Saturday, 20 December 2014

Victims of a craze for cosmetic surgery


Woman recovering from plastic surgery, from the series Beauty Recovery Room
You can't avoid the adverts. Everywhere you go in Seoul, you are urged to change your shape through plastic surgery. In affluent Gangnam, every wall seems to have a sign pointing to a surgery.
On the train and in the street, you're told you can "bring your face to life". "Facial contouring" is on offer - "breast surgery", "anti-ageing", "eyeplasty", "body contouring". There is "square jaw reduction" (mainly, the adverts imply, for men). Or transforming your face "from saggy and loose to elastic and dimensional", targeted mostly at women.
One acquaintance of mine complains that her chin becomes painful when it rains. And then it emerges that she went into the surgery for a nose job but got persuaded - or persuaded herself - that it was her chin that really needed its contours changing. The result: a more shapely chin that is also a more painful chin. Despite that, she is now intent on breast enlargement.

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This is not a human face - it is more revolting than monsters or aliens”
In this country, parents tell me that they give their teenage daughters a present of what's called "double eyelid surgery" which makes eyes more pronounced - "less Asian" is the truth of it. Why, I wonder, when Korean eyes seem so beautiful the way they are?
The retort that blares from the adverts on the train is that "confidence in appearance brings positive energy which can be the foundation of happiness". Happiness - so easily found at the cut of a knife!
Except that, of course, it's not. There is now a backlash, a slew of court cases where patients - or victims as they might be known - are suing doctors who re-arranged their faces, but not in a good way. One victim said when the bandages came off: "This is not a human face. It is more revolting than monsters or aliens."
Kim Bok-soon spent 30 million won (£17,320) for 15 surgeries on her face over the course of a day and only afterwards found out her doctor was not a plastic surgery specialistKim Bok-Soon was persuaded to spend 30m Won (£17,320) for 15 surgeries on her face
Part of the problem is that plastic surgery is so lucrative that unqualified doctors have been drawn in - or rather doctors qualified in other areas of quite different medicine. It's alleged that procedures have been done by what are called "ghost doctors". In one court case, it's claimed that the advertised doctor slipped out of the operating room once the patient was under the anaesthetic and the job was then botched by the replacement surgeon.
On top of that, it's emerged that some before-and-after photos have had a bit of surgery themselves - surgery of the Photoshop variety.
The upshot is that the Korean Association of Plastic Surgeons has called for tighter rules for doctors and for advertisers. They fear that the bad publicity is damaging the reputation of an industry which is largely well-run.
But they're fighting against the tide. Plastic surgery is very profitable, even with prices that undercut the US and Europe. One of the big businesses in Gangnam, here in Seoul, prices "eye-shape correction" at 1.7m Korean Won. That's about £1,000 ($1,500) for a 30-minute, simple procedure. It rises to 12m Won for a "full-incision face lift" - that's about £7,000 ($11,000).
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South Korea plastic surgery
Picture of woman's back
In response to a survey of 1,000 patients, run by the Korea Consumer Agency (KCA):
  • 70% of those questioned said they had a surgical procedure to improve their looks, and 14.5% said they believed it boosted their prospects for employment or promotion
  • The most popular procedure was the "double-eyelid surgery" - 67.8% of respondents said they undergone the procedure
  • 32.3% of those asked responded that the results of their procedures were "unsatisfactory"
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Plastic surgery is like an addiction - if you do the eyes, you want the nose”
Translation is increasingly needed. There's a big market with a similar sense of vanity right on Korea's doorstep: China. According to the reputable Joongang Daily here, two-thirds of the foreigners who came for plastic surgery to South Korea last year were from China, more than 16,000 customers. The press here says that some of the procedures have been so radical - so successful - that passport officials have not believed it's the same person holding the passport.
But maybe Chinese people who aspire to film-star beauty or, for that matter, South Korean parents who think they can improve their daughters through the surgeon's knife should reflect on one horror story going through the courts.
A former beauty queen here had breast enhancement which went horribly wrong. After a series of infections, she ended up with one breast much bigger than the other.
She blames doctors for the medical failure but also for never saying to her: "Look, you don't need this." "Plastic surgery is like an addiction," she said. "If you do the eyes, you want the nose.
"And doctors don't say, 'You're beautiful enough as you are.'"
Ji Yeo's photographs were first published as part of a series called Beauty Recovery Room
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More from the Magazine
Surgeon holding breast implant
In 1962, Timmie Jean Lindsey became the first woman to receive silicone breast implants in a groundbreaking operation in Houston, Texas. Today, breast augmentation is one of the most popular procedures worldwide,write Claire Bowes and Cordelia Hebblethwaite.

