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Births at St Mary's Birth Centre paused for 'up to six months'

Births at St Mary's Birth Centre paused for 'up to six months'

BBC News3 hours ago

Births at a baby unit in Leicestershire will be temporarily halted from next month."Long-standing challenges" at the St Mary's Birth Centre, in Melton, have "worsened in recent months", University Hospitals of Leicester (UHL) NHS Trust said on Thursday.These include difficulties in achieving "safe" staffing levels, with about 30% of the team "unavailable due to maternity leave, sickness, or planned absences", a spokesperson said. The trust said it would be pausing births and in-patient postnatal care at the centre from 7 July.
'Difficult but necessary'
The spokesperson told the Local Democracy Reporting Service there was "appropriate staffing in place" to maintain services until then.The pause is expected to last for "up to" six months while work is carried out to determine next steps. Staff at the unit - where 1% of births in Leicester, Leicestershire and Rutland take place - will be redeployed during this time. Community antenatal and non-inpatient postnatal services, such as infant feeding support, in Melton will continue uninterrupted.The 21 individuals and families who have booked or expressed interest in using the centre after 7 July have been contacted, the spokesperson added. Julie Hogg, chief nurse at UHL, said: "Pausing births and in-patient care at St Mary's Birth Centre is a difficult but necessary step. "The decision is no reflection of the commitment and care offered by the St Mary's team. "We have appropriate staffing in place to keep these services running until 7 July, when the pause will come into effect."Last year, 92 births occurred at the unit, compared to 9,331 across the Leicester Royal Infirmary and Leicester General Hospital, UHL added.

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Campaigners for and against assisted dying make feelings known at Westminster
Campaigners for and against assisted dying make feelings known at Westminster

The Independent

time38 minutes ago

  • The Independent

Campaigners for and against assisted dying make feelings known at Westminster

Campaigners on both sides of the assisted dying debate voiced their opinions as they gathered outside Parliament ahead of a crunch vote on Friday. Dame Prue Leith, Dame Esther Rantzen's daughter, Rebecca Wilcox, and the broadcaster, Jonathan Dimbleby, were among the high-profile figures supporting the Bill to change the law in England and Wales. Members of the Dignity in Dying campaign wore pink and held placards in memory of friends and family members. Those opposed to the Bill included groups dressed as scientists in white lab coats and bloodied gloves and masks, as well as nuns and other members of religious organisations. The mood amongst campaigners was largely calm and respectful on both sides. Dame Prue told the PA news agency she was 'both nervous and confident' about the outcome. 'It's so moving to see all these people with placards of people they've lost or people who are dying of cancer,' she said. 'It's hard not to cry because I think they have done such a good job. Let's hope we've won.' Mr Dimbleby said he believed the Bill would be 'transformative'. He added: 'What it will mean is millions of people will be able to say to themselves, 'If I'm terminally ill, I will be able to choose, assuming I am of sound mind and I am not being coerced, to say 'Yes, I want to be assisted – I have dignity in death'.' Rebecca Wilcox, the daughter of Dame Esther, said: 'It couldn't be a kinder, more compassionate Bill that respects choice at the end of life, that respects kindness and empathy and gives us all an option when other options, every other option, has been taken away, and it would just be the perfect tool for a palliative care doctor to have in their med bag.' Teachers Catie and Becky Fenner said they wanted other families to benefit from the Bill. Their mother, who had motor neurone disease, had flown to Dignitas in Switzerland to end her life at a cost of £15,000. The sisters said they did not get to properly say goodbye and grieve and worried about the legal repercussions. Catie, 37, said: 'We were left quite traumatised by the whole experience – not only seeing a parent go through a really horrible disease but then the secrecy of the planning.' Campaigners against the Bill, who were gathered outside Parliament, chanted 'We are not dead yet' and 'Kill the Bill, not the ill'. A display was erected with a gravestone reading 'RIP: The Terminally Ill Adults (End of Life) Bill. Bury it deep', and behind were two mounds meant to resemble graves. Andrew Hilliard, 75, said he was opposed for religious reasons. He was dressed in a white lab coat with a placard reading: 'Protect our NHS from becoming the National Suicide Service'. The chief executive of Care Not Killing, Dr Gordon Macdonald, said MPs should prioritise improving palliative care. He said: 'Most people, when thinking about the practical implications of this, for those most vulnerable, they change their minds.' George Fielding, a campaigner affiliated with the Not Dead Yet group which is opposed to assisted dying, said he attended to represent disabled people. He said: 'This Bill will endanger and shorten the lives of disabled people.'

