People across Scotland are being reminded about the information and support available to carers from NHS 24.
As part of 2021’s Carers Week, the national health board is highlighting its online service ‘Care Information Scotland’ to help people with caring responsibilities find what they need in one handy place.
NHS 24’s Associate Medical Director, Dr Paul Perry said carers play an important role so it’s vital we support them: “Looking after a loved one, a friend or neighbour can be rewarding but it can also be demanding, physically and emotionally.
“Carers need support too and our service, Care Information Scotland, offers a wide range of advice and information. Bringing all the different resources together in one place makes it easier for people to find what they need and helps us to care for our carers.”
Local organisation Capital Carers (formerly Nort West Carers) has organised a full programme of events and activities for Carers Week:
Heart Research UK Healthy Heart Tip, written by Dr Helen Flaherty, Head of Health Promotion and Education at Heart Research UK
Improving Your Cholesterol Profile
There are two main types of cholesterol, LDL, sometimes termed ‘bad’ cholesterol, and HDL, sometimes termed as ‘good cholesterol’.
The reality is that we do need some of both types of cholesterol, but the incorrect balance can be harmful. When LDL cholesterol builds up in the arteries, it can contribute to plaque formation, whilst HDL cholesterol removes harmful cholesterol from the bloodstream.
With this in mind, here are some tips for creating a healthy cholesterol profile:
Increase Fibre Intake
Fibre, particularly the type found in porridge oats and wholegrains, known as beta-glucan, helps to reduce LDL cholesterol levels.
Go Plant-Based
Diets higher in vegetables, fruits, nuts, beans, and pulses are healthier for the heart than animal-derived alternatives that are high in saturated fats such as meats, cheeses and processed snacks such as biscuits.
Eat Good Fats
Unsaturated fats, particularly when swapped for saturated fats, can help to increase your HDL cholesterol levels. Excellent sources of good fats include oily fish such as salmon and mackerel, extra virgin olive oil and avocados.
Exercise Regularly
Aerobic exercise such as running or cycling will help to increase levels of HDL in the blood, especially when performed for more than 150 minutes each week.
Avoid high Alcohol Consumption
Alcohol can increase the amount of fat in the blood and lower HDL cholesterol, therefore drinking less than 14 units per week is recommended.
A Queen’s University Belfast research team is leading an international study on COVID-19 Antibody Response in Cystic Fibrosis (CAR-CF).
The study is to be carried out by a team of researchers from the university’s Wellcome-Wolfson Institute for Experimental Medicine (WWIEM). It will measure COVID-19 antibody levels in thousands of people with cystic fibrosis across 17 European countries and is funded by a $1.5m grant from the CF Foundation (US) over a two-year period.
The project will also run in Canada and the US, making the research the largest prospective study in cystic fibrosis (CF) to have been carried out to date.
The coronavirus pandemic has been a worrying time, but it has been particularly stressful for people with long-term conditions such as CF.
CF is a chronic condition that damages the lungs and leaves patients vulnerable to chest infections. There is currently little information about how COVID-19 has impacted people living with CF, however, they may be at particular risk from this new respiratory virus and the various strains.
Dr Damian Downey, Clinical Senior Lecturer in Respiratory Medicine from the WWIEM at Queen’s, and Director of the Northern Ireland Regional Adult CF Centre, who is leading the project, said: “Viral respiratory tract infections can be more severe in people with CF than the general population, with an increased risk of complications and a negative impact on lung function.
“This new research project will explore infection and vaccination rates in those with CF and link to important clinical information over time. We can then understand how COVID-19 has impacted this vulnerable population, how long the antibodies last and the risk of future infections.”
Dr Downey is the Director of the European CF Society Clinical Trials Network which involves 58 research centres in 17 countries. This network will oversee the project and the WWIEM at Queen’s University will be the central European laboratory that will analyse the research results.
The Heart of Scotland Appeal, a fundraising campaign by national charity Heart Research UK, have teamed up with Scottish Squash to raise awareness of cardiovascular disease and encourage more people to increase their activity levels.
