treasury $ 50 billion a year, Durbin said.


Walgreen Walgreen Co. (WAG), based in the north Chicago suburb of Deerfield, is nearing the completion of its acquisition of European drugstore giant Alliance Boots, and said Wednesday an inversion is still a possibility as the two companies consolidate “cost structures.” Meanwhile, Abbvie (ABBV), the drug business spun off from Abbott Laboratories Abbott Laboratories (ABT) last year, is considering an inversion as well as part of its effort to buy Ireland-based Shire Shire. Abbvie is located a few miles north of Walgreen along the Tri-State Tollway.


Durbin, who said his comments weren’t directed at a particular company, said he hasn’t called Walgreen or Abbvie executives directly but he’s clearly bothered and his rhetoric is taking on a personal tone. “When I run into their executives, I chide them,” Durbin said.


Other global brands based in the U.S. such as Pfizer Pfizer (PFE) and Medtronic (MDT) have attempted an inversion or are working toward one. Other members of Congress such as U.S. Sen. Carl Levin, a Michigan Democrat, and  lobbies are beginning to call out the companies by name in an onslaught of statements and press releases with Levin saying a Walgreens inversion would cost taxpayers $ 4 billion over five years.


“Walgreens faces several obstacles to undertaking an inversion, including growing political opposition to companies exploiting this tax loophole,” Nell Geiser, associate director of Change to Win Retail Initiatives, a union-backed group, said in a statement. “Will Walgreens—a company which relies on taxpayer supported programs for nearly a quarter of its revenue—risk the mounting political and consumer blow black against tax avoidance?”


Even if Walgreen, Abbvie and others follow through with an inversion, members of Congress say a change to the tax code could be retroactive. Senate Finance Committee Chairman Ron Wyden, an Oregon Democrat has said as much, putting companies on notice that any inversions would have short-term benefits if the loophole is eventually closed.


But Congress would still have to come up with a bipartisan effort to change the law and that’s been a difficult feat on a host of issues.


Durbin’s Patriot Employer Tax Credit Act proposal would  “grant a tax credit equivalent to 10 percent of the first $ 15,000 of wages earned by each employee—worth about $ 1,200 per qualifying worker depending on the company’s federal effective tax rate,” the senator’s office said.


Companies would have to meet the following criteria:



  • “Maintain headquarters in the U.S. if the company has ever been headquartered in America, has not inverted to avoid U.S. taxes, maintain or increase the number of workers in the U.S. compared to the number of workers overseas, and does not decrease the number of workers through the use of contractors.”

  • “Pay at least 90% of U.S. workers an hourly wage equal to 150% of poverty for a family of three,” or about $ 14 an hour or $ 30,000 a year

  • “Offer Affordable Care Act-compliant health insurance to employees.”

  • “Pay the difference between regular salary and military compensation for all National Guard and Reserve employees called for active duty and have a plan in place to recruit veterans.”

  • “Have a plan in place to recruit employees with disabilities.”



BWDurbin0002

Senator Dick Durbin





Senators Say Walgreen Domicile Move Like "Giving Up On America"

3 Haziran 2014 Salı

Politico Tends to make Daring Move Into Nascent Digital Well being Room

As traditional media shops struggle to figure out why they proceed to shed readers and influence to daring disruptors, it is possibly instructive to contemplate a timely illustration of one such gutsy interloper: Politico, which (by way of PoliticoPro) has just launched an eHealth vertical, staffed by 3 strong writers – Arthur Allen (a medical journalist and author of Vaccine), David Pittman (formerly at MedPage these days), and Ashley Gold (who wrote for FierceHealthIT and FierceMobileHealthcare) — and led by a veteran journalist, Joanne Kenen (Politico’s healthcare editor).


Politico’s large bet on serious digital wellness coverage is almost exclusive among main media outlets.  At most main newspapers, digital overall health tends to fall among the cracks of health and tech the restricted coverage it does receive appears to be gadget-oriented (i.e. which action monitor need to I get?).


The explanation – as my Forbes colleage Zina Moukheiber (one of the handful of mainstream journalists targeted on digital health), accurately notes, is that “’digital health’ is even now too small to assign complete-time reporters.”


Nevertheless Politico is assigning 3.


