Anyone who has had a general anaesthetic will be well aware of the need to fast beforehand. ‘Nil by mouth’ (NBM) or ‘NPO’ (nil per os, os being the Latin for mouth) instructions are part of everyday life on pre-operative wards. This withholding of food and liquids before a general anaesthetic is necessary is because of the risk of the full stomach emptying all or parts of its contents into the patient’s lungs.
Coronary heart disease (CHD) is the most common cause of death in the UK, and is also a major killer worldwide. CHD is caused by fatty deposits building up in a person’s coronary arteries and can lead to symptoms including heart attacks, angina and heart failure. The chances are that you’re already aware of many of the key contributing lifestyle factors which cause people to develop CHD
In light of Organ Donation Week (4-11th September 2017), we have drawn together a collection of articles around the same theme. Our reading list includes articles and chapters which inform, showcase, and discuss the latest research, key issues, and cases of interest in organ donation. The collection offers a sample of the breadth of content available on this topic
Hearing things that other people do not – in other words, an auditory hallucination – is something that approximately 5-15% of the population experience at some point in their lives. For people with a psychiatric disorder such as schizophrenia, the experience of auditory hallucinations can often be bewildering and upsetting. However, for some people unusual sensory experiences can be an important and meaningful part of their lives.
The media love it. Films and novels fictionalise it. TV and newspapers want to follow a real patient around. They virtually always get it wrong (and the worst thing you can do for such a patient is put him/her on television). Psychogenic amnesia (also known as dissociative or functional amnesia) still intrigues and fascinates. In 1926, Agatha Christie, the acclaimed novelist, disappeared for 11 days.
Urgent public health crises generate pressures for access to information to protect the public’s health. Identifying patients with contagious conditions and tracing their contacts may seem imperative for serious diseases such as Ebola or SARS. But pressures for information reach far more broadly than the threat of deadly contagion. Such is the situation with the opioid epidemic, at least in Utah,
One large occupational group that has been required to work within smoking-permitted environments in the United Kingdom is prison staff. Almost three-quarters of prisoners are current smokers, levels not seen amongst men in the general population since around 1960. Not surprisingly, many prison staff report experiencing high levels of smoke in some areas, such as when they enter smokers’ cells and adjacent areas
Like war stories, like disaster films, like any kind of narrative that revolts and scares yet also delights us, the Zombie Apocalypse offers a laboratory for observing human emotion and experience. Its excess opens up a multitude of responses that don’t get explored in the course of our everyday lives, although these same choices lurk underneath the surface of all our lives.
If there is a single profound thing that has occurred in health care over the past couple of decades, that has neither benefitted patients or the doctors who care for them, nor the health system as a whole, it is the fairly rapid deterioration of the physician-patient relationship as the centerpiece of effective, satisfying, and high quality health care delivery.
Pharmaceutical drugs are an integral part of healthcare, but a treatment regimen that works for one individual may not produce the same benefit for another. Additionally, a given drug dose may be well-tolerated by some, but produce undesired (and sometimes severe) adverse effects in others. In the United States (with similar statistics in other parts of the world), serious drug adverse reactions account for over 6% of hospitalisations
Vaccines are one of humanity’s greatest achievements. Credited with saving millions of lives each year from diseases like smallpox, measles, diphtheria, and polio, one would expect vaccines to be enthusiastically celebrated or, at the very least, widely embraced. Why is it, then, that we are witnessing the widespread proliferation of anti-vaccination sentiment?
Recently the World Health Organization’s (WHO) Health Systems and Innovation Cluster released its WHO Guidelines on Ethical Issues in Public Health Surveillance. This report was the first attempt to develop a framework to guide public health surveillance systems on the conduct of surveillance and reporting in public health emergencies. The guidelines are described as a ‘starting point for the searching, sustained discussions that public health surveillance demands’.
In a utopian world of abundant health budgets and minimal health challenges, it is probably fair to say that few would object to including the arts within hospitals or promoting them as a part of healthy lifestyles. Certainly, we have a long history of incorporating the arts into health (stretching back around 40,000 years), so it’s a concept many people are familiar with. But in an era of austerity, the value that the arts can bring comes under much closer scrutiny
What does your body shape say about you? When typing this question on any online search engine one will find dozens of examples and images of models of varying bodily classifications as well as the relationship of bodily shape with many different types of physical and mental health and even personality. Rectangle, triangle, round, hourglass, slender, pear, apple, etc, are widespread categories used to label the body
Age-related memory loss is to be expected. But can it be mitigated? There are many different steps we can take to help maintain and even improve our memories as we age. One of these steps is to make a few simple dietary changes. The following shortened excerpt from The Seven Steps to Managing Your Memory lists dietary basics that can benefit memory.
Recent research reflects some of this range of aetiological factors that influence childhood obesity. Global perspectives from countries of study including Brazil, Australia, England, South Africa, China, and a review of the international literature cover topics frequently reported by the media, like the food environment, unhealthy food advertising policy, weight management interventions, and associations with gender and sleep.