World Menopause Day: how lifestyle changes can help

This World Menopause Day (18th October), Pharmacy2U wanted to share information and expert comment around the common symptoms and physiological changes that occur during this transition and how lifestyle choices can make the changes more manageable.  

Going through the menopause can be one of the most difficult parts of life for many women. The menopause is a natural part of ageing that typically happens to a woman when she is between 45 and 55 years of age, with the average age in the UK being 51. It’s important to remember that whilst many symptoms are the same in every woman that goes through this transition, the experience and severity vary from woman to woman. 

During the menopausal transition, the body’s production of oestrogen and progesterone, the two hormones made by the ovaries, varies greatly. Bones become less dense, making women more vulnerable to fractures.

During this period, too, the body begins to change how it uses its energy, fat cells change and women may gain weight easier than they normally would. As hormone levels drop, a succession of not only physical changes, but also emotional changes then follow.

There are several common symptoms that may help women understand if they are going through the menopause, including; 

  • Night sweats
  • Anxiety
  • Hot flushes
  • Vaginal dryness
  • Joint pain
  • Low mood

Although there is no ‘cure’ or medication to prevent this happening, there are certain lifestyle changes that can be made to make going through this transition as bearable as possible:

  • Staying clear of foods that cause hot flushes – coffee, tea, alcohol and spicy foods
  • Participating in regular exercise to relieve stress which can trigger the release of endorphins and aid in the balancing of hormones
  • Hormone Replacement Therapy (HRT) – medication that contains hormones that a woman’s body stops producing after menopause
  • Cognitive Behavioural Therapy (CBT) – a type of talking therapy that can help with anxiety and low moods

It’s recommended that you talk to your GP if you are presenting with the symptoms listed and they’re causing you discomfort, or if you are experiencing any of the above symptoms and you’re below 45 years of age. Your GP can then usually confirm whether you are going through the menopause based on your symptoms, or through a blood test. 

Phil Day, Superintendent Pharmacist at Pharmacy2U, commented: “The menopause is a natural process, however for some women it can cause a lot of discomfort and disruption to their everyday life.

“A greater awareness of this, and of the many ways the symptoms can be identified and managed, can only be a good thing; and World Menopause Day aims to start that conversation. Lifestyle changes, and approaches such as HRT, can go a long way to restoring normality in many cases.

“HRT replaces the hormones oestrogen and progestogen, or just oestrogen for most women without a uterus, and it can be given in many different ways including tablets, patches, or vaginal creams or pessaries. Your pharmacist and GP are on hand to give advice.”

https://youtu.be/qdMNAf19qcc

Understanding the Male Menopause and Mental Health
https://www.optimale.co.uk/male-menopause-mental-health-guide/ 

Does science have a plastic problem?

Microbiologists take steps to reducing plastic waste

 “Everyone can make a difference!” urge microbiologists after developing a new approach that could reduce their laboratory’s plastic waste by over 500kg a year.  

The group, based at the University of Edinburgh’s Roslin Institute, developed an approach to reduce plastic waste produced by their lab. They have shared their approach in the journal Access Microbiology, with the hope that other labs will follow suit.

Led by Dr Amy Pickering (no relation – Ed.), the lab replaced single-use plastics with re-useable equipment. Where alternatives were not available, the group decontaminated and re-used plastic equipment which would have usually been thrown away after one use.

“We knew that we were using plastic daily in our research, but it wasn’t until we took the time to quantify the waste that the volumes being used really hit home. That really emphasized the need for us to introduce plastic reducing measures,” said Dr Pickering.

The lab developed a new scheme which focused on sustainability, moving away from the use of single-use plastics wherever possible. In some cases, the research group would use reusable wooden or metal items instead of plastic.

If there were no alternatives, the group focused on reusing plastic equipment by chemically decontaminating the plastic tubes before a second level of decontamination under heat and pressure – known as autoclaving. 

To determine the success of the scheme, the lab of seven researchers spent four weeks documenting the plastic waste produced in regular conditions. They then measured the amount of waste produced over the next seven weeks with new processes to reduce the consumption of single-use plastic. 