Why? Simply because they are savvy adequate to skate to put on the puck is going.


Like a handful of forward-pondering VCs, Politico evidently recognizes the transformative prospective of digital overall health, and realizes that its prospective significance goes nicely past devices and gizmos, and, regarded as broadly and imaginatively, is probably to effect healthcare and medication, policy and politics, culture, innovation, as effectively as of course engineering (an facet of digital overall health that is constantly covered by MedCity Information and MobileHealthNews, and often highlighted by Wired, TechCrunch and Re/Code as effectively).


It is as well early to know no matter whether Politico’s eHealth experiment will realize success I fear – a whole lot — that PoliticoPro’s notoriously higher paywall will sharply restrict the effect of their promising staff.


However, it is challenging not to be inspired by Politico’s pioneering move into this critical and underreported room.



Politico Tends to make Daring Move Into Nascent Digital Well being Room

2 Haziran 2014 Pazartesi

Apple unveils move in the direction of overall health and residence in new iPhone application

Apple World Wide Developers

Apple has uncovered its ideas to supply apps to track wellness data and allow users to have integrated management of ‘smart home’ products. Photograph: ZUMA/REX




Blood strain a tiny substantial? Want the lights turned off in your residence? There is an app for that. Or there quickly could be following Apple unveiled the latest ideas for its iPhone software on Monday at its developers’ conference in San Francisco.


Chief executive Tim Cook heralded the new computer software, which will collect and retailer well being-connected data and also provide integrated control for “smart residence” devices such as remote-controlled light bulbs.


It will be released in the autumn and run on iPhones and iPads, as “anything only Apple can do”, Cook stated, as he pointed to statistics which stated that 130m iPhone and iPad buyers in the previous twelve months out of about 230m sold have been new to Apple’s platform.


The “HeallthKit” and “HomeKit” computer software are part of a concerted hard work by the Californian company to position its smartphone as the hub of peoples’ digital lives, considerably as it did a lot more than a decade in the past when it first launched its iTunes computer software for organising music files.


In a speech to thousands of computer software developers at the Globally Developers conference in San Francisco’s Moscone West centre, neither Cook nor Craig Federighi, Apple’s computer software chief, announced any new hardware for the well being or intelligent property classes. But Carolina Milanesi, analyst at the study company Kantar ComTech, recommended Apple was aiming to get developers to create apps for both sectors prior to generating its personal move into them. “Otherwise you get the Galaxy Gear impact where Samsung announced a $ 300 smartwatch but there weren’t any apps for it, so men and women say ‘what’s the use of that?’”


Federighi was at pains to emphasise that the health and smart residence techniques will not share consumer data without explicit permission, as it seeks to position itself as an different to the datasharing strategy used by Google, Facebook and other promoting-supported organizations.


Even so the $ 3bn acquire of the Beats headphones and music organization was not pointed out in the two-hour presentation though Federighi did jokingly make a get in touch with to “a new Apple employee” the Beats cofounder Dr Dre, who sent developers his best wishes.


Apple also showed off application known as “Handoff” that will allow iPhone owners to reply incoming cellphone calls or texts on an iPad or Mac personal computer.


With new smartphone customers getting to be increasingly difficult to uncover as the US and European markets grow to be “saturated”, Apple is hunting to entice end users of Google’s Android to use its phones and tablets. Cook put hefty emphasis on the success that the iPhone and iPad have had in China, saying that half of its buyers there had switched from Android.


Announcing HealthKit, Federighi stated that presently apps retain their information inidvidually but do not interact or connect to make great use of it. “That info lives in silos,” he said.


“You can not get a single extensive image.”


The news follows archrival Samsung Electronics Co Ltd’s announcement last week of a mobile healthdata retailer referred to as SAMI (Samsung Architecture Multimodal Interactions).


Samsung strategies to market SAMI by hosting a developer challenge and setting aside a $ 50m fund for earlystage digital overall health entrepreneurs.


The update to the iPhone and iPad application will be launched in the autumn, Federighi said. Though Apple created no mention of new iPhones or iPads, individuals are anticipated to be proven off just ahead of the software’s release, and to ship just right after it.


