Monday, May 27, 2019

Apples or Ice Cream - Who, or What, Determines What We Eat?

Peter Thomas -
L o n d o n ,   U K - 


Apples or Ice Cream?
Why, when presented with an apple or an ice cream, do we often go for the unhealthy option when our rational mind is telling us that the apple is the better choice? And how can we overcome the underlying automatic and habitual processes that often undermine healthy behaviours and drive the spread of illnesses such as diabetes and heart disease?

For Professor Paul Fletcher, Bernard Wolfe Professor of Health Neuroscience at the University of Cambridge, the answer lies in understanding that our decision-making processes are not entirely rational, or even conscious, and so approaches that appeal only to logic may well not be successful.

Professor Fletcher will be speaking about the neuroscience of human behaviour as part of this year’s Cambridge Series at the Hay Festival on 31st May. His talk, Apples or ice-cream? Who - or what - determines what we eat?, will discuss the external stimuli - availability and promotion of cheap sweet, salty and fatty food - and internal processes - including stress and anxiety - that act against rational decision-making.

“The idea that the brain is a puppet master is often wrong,” says Fletcher, who is based at the Cambridge University Department of Psychiatry. “We face a lot of other influences, from our bodies, from the environment, many of which are often below the conscious level."

“Time and again we act in ways that go against our long-term goals, going for more immediate rewards. But most attempts to mitigate this tendency are largely based on education and information which play to the rational mind."

He says that those environmental stimuli include brands, which often become conflated with rewards. “Brands send out intrinsically powerful stimuli that generate pleasure in themselves,” he says. He mentions experiments in the US on young children which show that the mere presence of a McDonald’s logo on healthier food “seems to shift the value of those foods”, increasing liking for them.

In the past Professor Fletcher’s research has focused on psychosis, but to understand psychosis and psychotic symptoms such as delusions and hallucinations, he says we need to understand the brain basis for how associations are made and how we come to think of particular environmental stimuli as important.

In his Hay talk he will outline the complexity of the problems faced by those seeking to tackle the problems associated with unhealthy eating. “The challenge is that we are living in a world that is populated by stimuli that can subtly but powerfully shape our behaviours. Given a lot of our drives towards consumption act at a very immediate, unreflective level it is likely that the best approaches to mitigating health-harming decisions and behaviours have to work on that level,” he says.

Some examples are research on plate and glass sizes, moves to replace sweets at checkouts with healthier foods and research on the impact of hormone levels on the brain’s reward system.

Another crucial factor in determining what and how much we eat comes from signals we are receiving from our bodies, says Professor Fletcher. These can be metabolic, hormonal and neural. Exploring how these signals interact with stimuli in the world is going to be an important part of a comprehensive understanding what drives behaviours, he states.

For Professor Fletcher there is no one panacea to tackling the problem of unhealthy eating, but he says it is clear that it cannot be left to individuals or food and drink manufacturers. Moralising and naming and shaming won’t work either and education alone is not enough. He says “strenuous legislation” is likely to be needed which is linked to a long term plan to tackle behaviour-related disease.

That means developing a deeper understanding of the neurobiological and psychological underpinnings of decision-making and behaviour. Professor Fletcher adds: “A great deal of psychological understanding and skill has gone into encouraging us to consume unhealthy foods. We need to apply the same levels of skill to help people resist these powerful factors.”

Friday, May 3, 2019

UK NHS Patients to Get Faster Access to Pioneering Treatments

Peter Thomas -
L o n d o n ,   U K - 


Credit: Department of Health and Social Care.
Accelerating access to treatments and services is being improved so that more patients can benefit.

New improvements to the Accelerated Access Collaborative (AAC) will put the most promising medicines, diagnostic tools and digital services through the clinical development and regulatory approval process faster.

The AAC was set up in 2018 to speed up the time it takes for patients to benefit from ground-breaking products for conditions such as cancer, dementia and diabetes.

It will now become the new umbrella organisation for UK health innovation. It will act as the ‘front door’ for innovators looking to get their products funded by the NHS and will provide support to overcome barriers that can prevent the best medical innovations from reaching patients.

To do this, a new unit in NHS England and NHS Improvement will be established, led by Dr Sam Roberts as chief executive.