Friday, 19 December 2014

ETHEL HALL BLOOD TEST CHALLENGED

ETHEL HALL BLOOD TEST CHALLENGED

(Posted on 19/02/14)

Ethel Hall Blood Test Challenged
The Times newspaper has reported our new work on the solitary blood test used to convict Colin Norris.

A calculation, similar in principal to how alcohol content is back-calculated in drink-driving offences, has been done which suggests that if the blood test used to convict Colin Norris is correct, the patient would have to have been given the absurd quantity of 20 litres of insulin.

This new research, conducted by Inside Justice, has been submitted to the CCRC.

Autism link to air pollution raised

Autism link to air pollution raised

Woman with face mask

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A link between autism and air pollution exposure during pregnancy has been suggested by scientists.
The Harvard School of Public Health team said high levels of pollution had been linked to a doubling of autism in their study of 1,767 children.
They said tiny particulate matter, which can pass from the lungs to the bloodstream, may be to blame.
Experts said pregnant women should minimise their exposure, although the link had still to be proven.
Air pollution is definitely damaging. The World Health Organization estimates it causes 3.7 million deaths each year.
The study, published in Environmental Health Perspectives, investigated any possible link with autism.
Pollutants
It analysed 245 children with autism and 1,522 without.
By looking at estimated pollution exposure during pregnancy, based on the mother's home address, the scientists concluded high levels of pollution were more common in children with autism.
The strongest link was with fine particulate matter - invisible specks of mineral dust, carbon and other chemicals - that enter the bloodstream and cause damage throughout the body.
ExhaustNitrogen dioxide is a by-product of diesel engines
Yet, the research is unable to conclusively say that pollution causes autism as there could be other factors that were not accounted for in the study.
Consistent pattern
There is a large inherited component to autism, but lead researcher Dr Marc Weisskopf said there was mounting evidence that air pollution may play a role too.
He said: "The specificity of our findings for the pregnancy period, and third trimester in particular, rules out many other possible explanations for these findings.
"The evidence base for a role for maternal exposure to air pollution increasing the risk of autism spectrum disorders is becoming quite strong.
"This not only gives us important insight as we continue to pursue the origins of autism spectrum disorders, but as a modifiable exposure, opens the door to thinking about possible preventative measures."
Prof Frank Kelly, the director of the environmental research group at King's College London, told the BBC: "I think if it was this study by itself I wouldn't take much notice, but it's now the fifth that has come to the same conclusion.
"It is biologically plausible, the placenta is there to ensure the foetus has optimal supply of nutrients, but if chemicals are entering the mother's body then the foetus will have access to those too.
"Women should be made aware of the potential links so they don't get excessive exposure."