Amongst the expected updates are an iPhone with a more substantial display to capture users who might otherwise shift to the more and more popular “phablet” models, and to win back individuals who have moved away from the iPhone because they have preferred the greater screens available on Android. Presently the iPhone 5S has a 4in display, measured diagonally, whilst products like the Samsung Galaxy S5 and HTC One particular M8 have screens measuring 5in or a lot more, and analyst data shows that such larger screens are more and more well-liked.


Apple also showed off new OS X software for its desktop and laptop personal computers that will immediately connect to an iPhone, so that it will present the identity of a caller, and let them reply to SMSs immediately from the screen. Codenamed “Yosemite”, it will be offered as a public beta so that any Mac user can apply to check it.




Apple unveils move in the direction of overall health and residence in new iPhone application

1 Mayıs 2014 Perşembe

Papworth hospital authorized for move to Cambridge University campus

Papworth hospital to move to Cambridge University campus

Surgical intruments at Papworth hospital for the duration of a heart valve replacement and coronary bypass operation. Photograph: Sean Smith/The Guardian




The potential of Papworth hospital, the renowned centre of healthcare advances, has been secured following the Treasury finally approved its prolonged-planned move to Cambridge.


Underneath Treasury programs, Papworth had been dealing with a move to Peterborough to support prop up the reduction-making regional hospital.


But following sustained lobbying by MPs, medical doctors, senior NHS figures and Cambridge University, ministers have endorsed the company case for Papworth moving to the new Cambridge Biomedical Campus of medico-scientific analysis.


An independent clinical review located the case for Papworth moving to Cambridge to be compelling and that there would be “minimal patient and clinical positive aspects” to it getting in Peterborough, where it would have taken above the unused fourth floor of Peterborough City Hospital.


The chancellor, George Osborne, said final week that there was a “really strong case” for Papworth getting to be component of the campus, which will ultimately utilize 30,000 men and women, to “produce a hub of top-edge medication, investigation and pharmaceutical development” .


A economic assessment of that program by Keep track of, the NHS financial regulator, concluded that it was cost-effective, regardless of the planned new Papworth hospital currently being portion-funded via one more PFI deal.


Prof Sir Leszek Borysiewicz, the vice-chancellor of Cambridge University, welcomed the “very good news for patients, good information for analysis and great news for United kingdom PLC” and praised Papworth’s pioneering position in heart and lung transplants.




Papworth hospital authorized for move to Cambridge University campus

17 Nisan 2014 Perşembe

Move For Company Or Keep Close to For Mom"s Sake?

Janette feels completely torn. Her mom, who lives an hour away, is ill and refuses property support.  Janette (title changed to defend her identity) visits weekly and does a lot of chores for her.  She feels a sense of duty, especially as two of her siblings do not wish to be concerned in their mom’s care at all.


At the exact same time, Janette’s enterprise is expanding swiftly and she demands to move move out of state to keep the momentum.  Lots of jobs rely on her being more closely involved in day-to-day operations. Her organization spouse is begging her to come to the principal organization spot  asap.  She can no longer be an out of state spouse.


She feels guilty at the prospect of leaving her mom, even although her mother was not a very good parent and has psychological illness as well as other bodily difficulties.  It’s not as if her mom notably appreciates her aid either. But she demands it and won’t let quite several individuals to even enter her apartment, in a seniors’ complicated. Janette is under stress to make a determination.


When Janette came to AgingParents.com with her dilemma, we spent a good deal of time going more than every alternative. As it turns out, a single of her sisters lives close to their mother’s residence and she is able to attend to some of mom’s wants.  Jennifer, the sister, is ready to handle their mom with considerably much less emotion. She is not a enterprise owner and is less filled with conflict, but she also does much less for their mom. If mom refuses support, Jennifer doesn’t push it the way Janette has done.  Janette quite much wants to make her mother’s life greater. She has offered assisted living, property care staff, and even to move mom out of state with her. Mom refuses all of this.


We suggested her that though her offers would undoubtedly make her mother’s life greater from Janette’s point of see, Janette does not have the correct (legally or otherwise) to force her mom to make her personal lifestyle much better. Or safer. Or significantly less isolated.  Part of the worth of an objective stage of see is that it can aid a person who may be struggling with a determination. Janette was certainly struggling.  When she mulled it over, talked it over and came up with a plan, she then felt cost-free to go ahead with her move.


