HSE defends diabetes services in Donegal after councillor’s attack

first_imgThe HSE and responded to claims by a county councillor about the lack of treatment for diabetics in Co Donegal.Cllr Frank McBrearty, himself a diabetic, wants the Irish government to make more funds available so people with diabetes in Donegal have greater access to support and services.He said recently that a major concern for patients with diabetes was the lack of services in podiatry locally following the failure by the HSE to replace the outgoing podiatrist at Letterkenny University Hospital. The Raphoe politician said more had to be done for patients, especially older people, to have easier access to support in the county.“I am calling on the HSE and LUH to overhaul and enhance the services for people living with diabetes,” he said.“Diabetes does not discriminate against children, adults and our older population who suffer from this illness, and women during pregnancy which is becoming more common.‘I want to commend the work that the Donegal branch of Diabetes Ireland does in continuing to highlight the problems within our services. “I am aware of peoples appointments being cancelled three and four times, particularly new patients, and this is not good enough,” he added.”Diabetes can cause other medical problems affecting the kidneys, eye, heart, blood pressure and it can lead to people having to have amputations.”A further concern by Cllr McBrearty is the lack of staff in Donegal clinics for patients in the county.“We need a tenfold increase in the services available and for it to be accessible at a local level in order for people to avail of the services easier,” he said.However, the HSE has responded to the claims and outlined the services offer to diabetics locally.A statement issued to Donegal Daily said a total of 6 Senior Podiatrists (5 whole time equivalents) are employed in Primary Care in Donegal. The statement said these Podiatrists see persons with a medical card 66 years of age and older with a foot pathology, persons with diabetes of any age with a foot pathology and/or persons with moderate to high-risk diabetes with or without a foot pathologyAn average of 44 people per month with diabetic active foot disease were reviewed by Donegal Primary Care in the first four months of 2019, with a total of 242 treatments provided in that period, added the statement.It also outllined how a range of other services are also provided under Primary Care for the treatment and management of diabetes including, Diabetic Retinopathy Screening service.A spokesperson for the HSE said “The majority of people in the Donegal with diabetes who have diabetic retinopathy requiring specialist care are seen at Community eye clinics in Letterkenny, Donegal Town, Dungloe, Lifford, Buncrana and Carndonagh. “There are three Community Ophthalmic Physicians in Donegal with one specialising in Diabetic Eye Disease. All referrals from Diabetic RetinaScreen the National Screening Service for Diabetic Retinopathy are seen initially in the Eye Clinic in Letterkenny or their local community clinic if appropriate with their ongoing follow up in Donegal.“There were 300 new referrals from Diabetic RetinaScreen in 2018. All laser treatment for diabetic retinopathy is performed in Letterkenny. All laser clinics are conducted jointly with a Community Diabetes Nurse Specialist. Children with diabetes who are under 12 and require screening for diabetic retinopathy are seen in community clinics until they are eligible to attend Diabetic RetinaScreen.“There are also Integrated Care Diabetes Nurse Specialists in post who work in collaboration with General Practitioners and Practice Nurses, Primary Care Teams and Acute and Community Hospital Services to provide comprehensive specialist care and education for patients with Type 2 Diabetes.“An on-site clinical service is provided to a large number of GP Practices in Donegal with over 1,200 patients being reviewed in those practices on a yearly basis.“There are structured education programmes available for the Management of Diabetes for eg the DESMOND Programme. People with Diabetes in Co Donegal also have access to the Quality of Life Programme, which equips participants with the skills required to deal with the many challenges that living with a health condition such as diabetes can present.”For more information see: www.hse.ie/eng/health/hl/selfmanagement/donegal/programmes-services/stanford-quality-of-life/HSE defends diabetes services in Donegal after councillor’s attack was last modified: May 28th, 2019 by StephenShare this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window)Tags:diabetesdonegalHSElast_img read more

