Health, Medical, Research, Science

Indigestion drugs linked to risk of heart attacks and strokes…

PROTON PUMP INHIBITORS (PPIs)

Common indigestion drugs used by millions of Britons could increase the risk of heart attacks and strokes, according to research.

Scientists said the drugs, called proton pump inhibitors, or PPIs, can trigger a dangerous rise in chemicals in the body linked with heart disease.

Patients with existing heart problems, such as angina, are at most risk, but healthy adults with no history of such complaints could also be affected, the researchers said.

The number of prescriptions for PPIs such as lansoprazole and omeprazole – sold over the counter as Zanprol – has doubled in recent years to more than eight million a year, costing the NHS around £400 million a year. The exact number of patients on the drugs is not known because some buy them over the counter (OTC) at high street chemists.

PPIs work by blocking the action of cells called proton pumps, which produce stomach acid. Although very effective, they should only be used for a maximum of two months and preferably for between two and four weeks.

But many patients quickly find they cannot live without them and ask for repeat prescriptions from their GP or buy them at the chemist. Previous studies identified a potential link between the drugs and heart problems, although scientists conceded there was no obvious explanation for the connection.

Now experts at the Methodist Hospital Research Institute in Houston, Texas, believe they have uncovered the reason why.

After studying samples of human heart tissue, as well as carrying out experiments on mice, they found that PPIs triggered an increase in a chemical called asymmetric dimethylarginine, or ADMA, produced as the body’s cells make proteins.

It can hinder blood flow by blocking the release of nitric oxide, a gas which helps arteries to stay flexible and healthy. The latest findings, published in the journal Circulation, show PPI medicines increase ADMA levels by about 25 per cent and reduce the ability of blood vessel walls to relax by more than 30 per cent.

In a report on their findings, the researchers said that several studies have raised concern that the use of PPIs in patients with acute coronary syndrome (heart disease) may increase their risk of major adverse events.

Dr John Cooke, who heads the research group, says that whilst a plausible biological explanation has now been found to explain this, also added that the ‘surprising effect still needs further investigation’.

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European Union, Government, Politics, Scotland

Scottish independence and the other five unions…

FIRST MINISTER OF SCOTLAND PROVIDES CLARITY ON INDEPENDENCE

The First Minister of Scotland, Alex Salmond, has said that a separate Scotland would abandon only one of its ‘six unions’ on gaining independence.

Mr Salmond said only the historic ‘political union’ between Scotland and the rest of the UK would be destroyed by a Yes vote in next year’s referendum on Scottish independence.

The First Minister of Scotland made clear that five other unions would remain intact: the ‘currency union’, membership of the European Union, a defence union through NATO, the Union of the Crowns and a ‘social union between the people of these isles’.

Mr Salmond has already tried to allay Scottish voters’ fears by promising to keep the Queen as Head of State, to continue use pound sterling as the currency in Scotland, and to share welfare services with England following a referendum victory.

The SNP leader also gave a pledge that an independent Scotland could remain part of a United Kingdom because the term first came into use before the 1707 Act of Union.

Those who oppose Scottish independence have claimed that the speech delivered by the First Minister signals a shift in SNP policy towards ‘independence lite’. They also say that Mr Salmond cannot guarantee EU and NATO membership as Scotland would have to apply and enter into tough negotiations. Unionists are also promoting the view that it would be highly unlikely that Westminster would agree to a pound-sterling ‘currency union’. This, despite the fact that pound sterling is as much Scottish as it is English, and, how would Scotland be expected to pay its fair share of the national debt if a pound-sterling currency union did not prevail?

The SNP leader’s speech, in Nigg in Easter Ross, last Friday, marked the start of a summer tour that will see Mr Salmond taking the case for independence to the Scottish people.

In his speech, Mr Salmond said:

… We must address and fundamentally change the political and economic union as a matter of urgency. This political union is only one of six unions that govern our lives today in Scotland – and the case for independence is fundamentally a democratic one.

… A vote for independence next year will address the democratic deficit which sees policies like the punitive Bedroom Tax, the renewal of Trident or Royal Mail privatisation imposed on Scotland against the wishes of Scotland’s democratically elected representatives.

… But that will still leave five other unions intact. We will embrace those other unions while using the powers of independence to renew and improve them.

Mr Salmond said a ‘social union’ would still unite ‘all the peoples of these islands… People will still change jobs and move from Dundee to Dublin, or from Manchester to Glasgow. With independence, we will continue to share ties of language, culture, trade, family and friendship.

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Britain, Defence, Government, Military

Ministry of Defence introduces the residency rule for recruitment into the Armed Forces…

RESIDENCY TEST THAT WILL HIT CITIZENS FROM COMMONWEALTH COUNTRIES

Soldiers from Commonwealth countries have been banned from joining Britain’s Armed Forces unless they have lived in the UK for five years.

The residency test, which came into force two days ago, will prevent overseas recruits joining immediately as they do now.

The Ministry of Defence reinstated the requirement, which was scrapped in 1998, as it attempts to reduce the size of the military by nearly 30,000 troops.

But the controversial move could lead to accusations of betrayal because Commonwealth troops have shed blood for Britain on the battlefields of Iraq and Afghanistan – as well as in previous conflicts and two world wars.

In the past decade 24 Commonwealth soldiers have been killed in conflict. Dozens more have been wounded. If the rules had been in place when Sergeant Johnson Beharry arrived in Britain from the Caribbean island of Grenada in 1999, he would not have been permitted to join the Army in 2001.

And the soldier, who serves with the 1st Battalion the Princess of Wales’s Royal Regiment, would not have been on the Iraq battlefield in 2004, when he won the Victoria Cross (VC) for twice saving comrades in ambushes.

Typically, 500 Commonwealth soldiers are among the 7,000 new recruits each year and the residency rule could leave the Forces perilously overstretched if they failed to recruit enough British soldiers.

Throughout the infantry, about one in ten soldiers is from outside Britain. Many join units that fail to recruit their full complement of soldiers at home.

Mark Francois, the Armed Forces Minister, said the new residency rule was unavoidable as the military coped with sweeping cuts. In a written ministerial statement he acknowledged the contribution of Commonwealth citizens serving in the British Armed Forces.

Mr Francois said:

… In order to deliver the future structure of the Armed Forces under the requirements of the Strategic Defence and Security Review, we are already reducing their size by adjusting our recruit intake and making some redundancies.

… We are confident that we will still be able to meet our recruitment targets.

The changes will not affect Gurkhas or those from the Republic of Ireland, Cyprus and Malta.

Labour’s shadow defence secretary Jim Murphy, said:

… When rightly recruiting those from the UK, ministers must never undermine the many sacrifices and commitments made by those from the Commonwealth who have served on frontlines across the globe in the name of British national security.

… The country will want to know this is based on the best possible military advice and nothing else.

Colonel Richard Kemp, who commanded British forces in Afghanistan, praised the long tradition of ‘sterling service’ that Commonwealth soldiers have provided in the Army.

Colonel Kemp said the Armed Forces had ‘depended heavily’ on Commonwealth troops to bring units up to strength and accused the MoD of using ineffective recruiting techniques.

But he also added:

… However, at a time when our Armed Forces are reducing to the lowest levels in more than a century, it is right that priority should be given to British citizens.

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