Dr. Pickering said: “Once the measures were in place it was quickly clear that large impacts were being seen. The most surprising thing for us was how resilient some plastics are to being autoclaved and therefore how many times they can be re-used. This means that we were able to save more plastic than we originally anticipated.”

In implementing these replace and reuse practises, 1670 tubes and 1300 loops were saved during a four-week period. This led to a 43-kilogram reduction in waste. 

The typical microbiology laboratory uses mostly disposable plastic, which is often not recycled due to biological contamination. In 2014, 5.5 million tonnes of plastic waste were generated in research laboratories worldwide. The Edinburgh lab works with dangerous disease-causing bacteria, due to the dangers of contamination, their waste must be autoclaved and incinerated at a high environmental and monetary cost.

Practices to reduce plastic waste in research labs is becoming increasingly popular in the UK, with researchers from the University of York decontaminating and re-using plastic flasks and researchers from a chemistry lab in Edinburgh recycling 1 million plastic gloves in 2019.

“It’s important to take some time identifying what plastic items you are using the most. This will allow you to identify both the easy wins, such as replacing plastic inoculation loops for re-useable metal ones, as well as the bigger tasks, such as re-using plastic tubes. That will help you to bring others on board and build momentum,” added Dr Pickering.  

The new protocols not only prevent plastic waste, but also save money according to Dr Pickering: “Over a 3-month period of implementing the protocols we will have saved over £400 of plastic tubes, inoculation loops, and cuvettes” she said. 

The full details of the lab’s new waste-reducing protocols are free to read in Access Microbiology.

Heart research UK Healthy tip – Sober October

Go Sober for October

This month is Sober October, when lots of people around the UK stop drinking alcohol for the month. If you have not yet joined in, it is not too late!

Research has found that alcohol consumption has increased in one fifth of people due to the coronavirus pandemic. As many as two fifths of people who have been furloughed are thought to be drinking more alcohol. Drinking in excess can increase your blood pressure and lead to weight gain, which is bad news for your heart.

If you have stopped drinking for October, we have some tips to keep you on track:

We hope these tips will help you if you are thinking about stopping drinking, but haven’t yet taken the plunge: 

  • Avoid temptation by not having alcohol in the house
  • Tell other people you have stopped drinking. By telling other people about it, you are more likely to stick to your goal
  • Reward yourself for your success. Decide on a reward that will motivate you to achieve your goal and keep reminding yourself about it whenever you are tempted to have a drink.
  • Regularly remind yourself of the health and financial benefits of not drinking. You could use the money you save to buy yourself a reward.
  • If you go back to drinking after October, keep a drink diary to record your weekly alcohol intake. If you are consuming more than 14 units a week, take steps to address it.
  • You can get help with calculating your alcohol units here: https://www.nhs.uk/oneyou/for-your-body/drink-less/know-your-alcohol-units/

If you are concerned about your drinking, you can find further support and advice from the NHS: https://www.nhs.uk/live-well/alcohol-support/

You can find more tips, healthy recipes and advice at heartresearch.org.uk

CPR: Same, but different

640,790 Scots equipped with CPR skills

On International Restart a Heart Day on Friday, the Save a Life for Scotland partnership celebrated five years of working together to help more people learn CPR so that should they ever need to do it, they feel more prepared.

Despite not being able to reach people face to face since March, they had managed to equip an amazing 640,790 people with CPR skills up until lockdown in March 2020.

The Save a Life for Scotland Partnership has collectively contributed to a 45% increase in 30-day survival rates for those who have had an out-of-hospital cardiac, arrest doubling to 1 in 10 since the strategy launch in 2015.

When it comes to bystander CPR, the numbers continuing to do it this year in Scotland are pretty incredible. As a nation, amongst everything that’s going on, bystander CPR rates haven’t changed. When someone needs CPR Scots are still helping, still caring and making an incredible difference. Today, the campaign wants to remind you that calling for help and starting CPR is still the right thing to do.

Every year about 3,500 people are treated for an out-of-hospital cardiac arrest by ambulance crews in Scotland. The Scottish Ambulance Service have made significant improvements to our response to out of hospital cardiac arrest, including early decision making, meaning patients with immediately life-threatening conditions are now being identified earlier in the 999 call process, and treated more rapidly.