Cool Tools in your Cellular Toolkit

first_imgBiochemists can’t help using familiar tools to describe what they are finding in living cells.Swiss army knife:  RNA polymerase 1, a molecular machine that builds the ribosome protein factory, is your “Swiss-army knife,” Science Daily says.  That’s because researchers at the European Molecular Biology Laboratory have found “it incorporates modules which prevent it from having to recruit outside help.”  The components it needs are all built in.  Even though that makes it bigger, it also makes it efficient; “Because everything is already assembled, there’s no time delay,” a team member remarked – which is good, because this Swiss-army knife keeps very busy.  It even has built-in regulators, removing the need for external regulatory elements.  Another Science Daily article says RNA polymerase 1 is a “very large and highly complex molecular machine” and calls it “a crucial cog in the machinery of all cells.” as well as a “central pacemaker for cell growth.”  See also Nature News for word about the latest mapping of the enzyme.Samurai sword:  The sword in your toolkit is katanin, an enzyme actually named for a katana, a Samurai sword.  PhysOrg describes how this enzyme cuts microtubules with precision to keep the cell’s “skeleton” just right.  Just as our bodies would fall limp without bones, “without our cytoskeletons, our cells, which come in roughly 200 different shapes and sizes, would all become tiny spheres and stop working.”  Researchers at Washington University at St. Louis found that without katanin, the microtubules became disorganized like cobwebs.  Katanin acts like a pruning shear that cuts microtubules when they cross over one another, keeping the cytoskeleton ordered and functional.  It also creates the “array patterning” that arranges the microtubules into “parallel bands like barrel hoops around the cell’s girth,” giving the cell strength.  Since there are typically “hundreds or thousands” of microtubules in a cell, a whole army of Samurai swordsmen remains at the ready.  See more about katanin in a Science Daily article that shows how it helps sprouted seedlings grow.Stretch sensors:  PhysOrg described integrins, machines that sense the cell’s external environment.  They do this by making “catch bonds” that can measure stiffness of the outside world.  The more the catch bond is pulled, the stronger it becomes.  “The cell therefore has a very useful instrument,” the article says. “An internal measurement unit – the number of bound catch bond integrins – proved to be a direct measure of the mechanical stiffness of the external environment.”  Another PhysOrg article described other machines that “feel” the environment, acting as “molecular muscles” that notify the cell when it needs to change shape, such as when it needs to squeeze through a narrow opening.Cargo carts:  A paper in Current Biology describes the motorized cargo carts that carry tubulin proteins up the cilium to the growing tip.  “The kinesin-2-driven anterograde transport of intraflagellar transport (IFT) trains has long been suspected to deliver cargo consisting of tubulin subunits for assembly at the axoneme tip,” the summary says. “Important new work identifies the tubulin binding site on IFT trains that is responsible for this cargo transport.”Clock drive:  Different proteins need to be made at different times of the day and night.  A paper in PLoS Biology describes how the circadian clock, the timekeeper in cells, regulates protein synthesis.  Researchers found that mid-day and midnight are key times for activity.  “Our work also finds that many clock cell processes, including metabolism, redox state, signaling, neurotransmission, and even protein synthesis itself, are coordinately regulated such that mRNAs required for similar cellular functions are translated in synchrony at the same time of day.”If there is any field of science that has revolutionized our view of life, it is the discovery of factories of molecular machines in living cells.  Look at them!  They are doing precise, coordinated work involving thousands of parts working together, all the time, even in our sleep.  When you realize that these discoveries have occurred in the lifetimes of many people alive today, and continue to accelerate each year, you realize how privileged we are to see this nano-miniaturized manufacturing phenomenon keeping us and every living thing alive.  This short article doesn’t tell the half of it, or the hundredth, of what new imaging techniques have revealed in the last 20 years.One can only wonder if Darwin would have dared to put forth a speculation that blind, unguided processes are responsible for life, had he known what we know today.  Think back also to the scientists and philosophers of earlier centuries, back to the Romans, Greeks and Babylonians.  If they had known what we know, how different a world might it have been?  How different would have been the religious, cultural and philosophical traditions of the nations?The modern world coasts on Enlightenment and modernist assumptions about life and its simplistic Darwinian notions.  The implications of this scale of complexity at the basis of life – the cell – have not yet had time to percolate into the culture.  Take time to think through those mind-boggling implications.  They are life changing!  Only intelligent design has a vera causa adequate to explain what biochemistry has revealed, and only biblical creationism has an adequate Designer.  Leeuwenhoek, the creationist father of microscopy, was astonished and delighted with what he saw through his crude instruments.  Oh, to be able to show him what we see now!  Play that role for him; don’t ever let the wonders of Swiss army knives, Samurai swords, clock drives and all the rest become mundane news.  This is epochal.  This is monumental.  This is world-changing.(Visited 52 times, 1 visits today)FacebookTwitterPinterestSave分享0last_img read more

