Sunday, 8 March 2015

Papworth Hospital - An amazing shed in a field




Towards the end of 2014 I received a heart transplant at Papworth Hospital in Cambridge. At the moment things are going well. Papworth is an awe inspiring place. They kept me going for years whilst I suffered from heart failure and when things became critical kept me alive via machines whilst I waited for a transplant.

They have helped many thousands of others in many thousands of ways and it all takes place in what started out as basically a shed in a field in the middle of nowhere in Cambridgeshire. It's now quite a few sheds that have grown up in a haphazard way over the decades. It somehow seems a peculiarly British approach.

Whilst in more recent years Papworth Hospital is more associated with clinical excellence in the delivery of cardiothoracic services most notably heart and lung transplantation, its history is rather unique.

Timeline

1918 Papworth is founded as a colony for people with Tuberculosis - a ground-breaking place which becomes famous for its treatments and for helping people to return to work after convalescence
1948 Papworth becomes part of the newly founded NHS
1962 Papworth performs the first artificial heart valve operation on a patient
1967 First cardiac pacemaker procedure carried out
1979 UK’s first successful heart transplant operation takes place at Papworth Hospital
1982 Papworth starts coronary angioplasty procedures
1984 Europe’s first successful heart-lung transplant is performed at Papworth Hospital; and first in the world for the chronic use of Prostacyclin for the treatment of primary pulmonary hypertension in humans
1985 World’s first transbronchial biopsy is undertaken to detect rejection in lung transplants
1986 World’s first heart, lung and liver transplant takes place at Papworth Hospital
1988 Papworth’s first single lung transplant
1991 First implantable defibrillator procedure carried out at Papworth; and first in the world for the application of Nitric Oxide in humans for patients with primary and secondary pulmonary hypertension; Papworth’s first bilateral lung transplant
1992 Papworth’s first Ventricular Assist Device operation; Papworth’s Respiratory Support and Sleep Centre opens
1994 Adult Cystic Fibrosis Centre opens
1996 Papworth carries out its 1000th transplant
2001 UK National Centre for Pulmonary Thromboendarterectomy surgery established
2006 Papworth performs the UK’s first beating heart transplant, using the Organ Care System
2010 First subcutaneous implantable cardiac defibrillator at Papworth
2011 The UK’s first Total Artificial Heart patient discharged home

At present there are over 1800 people employed by Papworth.


All the modern day facts and figures on Papworth can be found here. They are soon, in theory, to be moving to a site near Addenbrookes hospital just outside Cambridge which is also where a lot of medical research takes place.

On the health front I owe many things to many people. I owe Papworth my life.



You can support Papworth by donating via their charitable trust.

The MH370 mystery - Where is it?




The BBC sums up what we know -

The Malaysian government has officially declared the disappearance of Malaysian Airlines flight MH370, en route from Kuala Lumpur to Beijing on 8 March 2014, an accident.

Despite an extensive international search in the southern Indian Ocean, no trace of the aircraft has been found. Officials have confirmed that the recovery operation is ongoing but that the 239 people onboard are now presumed dead.

Since the end of June 2014, investigators carrying out the search have been focusing on a refined area covering 60,000 sq km 1,800km (1,100 miles) off the west coast of Australia.


Investigators have just released a report updating everyone on where we are at.

Surely we can find the plane. It's just bizarre. It's odd to think it can just disappear like that. It has created a nirvana for conspiracy theorists.


Saturday, 7 March 2015

Corruption catching up with Spanish politicians




For decades allegations of political corruption in many European countries has been rife. Interestingly as times change a few of those alleged to have benefitted are now being investigated and prosecuted. It has happened in Portugal, Italy, even a bit in Greece and now a start in Spain. The UK is no saint in the corruption field but it's not Spain either. Below is a good summary of the Spanish situation by Graham Keeley writing for the Times:

Forty members of the Spanish ruling party and a number of prominent businessmen will stand trial in the country’s biggest political corruption scandal since the end of the Franco regime.

Judge Pablo Ruz, of the National Court in Madrid, yesterday ordered a former health minister and three former treasurers of the centre-right Popular party to stand trial, along with 36 others, on 12 charges, including bribery, cash-for-favours in office, and embezzling €449 million of taxpayers’ money.
The case could cost Mariano Rajoy, the prime minister, the general election in November. He has not been charged in what is being called the Gurtel affair, but the scandal has badly tarnished the party he leads.