When you call 999 and a cardiac arrest is identified, our highly trained call handlers will provide clear instructions on how to perform CPR. Remember any delay in commencing CPR could decrease chances of survival drastically so we ask you to assist right away. Early bystander CPR can increase someone’s chance of survival by 2-3 times.

We understand you may be concerned about what the risks may be around CPR during COVID-19 and CPR guidance has changed slightly due to the current pandemic. Research conducted on behalf of the Resuscitation Council (UK) revealed that a third of UK adults don’t know if, during the COVID-19 pandemic, CPR should only be carried out by professionals wearing PPE.

We want to reassure you that bystander CPR should still be carried out while the ambulance service is on the way and our highly trained call handlers will support you to give essential lifesaving support, in a safe way, until help arrives.

Dr Andrew Lockey, Consultant in Emergency Medicine and co-lead for World Restart a Heart Day, Resuscitation Council UK said: “The principle message for Restart a Heart is that you can still save a life, whilst keeping yourself safe.”

The Resuscitation Council (UK) advise that if you have to administer bystander CPR place a cloth or a towel loosely over the persons face to reduce the risk of any spread.

The Save a Life for Scotland campaign have created a page where you can refresh your CPR knowledge, learn of the small changes to the guidance and perhaps learn for the first time – take a look and learn today. https://www.savealife.scot/adult-resources/learn-cpr/

To showcase how every step of the ‘chain of survival’ is so important to save lives, Robert Hogg shares his story:

A man who had a cardiac arrest on a family holiday said he would not be alive today if not for the Scottish Ambulance Service, the Coastguard and off duty medical staff who swiftly came to his aid.

Robert Hogg was at Sands Campsite, Gairloch, with his wife on August 22 when he collapsed.

He has praised the efforts of everyone involved, including the off duty GP and dive medic who performed CPR until Scottish Ambulance Service arrived, the Coastguard, who transported Robert to Raigmore Hospital, and the hospital staff.

Robert, 54, said: “I remember a few bits before it happened. I walked off to go to the rubbish bins. I dumped the rubbish and turned back around and then I collapsed.”

Robert, a climate control engineer, said he recalled “not feeling great” 10 minutes before he had the cardiac arrest. After he collapsed, an off duty GP and medic diver were nearby and rushed to the scene to give CPR. He said: “It was pure luck it happened where it did – if it had happened at the caravan I would be under the ground. It’s a huge site.

“A GP was having his dinner at a restaurant. There was also a paramedic diver, who was drying his towels, who started CPR.”

A nearby community AED placed by Scottish Charity Lucky2BHere [L2BH] was also located and the GP and diver used it until emergency responders from the Scottish Ambulance Service arrived. Robert was in hospital until the Wednesday following the incident after getting airlifted from the Coastguard SAR. Despite not recalling the incident, his wife has relayed what happened.

He said: “I would not be here if not for everyone involved. Even in such a remote area, they were still able to provide the care and attention I needed. I cannot thank everybody enough. I owe these people my life.”

The story goes further to showcase the importance of community resilience as a key step in the chain of survival because the lifesaving Big Sands L2BH defibrillator used to save Robert’s life was unveiled just last year by Gairloch local, Cherril Parry, whose own life was saved by a community L2BH defibrillator in 2018.

Despite enduring such serious illness, Cherill championed fundraising for a new defibrillator for the area. The ‘Red Phone Box’ where it is located, is well known in the community and when Robert had his cardiac arrest, his team of rescuers knew the location and retrieved the L2BH defibrillator, immediately helping save Robert’s life.

The staff involved in helping this patient were East EMD, Karen Russell, North Supervisor, Alistair Dargie, North Dispatcher Blair Gordon, SSD: Richard Fisher, Sarah Morrison, Michael McKenna, and and Alan McLean

Lisa MacInnes, Director of the Save a Life for Scotland campaign said: “Scotland as ever, continues to step up to look out for each other in their families and communities.

“COVID-19 has highlighted that Scots are ready and willing to care for those around them and when it comes to CPR they continue to be willing to get help and start CPR.