R1bn housing incentive fund

first_img12 February 2010 The government plans to set up a R1-billion guarantee fund to encourage South Africa’s banks and construction companies to develop new products to meet the country’s housing demand. Delivering his State of the Nation address in Parliament, Cape Town on Thursday, President Jacob Zuma said a key new initiative would be to accommodate people whose salaries were too high to get government subsidies, but who earned too little to qualify for normal banks mortgage. This would form part of the government’s work towards upgrading informal settlements in South Africa and providing proper service and land tenure to half-a-million households by 2014. The government is to set aside over 6 000 hectares of “well-located” public land for low-income and affordable housing, Zuma added.Rural development The government was also busy rolling out various pilot projects under the Comprehensive Rural Development Programme. Since the launch of the first pilot project in Giyani, Limpopo province in 2009, 231 houses had been built, while access to health and education had improved, and infrastructure had been provided to support agricultural development and training to the community. Similar programmes were being rolled out in seven other sites across the country, Zuma said. By 2014, the government aimed to have sites in 160 wards. The aim was for 60% of households at these sites to be able to meet their requirements through production of their own food. Source: BuaNewslast_img read more

Ohio Farm Bureau creates Financial Essentials workshops

first_imgShare Facebook Twitter Google + LinkedIn Pinterest Retirement planning, financial risk management and farm transition planning are topics to be presented at several Farm Bureau Financial Essentials workshops scheduled in August and September.The workshops are designed to help mitigate the stress that comes from important questions regarding family, farm and business financial issues. The resources provided will help guide the path to financial security.Sponsoring organizations are Ohio Farm Bureau, Nationwide, Farm Credit Mid-America, Wright & Moore Law, numerous county Farm Bureaus and others. The sessions are free for members of Ohio Farm Bureau and cost $10 for nonmembers. A meal is included.The retirement sessions address how financial needs change during retirement, how the Social Security program and health care costs impact retirement, what long-term care is and the stresses it can create in retirement, how to leverage an adviser’s experience for comfort in retirement and how to be better prepared for this step in life.Financial risk management sessions will help build a better understanding of risks, teach strategies and solutions to mitigate risks, provide a basic understanding of insurance options available to protect an operation, help identify opportunities that can help grow the operation and how to be better prepared to manage a business for the future.The farm transition planning sessions will demonstrate the tools necessary to ensure the farm and family are ready for the transition, build confidence to manage the interpersonal, emotional, legal and business aspects effectively, show how to work effectively with advisers, CPAs and legal services and provide a framework to achieve the farm and family’s transition goals.Workshop information is listed below. Registration and more information is available at ofbf.org/financial-essentials or by calling the numbers listed.Retirement: 6 p.m., Aug. 8, Lima, 419-523-5874 6 p.m., Aug. 15, Paulding, 419-523-5874 6 p.m., Aug. 16, Strongsville, 440-877-0706 6 p.m., Sept. 5, Gibsonburg, 419-849-2128Financial Risk Management: 6 p.m., Sept. 6, Middlefield, 440-426-2195 6 p.m., Sept. 12, Warsaw, 740-452-2356 6 p.m., Sept. 17, Hartville, 330-456-4889Farm Transition: 8 a.m., Aug. 6, South Bloomfield, 740-474-6284 8 a.m., Aug. 21, Somerset, 740-452-2356 8 a.m., Aug. 23, Plain City, 740-363-1613.last_img read more

