Archive for the ‘Dietetics’ Category

24,000 “avoidable” Diabetes deaths per year

Wednesday, December 14th, 2011

An audit has revealed an “incredibly alarming” estimate of 24,000 annual deaths from Diabetes due to failures in healthcare, meaning that many are unable to manage their condition properly and die “avoidably early”.

The figure is though to stem from a large scale failure in the promotion of health checks, medication and drive to maintain a healthy lifestyle. Lack of management of the condition increases the risk of dangerously high or low blood sugar, heart failure or kidney problems.

Whilst the audit states that 75% of the 24,000 deaths are among the over-65s, younger patients are the most at risk. Two young people aged 15-34 in England are believed to die every week as a result.

Dr Bob Young, a consultant diabetologist who led the audit, said the grim statistics gave the first reliable measure of the huge impact of diabetes on early death. He asserted that many of these early deaths were preventable. Without significant action being taken to improve services for Diabetic patient, Young states that the death toll may increase, as the condition is typically long-term and the number of sufferers is on the rise.

Paul Burstow, the Care Services Minister, called the figure “unacceptable”, stating that he hopes the NHS will now take the steps towards improve care for Diabetes sufferers. He believes that an expansion of Telehealth, which lets patients use technology to monitor their vital signs from home, would help diabetics manage their condition better. Greater integration of health and social care services and a reduction in required hospital visits from patients is also thought to have a potential positive effect.

Barbara Young, the Chief Executive of Diabetes UK, said the figures were “there is no reason why people with diabetes cannot live long and healthy lives if they receive the right care and support to manage their conditions.”

While self-management was important, half of those with type 2 diabetes and more than two-thirds of those with type 1 did not get the care they needed, she said.

Original Source The Guardian

About Pathway Software

Pathway Software (www.pathwaysoftware.com) specialises in the design and development of patient information systems for Allied Health professionals.

Its flagship product, Therapy Manager, is an Electronic Patient Record (EPR) system specifically designed for Therapy Services to provide decision makers with the ability to track and manage clinical activity and analyse cost of care by patient, episode or service. The system also demonstrably reduces administration time and the costs of managing Therapy Services.

“Talking plate” trials to aid NHS weight loss

Tuesday, November 22nd, 2011

The NHS has launched trials of a “talking plate” which has been successful in treating eating disorders in an attempt to support patients in the process of losing weight.

The device termed the “Mandometer” monitors the amount of food on a plate and the speed at which people are eating it. If the plate senses that people are eating too quickly, it will advise them to slow down. It also provides guidance on when people should stop eating by attempting to recognise when patients are starting to feel full.

The Mandometer is comprised of two elements, a scale which is placed under the plate and an accompanying computer screen displaying graphics of the weight of the food. It currently stands at a cost of £1,500 per device. It was FDA approved as an eating disorder treatment in March 2011, with clinics for it’s use running in Australia and Sweden.

It is thought this could be highly effective for those receiving dietetic advice as previous clinical trials have found that after a year of using the device, obese patients consumed approximately 12-15% less than at the start of the trial. Their weight loss and decreased eating habits also appeared to continue even after they stopped using the device.

The Mandometer which was developed at the Karolinska Institute in Stockholm was initially used as a successful treatment for bulimia and anorexia. Now the developers are hoping it will be successful in aiding weight loss as it is commonly believed people feel fuller more quickly if they eat and chew food slowly.

Bristol University is currently co-ordinating an NHS trial of the Mandometer which will include approximately 600 families with at least one obese parent and one obese child. A separate trial of the Mandometer is also running at the Biomedical Research Unit of the University Hospitals Bristol NHS Foundation Trust which will focus on 12 adults and children who are unable to recognise when they are full due to a genetic mutation.

The leader of the NHS trail, Professor Julian Hamilton-Shield, said “it will be a powerful tool to help families retrain their eating habits.”