The program she worked out was to have the local folks from the nearby church, which her mom belongs to, check out on her mother everyday.  They usually come by and knock on the door but her mother won’t enable them in.  They can at least come by each and every day now and ask if mom is ok and if she answers that she is, that may be all they can do. If she did not respond, they could get the local police to do a welfare examine (also named a security visit).  If she were in problems, they could get an ambulance if essential. Janette will nevertheless fly back into town to pay a visit to month to month, despite the inconvenience.


Janette was also recommended to set up a meeting with her uninvolved siblings, Jennifer and herself to let them know about the move, and the efforts to do some basic things for mom.  Jennifer will likely be named on to do far more but she won’t mind, Janette says. Mom might allow Jennifer to do the chores Janette was doing.  That’s the very best Janette can organize. Accepting support is plainly her mother’s determination.


By getting guidance, Janette was capable to air her considerations and handle feeling guilty. She’ll most likely nonetheless have to deal with guilt, no matter what, but she now feels clearer and far better about moving and carrying out what is ideal for her, rather than attempting futilely to get mom to change.


When your personal lifestyle is impacted so heavily by aging mother or father responsibilities, it’s in no way straightforward to make a choice that produces guilt. But it may be required. Your personal well being and sense of peace are crucial.  Janette expressed a feeling excellent relief. She is functioning on accepting what her mom has chosen. And her following step was to place her home on the industry.


If you are dealing with a issue like hers, we hope you will also uncover some relief in generating a determination that is right for you.  Getting suggestions from a knowledgable, neutral individual can support you figure out a method. Look for your own guru and locate your way forward.


Until finally up coming time,
Carolyn Rosenblatt
AgingParents.com



Move For Company Or Keep Close to For Mom"s Sake?

8 Nisan 2014 Salı

Spine implant helps paralysed guys move legs


In a new examine published in the journal Brain, researchers gave an update on Rob Summers, of Portland, Oregon, the initial to attempt the therapy, and described profitable benefits for all three of the other men who have tried it. All had been paralysed from beneath the neck or chest for at least two many years from a spinal cord injury.




The study’s lead writer, Claudia Angeli of the Kentucky Spinal Cord Research Center at the University of Louisville, mentioned she believes the device’s zapping of the spinal cord assists it to obtain basic commands from the brain, by way of circuitry that some medical professionals had assumed was beyond fix soon after extreme paralysis.




Dustin Shillcox, 29, of Green River, Wyoming, was significantly injured in a auto crash in 2010. Final 12 months, he had the electrical gadget surgically implanted in his decrease back in Kentucky. 5 days later, he wiggled his toes and moved 1 of his feet for the initial time.


“It was really interesting and emotional,” mentioned Shillcox. “It brought me a lot of hope.”


Shillcox now practices moving his legs for about an hour a day at house in addition to treatment sessions in the lab, sometimes wearing a Superman T-shirt for inspiration. He stated it has given him a lot more self-assurance and he feels more comfy going out.


“The future is really thrilling for folks with spinal cord injuries,” he explained.


Professionals say it really is a promising development but warn the experimental therapy is not a cure. When the implanted gadget is activated, the guys can wiggle their toes, lift their legs and stand briefly. But they aren’t able to stroll and nonetheless use wheelchairs to get about.


The new examine was paid for by the US National Institutes of Wellness, the Christopher and Dana Reeve Basis and others.


Sources: University of Louisville/ AP




Spine implant helps paralysed guys move legs

10 Mart 2014 Pazartesi

Move to block hospital closures law backed by 20 coalition MPs

Move to block hospital closures law backed by 20 coalition MPs

Jeremy Hunt, the wellness secretary, put forward clause 119. Photograph: Neil Hall/PA




About 20 MPs from the coalition parties prepare to rebel on Tuesday towards government ideas that could depart properly-run hospitals in danger of becoming closed if neighbouring ones get into trouble.


Paul Burstow, the former Liberal Democrat well being minister who is spearheading opposition to the move, mentioned that at least twenty MPs from his get together and the Conservatives had indicated that they would not back the programs in a Commons vote either by voting towards or abstaining.