Food as Medicine: The Growing Significance of Culinary Medicine

first_imgPolak, Rani, et al. “Credentialed chefs as certified wellness coaches: call for action.” Eating behaviors19 (2015): 65-67. Author: Christian Maino Vieytes, B.S. Nutritional Sciences, University of Maryland, College Park, M.S. Candidate, Division of Nutritional Sciences, University of Illinois at Urbana-Champaign Why What We Eat Matters The power of food to promote healing and a general sense of well-being has long been a known commodity in different cultures.  Eastern cultures, in particular, have harnessed the potential of food as a modality for healing.3, 23 Dietary strategies, dichotomized into either yin or yang, make up an integral part of traditional Chinese and Eastern Medicine and its quest to treat a myriad of ailments.23 Even in Western cultures, we have seen an acknowledgment of the healing potential of food. After all, it was the Greek physician, Hippocrates, who once famously declared, “Let food be thy medicine and medicine be thy food”.28 Yet, we have also realized how destructive diet can be to our health and to the health of a nation as a whole, as a consequence of less nutritious choices and over-eating.  Rising health-care costs, plateauing life-expectancy figures, and escalating rates of chronic illnesses like cardiovascular disease and cancer are a reflection of this. In order to foster a fruitful discussion about culinary medicine and its practical applications into the modern context of healthcare we must acknowledge the successes it has had in historical contexts.What is Culinary Medicine and Who is it For?Lifestyle approaches to preventing and treating common chronic illnesses are becoming increasingly popular. Culinary medicine can be thought of as an arm of the integrative model of medicine and well-being. It places an emphasis on modifying nutrition practices to fit within the needs of the individual.5 This can take many shapes and forms. For instance, an individual with rheumatoid arthritis can implement an anti-inflammatory diet to enhance their control over the disease state.17 Another individual without any current illness may adopt a Mediterranean Diet in order to prevent the onset of cardiovascular disease, cancer, or Alzheimer’s later on in life.19The successful implementation of these lifestyle changes requires close attention and guidance from a healthcare professional. Unfortunately, medical doctors receive very limited education on topics involving nutrition, although younger physicians are realizing the need to seek additional training on culinary coaching and nutrition.2, 4 Counseling with a dietitian is one feasible alternative. Most dietitians possess experience and training in culinary skills and practices that they can pass on to their patients.A key component of culinary medicine programs is the focus on promoting cooking in the home. With the rise of fast and convenience-food chains and products, we have slowly divorced ourselves from the ceremonial and cultural traditions associated with consuming food and have, as a result, paid the price with our health.14, 15 The scientific literature supports the idea that eating at home is good not only for promoting a healthy well-being but also has the added benefit of reducing expenditures on food.9, 11, 12, 14, 21, 22  Some programs have even demonstrated a capacity to fight food insecurity in low-income households.26 Culinary coaching programs also focus on enhancing grocery shopping and food storage skills.The effects of culinary coaching have been documented.1, 6, 7, 10, 11, 13, 14, 15, 16, 20 Culinary programs targeted at managing type 2 diabetes and blood sugar levels are demonstrating success, especially those that address and provide solutions to known barriers to home cooking.11, 13 These barriers include limited time, limited cooking skills, and low confidence in cooking.10, 21 A recent study also showed that eating at home is associated with a decreased risk of developing type 2 diabetes in the first place.13 Clearly, there is a lot of potential for these culinary medicine programs. Nevertheless, we should be wary of services offered by uncredentialled individuals and should only take culinary advice from trained health professionals and credentialed chefs.8, 9Sooner or later, we can expect food prescriptions to become a norm and practitioners to doodle foods on their prescription pads in order to facilitate their patients’ health-related goals.16To learn more about Culinary Medicine please tune in Jan 24, 2019, at 11:00 am ET.  for a free webinar Culinary Medicine: Where Health Meets Food.  