BMA warns doctors against interacting with patients on social networking sites to prevent blurring of professional boundaries Doctors are being warned not to befriend patients on social networking sites such as Facebook and Twitter because of the risk that this could breach rules on confidentiality. The British Medical Association said medical staff and students should reject any approaches by current and former patients to avoid the risk of blurring the boundaries of the doctor-patient relationship. Clearly concerned that doctors will repeat mistakes that have already landed numerous Facebook users in trouble, the new BMA guidance, published today, also cautions against posting “informal, personal or derogatory comments” about patients on social media sites. Tony Calland, chairman of the BMA’s medical ethics committee, said that while most doctors would not accept Facebook friend requests from patients, “a minority said they would consider doing so”. “Yet accepting Facebook friends presents doctors with difficult ethical issues,” he said. “For example, doctors could become aware of information about their patients that has not been disclosed as part of a clinical consultation. “It would also be wholly inappropriate for doctors to disclose information about their patients online.” The BMA advice follows similar guidelines issued this week by the Nursing and Midwifery Council, which says a number of medical staff have been investigated and struck off for “improper use” of Facebook. In addition to rejecting friend requests from people they have treated, it said, nurses and midwives should avoid posting photos of patients, discussing work online and publishing sensitive information. Dickon Weir-Hughes, chief executive of the NMC, said: “I would advise nurses and midwives to exercise caution when using social networking sites. They could risk their registration if they share sensitive information, make inappropriate comments, or befriend patients online.” The nursing watchdog also warned that sites such as Facebook “should not be used for whistle-blowing or raising concerns”. Andy Jaegar, who compiled the NMC social networking advice, said: “If your profession is nursing or midwifery, it is particularly inadvisable to discuss work issues online. What you regard as just an amusing story could end up causing serious offence more easily than you think.” Doctors Facebook Social networking Internet NHS Health Public sector careers Barry Neild guardian.co.uk
Continue reading …City experts warned that the lack of progress in Washington in recent days over the debt ceiling was fanning fears that the world’s biggest economy might default on some of its debt America’s debt crisis reached a critical stage on Thursday as lawmakers remained deadlocked over whether raise the US debt ceiling, and Moody’s threatened to downgrade the country’s credit rating. The dollar lost ground against most major currencies after Moody’s and Chinese ratings agency Dagong both put the US on negative watch. Reports, later denied, that President Obama had walked out of debt negotiations with top Republicans added to the drama. World stock markets suffered another bout of heavy losses when trading began on Thursday, with the FTSE 100 falling 57 points within the opening minutes to 5879. City experts warned that the lack of progress in Washington in recent days was fanning fears that the world’s biggest economy might default on some of its debts. Michael Hewson of CMC Markets called the threat of a Moody’s downgrade a “cruise missile across the bows of US politicians”. “One thing is certain it won’t take long for Fitch and S&P to follow suit if the politicians don’t come to their senses,” Hewson added. Moody’s said on Wednesday night that there was a greater risk that the US government would not agree to increase its debt ceiling above the legal limit of $14.3 trillion (£8.86tn), hit in May . Dagong swiftly followed suit, saying slow economic growth and rising debts meant the federal government’s ability to repay its debts was deteriorating. Despite mounting concern in the financial markets, America’s political leaders remain some distance apart over the issue of the debt ceiling. Little progress appeared to be made on Wednesday. Republican House majority leader Eric Cantor claimed that Obama had shoved back the table and walked out of White House talks, after Cantor refused to discuss the president’s proposal to raise taxes on wealthier Americans. “The president told me, ‘Eric, don’t call my bluff. I’m going to take this to the American people,’” Cantor said after the meeting. Democrats, though, disputed whether Obama had quit the meeting prematurely. “Left abruptly is perfectly fair,” one official told the LA Times . “But the meeting was over — in no sense did he walk out on it.” Officials have warned that, as things stand, America will run out of money to pay its bills on 2 August. Federal Reserve chairman Ben Bernanke said on Wednesday