The new AAC will:
  • implement a system to identify the best new innovations and make sure the NHS is ready to make use of them set up a single point of call for innovators working inside or outside the NHS, so they can understand the system and where to go for support.
  • signal the needs of clinicians and patients, so innovators know which problems they need to solve establish a globally leading testing infrastructure, so innovators can generate the evidence they need to get their products into the NHS.
  • oversee a health innovation funding strategy that ensures public money is focused on the areas of greatest impact for the NHS and patients.
  • support the NHS to more quickly adopt clinically and cost-effective innovations, to ensure patients get access to the best new treatments and technologies faster than ever before.
The AAC has already selected and supported 12 ‘rapid uptake products’ to increase their use within the NHS. This includes a blood test for pre-eclampsia, which can diagnose the condition earlier in pregnancy and significantly reduce life-threatening complications.

Together the products have the potential to improve the lives of around 500,000 patients and save the NHS up to £30 million.

Health Minister Nicola Blackwood said:

“I want the NHS to be at the forefront of cutting-edge treatments and medical innovations – but often it can take too long for products to get from the bench to the bedside."

“The Accelerated Access Collaborative will speed up this process so patients and the NHS can be the first in the world to benefit from the most transformative technologies and treatments as part of our Long Term Plan."

Lord David Prior, chair of NHS England, said:

“Our ambition is very clear: the NHS will be the most innovative health care system in the world with much easier access and much quicker uptake of new and innovative products. This applies to therapeutics, diagnostics, digital devices and our whole supply chain. It is a top priority for the NHS."

Sunday, November 25, 2018

Australia's Palaszczuk Queensland Government Hides Behind Wall of Lies

Avi Cohen - op-ed -
B r i s b a n e ,   A u s t r a l i a - 


The Health Minister Steven Miles
All the reasons given by the Health Minister for changing the name of the Lady Cilento Hospital have been proven to be baseless.

The poll used to push the Queensland government's agenda has been exposed as a rort and a fabrication. The public debate has moved beyond the name change to questions about corruption and collusion in the Government and democratic process.

The Lady Cilento Children's Hospital business names were cancelled on January 18th this year, six months before the Queensland Government's public consultation even started. The Government said the names lapsed but ASIC documents reveal this was wrong and indicates that it was a premeditated campaign to change the name. A Nobel laureate said this week the claims that the Lady Cilento hospital name were not international and would hinder research grants was just not true.

More than 84% of Queenslanders polled by the Courier Mail this week and 85% of the Nurses Professional Association of Queensland independently polled overwhelmingly support keeping the Lady Cilento name and spending the money on services within the hospital where they are most needed, healing sick children. The NPAQ has also put the Lady Cilento business names in a trust so they can be used when her name is reinstated on the hospital.

The Health Minister, Steven Miles is there to represent the people of Queensland, not the small cabal of doctors - led by key agitator Dr Ben Whitehead - that he keeps citing, who happen to be his ideological bedfellows.

Mr Miles was originally presented with less than 250 signatures signed only by hospital staff union members, not the thousand doctors he now claims. Like the Queensland Health poll, the so-called petition of hospital staff by Whitehead is a complete fabrication. Senior doctors at the Lady Cilento Children's hospital told the Brisbane Times on Wednesday that they had never seen the petition and were “vehemently" against the name change.

The Minister and this small group of medicos belong to the same card-carrying Labor union club who do not want to work in a hospital named after a great Australian woman medical pioneer – they have openly stated this on multiple occasions.

The Public Lady Cilento Children's Hospital
The Cilento family are standing up to defend Lady Cilento’s name and the honour bestowed upon her by having the premier children’s public hospital of Queensland named after her. They are standing up for the people of Queensland who do not want money wasted serving the interests of politicians and doctors who are bent on pushing their political own agenda at all costs.

The doctors who have run this gutter campaign to smear Lady Cilento's name and push their agenda through are a disgrace to the medical profession and should have their licenses suspended immediately by the Australian Medical Association Queensland. The Health Minister is their representative and he has done nothing but lie and prevaricate and defend them.

Channel Nine confronted the Minister with a recording of him admitting to the doctors' smear campaign on Tuesday after he had categorically denied it and lied on camera, saying it was the Cilento's who had not told the truth. Miles' slanderous comments about the Cilento family could end up with him being sued for defamation along with the LNP's referral of him to the Crime and Corruption Commission on Friday.

The majority of Queenslanders want to keep the Lady Cilento hospital name, not serve the interests of corrupt politicians and doctors who have already proven themselves to be dishonourable and unethical. Instead of backing her lying Health Minister and his cohorts, the Premier needs to stand up and do the right thing - sack Mr Miles and reinstate the hospital as the Lady Cilento.