Dietitians earn 1.0 CPEUWorks Cited Choi, Evan Y et al. “A plant-based diet and heart failure: case report and literature review” Journal of geriatric cardiology : JGC 14,5 (2017): 375-378. Polak, Rani, et al. “Improving patients’ home cooking–A case series of participation in a remote culinary coaching program.” Applied Physiology, Nutrition, and Metabolism8 (2017): 893-896. Peters, Nancy Champe, et al. “Adherence in a 1-year whole foods eating pattern intervention with healthy postmenopausal women.” Public health nutrition12 (2014): 2806-2815 Skoczyńska, Marta, and Jerzy Świerkot. “The role of diet in rheumatoid arthritis.” Reumatologia4 (2018): 259 Kris-Etherton, Penny M et al. “The need to advance nutrition education in the training of health care professionals and recommended research to evaluate implementation and effectiveness” American journal of clinical nutrition vol. 99,5 Suppl (2014): 1153S-66S. La Puma, John. “What Is Culinary Medicine and What Does It Do?” Population health management 19,1 (2016): 1-3. Wolfson, Julia A., and Sara N. Bleich. “Is cooking at home associated with better diet quality or weight-loss intention?.” Public Health Nutrition8 (2015): 1397-1406. Reicks, Marla et al. “Impact of cooking and home food preparation interventions among adults: outcomes and implications for future programs” Journal of nutrition education and behavior 46,4 (2014): 259-76. Polak, Rani et al. “Innovation in medical education: a culinary coaching tele-nutrition training program” Medical education online 23,1 (2018): 1510704. Massera, Daniele, et al. “A whole-food plant-based diet reversed angina without medications or procedures.” Case reports in cardiology 2015 (2015). Jiang, Sandy and Cassandra L Quave. “A comparison of traditional food and health strategies among Taiwanese and Chinese immigrants in Atlanta, Georgia, USA” Journal of ethnobiology and ethnomedicine 9,1 61. 27 Aug. 2013, doi:10.1186/1746-4269-9-61 Ridberg, Ronit A., et al. “A Pediatric Fruit and Vegetable Prescription Program Increases Food Security in Low-Income Households.” Journal of nutrition education and behavior(2018). Polak, Rani et al. “Health-related Culinary Education: A Summary of Representative Emerging Programs for Health Professionals and Patients” Global advances in health and medicine 5,1 (2016): 61-8. Polak, Rani, et al. “Preventing Type 2 Diabetes with Home Cooking: Current Evidence and Future Potential.” Current diabetes reports10 (2018): 99. Reicks, Marla, Megan Kocher, and Julie Reeder. “Impact of cooking and home food preparation interventions among adults: a systematic review (2011–2016).” Journal of nutrition education and behavior2 (2018): 148-172. Polak, Rani, et al. “Innovation in diabetes care: improving consumption of healthy food through a “Chef Coaching” program: a case report.” Global advances in health and medicine6 (2014): 42-48. Smith, Richard. “Let food be thy medicine…” BMJ : British Medical Journal 328,7433 (2004): 0. Taillie, Lindsey Smith, and Jennifer M. Poti. “Associations of Cooking With Dietary Intake and Obesity Among Supplemental Nutrition Assistance Program Participants.” American journal of preventive medicine 52.2 (2017): S151-S160. Tiwari, Arpita et al. “Cooking at Home: A Strategy to Comply With U.S. Dietary Guidelines at No Extra Cost” American journal of preventive medicine 52,5 (2017): 616-624. Sofi, Francesco, et al. “Adherence to Mediterranean diet and health status: meta-analysis.” BMJ337 (2008): a1344. Danek, Robin L., et al. “Perceptions of Nutrition Education in the Current Medical School Curriculum.” Family Medicine 10 (2017): 803-806. Wu, Qunli, and Xiaochun Liang. “Food therapy and medical diet therapy of traditional Chinese medicine.” Clinical Nutrition Experimental18 (2018): 1-5last_img read more

