Pollution ‘hits failing hearts’

Air pollution ‘harmful for people with failing hearts’

A mask would possibly not provide enough protection against pollution, in step with experts

Air pollution is harming individuals with weak hearts – even killing them, a large international study reveals.

Experts estimate the toll includes thousands of Britons every year.

The British Heart Foundation, which funded The Lancet work, says the united kingdom must freshen up its air – lots of its cities often exceed safe levels set by the eu Union.

The government has already admitted that during 15 regions, air quality will breach EU limits until 2020.

But Defra says this is committed to improving air quality and that the majority parts of the united kingdom meet EU air quality limits for all pollutants.

Air pollution, largely from traffic fumes, has previously been associated with heart attacks but not heart failure.

This happens when the center muscle becomes weak and not more good at its job of pumping blood across the body. It is usually the consequence of a heart attack and affects greater than 750,000 people within the UK.

Deep into lungs

The Lancet research checked out 35 studies with data for thousands of patients in 12 countries, including the united kingdom, the usa and China.

The strongest link was found with gases which include carbon monoxide and nitrogen dioxide, in addition to fine particulate pollution – fumes from buses, taxis and lorries which could get deep into the lungs and, from there, into the bloodstream.

People with already weakened hearts who were exposed to high levels, by living with regards to or travelling along busy roads, for instance, were particularly susceptible.

And the increased risk appears to be strongest at the day of exposure.

Dr Anoop Shah and co-workers who achieved the work say moderate reductions in pollution could avoid 8,000 US hospital admissions for heart failure every year.

“There isn’t any it’s because the impact wouldn’t be similar within the UK.”

Alan Andrews of the lobby group Client Earth said: “The united kingdom has a massive problem with pollution, particularly from road traffic, and the govt. response sadly was worse than useless.”

He said people must be alerted when pollution levels are high with a view to take measures to offer protection to themselves, by staying indoors when possible and avoiding busy roads.

According to the realm Health Organization, pollution in towns and cities kills 1.3 million people globally every year.

UK estimates suggest nearly 30,000 people die prematurely yearly as an immediate results of exposure to pollution. Pollution was associated with asthma and other lung diseases, including cancer, in addition cardiovascular disease.

The Chief Medical Officer recently highlighted the impact of pollution in her first annual report at the state of the nation’s health – pollution was highlighted a few of the top 10 causes of mortality within the UK.

Elderly ‘suffer from poor home care’

Elderly ‘suffer from poor home care’

Inspectors checked out 250 services, finishing up inspections and chatting with those being cared for

A quarter of home-care services provided to the elderly in England are failing to satisfy quality and safety standards, inspectors say.

More than 700,000 people above the age of 65 depend on home help for activities comparable to washing, dressing and eating.

But the Care Quality Commission found evidence of rushed appointments and botched assessments during its review of 250 services.

Campaigners said it was an indication of the way much pressure the system was under.

On Monday, ministers announced plans for a £75,000 cap at the amount the elderly should pay for social care in England – only the poorest get it free.

The proposal aims to forestall the elderly having to sell their homes to pay for care.

But the move will do nothing to get more money into the system, something the world believes is key if the standard of services goes to be improved.

‘Significant impact’

Home help services are considered essential in keeping people out of dearer care homes.

The numbers getting assistance is pretty evenly split between self-funders and those that get council-funded care.

This review checked out the support being provided to both – and located too many were struggling to keep standards.

A total of 26% failed on as a minimum one standard.

One of the most typical issues identified on the topic of late, rushed or missed visits.

The regulator also highlighted assessments that had missed vital information, similar to a diagnosis of diabetes, and care records that were incomplete, meaning problems akin to pressure ulcers can be missed by carers.

Concerns were also raised in regards to the way services were monitored and complaints handled.

The regulator said home care providers, lots of which can be private companies, had to work closely with local authorities to remedy the issues.

It warned the issues identified may have a “significant impact” at the elderly, a lot of whom didn’t complain as a result of a terror of reprisals or loyalty to their carer.