The Heart of Scotland appeal was launched in 2019 to raise awareness of the problem of heart health in Scotland, and to generate vital funds for pioneering research at Universities’ and hospitals across the country. Recently, Heart Research UK funded almost £300,000 worth of research at universities in Glasgow and Dundee to investigate links between COVID-19 and heart disease.
Coronary heart disease is Scotland’s single biggest killer, with lifestyle factors such as obesity and lack of exercise directly impacting upon a person’s risk.
In an effort to combat the statistic that more than a third of adults in Scotland do not achieve recommended levels of physical activity, the Heart of Scotland appeal has teamed up with Scottish Squash to inspire people across Scotland to get more active.
In a survey by Forbes magazine, squash was ranked as the healthiest sport in the world. Forbes consulted with personal trainers, coaches and exercise physiologists, and ranked sports as being the ‘healthiest’ in terms of cardiorespiratory endurance, muscular strength, muscular endurance, flexibility, calories burned in 30 minutes and injury risk.
Lisa Aitken, Scotland’s number one female squash player, said: “Squash is just a really healthy way to have fun. It obviously has the cardiovascular benefits, getting fit and strengthening the heart, but there’s so many people that try squash and say, ‘Oh, I was just having so much fun. I didn’t realise I burnt 700 calories!’
“Squash is for people of all ages, but I would also love to see even more young people get involved with the sport.
“Squash is one of the sports that can develop youngsters in so many ways. You’ve obviously got physical elements, like speed and strength and then hand-eye coordination, balance.
“Then you’ve got the mental aspects of it, having to problem solve and use your brain to work out the tactics. Squash encompasses so much for a young person.”
Dr Sue Robertson, who is the current Scottish Women’s over-55 champion, played squash as a child before focusing on a medical career. After 17 years without playing, she picked up the game again.
She said: “I was truly terrible when I started again, and for a couple of years just played occasionally.
“I was introduced to Masters Squash (for over 35’s) and made so many new friends I wouldn’t have otherwise met. I was the fittest and happiest I’d been for 20 years, because it’s so good for your mental health, as well as your physical health.
“It fits into that busy life really well, way less time than a good gym session, but it’s so much more fun. Sport is just so key to a happy life.
“I work in an admissions unit in the hospital as a physician, so I see people every day with heart problems for lots of different reasons.
“I know about the benefits of sport and the benefits of physical activity, and if we have a society that encourages and educates people on that, then we will have a healthier society.”
Amanda Donaldson, Senior Fundraiser for the Heart of Scotland appeal, said: “We all know that physical activity is beneficial for our wellbeing, both physically and mentally. Here at the Heart of Scotland Appeal, we want to encourage as many Scots as possible to get more active.
“We’re delighted to be partnering with Scottish Squash to promote the sport as a great way to get fit, meet new friends and improve your heart health, and to raise awareness of the Heart of Scotland Appeal and the life-saving research that we fund.”
Allan McKay, Director of Development at Scottish Squash, said: “We’re delighted to partner with Heart Research UK and work together to raise awareness of The Heart of Scotland Appeal as we highlight the positive impact that sport and physical activity can have on individuals’ risk to coronary heart disease.
“Squash can play a strong role in offering health, fitness and physical activity benefits to everyone in a really fun and social environment. By working closely with The Heart of Scotland Appeal we want to raise awareness to communities across Scotland of the opportunities to participate in squash and help to improve health and physical activity levels which can hopefully go a little way to tackling coronary heart disease in Scotland.”
National charity Heart Research UK is to fund three new research projects to investigate how COVID-19 affects the heart and circulatory system – an investment of over half a million pounds.
Research has shown that people with cardiovascular conditions, including high blood pressure, have a higher risk of developing severe COVID-19.
COVID-19 can also cause ‘new’ damage to the heart and blood vessels in people who have no pre-existing disease.