Original Source Healthcare Global

About Pathway Software

Pathway Software (www.pathwaysoftware.com) specialises in the design and development of patient information systems for Allied Health professionals.

Its flagship product, Therapy Manager, is an Electronic Patient Record (EPR) system specifically designed for Therapy Services to provide decision makers with the ability to track and manage clinical activity and analyse cost of care by patient, episode or service. The system also demonstrably reduces administration time and the costs of managing Therapy Services.

NHS Weight Loss programmes “less effective” than Weight Watchers

Friday, November 4th, 2011

New research published online in the British Medical Journal has revealed that diet programmes such as Weight Watchers, Slimming World and Rosemary Conley are cheaper and far more effective than those run by the NHS.

Traditional NHS programmes comprised of counselling from specially trained staff in GP surgeries or pharmacies were found to ultimately lead to less long term weight loss than slimming clubs, where dieters lost more weight and kept it off for longer.

It is thought that this research will now encourage the public attend classes run by commercial companies as opposed to opting for NHS treatment.

The study involved 740 obese or overweight men and women recruited from one NHS Trust in Birmingham. They were divided into six groups, with three attending commercial slimming clubs and three attending either group-based or one-to-one NHS programmes run by advisers and dieticians. Another group was provided with 12 vouchers for free entrance to a local fitness centre.

All programmes reportedly achieved weight loss after 12 weeks which ranged from an average of 1.37kg in the GP group to 4.43kg in the Weight Watchers group. The NHS programmes were also found to be no better than the people exercising at a local fitness centre at this point.

At the one year mark, all the programmes except the GP and pharmacy groups had resulted in “significant weight loss”, with Weight Watchers being the only programme to achieve significantly greater weight loss and being better attended than the control group.

Compared to the NHS programmes, commercially-run ones meant people typically lost an extra 2.3kg.

This research supports another study published in The Lancet in September which showed that a year-long Weight Watchers programme was far more beneficial than helpful doctor’s advice.

The researchers from the University of Birmingham concluded as a result that commercially provided weight management services are more effective and cheaper. They also assert that primary care based services led by specially trained staff in the NHS are “ineffective”.

A spokesman for the Department of Health however said that weight management programmes can be very “cost-effective”, and that the best method to lose weight will be different for everyone.

“The local NHS must think about which weight management service will work best based on an individual patient’s needs” they stated.

Original Source The Telegraph

About Pathway Software

Pathway Software (www.pathwaysoftware.com) specialises in the design and development of patient information systems for Allied Health professionals.

Its flagship product, Therapy Manager, is an Electronic Patient Record (EPR) system specifically designed for Therapy Services to provide decision makers with the ability to track and manage clinical activity and analyse cost of care by patient, episode or service. The system also demonstrably reduces administration time and the costs of managing Therapy Services

“English diet” could save 4,000 lives

Thursday, November 3rd, 2011
A study by Oxford University published in BMJ Open has stated that eating like the English could save 4,000 lives a year in Scotland, Wales and Northern Ireland.

The study asserts that people in England consume more fruit and vegetables and less salt and fat, reducing the incidence of heart disease, stroke and some forms of cancer. Death rates for heart disease and cancer are higher in Scotland, Wales and Northern Ireland than in England, according to official figures.

The British Heart Foundation says the study shows inequalities in the nations that must be addressed by authorities.

Researchers state that to attempt to close the diet divide, a tax on fatty and salty foods, and subsidies on fruit and vegetables may prove effective. Food taxes were recently introduced in Denmark which focused in particular on foods high in saturated fat, while other countries are currently considering a tax on carbonated drinks or high-calorie foods.

The same group of researchers last year estimated that more than 30,000 lives a year could be saved if all of the UK population followed dietary guidelines on fat, salt, fibre, and fruit and vegetables.