that without agreement, the US would continue to service its debts and stop benefits like Social Security payments instead. Republicans are demanding hefty spending cuts, worth around $2.4tn over the next ten years, in return for voting to raise the debt ceiling. Obama is pushing for a $4tn deficit reduction plan over the same period, with a hefty slice of increased tax revenue. Europe’s own debt crisis will be under the spotlight on Thursday as Italy holds an auction of government debt. A sale earlier this week saw the country pay its highest interest rate since the collapse of Lehman Brothers. Plans for a new austerity package, which the Italian parliament will start to approve on Thursday, may bring some calm. US economy Economics Global economy Obama administration United States Ratings agencies Graeme Wearden guardian.co.uk
Continue reading …Houses still being built on floodplains despite higher risk of flooding, says Committee on Climate Change Local authorities are continuing to allow tens of thousands of houses to be built on floodplains, despite a growing risk of flooding as climate change takes hold, according to a new report from the government’s climate adviser. The report, from a sub-unit of the Committee on Climate Change , also found a marked increase in the risk of drought across the country. At present, only 8% of key water “resource zones” – catchment areas for water – are in danger of a shortfall in supplies, even in a severe drought. Within 15 years, that number is likely to be about 45% if nothing is done, meaning millions of people could be affected. Lord Krebs, chair of the adaptation sub-committee, called on the government to begin taking action urgently, in order to head off much greater problems with drought and flooding. These could include tougher building regulations so that all houses were equipped with water-saving devices, including water meters, and those at risk of flood with preventive measures, ranging from sealed airbricks to raised floors and flood-resistant paint. He said: “By taking steps to manage this vulnerability, local communities, businesses and households can save money today and reduce the costs of climate change in the future.” At present, the UK is coping with these problems, but the committee warned that in key areas of infrastructure, such as water supply and flood protection, the country was “near its limits… and could be pushed over the edge by climate change”. Government cuts earlier this year reduced the number of flood defence projects by a thousand. Krebs said he was surprised at how many houses are still built on floodplains around the UK – around 12,000 to 16,000 every year in England alone. He said one of the key reasons could be aesthetic: houses built on high ground, where they are less at risk of flood, are more visible than those set in a valley, where they are at much greater flood risk. If people object to houses being visible in their view, that could put local authorities off attempting to build on more suitable ground. “My assumption is that local authorities are making trade-offs between floodplain building and considerations of natural beauty,” he said. David Symons, director at environmental consultancy WSP Environment & Energy, said planning policy should be changed drastically. He said: “Current planning policies provide too much wriggle room for local authorities. Although local authorities do have to consider and consult on flood risk, they have the power to ignore these findings completely and grant planning permission to new developments regardless of the risks. ” This was exacerbated by the government’s new assumption in favour of development, and because the government changed the way it funds flood mitigation – it now encourages match funding from the private sector for flood protection investments. “This means that development in the floodplain could be more likely if a developer is willing to pay the premium as part of obtaining planning permission,” said Symons. This could mean developers simply pay an upfront cost, leaving the householders to cope with the after-effects. Other infrastructure at risk from the effects of climate change includes roads and railways, the electricity grid, and communications networks. The committee’s report called for the companies involved to investigate further how they could cope with the possible effects. Krebs also urged people to take low-cost measures to help keep their houses cool in hot summers – these could be as simple as curtains. Flooding Climate change Committee on Climate Change Green politics Local government Fiona Harvey guardian.co.uk
