Dealing with death is part of the job description for all doctors. For those working in general practice, this often means planning ahead, with GPs encouraged to keep a register of patients thought to be in the last year of their life. Continue reading
By Takver from Australia [CC BY-SA 2.0 (https://creativecommons.org/licenses/by-sa/2.0)], via Wikime
The Green Paper on preventing ill health was published in July 2019, and many have criticised that proposals do not go far enough. Our guest blog explores some of the challenges that Public Health England face in providing evidence-informed advice. Read on to discover the reflections from a recent workshop on using evidence to influence local and national strategy and their implications for academic engagement with policymakers. Continue reading
Reducing arguments to simplistic – even incoherent – claims and accusations is not good for reasoned, public deliberation, says Professor John Coggon
Professor John Coggon, Professor of Law, Bristol University
27 November 2018 – Debates on alcohol policy are necessarily complex and controversial, and a complete consensus on how we should regulate this area will not be achieved. Like other lawful but regulated products, alcohol presents benefits and harms that may be understood from ranging perspectives. Continue reading
If we have to feed 9.8 billion people by 2050, food from the ocean will have to play a major role. Ending hunger and malnutrition while meeting the demand for more meat and fish as the world grows richer will require 60% more food by the middle of the century.
But around 90% of the world’s fish stocks are already seriously depleted. Pollution and increasing levels of carbon dioxide (CO₂) in the atmosphere, which is making the oceans warmer and more acidic, are also a significant threat to marine life. Continue reading
Multimorbidity is one of the biggest challenges facing healthcare. In recent years, a succession of research studies have shown that people with multiple health problems are more likely to have a worse quality of life, worse mental health and reduced life expectancy. The more health problems someone has, the more drugs they are likely to be prescribed and the more frequently they are likely to consult a GP or be admitted to hospital.
You might think this is all rather self-evident – it’s hardly a surprise that sick people get ill, take medicines and go to doctors more often than healthy people.
So why has multimorbidity become so prominent in discussions about healthcare over the last decade?
There are 16,000 transfers of premature babies to medical facilities each year in the UK alone. The babies are often transported over large distances from rural to city locations over significant periods of time, in some cases two hours or more. The ambulances, helicopters or aircraft used are miniaturised intensive care units, containing all the equipment required to keep the baby alive.
But mechanical vibrations and noise from the equipment and transfer vehicle can provide significant, even life-threatening stress to the most vulnerable and delicate human lives. As we discovered when speaking to clinicians, transfers are sometimes aborted as a result of the stress that develops in the baby. These vehicles need materials and structures to reduce the noise and vibrations to tolerable levels. Continue reading
Having spent my British Academy Postdoctoral Fellowship researching forms of governance that aspire to achieve that nebulous concept of ‘sustainability’ in relation to certain parts of the global agro-food/fuel system, it seemed fitting that the last event I attend in this capacity should be City University’s annual Food Symposium.
This year’s Symposium enabled Prof. Tim Lang, who is passing the baton of running City’s influential Food Centre to Prof. Corinna Hawkes, and a number of his colleagues, to reflect on the past 25 years of food policy. But it also provided an unprecedented opportunity to 40 audience members from both academia and civil society to imagine a more utopian future – not difficult in our troubled present – to table their vision of ‘How to do food policy better‘. We heard from a headteacher, a producer, a proud ‘Colombian peasant’, a farmer’s daughter, a student, the BBC chef of the year, a former advertiser, a community food network coordinator. We then went on to hear from a panel of those who have been working to enable such diverse voices to be heard both in relation to the research they have been undertaking or the programmes they have been endeavouring to implement. Continue reading
Several weeks ago, I was walking along Avenida Paulista in São Paulo. Through the noise of the traffic, the familiar shout of one man’s name could be heard. ‘Trump, Trump, Trump’ echoed across the street. Somehow I had stumbled upon a ‘Brazilians for Trump’ rally. A group of 40 people stood on the pavement, clutching signs that read ‘Women for Trump’, ‘Jews for Trump’, ‘Gays for Trump’. This struck me; such demographics holding such signage represented for me a similar message to ‘trees for deforestation’.
Yet, the votes are in. The electoral tally has been made and one fact is obvious: Donald Trump’s popularity transcended demography. As, House Speaker, Paul Ryan has said, Trump “heard a voice out in this country that no one else heard. He connected in ways with people that no one else did. He turned politics on its head.”Key here is not only Trump’s victory, but also how the Republican Party has been able to ride his coattails to majorities across both the Senate and the House of Representatives. In doing so, the Grand Old Party (GOP), working with Trump, will likely have the freedom to pursue their political agenda. As a result, the Republican platform, published at the 2016 National Convention, provides a number of clues of what we can expect from this new administration. Continue reading
Dr Clare England discusses the challenges of providing individualised dietary advice for people with Type 2 diabetes and introduces a new, validated assessment tool, the UKDDQ, that may offer a solution.
Diabetes UK estimates that over 3 million people in the UK are living with Type 2 diabetes, and a further 5 million are at high risk. Complications (for example, increased cardiovascular disease, kidney failure, blindness, foot ulcers and amputations) caused by poorly controlled Type 2 diabetes, costs the NHS an estimated at £7.0 billion.
There is an increasing choice of medication available for Type 2 diabetes which can help to reduce blood glucose, cholesterol and blood pressure, but a healthy diet, regular physical activity and good weight management underpin successful control.
I come from Crete. I grew up in a house where everything revolved around the kitchen. Most of my childhood memories involve my mother preparing meals from scratch, using olive oil. Meals were accompanied with vegetables and we had a legume soup (like lentils, beans, chickpeas) twice a week. All of them were a pleasure to eat; they just needed olive oil and a slice of bread to scoop up the juices to receive a cook’s highest reward: empty plates.
I’ve lived in the UK for 10 years and I still can’t enjoy vegetables or salad unless I prepare them myself. They are boiled and boring, with uninspiring dressings, and no tomato sauce or sautéing with olive oil and onions to give them some flavour. It’s no wonder that 70% of adults in the UK do not eat enough fruits and vegetables and that on average they consume 14g of legumes a day (half the amount consumed in the traditional diet of Crete).