He is searching for to amend clause 119 of the care bill, dubbed the “hospital closure clause”, which as it stands would give a “believe in particular administrator” appointed to kind out a failing hospital trust the energy to buy alterations in the makeup of an additional local hospital’s services as component of an total solution, including downgrading it or even shutting it.


Jeremy Hunt, the overall health secretary, place forward clause 119 right after the high court ruled that it was illegal for the unique trust administrator hired to kind out the heavily loss-generating South London Healthcare trust to purchase the rundown of services at nearby Lewisham hospital as a way of reorganising healthcare in south London.


Burstow wants to give neighborhood medical professionals who commission solutions from a distinct hospital not straight concerned in the other’s difficulties the right to veto any this kind of ideas for an administrator to interfere in its running.


“Support for my amendment has been increasing. It feels to me that there is a growing disquiet on the Conservative side of the coalition about these strategies, plus there are Liberal Democrat MPs who share the concern”, Burstow mentioned.


Lib Dem MPs like Andrew George, Julian Huppert and Michael Thornton have pledged to assistance Burstow’s amendment, as has Green celebration MP Caroline Lucas. Labour MPs will also back it.


Burstow has also spoken to a quantity of Tories who have concerns, which includes Jeremy Lefroy, the Tory MP for Stafford. The town’s hospital is due to drop important services, this kind of as its A&ampE and maternity units, when Mid Staffordshire NHS Basis believe in, which runs it, is broken up due to a blend of the scandal of poor care there in 2005-09, economic troubles and recurrent staffing difficulties.


“While it is vital that there is a clear and productive method to provide services and stability to a nearby location when a single hospital fails, that should not suggest ignoring the experience, experience and preferences of nearby people and clinicians in hospitals that are carrying out nicely. My new clause aims to place some democracy and fairness back into the program to ensure that it operates for the good of everyone”, Burstow added. Labour on Tuesday warns that men and women in 32 communities across England could end up with no true say in the long term of their neighborhood hospital if clause 119 is passed.


It has named 32 hospital trusts about which the NHS Believe in Advancement Authority (TDA) or Keep track of, the NHS regulators, have raised issues about their finances or viability. They consist of twenty trusts which the TDA expects to end 2013-14 in the red and twelve basis trusts exactly where Keep track of has ordered enforcement action due to the fact it fears they may not be in a position to maintain delivering all their solutions.


Burstow is hoping that the Division of Wellness may possibly offer concessions on clause 119 that would assauge his fears. But if it does not, he will push his clause to a vote after the debate on Clause 119, which is expected on Tuesday afternoon.




Move to block hospital closures law backed by 20 coalition MPs

19 Şubat 2014 Çarşamba

Health-related v fiscal causes for Papworth"s move | @guardianletters

Aneurin Bevan at Papworth hospital

Aneurin Bevan, as minister of overall health in Could 1948, on a pay a visit to to Papworth village hospital. Photograph: Edward G. Malindine/Getty Images




The Treasury’s suggestion that Papworth hospital should be relocated and joined with the loss-generating Peterborough and Stamford NHS Foundation Trust is deeply disturbing and clearly primarily based on fiscal aspirations rather than sound health care considerations (Report, 15 February). When I was appointed consultant cardiothoracic surgeon to Papworth 42 many years in the past, I was informed by the regional medical officer that we’d be moved to the Addenbrooke’s web site inside 4 many years. Events conspired towards this. Nonetheless, after my retirement I served as a non-executive on the Papworth board and, following lengthy discussions with Addenbrooke’s, it was unanimously agreed that we ought to move to its internet site in Cambridge. There we would have our very own constructing and retain our very own management and identity as a separate trust, but would share some expensive solutions that would be employed by the two hospitals.