Top GP reveals the massively popular supplement he would never take... because increases risk of death
Top GP reveals the massively popular supplement he would never take... because increases risk of death

Daily Mail​

timean hour ago

  • Daily Mail​

Top GP reveals the massively popular supplement he would never take... because increases risk of death

Almost half of Brits admit to taking a supplement at least once a month in the pursuit of achieving optimum health. But one of the UK's most popular pills could be putting users at an increased risk of deadly liver failure, bone problems and bleeding disorders, an expert has warned. Taking an 'all in one' multivitamin every day may even raise mortality risk, UK-based GP Dr Asif Ahmed said. It comes as a study by scientists from the National Cancer Institute in Maryland last summer, found that taking a daily multivitamin was associated with a four per cent increased risk of death over the course of the 20-year study. The researchers found no evidence that the vitamin pills served any benefit for prolonging life. In an Instagram video seen over 300,000 times, Dr Ahmed said: 'There is only one supplement that I would never take as a doctor. 'Lots of people still take it, despite studies showing it can increase your mortality rate—this is any multivitamin supplement. 'The vast majority of people do not need an all-in-one multivitamin. View this post on Instagram A post shared by Dr Asif Ahmed (MBBS, MRCGP, BSc) (@dra_says) 'They [multivitamins] often have more than 100 per cent of the recommended daily allowances for all your vitamins and minerals which can be dangerous.' The NHS says most people should get all the nutrients they need by having a varied and balanced diet. The average male adult needs around 700 micrograms (µg) of vitamin A a day, and women 600µg, according to the health service. But some multivitamins sold on the high street can contain a much higher dose at 800µg per tablet. Unlike other supplements that are difficult to overdose on, as excess comes out in your urine, multivitamins containing higher levels of vitamin A and vitamin K could also remain in the body as they're fat soluble. Dr Ahmed said: 'For things like vitamin A and vitamin K which are fat soluble it can be quite dangerous and potentially in the long term can lead to liver failure, bone problems, and even bleeding and blood clot disorders.' Fat soluble vitamins can accumulate in the body over time in the liver and fatty tissue. If consumed in excess, however, this can weaken the bones, and damage the kidney and the heart. Taking vitamin D at high doses for an extended period of time can also cause complications like hypercalcemia. This is where excess calcium is deposited into the bloodstream, increasing the risk of heart and kidney disease. Dr Ahmed advised people who are worried they are not getting enough essential vitamins and minerals to take one specific supplement for their needs—for example, vitamin D supplements too boost bone health. Dr Ahmed also said a healthy balanced diet that includes lots of oily fish, fortified foods and fibre is the best way to get all the essential vitamins the body needs. 'One thing that is fantastic that I take every day is a seed mixture,' he said. 'I get the milled version, where they take out the hard shell, to help with digestion and some say it can also increase the nutrient absorption. 'This is super high in fibre and protein and its got so many minerals and vitamins in it as well. It's a food not a supplement so this is probably the best way to make sure you get all the trace elements you need in your diet,' he added. It comes as the latest official figures show the number of Brits being hospitalised for malnutrition and nutritional deficiencies has almost tripled in a decade. In 2022, there were more than 800,000 admissions in England and Wales with conditions linked to poor nutrition, including 'Victorian' illnesses scurvy and rickets. Iron deficiency was the biggest problem, NHS data revealed, with admissions for the bone-weakening condition shooting up by 149 per cent since 2013. Other research has, however, shown that multivitamins may serve no real health benefits. In 2018, a major study published in the Journal of the American College of Cardiology found that the most popular supplements — multivitamins, vitamin D, calcium, and vitamin C — made no difference to the risk of heart disease, stroke or early death. Folate — found in leafy greens and eggs — and other B-vitamins were seen to offer some reduced risk of heart disease, although the authors noted that the evidence for this was 'low to moderate quality'.