Lead researcher Dr Peter Scarborough of the Health Promotion Research Group reported that the chief dietary factor driving the mortality gap between nations is fruit and vegetables. “Consumption of fruit and vegetables in Scotland is around 12% lower than in England, and consumption in Northern Ireland is about 20% lower than in England, with similar levels in Wales” he stated.

The researchers say they used the English diet as their model not because it is particularly healthy, but because it is regarded as an achievable goal.

Victoria Taylor, Senior Dietitian at the British Heart Foundation, said that as opposed to a platform to promote the “healthy” English diet, the study served mostly to compare influential differences in diet across the UK, namely calorie intake and fruit and veg consumption. She states however that this is not foolproof solution, as a quarter of English adults are clinically obese, with only 30% consuming their recommended fruit and vegetable quota.

“The findings have thrown up some clear inequalities in the four nations and our governments must do everything they can to create environments that help people make healthy choices” she said.

Original Source BBC News

About Pathway Software

Pathway Software (www.pathwaysoftware.com) specialises in the design and development of patient information systems for Allied Health professionals.

Its flagship product, Therapy Manager, is an Electronic Patient Record (EPR) system specifically designed for Therapy Services to provide decision makers with the ability to track and manage clinical activity and analyse cost of care by patient, episode or service. The system also demonstrably reduces administration time and the costs of managing Therapy Services.

Stem Cell Cure for Diabetes

Monday, October 10th, 2011

A study published in EMBO Molecular Medicine has uncovered a treatment for Diabetes which utilises the patients’ neural stem cells to overcome the shortage of insulin-producing cells without the need for gene transfer.

Research from the AIST Institute in Tsukuba has revealed how harvesting stem cells could help to overcome a lack of beta cell transplants from a donor. It is believed that the condition is an ideal target for stem cell treatment as it is caused by the lack of a single type of cell known as a “beta cell” in the pancreas which produces insulin, regulating glucose levels.

Diabetes is caused by a lack of insulin production by the pancreas, and is currently thought to affect more than 200 million individuals worldwide. There is currently no cure, leaving patients to rely on external supplies of insulin or treatments to alter levels of blood glucose.

The research, led by Dr Tomoko Kuwabara, focused on developing methods for defining human stem cell differentiation, the process through which cells can be adapted into specialized roles for use in cell replacement treatments.

The study experimented on Diabetic rats, who following transplantation of stem cells started to not only express several key characteristics of pancreatic beta cells, but insulin production was notably increased and blood glucose levels were reduced. The removal of the transplant increased levels of blood glucose, revealing that transplanting neural stem cells into the pancreas could be an effective treatment for diabetes.

The largest barrier to successful implementation of the treatment aside from any controversy surrounding stem cells is the shortage of donated pancreatic beta cells. Dr Kuwabara commented that a safe and easy way of using stem cells for obtaining new beta cells has been long awaited. The hippocampus and olfactory bulb at the front of the brain provide an easily accessible tissue source for cells that could be transplanted directly into the pancreas. Normally neuronal cells do not produce high levels of insulin, pancreatic cells do.

Dr Kuwabara has stated that his future intention is to transfer the treatment to human subjects, with the view to it potentially becoming widely used within healthcare.

Diabetes accounts for an estimated £9-10 billion of health service spending, with 15-20% of total Inpatient beds being occupied by diabetics. With an estimated 850,000 people unknowingly suffering from the condition and another 7 million who are at very high risk of developing diabetes, this figure is set to become an even bigger burden on the NHS.

Original Source Times of India

About Pathway Software

Pathway Software (www.pathwaysoftware.com) specialises in the design and development of patient information systems for Allied Health professionals.

Its flagship product, Therapy Manager, is an Electronic Patient Record (EPR) system specifically designed for Therapy Services to provide decision makers with the ability to track and manage clinical activity and analyse cost of care by patient, episode or service. The system also demonstrably reduces administration time and the costs of managing Therapy Services.

Copyright © 2011 Pathway Software. All rights reserved. Sitemap