Not Virat Kohli, not PV Sindhu, Ram Rahim is India’s sporting icon of the year

first_imgVirat Kohli might be the most consistent batsman in world cricket of the modern era, PV Singh with silver medals at the Rio Olympics and World Badminton Championships in successive years might well be the toast of the nation but the prize for the most coveted Indian sporting icon has to go to self-styled godman Ram Rahim, who was convicted of rape on Friday and sentenced to 20 years in jail by the CBI court on Monday.And why would he not be? Factor this. Gurmeet Ram Rahim Singh claims that cricketer Virat Kohli and boxer Vijender Singh learned the trick of the trade from him. Ram Rahim also claims to have participated in 32 different sports at the national level and has coached a few players as well.There is a video going viral where Kohli along with Ashish Nehra and Shikhar Dhawan are seen seeking Ram Rahim’s blessing but that doesn’t suggest that Kohli or any other cricketer or any other sportsperson for that matter took the so called coaching classes from the self-styled ‘godman’.”He (Virat Kohli) was unable to convert good starts into big scores. I suggested him to practice hard and continue learning,” he said in an interview.”I have accomplished several feats in my life. As you may have noticed, I am capable of doing so many things. I have participated in 32 different sports at the national level and have coached as well.””The youngsters whom I have coached are doing well for the nation today. There is boxer Vijender Singh who is winning so many medal for the country. Then there is Virat Kohli. I have this video of him with me where he came to me to learn so many things and now he one of the best in the world,” he further said.advertisementKOHLI, SINDHU REAL ROCKSTARS? NOPE, IT’S THE BABA!Kohli has been the poster boy of Indian cricket since he made his international debut. He is currently the Indian cricket team’s captain in all formats and is billed as the one of the best batsmen in the world.The 28-year-old batsman recorded eight consecutive Test series victories as captain and recently became the first Indian skipper to sweep a Test series overseas. Kohli is also on a record-breaking spree these days. Last year he aggregated a record 973 runs in the IPL before smashing double hundreds in four consecutive Test series. In ODIs too, Kohli surpassed Sachin Tendulkar’s record with most hundreds in run chases.India’s badminton queen PV Sindhu has maintained her good run in the sport since settling for a silver medal at the Rio Olympics in 2016. Sindhu on Sunday ended runner-up to Nozomi Okuhara of Japan in the World Badminton Championships to settle for a silver medal.But Ram Rahim is a master of all trades. He claims to specialise in 32 sports. And his grasp over cricket is phenomenal. In an interview, he claimed he could bowl off-spin, leg-spin, bat, keep wickets and field wherever he was required to. One wonders where the portly figure would have been placed in Kohli’s team of super-fit cricketers.PUNJAB, HARYANA ON THE BOILThousands of riot police were deployed while Internet services were shut down in Punjab and Haryana ahead of the sentencing of the self-styled ‘godman’ whose followers went on the rampage after he was convicted of rape on Friday.Gurmeet Ram Rahim Singh’s cult Dera Sacha Sauda has a vast rural following in Punjab and Haryana states, where frenzied mobs burned down gas stations and train stations and torched vehicles after a local court found him guilty of raping two women in a 2002 case.At least 38 people were killed and more than 200 injured in the violence in Haryana.Security forces have cordoned off a jail in Rohtak city, 70 km (44 miles) from New Delhi, where Singh – also known as the guru of bling for the clothes he wears in the movies he has starred in – is being held.The town of Sirsa, home to Dera’s headquarters, is already under lockdown. School and colleges have been ordered shut.last_img read more

BENS BLOG Black Cab Wisdom

first_img[dropcap]I[/dropcap] jumped into the back of a black-cab, tonight, and got talking to the driver. He then handed me a pad of paper, and asked me to write down, one brief piece of advice. It turned out, that he collects these lines, and publishes them, in little books. I bought one; ‘Black Cab Wisdom’, by Mark Solomon (twitter @blackcabquotes. And it’s a fascinating read.My favourite quote, in the book, is listed as a Buddhist proverb. It reads “The teacher shows up when the student is ready.”. Too true. ‎Oh, sorry, Blog. DO YOU KNOW IT ALL, ALREADY?BUY ‘BLACK CAB WISDOM’ ON AMAZON: CLICK HEREIn other news:Pere Michel, 11 Bathurst Street, Lancaster Gate, W2 2SD. If you think Oslo Court is stuck in the past, Pere Michel makes it look positively edgy! A charming little spot though, inhabited by loyal regulars. Old-skool sole-fillets in lobster sauce. I loved the veg side (NAP). The French always do great chips. AWFUL tarte tatin (I nearly cried, I was so disappointed). A unique little time-warp. 6Over and out, B xlast_img read more