Urgent warning over drug taken by millions – as AstraZeneca accused of ‘misreporting' safety data
Urgent warning over drug taken by millions – as AstraZeneca accused of ‘misreporting' safety data

The Sun

timean hour ago

  • The Sun

Urgent warning over drug taken by millions – as AstraZeneca accused of ‘misreporting' safety data

MEDICS have raised concerns over a drug taken by millions to prevent heart attacks and strokes, claiming key safety data was "misreported" by its manufacturer AstraZeneca. Anti-clotting pill ticagrelor has been available on the NHS in 2011, after trials appeared to show it could prevent one in five deaths after a heart attack. But an investigation published in the BMJ cast doubt "over the integrity of the clinical trials that underpinned its approval". Ticagrelor is an antiplatelet medicine that prevents blood cells from sticking together and forming dangerous clots. The twice-daily pill is prescribed to patients with acute coronary syndrome who are at greater risk of blood clots due to a history of heart attack, angina or stroke - often in combination with a low dose of aspirin. In the UK, the drug is prescribed around 45,000 times per month on the NHS. Now, experts claim to have uncovered "evidence of serious misreporting" in two clinical trials that were pivotal to the drug's approval in the UK and US. These findings raise "doubts over the approval and decade long use of ticagrelor", sold as Brilique in the UK, the report authors wrote in the BMJ. In response, an AstraZeneca spokesperson told Sun Health: 'We are confident in the integrity of the trials and its evidence in support for Brilique.' Two AstraZeneca studies, known as ONSET/OFFSET and RESPOND, were published in the leading journal Circulation, reporting the drug's effects on platelet function. The ONSET/OFFSET trial involved 123 patients and found that ticagrelor was faster and better at preventing clots than a competitor drug. Similar results were published in RESPOND, which involved 98 patients. Early warning sign of heart attack you may notice in bed But the report authors claimed claimed 'primary endpoint' results in the two key trials - which were pivotal in determining the treatment's effectiveness - were inaccurately reported in Circulation. "We found evidence that the trials were inaccurately reported," they said. "In one instance, AstraZeneca's trial failed to show statistical significance, but was published in a leading cardiology journal as significant." It also said around a quarter of the readings from machines used in the trials were not included in the data sets, the US medicine's regulator, the Food and Drug Administration (FDA) used to approve the drug. In order for ticagrelor to get approved, clinical trials had to prove that it was a better drug than competitors in a phase 3 trial. After phase 3 and drug approval, the FDA and MHRA in the UK, continues monitoring it in phase 4 trials, to see if there are any additional problems with the drug. But the BMJ analysis of two phase 2 trial results found there were instances of patients whose blood "platelet aggregation dramatically increased". This is when blood cells stick together to form clumps, which can lead to blood clots - exactly what the drug aims to prevent. Key facts about ticagrelor Ticagrelor is an antiplatelet medicine that prevents platelets - a type of blood cell - from sticking together and forming a dangerous blood clot. Taking ticagrelor can help prevent blood clots if you have an increased risk of having them because you: Have had a heart attack Have unstable angina Have had a stroke or a transient ischaemic stroke (TIA, or mini-stroke) Ticagrelor is only available on prescription. You'll usually take ticagrelor twice a day and it's often prescribed together with low-dose aspirin at the start of treatment. The main side effects of ticagrelor are getting out of breath and bleeding more easily than normal. You may have nosebleeds, heavier periods, bleeding gums and bruising. According to medicines watchdog the National Institute for Health and Care Excellence (NICE), patients are advised to take the drug twice a day at 90mg for around a year after a heart attack. A lower dose of 60mg, may then be prescribed by doctors for up to a further three years. It may also be taken by those who have suffered a minor stroke or a transient ischaemic attack at 90mg alongside aspirin. Sources: NHS, NICE This is "an improbable effect