Our cause for wanting to continue to be independent was since of our success. We had excellent management and, becoming a single-specialty hospital, were capable to target effectively on treating sufferers with heart and lung ailment with no currently being subjected to the demands and pressures of becoming component of a big basic hospital. We had been in agreement that each hospitals would advantage from the proximity of our respective clinical services and, for Papworth, the presence of planet-class analysis-based organisations and the health-related college on the identical campus have been additional points of interest. This still has to be the greatest alternative for the individuals of East Anglia and for these who attend our supra-regional services from more afield. It is intolerable that this should be put at risk by this late intervention from the Treasury.
Terence English
Oxford


• The real iniquity linked with the Papworth hospital PFI bid is not with Mr Osborne’s choice to reject it but the rush to PFI by successive governments, saddling the nation with massive debt. The NHS is a publicly funded physique, bound by statute to provide healthcare free at the stage of delivery from taxpayer’s money. Implicit within this need to be the provision of hospitals and services for the delivery of that care. Alternatively of wasting vast quantities of funds on foreign expeditions, our politicians ought to be prioritising care for our very own population very first. This ought to consist of the developing of modern day hospitals for the delivery of state-of-the art healthcare for our folks.


Papworth has been at the forefront of cardiothoracic surgical procedure and medicine for half a century and is recognised around the globe as a leading institution. It is a jewel in the NHS crown and however visitors from other countries are appalled at the amenities inside which this function has to be carried out. To result in years of delay in its rebuilding on the Cambridge University hospitals campus (a single of the greatest and most sophisticated in the planet), its rightful website in the 21st century, demonstrates practically nothing if not political blindness to the relevance of the scientific developments in medicine.


For a mere £150m, the United kingdom would be delivered of a fine state-of-the-art facility that individuals and staff deserve. There can be minor doubt that the populace, whose taxes need to be utilised appropriately, would support this kind of a move. After all, if a new cardiothoracic institute can be built with one hundred% government funding at a previously unrecognised website this kind of as Basildon, certainly it must be shamed into funding this worthy venture. PFI-developed projects price the taxpayer a issue of 3 to 4 times the expense in excess of a 30-12 months period and, at the finish of it, the builders retain control. Hundreds of thousands of lbs are being poured into the pockets of developers , with additional income streams generated for them by the excessive operating charges of these institutions that they management.
Francis Wells
Advisor cardiothoracic surgeon, Papworth hospital


• I can empathise with Stephen Bridge, the chief executive of Papworth, and his anxiety in excess of its long term, but I consider he is getting naive on at least 3 counts. 1st, the good quality and levels of health-related services and care are determined by the teams of clinicians and help personnel, not the location or the identify on the door of the hospital. Second, he raises the question of the financial troubles dealing with the Peterborough hospital triggered largely by its PFI debt, but in the very same breath says Papworth would be raising £80m by way of that same facility. PFI schemes have been one of the greatest sources of fiscal problems to beset the NHS in current many years. Third, he argues that place in the Cambridge biomedical campus is vital. Given the services of contemporary communications and the proximity of Peterborough to Cambridge – only 30 miles – it is challenging to accept this as a powerful argument.


Having served for 10 years as a patient governor on the councils of both Moorfields and now University University London, I am well aware of the rewards of hospitals becoming a component of academic health science centres, as I am also of the difficulties of financing the creating of new hospitals and the use of PFI to do so. Moorfields is dealing with a move to a substitute facility and UCLH utilised a PFI loan for its Euston Street premises. Stephen Bridge would do nicely not to confuse “NHS politics” with financial probity.
John Bird
London


• It could be amusing, have been it no so wretched and destructive, to point out that the achievable “shotgun partnership” of Papworth hospital (“at the forefront of healthcare innovation”) with Peterborough and Stamford NHS foundation believe in (“the NHS’s most reduction-making foundation trust”) would be a stark illustration of the fallacy of the 2nd accident, popularly recognized as a “secundum quid”.


Jeremy Hunt has it in his secretary of state’s electrical power to nip this in the bud and insist that Papworth must realise its move, ten many years in the arranging, to the 310-bed hospital in the Cambridge biomedical campus, subsequent door to Addenbrooke’s, the place Roy Calne pioneered liver transplantation and considerably far more. In this predicament, the Division of Wellness ought to stick to its choice to back Papworth’s move and tell Hunt to inform the Treasury to get lost. If the Treasury decides against and Hunt offers in, then Papworth will drown and decades of British and international healthcare transplant care and advance will be issues of background and, however yet again, the fallacy of the second accident will have prevailed.
Bruce Ross-Smith
Oxford




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