“Our message today is please keep going. Your actions continue to give people the best chance of survival. Please use and share our videos with others to keep the message going that any CPR beats no CPR.”

Public Health Minister Joe FitzPatrick said: “Starting CPR immediately after the heart stops beating can double, and sometimes triple the chances of survival. The Save a Life for Scotland campaign is an excellent example of how we can all work together to improve a person’s chance of survival.

“Despite the challenges faced this year, people in Scotland continue to demonstrate a willingness to help. I would encourage everyone to learn CPR online.”

Pauline Howie, Chief Executive for Scottish Ambulance Service, said: “The Scottish Ambulance Service would like to say a massive thank you for what you have helped us, and all the strategy partners, to achieve over the last five years.

“Bystander CPR is the most crucial link in the chain of survival and because so many more of you have learnt and been willing to perform bystander CPR we have seen survival double in that time; double the number of people surviving and returning to their loved ones.

“Our message is still clear – early bystander CPR is the difference between life and death for those in cardiac arrest. So please keep attempting CPR. Our call handlers will guide you through how to do this safely, meaning you too can save a life “.

Lucky2BHere Founder, Ross Cowie said: “This amazing story of survival shows how every person in a community can and does play their part in saving a life.  

“Lucky2BHere provided the defibrillator and Emergency Life Support training though, on the day it was the incredible community team effort that saved Robert’s life; passing him safely into the care of the Scottish Ambulance Service.

“We couldn’t be happier for Robert, his family and the whole community.”  

Halloween Drive-in Movies at Edinburgh Airport

Struggling with Halloween ideas? Fear (no) more – Drive-in Movies at Edinburgh Airport offers the best Halloween entertainment for people of all ages in a safe, family-friendly environment!

Book your tickets now: www.edinburghdrivein.co.uk

Sarah Drummond and Louise Montgomery enjoy a Drive-in screening of Scream with the Ghostface himself… PIC: Lloyd Smith

Featuring a spine-chilling selection of family favourites, cult classics and blockbusters, Drive-in Movies at Edinburgh Airport transports its audiences into a fright-filled world of cinema this Halloween!

The event takes place between Thursday 29 October and Sunday 1 November and presents 12 fantastic horror classics to choose from, including The Lost Boys, Rocky Horror Picture Show, Jaws and Scream, plus family favourites Hocus Pocus, E.T, Coco, Ghostbusters and much more ­– all in a safe, socially-distant, outdoor environment with strict health and safety measures in place.

The pre-screening entertainment includes Halloween-themed sing along, film quiz with spot prizes, competition for best costumes and carved pumpkins displayed on the dashboard, all run by the event’s MC, Edinburgh DJ Stewart Calverto who becomes Count Calverto …

Edinburgh’s Drive-in Movies truly is the place to go for Halloween fun this year!

Ticket and full line-up information available here: www.edinburghdrivein.co.uk

Learning from Lockdown: eliminating digital exclusion

We have published a new short report:‘Learning from Lockdown: 12 Steps to Eliminate Digital Exclusion’.

Since the outbreak of Covid-19 the scale of digital exclusion in the UK has been exposed and exacerbated beyond previous understanding. While new initiatives have been rapidly and successfully delivered, substantially accelerating progress and ensuring thousands of individuals now have appropriate digital access, there is still much more to be done to ensure no one in the UK is left digitally excluded.

In our new report, we set out a series of 12 recommendations calling for ambitious action from policy makers, practitioners, academia and industry.

The recommendations build on our work on digital inclusion over the past decade, and particularly draw on learning and reflections from the coronavirus outbreak and lockdown period. We look forward to discussing and pursuing these recommendations with interested individuals and organisations.

You can read the report here and follow the hashtag #12stepsfordigital on Twitter to join the conversation.

Kind regards,

Sarah

Sarah Davidson

Chief Executive, Carnegie UK Trust
Twitter: @CarnegieUKTrust
www.carnegieuktrust.org.uk

Consultation to boost road safety and close mobile phone loophole

  • consultation launched to update law on using a hand-held device while driving
  • changes will help bolster enforcement and improve safe driving behaviour
  • further measures – including a review into roads policing – to tackle phone use at the wheel and improve road safety

People using a hand-held mobile phone in all circumstances while driving will be breaking the law, under new government plans unveiled by Roads Minister Baroness Vere today (17 October 2020) to close a legislation loophole and improve road safety.