Continue reading …Number of people in Britain living with cancer rose from 1.5 million to 2 million in a decade, according to health charity More than four in 10 Britons will be diagnosed with cancer at some point in their lives, according to a study by a leading health charity. Figures obtained by Macmillan Cancer Support show that 42% of Britons had cancer before they died – compared with around 35% a decade ago. The study, which analysed data from 2008, also revealed that 64% of cancer sufferers will eventually die from the disease. Ciaran Devane, the chief executive of Macmillan Cancer Support, said: “It is really alarming that the number of people who will get cancer is now well past one in three, and that there are so many more people with cancer today than even 10 years ago.” Macmillan said the number of people living with cancer had risen from 1.5 million in 1998 to 2 million in 2008 – an increase of 35%. Experts believe this is because more people are getting the disease and, as treatment improves, those who have it are surviving longer. Two million people in the UK have had a cancer diagnosis, according to the charity. This is expected to double within the next two decades. Devane said the NHS was facing a challenge because of the rising rates. “The NHS needs to recognise cancer’s long-term impact on people’s lives, to plan better services and to develop more personalised care. We have a massive challenge ahead if we are to keep up with the relentless toll cancer takes on people’s health, and the NHS must rise to it.” Cancer Health guardian.co.uk
Continue reading …Home Office figures show that numbers of fish used have increased by 23%, but other animals decreased More than 3.7m scientific procedures were carried out using animals in 2010, an increase of around 100,000 on the previous year, according to data released by the Home Office. The rise is largely due to the production of more genetically modified mice and greater use of fish in basic biological and medical research. Excluding the 1.6m procedures involving the breeding of GM animals – mostly mice – the 2010 total was up by 1% from 2009. The number of procedures is not equivalent to the number of animals used – one animal might undergo several procedures, and the act of breeding a genetically modified animal counts as a procedure in itself. “If we exclude genetically manipulated breeding, there’s an increase of less than 1% in the total numbers,” said Judy McArthur Clark, chief inspector at the Animals Scientific Procedures Inspectorate of the Home Office. “That’s largely due to the increase in the use of fish. Fish numbers went up by 23%, about 93,000 animals. That’s more than the 1% increase, which means there’s an accompanying decrease in other species.” Professor Dominic Wells, of the neuromuscular disease group at the Royal Veterinary College, said one of the reasons that scientists are breeding more GM mice is because they have refined their procedures. “Instead of creating animals that are adversely affected by the genetic modifications, we will very often keep two lines of mice, neither of which show an adverse phenotype until they are crossed. You can therefore generate precisely the number that you need in order to conduct that experiment. By breeding two lines we increase the number of animals used but we decrease the overall severity of what we’re doing.” Primates, dog, cats and horses get special protection under the law and the total number of procedures on these groups was 19,773, around 0.5% of the total. Among the non-human primates, there was a 10% increase in procedures since 2009, though the number of actual animals used has dropped, according to McArthur Clark. “The main change in the number of procedures is accounted for by new-world primates, such as marmosets, and the main reason for the increase is that it’s a very fluctuating figure. The baseline numbers are quite small – one extra experiment or study in the year can actually have quite an impact on the numbers. Mainly these animals are used for collections of blood and tissue that are then used in pharmaceutical R&D. The number of old-world primates, macaques, the numbers have come down there, minus 2% on the numbers for 2009.” Procedures using dogs dropped by 2% – most of these were purpose-bred beagles mostly used in pharma development and safety evaluation – while the procedures on cats dropped by 32%. There was also a fall of 11% in the number of animals used in toxicological tests, as a greater proportion of tests can now be used to satisfy more than one regulatory requirement. Professor Roger Morris, head of the school of biomedical sciences at Kings College London, said 90% of his work was done with individual molecules and cells in culture. “But real diseases are diseases of the whole body, and can only be studied in the whole body. To take the example of Parkinson’s – a disease that is very common and devastating. Part of this disease is a dopamine deficiency in the neurons, but the underlying cause is a complex set of interactive problems, that probably involves an inflammatory or autoimmune component. Thus we need to understand the interaction between two very complex bodily systems – the brain, and the immune system, to understand the defects causing this multi–tissue, multi–step