Monday, 25 September 2017

6 out of 10 Brits want to keep EU citizenship

Six out of 10 Britons want to keep their EU citizenship after Brexit – including the rights to live, work, study and travel in the EU, with many prepared to pay large sums to do so, according to research by the London School of Economics and polling firm Opinium which surveyed more than 2,000 respondents.

85% of 18 to 24 year-olds want to retain their EU citizenship in addition to their British citizenship. Around 80% of people living in London also want to maintain the same rights. Young people in particular were “very unhappy” at the prospect of losing rights they regarded as fundamental and crucial to their future prospects.

The average sum they would be prepared to pay to retain EU citizenship was more than £400 (more than the contribution to the EU budget that UK citizens each currently make).

73% of voters would like either to protect or extend the rights that current citizens from other EU countries have to vote in the UK; 48% wanted to see the right to vote extended from local elections to general elections, while 25% wished to keep the status quo. Only 10% supported the government’s position of withdrawing EU citizens’ right to vote in local elections.
In a speech to the LSE, the director-general of the CBI, Carolyn Fairbairn, paints a grim picture of the impact that Theresa May’s plan to leave both the single market and customs union will have on the UK economy. “In the last 40 years, EU integration has cut through complexity, making things simpler for business. The single market means one single set of rules for the whole EU – saving Europe’s 22 million firms time and money, while the customs union lowers even more barriers to trade. Even for something as everyday as a loaf of bread, EU rules cut through the complexity – and make things simpler for business and clearer for consumers.

Source: Poll finds that 60% of Britons want to keep their EU citizenship: The Guardian, 1st July 2017

Body Clock Effect on Medications

Your circadian rhythm (the biological clock that governs sleep, hormone production and other processes) means your body responds differently to medications depending on the time of day. Drugs may be less effective or less well tolerated. Drug chronotherapy advocates matching your medication to your circadian rhythm to maximise effectiveness and minimise side effects. (Do not change your drug routine without checking with your doctor or pharmacist first - there may be other factors to consider.)

Some drugs should be taken on an empty stomach because they need to work fast and are more quickly absorbed - while some will only work on an empty stomach as they can bind with food and form a compound that your body cannot absorb. However, several must be taken with food to reduce the risk of side effects, to slow down absorption, or because they can irritate the stomach,

Before breakfast
  • Depression meds: disrupted sleep is a common side effect of some selective serotonin re-uptake inhibitors (SSRIs), so it is often recommended that patients take them when they wake up.
  • Osteoporosis meds: your body does not easily absorb biphosphonate drugs (e.g. Boniva and Fosamax), so doctors advice taking them on an empty stomach first thing in the morning with a glass of water, then waiting an hour before eating, drinking, or taking other drugs or supplements.
  • Antibiotics are usually most effective when taken on an empty stomach when they are not competing with digestion. But some need to be taken with food to help drug absorption, so check first.
  • Diuretics should be taken in the morning so you are not kept awake by night-time toilet trips.
  • Thyroid hormones taken at this time fit into your body's natural pattern - but should be taken about an hour before eating as food reduces absorption.
  • Iron is always best on an empty stomach as food inhibits absorption. However, vitamin C can help absorption so take with a small glass of orange juice.
  • Once-daily PPI medicines (proton pump inhibitors) for heartburn or indigestion (e.g. omeprazole) should be taken on an empty stomach before breakfast to reduce acid-production effectively. But H2-receptor blockers (e.g. ranitidine) also inhibit acid production but should be taken after meals.
After breakfast
  • Steroids are best taken in the morning when you are naturally more alert, but take them after breakfast to reduce stomach irritation and indigestion.
  • Multi-vitamins are best taken after breakfast, as the fat in the meal helps with the absorption of fat soluble vitamins A, D, E and K.
  • Take probiotics after breakfast because an empty stomach is too acidic for friendly bacteria to survive. Eating increases the pH in your gut, enabling the friendly bacteria to thrive. But don't wash them down with tea or coffee - hot drinks can kill healthy bacteria.
  • Although different diabetes medicines need to be taken at various times of the day (e.g. sulphonyylureas, including gliclazide, should be taken with breakfast), the biguanides (e.g. metformin) can be taken at any time of day but must be taken with or just after food to avoid low blood sugar levels.
  • Prescription or over-the-counter decongestant medicine is most effective taken in the morning when symptoms are naturally worse. They also contain a stimulant that may cause sleeplessness.
Mid-afternoon
  • Asthma sufferers whose symptoms are worse at night should consider taking a single dose of inhaled steroid in the afternoon to provide a protective night-time effect. 
  • BUT as a rule, steroid preventer inhalers (brown canisters) are best taken in the morning and evening.
  • Reliever inhalers (blue canisters) are best taken 20 minutes before known triggers, such as exercise. This gives the medication plenty of time to kick in and help prevent an attack.
Best around dinnertime
  • Heartburn meds: the stomach produces two to three times more acid between 10pm and 2am than at any other time of day. If you are on an acid-reducing H2 medication such at Pepcid or Zantac, take it 30 minutes before dinner. This controls stomach acid during the overnight period, when secretion reaches its peak.
  • Allergy meds: hay fever typically worsens at night and feels most severe in the morning, when levels of symptom-triggering histamine are highest. Once daily antihistamines (e.g Clarityn) reach their peak eight to 12 hours after you take them, so using them at dinnertime means better control of morning symptoms. (Take twice a day antihistamines in the morning and evening.)
After dinner
  • Liquid heartburn medications such as Gaviscon are best taken after meals so they sit on top of stomach contents and coat the gullet to help prevent reflux and indigestion.
  • If you have morning stiffness and pain with arthritis, take your later dose of anti-inflammatory painkiller after your evening meal to help when you wake in the morning.
Best before bedtime
  • Cholesterol meds: cholesterol production in the liver is highest after midnight and lowest during the morning and early afternoon, so statins are most effective when taken just before bedtime. The exception to this is atorvastatin which has a longer half life, so even if it is taken in the morning, it remains active through the night.
  • Blood pressure meds: blood pressure is typically higher in the day and lower during sleep. Many people with high blood pressure don't show this dip, especially as they get older. This is a risk factor for stroke, heart attack, and kidney disease. So experts advise taking certain blood pressure lowering drugs at bedtime to normalize daily blood pressure rhythm and decrease these risks. ACE inhibitors and ARBs are most effective when taken before bed.
  • One-a-day antihistamines for hay fever are most effective if taken in the evening, as this means medication is at its peak in your system in the morning when symptoms are usually worse. (Antihistamines that need to be taken regularly start acting within 15 minutes so can be taken at any time.)
Timed to symptoms
  • Osteoarthritis meds: It's best to take NSAIDs (e.g. naproxen and ibuprofen) approximately six hours before pain is at its worst, so they will kick in at the appropriate time. If prone to afternoon pain, take meds between mid-morning and noon; for evening pain, take meds mid-afternoon; for night-time pain, take meds with your evening meal.
Sources
1: Actually, there's a right time to take 'once a day' drugs by Claire Benoist in Reader's Digest, 2017