Thursday, November 22, 2018

Australia's Queensland Palaszczuk Government referred to Crime and Corruption Commission

Bruce Black and Avi Cohen -
B r i s b a n e ,   A u s t r a l i a - 


Premier Palaszczuk at the centre of the scandal

LNP Leader Deb Frecklington said after a week of lies, scandals and claims of serious vote rigging that it was time the Crime and Corruption Commission (CCC) undertook a full investigation of the Palaszczuk Government’s Lady Cilento scandal.

Ms Frecklington has written to the CCC saying the LNP opposition has done all in its powers to bring these serious fraud allegations to light but it was now time for the state’s peak crime fighting body to step in and undertake a full investigation.

It follows a Nine News RTI showing that 74 IP addresses were responsible for almost 18,000 ‘yes’ votes in a clearly rigged consultation survey as well as admissions by the Health Minister to The Australian newspaper that his own Ministerial office voted multiple times. There have also been further revelations tonight following a Seven News RTI that the Hospital Foundation had words put in its mouth by Labor who falsely claim the Foundation had advocated for the Cilento name change.

“The Palaszczuk government’s credibility has been shot to pieces this week. To put it frankly, you can’t believe a word this government says,” Ms Frecklington said.

“This whole scandal is more than about the name change now, it goes to the heart of our democracy and good government.

“It is alleged that the Palaszczuk government rigged the vote and manipulated the entire consultation process.

“We believe there is a case and it is now time for the CCC to step in and launch a full investigation.”

The honourable Deb Frecklington MP
Ms Frecklington said she has asked the CCC to investigate whether the Palaszczuk Government has broken Section 430 of the Criminal code about fraudulent falsification of records, whether corrupt conduct under section 15 of the Crime and Corruption act has taken place and whether the alleged the vote rigging was done by Ministerial staffers or Health bureaucrats potentially breaking the Public Sector Ethics Act 1994.

“This whole scandal undermines public confidence into public administration in Queensland,” she said.

“Queenslanders don’t like being lied to and they don’t like their money being wasted.”

The maximum penalty for the fraudulent falsification of records is 10 years prison, corrupt conduct maximum penalty is 14 years prison and the breaking of the Public Sector Ethics Act is up to one year in prison.

Sunday, November 18, 2018

Pressure Mounts on Queensland's First Jewish Premier, Annastacia Palaszczuk to Overturn Public Hospital Renaming Decision

Bruce Black and Avi Cohen -
B r i s b a n e ,   A u s t r a l i a - 


Queensland's First Jewish Premier
Annastacia Palaszczuk

As Australia's Queensland government pushes ahead with controversial moves to rebrand the Lady Cilento Children’s Hospital, pressure continues to mount on Queensland's first Jewish Premier, Annastacia Palaszczuk to put an end to the name change debacle.

Premier Palaszczuk is not only pulling down another professional woman, literally tearing down her name from a public building. But she is attacking another women of Jewish heritage who was an outstanding pioneer in her field. Lady Cilento was not just the only woman to graduate as a doctor in her class of 1918 at Adelaide University but she was one of the first women of Jewish descent to do so.

Miriam Swedberg-Cilento, grand-daughter of Lady Cilento, says her grand-mother was very proud of her Danish Jewish heritage. “My grand-mother often talked about her her own childhood and the importance of her Jewish background," said Ms Swedberg-Cilento. “Also my grand-father, Sir Raphael Cilento, was the first doctor to enter the Belsen concentration camp at the end of the Second World War and save the Jewish survivors from the cholera and typhoid that was rife, as he was an expert in hygiene and tropical medicine."

Sir Raphael Cilento, Director for Refugees and Displaced Persons at the United Nations in New York, and Director of the World Health Organisation (WHO), achieved international fame after the Second World War for his work in aiding refugees, saving thousands of lives from outbreaks of epidemics in the Balkans and saving Jewish lives at the German camps.

Many high profile Queenslanders and other senior politicians have called on Premier Palaszczuk to stop this tearing down of Lady Cilento and retain her name on the children's hospital along with more than 10,000 people who have just signed petitions to keep it.

Recently in State Parliament, the Shadow Health Minister Ros Bates made it clear that it is not too late for the Premier to act. Ms Bates said it was an “unmitigated disaster” and that both Queenslanders and the Cilento family deserve better.

“They deserve a health minister who puts patient care as his number one priority not silly political games that waste taxpayers’ money. Queenslanders deserve a Premier who listens and acts when wrong decisions are made and it is not too late for the Premier to act.”

Rebranding and building experts claim the real cost will be closer to $20 million to do the complete renaming of the public hospital.

The Lady Cilento Children's Public Hospital
Ms Bates went on to read an excerpt of an open letter from the Cilento family to the Premier, which was published on the weekend and signed by former Queensland Premier Campbell Newman.