The findings come after reports by both the shopper group Which? and the Equality and Human Rights Commission have criticised home care up to now 18 months.

Michelle Mitchell, of Age UK, said: “There ought to be a 0-tolerance attitude to poor, neglectful care.”

The UK Homecare Association said it was pleasing most of the people were meeting the entire standards but said the arena was “not complacent” in regards to the minority that weren’t.

A spokesman said one of the vital problems associated with councils squeezing the quantity of time they were willing to fund for visits.

‘Smelly urine’ bladder cancer test

Urine odour test for bladder cancer

Urine gives off a different odour when cancer cells are present

UK scientists have made a tool which could “smell” bladder cancer in urine samples.

It uses a sensor to detect gaseous chemicals which are given off if cancer cells are present.

Early trials show the tests gives accurate results greater than nine times in 10, its inventors told PLoS One journal.

But experts say more studies are had to perfect the test before it could become widely available.

Each year around 10,000 people inside the UK are diagnosed with bladder cancer.

Doctors has been attempting to find how you can spot this cancer at an earlier stage when it’s more treatable.

And many were eager about odours in urine, since past work suggests dogs might be trained to recognise the scent of cancer.

Prof Chris Probert, from Liverpool University, and Prof Norman Ratcliffe, of the University of the West of britain, say their new device can read cancer smells.

“It reads the gases that chemicals within the urine can provide off when the sample is heated,” said Prof Ratcliffe.

To test their device, they used 98 samples of urine – 24 from men known to have bladder cancer and 74 from men with bladder-related problems but no cancer.

Prof Probert said the effects were very encouraging but added: “We now have to examine larger samples of patients to check the device further before it may be utilized in hospitals.”

Dr Sarah Hazell, senior science communication officer at Cancer Research UK, said: “It might be great so one can detect the ‘smell’ of cancer in a strong and practical way but, promising though this work is, we are not there yet.

“This latest method continues to be at an early stage of development, and wants to be tried out on a far larger set of samples, including samples from both ladies and men.

“The researchers say that the test will be around 96% accurate in practice and their findings are just in keeping with a comparatively small choice of samples, taken only from men. However is another promising step towards detecting bladder cancer from urine samples, something that might ultimately provide a less invasive technique of diagnosing the disease.”

Cancer death apology criticised

Mackenzie Cackett death: Parents criticise ‘feeble apology’

Mackenzie was keen to indicate the Duchess of Cambridge the princess in Super Mario

The parents of a four-year-old boy who died of cancer have said a hospital’s “feeble apology” over delays in his treatment is “unsatisfactory”.

Mackenzie Cackett was taken to Colchester Hospital four times in seven months between 2010 and 2011 before being diagnosed with a spine tumour.

The hospital, one among five being probed over high death rates, said there have been “breakdowns in communication”.

The Duchess of Cambridge, who met Mackenzie, paid tribute to his courage.

He was on the Treehouse Hospice, in Ipswich, after his parents, Danielle Uren and James Cackett, of Halstead, Essex, were told in January 2012 he had just days to live.

Kate, royal patron of East Anglia Children’s Hospices, met Mackenzie on the hospice when she gave her first public speech in March.

In a tribute sent to the boy’s parents, the duchess said: “i used to be totally greatly surprised by his courage, his strength of spirit and his brilliant sense of humour.”

‘Backwards and forwards’

Ms Uren, 29, said her son started having headaches and being sick each day in summer 2010.

In between “countless visits to the GP and the walk-in centre”, Mackenzie was taken to Colchester Hospital four times over the seven-month period before doctors discovered a tumour on the top of his spine.

“It was seven months going forwards and backwards to the doctor’s every few days,” said Ms Uren.

“As a parent you only know when something is just not right along with your child. He was constantly being sick all around the house so we knew something just wasn’t right with him.

“One of the crucial doctors even said ‘you have a wonderfully happy, healthy child here – take him home’, it was quite ridiculous.”

The cancer was removed in February 2011 and Mackenzie looked set for recovery, but if the cancer returned it took an extra two months for it to be diagnosed.