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scientist

Stem cell scandal scientist Haruko Obokata resigns

Dr Haruko Obokata Dr Haruko Obokata presented the breakthrough findings in January

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A Japanese stem cell scientist at the heart of a scandal over false claims and fabricated research has resigned.
Dr Haruko Obokata published supposedly groundbreaking research showing stem cells could be made quickly and cheaply.
There were irregularities in data, no other group in the world could repeat her findings and her own university concluded it could not be done.
In a statement Dr Obokata said: "I even can't find the words for an apology."
Stem cells can become any other type of tissue and hold great potential in medicine.
They are already being investigated to heal the damage caused by a heart attack and to restore sight.
But they are expensive and difficult to produce and one source - embryos - raises serious ethical questions.
'Major discovery' Dr Obokata's scientific paper published in the prestigious journal Nature claimed that stem cells could be produced from normal adult cells by dipping them into acid for a 30-minute shock period.
The announcement of the creation of these "Stap" cells (stimulus-triggered acquisition of pluripotency) sent shockwaves around the world.
They were described as a "major scientific discovery" and a "game changer" by respected scientists in the field.
However, the findings were too good to be true.
The work was investigated by the Riken Institute, the centre that conducted the research, and was retracted by Nature in July, amid concern that some of the results had been fabricated.
Dr Haruko Obokata was later found guilty of misconduct.
Riken has been attempting to reproduce the results, but this week announced it had been unsuccessful.
Shinichi Aizawa from the university said: "We have conducted verification experiments but can't repeat the Stap phenomenon. As a result, we will terminate the verification experiments."
In her resignation announcement, Dr Obokata said: "I worked hard for three months to show significant results, but I'm so exhausted now and extremely puzzled.
"I am keenly aware of my responsibility for troubling a number of people because of my inexperience.
"I even can't find the words for an apology."
Riken has accepted her resignation.
Prof Chris Mason, from University College London, told the BBC: "There were serious problems with the whole thing.
"They've given her a chance, which is right, but she didn't manage to reproduce the results.
"I don't think it has damaged science, there have been some really solid breakthroughs this year and the focus is on truly transformative therapies."

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Tuesday, 16 December 2014

With correct foot care and education, limb loss can be avoided

  • With correct foot care and education, limb loss can be avoided

Diabetes amputations are 'too high' say health bosses

Diabetes amputations are 'too high' say health bosses

Insulin and blood-checking equipment for diabeticsDiabetics have to monitor their blood sugar levels

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The number of diabetics in Cornwall, Devon, Dorset and Somerset who have had amputations due to their condition is too high, health bosses have admitted.
About 1,500 procedures to remove limbs were carried out in the four counties over three years.
Charity Diabetes UK said 80% of amputations were avoidable if more care was available to prevent complications.
Health bosses said they were "acutely aware" of the situation and were improving education about diabetes.
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Diabetes and amputation
  • The risk of amputation comes from damage done to nerves and blood vessels
  • Extremities of the body such as feet are worst affected
  • With correct foot care and education, limb loss can be avoided
Source: Diabetes.co.uk
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Diabetics must know their blood sugar level to stop it going dangerously high or low.
Poorly-managed blood glucose levels can lead to serious complications such as blindness, amputations and stroke.
Of the 1,562 amputations among diabetics carried out across the counties between 2010-2013, 528 were classed as major - above the ankle - statistics from Public Health England said.
The national rate for major amputations at that time was 0.9 per 1,000 people with diabetes. Areas across South West England saw rates of between 0.8 to 1.5.
Phaedra Perry, from Diabetes UK, said evidence showed amputation levels were reduced in areas where teams with the right expertise were in place.
However, diabetic Jacqueline Heather, from St Austell, Cornwall, said patients, not just health staff, had to be "aware of what to look for",
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Number of major amputations 2013-13
  • National rate is 0.9 per 1,000 people with diabetes
  • NHS NEW (Northern, Eastern and Western Devon) Devon Clinical Commissioning Group CCG area - 1.5
  • Somerset - 1.4
  • Cornwall - 1.2
  • Dorset - 1
  • Torbay and South Devon - 0.8
Source: Public Health England
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Dr Gary Lenden, from the NEW (Northern, Eastern and Western Devon) Devon Clinical Commissioning Group - which had the highest rate in the counties - said: "It's something we're clearly concerned about and acutely aware of."
He said managers saw the need "to improve the education for primary care teams" and staff were also working on improving education for patients so they had an "understanding of their own condition".
He added that staff were also working on "getting diabetes teams into the community".