She said it was a heartfelt plea to Premier Palaszczuk to listen to the people of Queensland and put patient care before politics.

The Queensland government has come under increasing pressure in recent weeks, for pursuing the name change in the midst of a healthcare crisis.

Just one week earlier, Queensland Health Minister Steven Miles narrowly escaped a state parliamentary motion calling for his resignation over his inexplicable determination to change the name of the under resourced hospital.

The Queensland Labor Government recently announced plans to raid funds from the state's affordable housing budget to pay for the public hospital's name change. Money that is desperately needed to house the less fortunate, something Labor traditionally stood for.

Ten thousand people have signed online petitions calling on the Queensland government to allocate taxpayer dollars to vital hospital services, equipment and staffing, rather than changing the public hospital’s name.

The Cilento family are still waiting for a response from the Premier to their letter and are hopeful she and the Queensland government will see sense.

Sunday, November 11, 2018

Disputed Hospital Name Change Escalates with Queensland Government Lies and Cover-ups

Bruce Black and Avi Cohen -
B r i s b a n e ,   A u s t r a l i a - 


Reception at the Lady Cilento Children's Hospital

Australia's Queensland Labor Government is rushing to implement the name change of the Lady Cilento Children's Hospital to the Queensland Children's Hospital as it emerges it has lied about the cancellation of its business names six months before the public consultation process.

The Queensland Labor Government was scrambling on Friday to push through the name change of the 'Lady Cilento Children's Hospital'. It emerged last week that the decision to change the name could have been made more than six months before any public consultation. As well as the growing public opposition to tearing down the name of one of Australia's great female pioneers from a building.

The results of the flawed online Queensland Health poll the government is using to support the name change is directly opposed to those conducted by the Courier-Mail. These found that 82 percent of Queenslanders do not want the name change while another poll conducted by the Nurses Professional Association of Queensland found 85 percent of nurses do not support a name change.

Calls are being made for an independent investigation and that Lady Cilento's name is kept on the public hospital.

The campaign to change the name has been led by Health Minister Steven Miles and agitator at the hospital Dr Ben Whitehead.

Documents from ASIC show that the Queensland Government lied. The records reveal the public hospital’s business name, 'Lady Cilento Children’s Hospital' as well as the associated business name 'Lady Cilento' were cancelled in January 2018, more than six months before Queensland Health launched the public consultation process.

A spokeswoman for Steven Miles told the Brisbane Times on Wednesday, “It was not cancelled; registration lapsed after ASIC's standard three-year registration period."

ASIC record shows name cancelled in January 2018
However, the documents show this is wrong. The ASIC records demonstrate that the 'Lady Cilento Children's Hospital' and the 'Lady Cilento' business names were renewed. They did not “lapse" after three years.

They were renewed on 4 September 2017 but were then cancelled on 18 January 2018. All other hospitals in Queensland have registered business names with ASIC.

The public hospital also appears to have traded without an ABN for nine months until it was registered as the Queensland Children's Hospital on 29 October 2018. In Australia it is illegal for any business to trade while unregistered.

It is believed the external research contracts the hospital entered into in the nine months between 18 January and 29 October 2018 could be invalid and parties with any contracts signed in those nine months may need to seek legal advice.

Queensland Health Minister Steven Miles
There are now public calls for a full investigation into this growing scandal amid an outcry that the Lady Cilento name should be kept on the hospital. It appears that a premeditated campaign wasted taxpayers money on public polls - heavily criticised by experts - with the aim of removing Lady Cilento's name from the public hospital.

“This evidence makes a mockery of the polling and focus groups, and shows that they were nothing but a waste of taxpayers’ time and money in an attempt to justify tearing down a pioneering Australian woman's name from a public building, one of only 3 percent in this country," said Giovanna Volpe Cilento, granddaughter of Lady Cilento.

“Lady Cilento is one of our great female pioneers and contributed 65 years of public service to Queensland as obstetrician, paediatrician, author, journalist, columnist, ABC broadcaster and women's activist.

“There are so few monuments and buildings in Australia named after women ~ let alone Australian doctors and scientists ~ and Labor is going to publicly take one of the only Queensland women off a children's hospital who devoted her life to the care of mothers and children."

Queensland Health poll never mentioned which
hospital was to have its name changed. The public
didn't know which hospital they were polled about.
Ms Volpe-Cilento was present at a meeting with the Health Minister where the report by Graham Young from the Australian Institute for Progress was presented showing that Queensland Health's online poll was flawed. There were also public protests at the time that the question made no mention of Lady Cilento's name so respondents did not know what they were voting for while votes could be cast any number of times and no comments were published on the official page.