Heart Research UK’s new grant scheme was designed to fund pioneering research to investigate these links and improve outcomes for patients suffering from COVID-19 who may have underlying cardiovascular problems.
The grants have been awarded to Newcastle University, the University of Dundee and University of Glasgow.
The University of Dundee project, led by Professor Faisel Khan (above), Professor of Cardiovascular Sciences, will study whether inflammation in the body caused by COVID-19 contributes to long-term damage to the blood vessels. For more on this grant, click here.
The project at the Newcastle University, which will be led by Professor Ioakim Spyridopoulos (below), Professor of Cardiovascular Gerontology, will investigate long-term inflammation of the heart in COVID-19 patients.
It is hoped that the findings will guide immune-therapies to prevent heart inflammation and therefore reduce the risk of cardiovascular complications in patients recovering from COVID-19. For more on this grant, click here.
The project at the University of Glasgow, led by Professor Sandosh Padmanabhan (above, left)), Professor of Cardiovascular Genomics and Therapeutics, is aiming to answer whether:
High blood pressure makes COVID-19 infection worse and if so, why.
COVID-19 infection makes high blood pressure worse and if so, why.
Monitoring and management of high blood pressure needs to be a greater priority during the pandemic.
Kate Bratt-Farrar, Chief Executive of Heart Research UK, said: “We have known for some time that people with pre-existing heart problems are more susceptible to suffering severe consequences from COVID-19, as well as the virus being able to damage the heart itself.
“However, there is a gap in the research here, and Heart Research UK is very proud to be funding three cutting edge projects that are aiming to help us better understand the most pressing medical challenge in a generation.
“The research we fund has one aim – to benefit patients as soon as possible. We are hopeful that these projects will help to bring about tangible improvements in the way we care for those with COVID-19 and cardiovascular issues.”
Dementia is a fact of life for thousands of Scots and their families – but what does it actually feel like to suffer from the disease?
That’s what some staff at the Beatson West of Scotland Cancer Centre tried to discover, as part of Dementia Awareness Week.
The aim of Dementia Awareness week (3-9th June 2019) is to encourage people and organisations to help in raising awareness of the disease and the impact it has on people and those around them.
At the Beatson, staff have been doing their bit too.
Nicky Donnelly, Cancer Clinical Educator said: “ To mark Dementia Awareness Week myself and a colleague wore the Dementia simulation suits and went on a walk round of the building to engage with staff about how it felt to be wearing this resource.
The Dementia Simulation suit helps to simulate ageing and impairs the movement of those wearing it, simulating some of the typical difficulties that people experience in older age, showing you how tiring it is not to be able to move fully, stopping you being able to freely move your joints, making it difficult to feel and move your hands and fingers and grip things.
Nicky added: “It also has a back piece that gives you a curvature of the spine so you can’t stand up and googles that give you a yellowing vision to replicate loss of sight and peripheral vision, typically associated with cataracts, while ear plugs can impair your hearing and awareness of your surroundings.”
“Our experience of wearing the suit was quite revealing as you truly appreciate the cognitive changes that people with Dementia experience; it really highlights the impact on people with this condition that without the suit you wouldn’t be able to understand.
“The wider staff enjoyed the experience of seeing us in the suits they were very engaged in asking vital questions of the Care of the Older Person Nurse who has been instrumental in raising awareness of the issues people with Dementia face.”
A University of Birmingham-led study of over a thousand dental professionals has shown their increased occupational risk of SARS-CoV-2 infection during the first wave of the pandemic in the UK.
The observational cohort study, published today (3 June 2021), in the Journal of Dental Research, involved 1,507 Midland dental care practitioners. Blood samples were taken from the cohort at the start of the study in June 2020 to measure their levels of antibodies against SARS-CoV-2, the virus that causes COVID-19.
The team found 16.3% of study participants – which included dentists, dental nurses and dental hygienists – had SARS-CoV-2 antibodies, compared to just 6% of the general population at the time. Meanwhile, the percentage of dental practice receptionists, who have no direct patient contact, with SARS-CoV-2 antibodies was comparable to the general population, supporting the hypothesis that occupational risk arose from close exposure to patients.