It’s already a criminal offence to use a hand-held mobile phone to call or text while driving, but not for other actions such as taking photos. While still distracting, drivers have escaped punishment due to a legal loophole where such actions aren’t seen as ‘interactive communication’, and therefore do not fit the current definition of the offence.

Now, following a review of the offence, a consultation has been launched on bringing the law into line with modern technology – meaning drivers caught taking photos, playing games or scrolling through a playlist behind the wheel will be clearly breaking the law on mobile phone use.

Recognising that mobile phones are commonly used as a method of payment – such as at drive-thrus – an exemption will apply under the new proposals set out by government today to contactless payments, if a vehicle is stationary, and if goods or services – such as a takeaway meal – are delivered immediately.

Roads Minister Baroness Vere said: “Our roads are some of the safest in the world, but we want to make sure they’re safer still by bringing the law into the 21st century.

“That’s why we’re looking to strengthen the law to make using a hand-held phone while driving illegal in a wider range of circumstances – it’s distracting and dangerous and for too long risky drivers have been able to escape punishment but this update will mean those doing the wrong thing will face the full force of the law.”

Ministers have rejected calls to go further by banning the use of hands-free functions – drivers will still be able to continue safely using devices ‘hands-free’ while driving, such as a sat-nav secured in a cradle.

The proposals come as new research published today gives a further snapshot into driver behaviour in the UK.

The project, commissioned by the Department for Transport and carried out by the University of Leeds, looked at footage of 51 drivers and found over 765 trips, 662 mobile phone interactions were observed with only 38 completely hands-free. At 30mph, a car travels 100 feet in 2.3 seconds – meaning even a split-second lapse from changing a song on a playlist or checking an app could result in a crash.

By updating the law, police powers will be bolstered to tackle this behaviour even further – ensuring they can take immediate action if they see a driver holding and using their phone at the wheel. The penalties in place for using a hand-held mobile phone while driving are 6 penalty points and a £200 fine.

National Police Chiefs’ Council Lead for Roads Policing, Chief Constable Anthony Bangham, said: “Using a mobile phone while driving is incredibly dangerous and being distracted at the wheel can change lives forever.

“Police will take robust action against those using a hand-held mobile phone illegally and proposals to make the law clearer are welcome.”

AA president Edmund King OBE said: “There’s no excuse for picking up a mobile phone when driving so we’re pleased this loophole will be closed. Phones do so much more than calls and texts, so it’s only right that the law is changed to keep pace with technology. Tweets, TikTok and Instagram snaps can all wait until you park up.

“These new rules will clarify the law and help drivers realise that this dangerous act can have the same consequences and be as socially unacceptable as drink driving. If you cannot resist the temptation to pick up your phone, then you should convert your glovebox into a phone box.”

The government is also tackling phone use behind the wheel through a review of road traffic policing and wider traffic enforcement – to look at how roads policing currently works, its effectiveness, and where improvements could be made.

As well as this, the department runs dedicated THINK! campaigns to show drivers the risk they’re taking and the potentially devastating impact of using a hand-held mobile phone while driving.

In addition, the road safety action plan sets out over 70 measures to reduce the number of people killed or injured on roads around the country.

Modern Slavery: Spot the Signs

This weekend marks international Anti-Slavery Day, on Sunday 18 October 2020.

Assistant Chief Constable Judi Heaton is reminding everyone that slavery is not a thing of the past but continues to blight Scotland’s communities:

It is up to all of us to Spot the Signs, to help those being exploited, to stand against traffickers and protect our communities.

Human Trafficking is the illegal trade in human beings, both adults and children, for the purpose of commercial exploitation.

Victims of human trafficking are often the most vulnerable members of a community however, there is no such thing as a typical victim.

Victims are known to come from numerous continents such as Asia, Africa and (Eastern) Europe. They may arrive in your community after being kidnapped, smuggled or tricked by a friend offering a job and the opportunity of a new life, however soon discover that their lives are not their own and are forced into a life of exploitation with no way of escaping.