2: Body clock myths: when is the best time to take pills? by Michele O'Connor in The Mirror, 23 July 2014

Monday, 18 September 2017

Confusing Terrorism with Extremism

The Guardian Editorial view on Theresa May’s plans on terror.
Mrs May wants us to believe that we face a threat from doctrines that do not espouse violence but somehow mutate into terror. Confusing extremism with terrorism risks dividing us as a people when we need to be united.

TM focuses on policing thoughts rather than acts, and countering ideology rather than terrorism. Penalising people for holding unspoken beliefs would end up with a legal minefield of dogma and piety. Will animal rights, ecological defence or anti-arms-trade activists (who do not subscribe to violent belief systems when criminal acts – sometimes amounting to terror – have been carried out in their name) be banned too?

Non-violent extremism is difficult to define. Banning so-called adherents from public positions would hinder, not help, the fight against terrorism, when we need to exploit every possible avenue to prevent it. This includes cooperation with the very people who might be best placed as discouragers of terrorism: those who hold similar “extremist” beliefs but who are non-violent and are opposed to the methods of violence. Mrs May’s plans criminalise the eyes and ears you need to spot terror.
We need unity. The three recent terror attacks were immediately linked to a “single evil ideology of Islamist extremism”; politicians should take care in the language they use. We should not play into the hands of al-Qaida and Islamic State and lump together murderers and peaceful Muslims who are simply observant rather than violent. Crude Islamophobia risks pulling people apart when they need to come together.

It seems we have learned nothing from our own history. In October 1974, people were killed and injured within a week of a general election. A few months later MPs voted for the Prevention of Terrorism Act, with emergency “temporary” powers so draconian they have to be renewed yearly. These crisis measures became permanent. Terrorism aims to scare us into changing the nature of our democracy; sweeping new measures with alacrity in response to terrorist acts is no way to proceed. Politicians should steer public sentiment on matters of national security but with reasoned debate.


Theresa May’s talk about British values puts all Muslims under suspicion by Myriam François

Mrs May’s recent  statement following the London Bridge attack, condemned “evil ideology of Islamist extremism” and set out a familiar action plan. But terrorists’ stated motivations focus on more tangible goals - a response to Britain’s “transgressions against the lands of the Muslims”, a victory against “the crusaders” of the west, and a response to airstrikes in Iraq; their primary motivation has always been to create a pseudo “Islamic state” in the Middle East.