The study also found ethnicity was also a significant risk factor for infection, with 35% of Black participants and 18.8% of Asian participants having SARS-CoV-2 antibodies, compared to 14.3% of white participants.
Blood samples were taken from participants three months later, in September 2020, when dental practices in England had re-opened with enhanced PPE and infection control measures in place, and once again in January 2021, six months after the start of the study, during the second wave of the pandemic when healthcare workers were being vaccinated.
The results showed that of those who had previous COVID-19 infection, over 70% continued to have SARS-CoV-2 antibodies both at three months and six months later, and they were at a 75% reduced risk of re-infection with the virus.
The study also demonstrated the immunological impact of COVID-19 vaccination, with 97.7% of those without previous infection developing an antibody response at least 12 days after their first Pfizer vaccine. In those with evidence of previous infection, the antibody response was more rapid and higher in magnitude after a single dose of the Pfizer vaccine.
Furthermore, none of the cohort with a level of SARS-CoV-2 antibodies greater than 147.6 IU/ml in their blood tested positive for COVID-19 throughout the six-month period from the first to the final blood tests.
First author Dr Adrian Shields, of the University of Birmingham’s Institute of Immunology and Immunotherapy, said: “Understanding what an antibody test result means to an individual with respect to their risk of infection is essential to controlling the pandemic.
“Our study has taken the first steps in defining the level of antibody in a persons’ blood necessary to protect them from infection for six months. Furthermore, by comparing the antibody levels we have found in dentists to those contained in widely available reference material produced by the World Health Organization, we hope the protective level we found can be easily confirmed and compared by other laboratories.”
Corresponding author Professor Thomas Dietrich, of the University of Birmingham’s School of Dentistry, adds: “Critically, only 5.3% of the cohort developed an antibody response that exceeded this threshold of 147.6 IU/ml following the first wave of the UK pandemic.
“This suggests that natural infection alone is unlikely to generate meaningful, durable herd immunity.”
Co-corresponding author Iain Chapple, Professor of Periodontology at the University of Birmingham and Consultant in Restorative Dentistry at Birmingham Community Healthcare Trust, adds: “Dental professionals are thought to be at high risk of exposure to SARS-CoV-2 because they routinely operate within patients’ aerodigestive tract and regularly carry out aerosol-generating procedures that result in the production of airborne particles.
“Through our research, we have clearly shown that dental professionals were at increased occupational risk of exposure to SARS-CoV-2 prior to the new PHE guidance on PPE. The occupational health measures that have been put in place in general dental practice as a consequence of COVID-19 appear to remove that increased risk, however, this will need to be thoroughly investigated to see if they have successfully interrupted transmission of SARS-CoV-2 and other respiratory viruses.”
Co-corresponding author Professor Alex Richter, also of the University of Birmingham, said: “This is the first time the occupational risk of exposure to a potentially fatal respiratory virus has been studied in a large dental cohort.
“It is important that we now progress our research to ensure we have an understanding of how people are protected from re-infection with COVID-19 following natural infection and vaccination.
“The nature and duration of immunity in these cohorts will be critical to understand as the COVID-19 pandemic progresses, particularly with respect to the efficacy of vaccination strategies -single-dose, multiple-doses, vaccine combinations – and in relation to novel viral variants of concern.”
The Scottish Ambulance Service has teamed up with West Lothian College to promote a new Scottish Vocational Qualification (SVQ) in health and social care for staff working at our Mobile Testing Units (MTUs).
The Gateway to Health and Social Care SVQ is a nine-week course developed by West Lothian College in collaboration with the Service.
It provides MTU operatives with the opportunity to formally demonstrate their current skills and knowledge which they have developed in their work at the testing centres. The course, starting in June 2021, is a stepping stone for those who are interested in pursuing a career in Health and Social Care, as successful completion of this short course can be used towards the full SVQ award.