disease. We can’t study that in tissue culture of individual cells.” Barney Reed, senior scientist at the RSPCA, described the rise in procedures as “astonishing”, pointing out that they equated to a 37% increase in animal use over the past decade. He also raised concerns over the implementation of a new EU directive on animal research into UK law that would legally allow the UK to drop its standards in many areas of inspection and practice in the use of animals. “A watered-down law could mean laboratory animals in the UK being allowed to suffer ‘long-lasting, unalleviated, severe pain, suffering or distress’, it could allow some animals such as dogs to be kept in even smaller housing, and some UK laboratories may not be visited by Home Office officials for years at a time – this is simply unacceptable,” he said. Martin Walsh, head of the Home Office’s animals scientific procedure division, said he welcomed the EU directive because it would raise standards across the continent to the UK level. “We’re ahead of the game in lots of areas. It’s not going to reduce the protection of animals in the UK.” He added that the Home Office was also looking at ways to meet a commitment in the government’s coalition agreement, which pledged to reduce the use of animals in scientific research and end the testing of household products on animals. Officials hope to publish a consultation on their ideas before the summer recess of parliament, said Walsh. Animal research Zoology Animals Alok Jha guardian.co.uk
Continue reading …Home Office figures show that numbers of fish used have increased by 23%, but other animals decreased More than 3.7m scientific procedures were carried out using animals in 2010, an increase of around 100,000 on the previous year, according to data released by the Home Office. The rise is largely due to the production of more genetically modified mice and greater use of fish in basic biological and medical research. Excluding the 1.6m procedures involving the breeding of GM animals – mostly mice – the 2010 total was up by 1% from 2009. The number of procedures is not equivalent to the number of animals used – one animal might undergo several procedures, and the act of breeding a genetically modified animal counts as a procedure in itself. “If we exclude genetically manipulated breeding, there’s an increase of less than 1% in the total numbers,” said Judy McArthur Clark, chief inspector at the Animals Scientific Procedures Inspectorate of the Home Office. “That’s largely due to the increase in the use of fish. Fish numbers went up by 23%, about 93,000 animals. That’s more than the 1% increase, which means there’s an accompanying decrease in other species.” Professor Dominic Wells, of the neuromuscular disease group at the Royal Veterinary College, said one of the reasons that scientists are breeding more GM mice is because they have refined their procedures. “Instead of creating animals that are adversely affected by the genetic modifications, we will very often keep two lines of mice, neither of which show an adverse phenotype until they are crossed. You can therefore generate precisely the number that you need in order to conduct that experiment. By breeding two lines we increase the number of animals used but we decrease the overall severity of what we’re doing.” Primates, dog, cats and horses get special protection under the law and the total number of procedures on these groups was 19,773, around 0.5% of the total. Among the non-human primates, there was a 10% increase in procedures since 2009, though the number of actual animals used has dropped, according to McArthur Clark. “The main change in the number of procedures is accounted for by new-world primates, such as marmosets, and the main reason for the increase is that it’s a very fluctuating figure. The baseline numbers are quite small – one extra experiment or study in the year can actually have quite an impact on the numbers. Mainly these animals are used for collections of blood and tissue that are then used in pharmaceutical R&D. The number of old-world primates, macaques, the numbers have come down there, minus 2% on the numbers for 2009.” Procedures using dogs dropped by 2% – most of these were purpose-bred beagles mostly used in pharma development and safety evaluation – while the procedures on cats dropped by 32%. There was also a fall of 11% in the number of animals used in toxicological tests, as a greater proportion of tests can now be used to satisfy more than one regulatory requirement. Professor Roger Morris, head of the school of biomedical sciences at Kings College London, said 90% of his work was done with individual molecules and cells in culture. “But real diseases are diseases of the whole body, and can only be studied in the whole body. To take the example of Parkinson’s – a disease that is very common and devastating. Part of this disease is a dopamine deficiency in the neurons, but the underlying cause