for an anti-platelet drug" and "suggests an incorrect laboratory reading", the BMJ said. Assessing the readings from platelet machines used at the two trial sites, led by cardiologist Dr Paul Gurbel, investigators also found more than 60 of the 282 readings were not included in datasets submitted to the FDA. "The platelet activity levels not entered were significantly higher than those used in the Circulation papers and FDA datasets," they claimed. "It is unclear whose blood was sampled, and why those measurements did not contribute to data in either trial." The report authors conducted their investigation through interviews with trial investigators and platelet experts and access to the underlying trial data submitted to regulators. They also said that principal investigators involved in ticagrelor trials "were unreachable or declined to be interviewed". "The findings raise even deeper questions over the approval and decade long use of the drug," the authors claimed. Dr Victor Serebruany, an expert in cardiovascular pharmacology at Johns Hopkins University in Maryland, who has been critical of the drug for over a decade said: "It's been obvious for years that there is something wrong with the data. "That the FDA's leadership could look past all these problems- on top of the many problems their own reviewers identified and are now being discovered by The BMJ - is unconscionable. "We all need to know how and why that happened. "If doctors had known what happened in these trials, they would never have started using ticagrelor." But a spokesperson for the Sinai Center for Thrombosis Research and Drug Development, which Dr Gurbel leads, told MailOnline: "Any allegations of any research misconduct in the two studies are baseless and erroneous." Sun Health has also contacted Circulation for comment. The journal did not respond to the BMJ. How to reduce your risk of heart attacks and stroke You can reduce your risk of heart attack and stroke with many of the same methods. Heart attacks and strokes, although affecting different organs of the body, are both what we call cardiovascular events. Both arise from similar underlying conditions, such as atherosclerosis —a buildup of fatty deposits in the arteries. According to the American Heart Association, the risk factors for heart attacks and strokes are largely the same: high blood pressure, high cholesterol, smoking, obesity, physical inactivity and diabetes. Therefore, addressing these risk factors can simultaneously reduce the risk of both conditions. Here are ways you can prevent the two: Healthy diet More fruit and veg: The DASH, which emphasises fruit, vegetables, whole grains and lean proteins, has been shown to reduce blood pressure and improve heart health. Less fats: Too much saturated and trans fats can raise cholesterol levels and increase the risk of atherosclerosis. Go for healthier fats like those found in olive oil, nuts, and avocados. Limit salt: High salt intake is linked to high blood pressure, a major risk factor for both heart attack and stroke. The NHS recommends no more than 6g of salt per day for adults. Fibre: Foods high in soluble fibre, such as oats and beans, can help lower cholesterol levels. Exercise Walking, running, cycling, swimming - whatever you like, do it! Aerobic exercise can strengthen the heart and improve circulation. The NHS advises at least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity activity each week. Strength training exercises can help control weight, improve cholesterol levels, and reduce blood pressure. It is recommended twice a week by the NHS. Manage blood pressure Healthy diet and exercise can help keep your blood pressure in check. But it is worth monitoring it yourself after the age of 40, at least, when the NHS invites adults for a check-up every five years. High blood pressure often has no symptoms but significantly increases the risk of heart attack and stroke. Quit smoking One of the best ways to quit smoking is to use resources provided by NHS Smokefree. Support groups, medications, and other tools to help quit smoking such as vapes could be what you need to kick the habit for good - and it's free. Limit booze Excessive alcohol consumption can increase blood pressure and contribute to weight gain, which can snowball and become a heart health risk. The NHS recommends not regularly drinking more than 14 units of alcohol per week.

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