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grains

Why do Americans love ancient grains?


Quinoa farmer in Bolivia
Would you like to taste the health-giving grain found in the tomb of King Tutankhamun? Or feast on the unprocessed kernels said to have been stored on the ark by Noah? Or how about a vodka made from traditionally farmed Bolivian quinoa? If any of this whets your appetite, you are not alone.
In the past five years there has been an explosion in popularity of so-called "ancient grains" in the American food market.
There is no comprehensive list of "ancient" grains, but the category is generally agreed to include amaranth, barley, bulgur, buckwheat, kamut, millet, spelt, teff and quinoa.
Many of these grains - Bolivian quinoa and Ethiopian teff, for example - have been planted and harvested in the same way for thousands of years.
"It's been a positive perfect storm for these ancient grains," says Cynthia Harriman, director of food and nutritional strategies at the non-profit organisation, the Whole Grain Council.
"They fit with our desire to look for a super-food, a magic bullet we should be eating," she says.
Ancient grains are perceived as the opposite of modern wheat, which is the descendant of three ancient strains of wheat - spelt, einkorn and emmer - and often heavily refined.
They are seen as more healthy, more natural and better for us, providing more vitamins, minerals, fibre and protein than modern wheat - partly because they are rarely eaten in processed form.
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Ancient grains
Ancient grains
• Amaranth - a grain, used by the Aztecs, which is both gluten and wheat-free and is a source of vitamin C
• Barley - an excellent source of fibre, manganese, selenium, and thiamine
• Bulgur - a quick-cooking form of whole wheat which is high in manganese
• Kamut - has a nutty flavour and is high in fibre, protein and several minerals, including selenium and manganese.
• Millet - a small, whole grain is a staple in many Asian and African countries but thought of mostly as bird food in the United States
• Spelt - commonly eaten in medieval times, spelt is part of the wheat family and is high in protein and fibre
• Teff - common in Ethiopia, this grain has the highest calcium content
• Quinoa - perhaps the best known ancient grain, quinoa is a complete protein since it has all nine essential amino acids
Source: Today's Dietitian
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Many of the grains are also gluten-free, or at least low in gluten, tapping into a growing demand from consumers.
Part of the popularity of these grains are the stories that surround them, says Harriman.
"We're drawn to the idea that kamut comes from King Tutankhamun's tomb, the story draws our attention," she says.
"It's a revolt against processed food. It's the opposite of modern."
Cheerios with ancient grains box
Other nutritionists agree.
"Aztec, Indian, African," says Vandana Sheth, nutritionist and spokesperson for the Academy of Nutrition and Dietetics.
"People might be more interested in trying these grains because of their place of origin, history and the culture," she says.
One of the first references to ancient grains as a health food was in an article in the New York Daily News in 1996.
Since then they have seen a steady surge in popularity, with a huge increase in consumption over the past five years, particularly in the last year.
According to figures released by the US Whole Grains Council, sales of kamut rose 686% in the year from July 2013, while sales of spelt rose by 363% and amaranth by 123% - all, admittedly, from a low base.
Such growth figures have spurred the processed food industry to take notice, especially against a backdrop of falling sales of breakfast cereals.