This opportunity for staff working within the MTU has been made possible by a £200 grant for each staff member from Skills Development Scotland. It will provide MTU operatives with a transferable qualification to apply for further opportunities within health and social care.
Our 39 MTUs across Scotland support the ongoing response to the COVID-19 pandemic by ensuring patients in urban, rural and remote areas have easy access to a coronavirus test. The location of the units is planned by National Services Scotland and local resilience partnerships.
John Alexander, General Manager for the Mobile Testing Units (MTUs) said: “So far over 300 staff members have looked into applying for this great opportunity, which allow them to receive a formal qualification following the practical skills they have developed in their roles.
“We’ve seen the dedication of our staff who have signed up to work at Mobile Testing Units, many of whom were working in very different roles before the pandemic, and this qualification will equip our staff with further skills to develop their careers.”
Jackie Galbraith, Principal of West Lothian College said: “We are delighted to be working in partnership with Scottish Ambulance Service on this opportunity for their staff and to support the development of the Health and Social Care workforce.
“This is a really valuable qualification, allowing MTU operatives to transfer their skills to other areas within health and social care. I have no doubt that our excellent team of work-based assessors will enable Mobile Testing Unit staff to succeed in this new qualification.”
Edinburgh Napier student Christy Orr develops tool in memory of her Gran
A sensory box that aims to comfort those affected by dementia through helping recall memories has been created by an Edinburgh Napier student.
Forget Me Not Box has been created by final year graphic design student Christy Orr.
The box contains a set of tools that help trigger the five senses – sight, smell, touch, taste and sound – helping those with dementia recall memories and retain identity. It gives the user the opportunity to completely personalise its items and is split into four main sections.
The lid can be used to showcase photographs. The inclusion of scent bottles provide opportunities for the user to include certain smells such as their favourite perfume. A built-in sound module can provide favourite music or even voice notes from loved ones with another compartment available to store treasured items such as marbles, medals and more.
The box also includes taste cards that can be used as a reminiscence tool. They feature photos and descriptions of food and drink that may trigger memories.
The aim of the box is to allow those affected by dementia to undertake reminiscence therapy sessions with a loved one or carer, with the playful items acting as conversation starters.
Christy, 22, has designed the box as part of her final year graphic design project at Edinburgh Napier, and will this week exhibit her work at the annual Edinburgh Napier Degree Show which takes place online from 2 June.
The toolkit has already been user-tested by individuals at various stages of their dementia diagnosis through a link-up with Yorkshire-based charity Dementia Forward. Christy has also received support from CogniHealth with the project.
Christy, who is from Cumbernauld originally, has created the toolkit in memory of her late-Gran after seeing first-hand her own experiences with Alzheimer’s.
She said: “I was quite young when I lost my Gran to Alzheimer’s but I remember finding it quite difficult to find things to initially talk to her about when I visited her. That’s really where the idea for Forget Me Not Box stemmed from. I wanted to create something that helped start those conversations.
“As I looked more into this area, and learnt more about reminiscence therapy and how it can help, it was important that my box had the ability to be completely personalised to an individual person.
“Everyone has different triggers that invoke memories – whether it be a certain smell, a sound, a photograph, the thought of eating fish and chips or the sight of something like a souvenir from a past holiday. It was essential that the toolkit could help include as many of these things as possible.
“Working with CogniHealth and Dementia Forward has been fantastic, and it’s great to have seen the box out there and being used by people who it was designed for. I’m still awaiting feedback from the user-testing but early indications show that it has been warmly received by those who have used it.
“Although this has been designed as part of my final year project at Edinburgh Napier, I’m very keen to continue with the idea as my time at the University comes to an end. I’m really looking forward to developing the box further in the coming months and if it can help some more people find comfort through a dementia diagnosis, then it’ll have been completely worthwhile.”
The Edinburgh Napier Degree Show runs from today – 2 June. More information and to view this year’s work, visit here.