is a complex set of interactive problems, that probably involves an inflammatory or autoimmune component. Thus we need to understand the interaction between two very complex bodily systems – the brain, and the immune system, to understand the defects causing this multi–tissue, multi–step disease. We can’t study that in tissue culture of individual cells.” Barney Reed, senior scientist at the RSPCA, described the rise in procedures as “astonishing”, pointing out that they equated to a 37% increase in animal use over the past decade. He also raised concerns over the implementation of a new EU directive on animal research into UK law that would legally allow the UK to drop its standards in many areas of inspection and practice in the use of animals. “A watered-down law could mean laboratory animals in the UK being allowed to suffer ‘long-lasting, unalleviated, severe pain, suffering or distress’, it could allow some animals such as dogs to be kept in even smaller housing, and some UK laboratories may not be visited by Home Office officials for years at a time – this is simply unacceptable,” he said. Martin Walsh, head of the Home Office’s animals scientific procedure division, said he welcomed the EU directive because it would raise standards across the continent to the UK level. “We’re ahead of the game in lots of areas. It’s not going to reduce the protection of animals in the UK.” He added that the Home Office was also looking at ways to meet a commitment in the government’s coalition agreement, which pledged to reduce the use of animals in scientific research and end the testing of household products on animals. Officials hope to publish a consultation on their ideas before the summer recess of parliament, said Walsh. Animal research Zoology Animals Alok Jha guardian.co.uk
Continue reading …America's only admittedly socialist member of Congress said Wednesday that he disagreed with President Obama's comments concerning Social Security checks possibly not going out on August 3rd if the debt ceiling isn't raised. When Sen. Bernie Sanders (I-Vt.) said he felt checks to seniors and disabled vets would be issued no matter what, the host of MSNBC's “The Ed Show” responded, “So you would take issue with the President on that statement, that he may have been fear-mongering in essence?” (video follows with transcript and commentary): ED SCHULTZ, HOST: And Senator, what was your response to the President when he told a, an anchor in an interview he couldn’t guarantee that the checks would be there on April 3rd [sic], that he couldn’t guarantee that the Social Security checks would, would hit people’s bank accounts if we don’t take action? What’s your response to that? True or false? SENATOR BERNIE SANDERS (I-VERMONT): Well, there are differences of opinion about that. There are some who would argue, and I tend to agree, that given the fact that Social Security has a $2.6 trillion surplus, then you can figure out a way you must make sure that seniors and disabled vets get their checks. SCHULTZ: So you would take issue with the President on that statement, that he may have been fear-mongering in essence? SANDERS: What he is saying is, look, there’s not enough money here to pay our debts. That’s true. I think, in fact, we can pay Social Security. Interesting when possibly the most liberal member of Congress goes on national television contradicting a Democrat president. That'll teach Schultz never to ask a question he doesn't know the answer to. Of course, on this rare occasion, Sanders was correct. The Bipartisan Policy Center published some very compelling numbers about this matter that jive nicely with what NewsBusters has been sharing for over a week. As reported by the Weekly Standard Friday: The BPC study found that the United States is likely to hit the debt limit sometime between August 2 and August 9. “It’s a 44 percent overnight cut in federal spending” if Congress hits the debt limit, [Jay Powell of the Bipartisan Policy Center]said. The BPC study projects there will be $172 billion in federal revenues in August and $307 billion in authorized expenditures. That means there's enough money to pay for, say, interest on the debt ($29 billion), Social Security ($49.2 billion), Medicare and Medicaid ($50 billion), active duty troop pay ($2.9 billion), veterans affairs programs ($2.9 billion). That leaves about $39 billion to fund other things. As such, whether or not the President specifically said Social Security checks are in jeopardy if the debt ceiling isn't raised, the mere suggestion is indeed fear-mongering, and the American people deserve a more factual representation of what would happen in a few weeks if Congress doesn't reach an agreement on this issue. As it's become crystal clear that's not going to come from the White House or their media minions, it sure was surprising to see a grain of truth on MSNBC, especially coming from Sanders.
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