Without suggesting abandoning territorial fightback against Isis, we must recognise that the fate of European capitals is tied up with a very real war in the Middle East. British foreign policy, whether or not you agree with it, impacts on British society, with the marginalised, the angry, the alienated; those looking for a higher cause to bring meaning to an often dead-end existence.

The intelligence services are clear that while they have thwarted many attacks, they won’t be able to stop all of them. It is a false idea that the real problem is a set of ideas pushed by the Muslim community. Intelligence analysts highlight that families – let alone “the community” – are often the last to know, and when they have had suspicions, recent cases show that families and mosques have approached the authorities. Communities work, and will continue to work, with the police to stop those who wish to harm us all.

This relationship of trust and cooperation is made harder, not easier, when the government casts a wide net of suspicion over the entire Muslim community, suggesting that it is a suspect group that needs to be re-educated with a predetermined set of ethics. The truth is that British values are no superior to those of any other nation; the idea is patronising to anyone of non-British origin. Improving social cohesion is a laudable objective – but linking terrorism to integration produces a dangerous confusion over the roots of the problem, which ultimately stigmatises and alienates some of the poorest communities in this country.

Terrorists are not motivated by the faith of the 1.6 billion regular folk walking this planet; Muslims aren’t immune to bombs and bullets and they experience a double penalty in such attacks: the same trauma as all other citizens, plus the guilt cloud that hangs over them all thereafter.

"The government could be honest about the risks to domestic security of foreign military interventions – risks the public may or may not wish to accept. It can invest heavily in the security services working to keep the country safe. This means more resources, but it also means not creating a climate of suspicion around Muslims, who, like everyone else, are partners in the common goal of preserving life – incidentally, the highest of values in Islamic law. Creating dichotomies between British and Islamic values only feeds a toxic narrative."

The aftermath of recent horrific events shows that people from all faiths and none, with diverse value systems, can come together to emphasise love, solidarity and unity. We don’t need lessons in British values; but our politicians need to learn about not widening the very divisions they believe to be the problem.





Monday, 11 September 2017

Phage Therapy on Farms

Therapy could stop superbugs on farms, by Pallab Ghosh, BBC News website.

Researchers at Leicester University have identified a range of viruses, called bacteriophages, that can be used to kill common pig infections. The aim is to reduce the risk of antibiotic resistant bacteria emerging on farms that could also infect humans. In the UK, 40% of all antibiotics are used to treat animals - they are the same as those used to treat people.

Phages occur in nature and are the natural enemy of many infectious agents. Each of the many phages is specific to different infectious bugs, homing in on them and injecting the phage's DNA into the bug, thus rendering it harmless. Like all viruses, phages reproduce inside the infectious bug and these new phages then hunt other infections.

Attempts to develop phage treatments have been carried out for more than a century but have mostly proved unreliable. However, researchers have now found more precise ways of isolating phages and assessing their effectiveness.

The research team has identified a range of disease-killing phages, and more importantly, have developed a powdered form of the phage which remains active. This would enable researchers to add the powdered phage to pig feed and see if it works in practice.

If trials in pigs work, other phage treatments could be developed for a range of animal diseases, and would speed the development of phage treatments for people.

Source: Therapy could stop superbugs on farms by Pallab Ghosh, Science Correspondent, BBC News 8 June 2017

Monday, 4 September 2017

Migrants and Cultures

Understanding motives is vital to combating terror.

In his Church Times column, Paul Valley notes that a Muslim psychiatrist "recently suggested that there are four ways in which the children of immigrants may react to the clash between the culture of their parents and that of the nation in which they have been brought up. All are stressful in different ways."

Deculturation: This leads them to reject their past in favour of their present.

Assimilation: This is where they retain a loose association with the old ways, but essentially adopt the host culture.

Integration:  This keeps stronger cultural ties, but the children of migrants function fully as members of the host society.

Rejection: They rebuff the host culture entirely. Violent jihadists are drawn from this group, but the process is not simple. There can be huge cognitive dissonance in the process of their rejection,

The crucial task is to re-educate fundamentalists into a more complete understanding of their faith so that they can no longer wrench verses of the Qur'an from their wider context.

While not becoming illiberal in our defence of our liberty, we need to consider a broader understanding of what kind of behaviour ought to be illegal - for example, should people who glorify terrorism, as well as those who incite it, be guilty of an offence such as breach of the peace?

However, it is important that anyone convicted and imprisoned under such new regulations should not simply be detained, but also be subjected to an intensive deradicalisation programme, run not just by secular psychiatrists but also by mainstream Muslim scholars.

Source: Column piece: Inside the mind of extremists by Paul Vallely in The Church Times, 9 July 2017