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The gullible consumer is going to buy more if it sounds healthy”
Hemi WeingartenFooducate
"In the past year ancient grains saw a 50% growth across all categories, and a 44% growth in the cereal category," says Alan Cunningham, marketing manager for new products for the food giant General Mills.
The company has announced it will be launching a new line of its successful breakfast cereal, Cheerios, with ancient grains next year.
"It's a way to bring this product into the mainstream," Cunningham says.
"Consumers may feel that the barrier to eating ancient grains is that they're not convenient, so we figured a way to deliver them in a bowl of cereal."
But this will also mean including five times as much sugar as in the original Cheerios recipe - 5g of sugar per 28g serving, instead of just 1g - though, as Cunningham points out, about half as much as in the company's best seller, Honey Nut Cheerios.
"We feel great about the health profile of this Cheerios," he says.
But the addition of sugar and heavy processing has led some to accuse companies like General Mills of cynically making money from the "health halo" surrounding ancient grains.
"Like any grain they can be used in a healthy or unhealthy way," says Hemi Weingarten, founder and CEO of the food blog site Fooducate.
"The gullible consumer is going to buy more if it sounds healthy," he says.
Nutritionists argue that consumers should look at carefully at nutrition labels before buying processed food, to check for the amount of whole grains, and of added ingredients, such as sugar.
"I have heard industry analysts talking about taking advantage of the ancient grains trend," says nutritionist Cynthia Harriman.
"With ancient grains on the label, you could increase the price by 50-300%," she says.
The main barrier standing in the way of incorporating more ancient grains into the American diet is a shortage in supply.
There are also concerns that the exploding market for the grains could have an adverse effect on populations that have eaten them for centuries, the quinoa-growers of Bolivia, for example.
But experts do not see this as a passing fad.
"By incorporating ancient grains, we'll benefit by not only getting more whole grains but enjoying a wider array of flavours, textures and nutritional profiles," says Vandana Sheth.
"Although they are currently thought of as a hot trend, I believe that ancient grains are here to stay."

Wednesday, 10 December 2014

Nearly 50% take prescription drugs

Nearly 50% take prescription drugs


Drugs

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Half of women and 43% of men in England are now regularly taking prescription drugs, according to the comprehensive Health Survey for England.
Cholesterol-lowering statins, pain relief and anti-depressants were among the most prescribed medicines.
The report, by the Health and Social Care Information Centre (HSCIC), showed an average of 18.7 prescriptions per person in England in 2013.
The cost to the NHS was in excess of £15bn-a-year.
More than a fifth of men and nearly a quarter of women were taking at least three prescriptions.
All the figures exclude contraceptives and smoking cessation products.
Nearly a third of prescriptions were for cardiovascular disease with more than 65 million prescriptions for tackling high blood pressure, heart failure or cholesterol levels.
Simvastatin - which lowers cholesterol - was the single most prescribed item with 40 million prescriptions.
Heart
Dr Jennifer Mindell, one of the report's authors at University College London, said: "This is the first nationally-representative study to report on the use of prescribed medicines taken by people in the community, not just those within the healthcare system.
"That half of men over 65 are taking cholesterol-lowering medicines reflects the high risk of cardiovascular disease in this group.
"Stopping smoking, being a healthy weight, eating more vegetables and fruit, and being physically active reduce people's risk of these diseases, for people who want to avoid taking medicines."
Pills and tape measureWeight was strongly linked with the number of pills being popped.
Antidepressants were taken by more than one in 10 women - double the figure for men.
The drugs were most commonly taken by middle-aged women and those from deprived areas - 17% of the poorest women took antidepressants compared with 7% of the richest.
Dr Sarah Jackson, at University College London, commented: "It's well known that rates of depression are much higher among women than men, so I am not surprised to see that antidepressant use follows the same pattern in this study.
"People with depression are less likely to be in regular employment, and people who are unemployed or in low paid jobs are more likely to have depression."
Obesity
The heavier people were, the more likely they were to need prescription drugs.
More than half of severely obese people in England reported taking at least one prescribed medicine and a third took at least three.
Sue Faulding, a pharmacist and programme manager of prescribing and primary care services at the HSCIC, said: "Obesity is often associated with high cholesterol, high blood pressure, joint pain and depression.
"Lifestyle changes are always recommended in the first instance, but medicines can help to address the symptoms and this study shows that medicine use increases steadily with body mass index."

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