“The Minister made no justification for this and he and his team could not give any compelling reason why the hospital name should be changed at a cost that realistically could run between $15-20 Million ~ not $500,000," said Ms Volpe-Cilento. "Plus changing the name and all the associated costs of the five Lady Cilento Hospital Schools ~ that has so far not been addressed by Labor."

“The argument that people don't know the hospital is public is a nonsense and could easily be corrected by calling it the 'Lady Cilento Children's Public Hospital' while claims that doctors could win more research grants without her name has also been proven to be false."

Lady Cilento writing as Mother MD
Lady Cilento was the only woman to graduate in her class in 1918. Her early work helped save women and children’s lives in the tropics, including Malaysia and New Guinea, by bringing modern medicine to local communities. Later, her pioneering work and advocacy for good nutrition, family planning and child care improved Queenslanders’ lives immeasurably.

She went on to undertake postgraduate work at hospitals in London and New York and became a prominent member of the Queensland women's movement and highly influential in children's public health. She is widely considered to have been ahead of her time in advocating natural childbirth, contraception and that fathers be present at the birth of their children.

She founded the Queensland Mothercraft Association, the Queensland branch of the Business and Professional Women's Club and was President of the Queensland Medical Women's Association and her work was honoured many awards including Queenslander of the Year and Life Membership of the Australian Medical Association.

Sunday, November 4, 2018

Exposed: Australia's Queensland Government Cover Up

Bruce Black -
B r i s b a n e ,   A u s t r a l i a - 


Queensland Health Minister Steven Miles

Damning proof has emerged that the Queensland Government had taken steps to change the name of the Lady Cilento Children’s Hospital long before officials launched their so-called ‘public consultation’.

ASIC records show that the Queensland Government cancelled the public hospital’s business name, “Lady Cilento Children’s Hospital” as well as the associated business name “Lady Cilento” in January 2018 – more than six months before it launched the public consultation process.

The public hospital had been trading under the same name for three years which was renewed in September 2017 before its sudden cancellation in January 2018.

Supporters of the Cilento family uncovered the documents earlier this week, and the Cilento family say the files prove that public opinion had little to do with changing the public hospital’s name.

ASIC document showing cancellation took place
6 months before any internal or public consultation
“The Queensland Government had clearly made this decision before the consultation process even began. Is Queensland a democracy or a Banana Republic where the government does what it likes and runs over the public? “This evidence makes a mockery of the polling and focus groups, and shows that they were nothing but a waste of taxpayers’ time and money in an attempt to justify tearing down a pioneering Australian woman's name from a public building, one of only 3 percent in this country.

“The aim of the entire process was to try to justify the decision after it had been made, rather than to legitimately consider the thoughts and opinions of Queenslanders,” said Giovanna Volpe-Cilento, the granddaughter of Lady Phyllis Cilento.

The Cilento family’s lawyer Michael Williams (Gilbert + Tobin) says it shows active steps were taken by the Queensland Government in breach of the agreement with the Cilento family to permit Lady Cilento’s name to be used on the hospital.

“There is no legitimate explanation for the cancellation of the business name at that time. It suggests that the Government jumped the gun and then tried to backfill the reasons for the change of name, a process which took months to complete. It also throws into doubt the legality of the hospital trading under its current name since the beginning of this year”

Australia's Lady Cilento Children's Hospital
Documents in the possession of the Cilento family also bring into question claims by Queensland Health that all work required to change the hospital’s name would cost approximately $500,000.

These documents show that erecting the Lady Cilento sign on the hospital building in 2014 required the closure of Raymond Terrace for three days, six traffic controllers, a crane, two crane operators, three riggers, a swinging stage, spider boom and nine semi-trailers and drivers.

The cost to hire a crane alone is $200,000 per day.

Giovanna Volpe-Cilento says that as well as proving the Queensland Government’s claims about the reason for the name change are false, the documents prove that Queensland Health’s cost estimates are wildly inaccurate.

“The cost of just the crane hire for three days dramatically exceeds Queensland Health’s estimate for the cost of the entire job – not to mention the hire and labour costs for operating all of the other equipment.

Australia's Lady Cilento Children's Hospital
“At best, this shows that Queensland Health has been highly irresponsible in their research. At worst, this proves that the Queensland Government has made another attempt to mislead the public.

“Not only has the Queensland Government misled the Cilento family - who have to fight to prevent their mother and grandmother’s name being torn down – but, also, every Queenslander who was under the impression this government would take their opinions into consideration before making a decision of this magnitude.”

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