Trafficking victims are often forced into prostitution, exploitative labour, the illegal drugs trade, stealing or domestic slavery to pay back the debt that traffickers claim they owe them for travel. Victims are trapped in this life with limited freedom or options. They regularly have their identity documents removed and are often subjected to physical and mental abuse, torture and rape.

Human Trafficking exists in communities across Scotland and also can involve people who are resident legally in the country. The industry of trafficking people has become so sophisticated that it often goes unnoticed and assistance from the public is crucial to identify potential signs of Human Trafficking within your community and reporting any concerns to the police.

You do not have to report concerns to the police – you can pass on information anonymously to the independent charity Crimestoppers on 0800 555 111.

Potential Signs of Human Trafficking

Human Trafficking can happen anywhere, victims could be living next to you. Look for the signs:

Sexual Exploitation

  • Multiple female foreign nationals living at the same address.
  • Occupants are rarely seen outside.
  • Occupants of premises change regularly.
  • Male callers day and night staying for only a short time.
  • Sexual debris such as condoms, call cards, advertisements.

Forced Labour/Domestic Servitude

Migrant workers who have the right to free movement in and around the United Kingdom, but have limitations placed on their employment may be exploited through Industries such as agriculture, factories, hotels and restaurants.

  • Large number of foreign nationals living in the same address.
  • Occupants change regularly.
  • Van transported at unusual times of the day and/or night.
  • Workers movements are monitored and/or controlled by others.
  • Workers may seem fearful of employers, police or any other external agency and poorly integrate with the wider community.
  • Employers, or someone else, is holding their passport and/or legal documents.
  • Workers have no days off or holiday time.
  • Workers display signs of physical abuse i.e. bruises, cuts and signs of untreated medical problems.
  • Workers display signs of malnutrition, dehydration, exhaustion and poor personal hygiene.

Domestic Servitude is where an adult or child is forced into the role of a servant. This often occurs within a residential address. Signs to look out for include:

  • The person is rarely allowed out of the house, unless their employer or guardian is with them.
  • They have no private space or a proper place to sleep i.e. on the floor or sofa.
  • They have a poor diet or are given the family’s leftover food to eat.
  • They are subject to mental, physical, sexual abuse, threats or other cruelty.
  • A child, may have poor attendance at school, no access to education and no time to play with its peers.
  • There is no interaction with the family, friends or other authorities.

If you suspect there are people who have been trafficked into your community or you have concerns about an adult or child whom you think may be being exploited, please report this to Police Scotland on 101 or alternatively to Crimestoppers on 0800 555 111, where your call will be treated in confidence.

New fund to support local shopping

A new £1 million ‘Scotland Loves Local’ fund will provide grants of between £500 and £5,000 to hundreds of projects to promote town centre and online businesses.

The funding aims to support small scale improvements that will help motivate people to shop, eat and relax within their community whilst ensuring public health safety.

Grants can be put towards providing safe shopping information for residents and tourists, the installation of public health infrastructure such as protective screens, physical distancing markers, hand sanitising equipment and PPE.

Communities Secretary Aileen Campbell said: “We know money spent locally is more likely to stay in the local economy and support local jobs. The Scotland Loves Local campaign encourages people to think how they can safely support this.

“This fund will help initiatives supporting businesses, such as projects to encourage safe shopping, business and leisure opportunities, promoting and advertising local providers of online shopping or enhancing visitor appeal.

“We all have a part to play in Scotland’s economic recovery and can do so, whilst we look out for one another and follow the FACTS guidance.”

Chief Officer of Scotland’s Towns Partnership Phil Prentice said: “This is an exceptional opportunity for local communities – a chance to get the funding that will unlock some brilliant creativity.

“We’ve seen throughout the Scotland Loves Local campaign that people all over the country want to back their local towns and places – we’re looking forward to seeing some brilliant ideas take shape. Our campaign is highlighting that money spent locally stays local for longer. This new fund will be a real boost for communities across the country.”

The funding is being provided by the Scottish Government, and administered by Scotland’s Towns Partnership.

Applications to the fund open today, Sunday October 18th and close on Friday November 25th.