Doctors dismissed his symptoms as being unrelated to the unique tumour, the family say. In January 2012, Mackenzie awakened paralysed from the waist down.

His parents were told he had between three days and two weeks to live. He died on 28 May.

“i believe he just knew that we was poorly, we didn’t attempt to explain to him what was taking place,” said Ms Uren.

‘Magic powers’

“He said a few times he’d ‘lost his magic powers’, he couldn’t figure out why he couldn’t walk anymore.”

“It was really touching to get Kate’s letter from the palace,” said Ms Uren

A spokesman for Colchester Hospital University NHS Foundation Trust said: “We want to precise our heartfelt sympathy and condolences to Mackenzie’s family following their loss.

“Early in 2011, according to a complaint from Mackenzie’s mother, we apologised in writing to her for a sequence of breakdowns in communication.

“Our lead paediatric oncologist and our matron for children’s services have held several meetings together with his parents to debate their concerns in regards to the care in their son, both before and after his death in May last year.

“A number of his care was provided at a expert unit at Addenbrooke’s Hospital, and our clinical staff worked closely with colleagues on the Cambridge hospital.

“We now have always made it clear to Mackenzie’s parents that our door is often open to them in the event that they have any outstanding concerns they want to talk about.”

Ms Uren said the hospital’s response was “not likely ok” and “all very vague”.

“I’m within the technique of writing to the manager executive of the hospital as we’ve not had anything that’s anywhere near to a satisfactory answer to outstanding issues that have to be highlighted.

“An early diagnoses just may have made that every one important difference.”

Colchester Hospital was named on Wednesday as one in all five hospital trusts being scrutinised within the wake of the general public inquiry into failings at Stafford Hospital.

Late nights ‘sap kids’ brain power’

Late nights ‘sap children’s brain power’

Late nights could have knock-on effects

Late nights and lax bedtime routines can blunt young children’s minds, research suggests.

The findings on sleep patterns and brain power come from a UK study of greater than 11,000 seven-year-olds.

Youngsters who had no regular bedtime or who went to bed later than 21:00 had lower scores for reading and maths.

Lack of sleep may disrupt natural body rhythms and impair how well the brain learns new information say the study authors.

They gathered data at the children on the ages of 3, five after which seven to determine how well they were doing with their learning and whether this would be concerning their sleeping habits.

Erratic bedtimes were commonest on the age of 3, when around one in five of the youngsters went to bed at varying times.

By the age of 7, greater than half the kids had an ordinary bedtime of between 19:30 and 20:30.

Overall, children who had never had regular bedtimes tended to fare worse than their peers when it comes to test scores for reading, maths and spatial awareness.

The impact was more obvious throughout early childhood in girls than in boys and looked to be cumulative.

The researchers, led by Prof Amanda Sacker from University College London, said it was possible that inconsistent bedtimes were a mirrored image of chaotic family settings and it was this, instead of disrupted sleep, that had an impact on cognitive performance in children.

“We tried to take this stuff into consideration,” said Prof Sacker.

The children with late and erratic bedtimes came from more socially disadvantaged backgrounds and were less more likely to be read to every night and, generally, watched more TV – often on a fixed of their own bedroom.

After controlling for such factors, the link between poorer mental performance and lax bedtimes remained.

The findings are published inside the Journal of Epidemiology and Community Health.

Prof Sacker said: “The take-home message is actually that routines really do look important for kids.

“Establishing a very good bedtime routine early in childhood is maybe best, but it’s never too late.”

She said there has been no evidence that putting children to bed much previous to 19:30 added anything in relation to brain power.

Dr Robert Scott-Jupp of the Royal College of Paediatrics and Child Health said: “At the start glance, this research might sound to signify that less sleep makes children less intelligent, however, it’s clearly more complicated than that.

“While it’s likely that social and biological brain development factors are inter-related in a posh way, individually, for schoolchildren to accomplish their best, they need to all, whatever their background, get a very good night’s sleep.”