Luís Bárcenas, one of the three former party treasurers caught up in the case, has claimed that Mr Rajoy was among scores of party leaders who received tens of thousands of euros from a secret slush fund that was in operation during the government of José María Aznar. The money was allegedly paid by construction bosses to politicians in return for lucrative government building contracts.

The trial, which is expected to take place next year, could not have come at a worse time for Mr Rajoy. His party is two points behind in the opinion polls, which are led by a nascent party that is hoping to win the November elections on an anti-corruption ticket.

Mr Bárcenas claimed he compiled ledgers that listed payments, including one of €42,000 concealed in a cigar box given to Mr Rajoy in 1997 when he was the civil service minister.

After he was indicted in the Gurtel case, Mr Bárcenas said he had received a number of text messages from the prime minister which, he claimed, indicated his support. One, dated January 18, 2013, allegedly read: “Luis. I understand. Be strong. I’ll call you tomorrow. Regards.”

Mr Rajoy has resisted demands for his resignation, has cut links with Mr Bárcenas and insisted that claims of slush fund payments are false.
“His accusations are false and his half-truths are false,” Mr Rajoy told the Spanish parliament. An investigation has begun into the slush fund claims, but Mr Rajoy has not been implicated.

The decision of Judge Ruz to send 40 defendants for trial comes as a poll for the state-run Centre for Sociological Investigations found that corruption was the second-biggest concern for Spanish voters after unemployment, which stands at 23 per cent.

It has helped to spark huge support for Podemos, the left-wing, anti-corruption party that was formed only a year ago but which is leading the polls. Podemos appeals to voters who are angry or disillusioned with the two parties that have run Spain since General Franco died in 1975, and which have been hit by a series of scandals.

The Socialist party has been accused of large-scale corruption in Andalusia, a traditional stronghold where it controls the regional government. It is alleged that €850 million was awarded in training contracts to the unemployed without proper checks and that the money ended up in party hands.

Pablo Iglesias, the leader of Podemos, has labelled Mr Rajoy and the Socialist leader Pedro Sánchez “la casta” — the elite — because they appear out of touch with the demands of most Spanish voters.

A recent poll for the Cadena Ser radio station gave Podemos the lead with 24.6 per cent, with the Popular party on 22.5 per cent and the opposition Socialists trailing on 19 per cent.

Another small, centrist party, Ciudadanos (Citizens), has emerged this year to steal votes from the Popular party, gaining 13 per cent in the same poll.
At the centre of the alleged web of corruption is Francisco Correa, a businessman who, it is claimed, liked to be known as Don Vito, after the fictional mafia don played by Marlon Brando in The Godfather. Mr Correa is alleged to have paid a series of bribes, including new cars and hotel stays, and paid for the birthday parties of politicians’ children. In return, he was allegedly granted contracts paid for by the Spanish taxpayer.

Ana Mato, the former health minister who is said to be close to Mr Rajoy, will stand trial after she was accused of benefiting financially because her former husband, Jesús Sepúlveda, a mayor in a Madrid district, allegedly “favoured” Mr Correa in the granting of public contracts.

The two other Popular party treasurers who will stand trial are Álvaro Lapuerta and Ángel Sanchis. The party itself is named as one of the defendants who unknowingly benefited from the illegal kickbacks scheme, and will have to send a representative to take the stand.

The prosecutors claim that hundreds of public contracts were granted behind closed doors without conforming to Spanish laws on open competition.
The case relates to the period between 1999 and 2005 but, in total, 187 people have been indicted as suspects in the investigation, so a second trial looks likely.

Mr Bárcenas has been ordered to post bail of €89 million. He is alleged to have accumulated €48 million in Swiss bank accounts, which he said was accrued from property and art sales.

If convicted, Mr Correa and Mr Bárcenas could each face up to 30 years in jail.
All of the defendants deny any wrongdoing.

“This has brought general revulsion towards the Popular party because the longer it has gone on, the more scandalous it has become,” said Daniel Montero, the author of a book titled Correa At Your Throat, about the Gurtel case. He added: “This and other corruption cases associated with the Socialists have helped the rise of Podemos.”




Out of interest you can read an in depth report into European corruption here

Friday, 6 March 2015

The taking of Tikrit - my enemies enemy is my enemy




The week notes that "the Iraqi government launched a major offensive this week, aimed at wresting back the city of Tikrit from the forces of Islamic State. The mainly Sunni city – best known to Westerners as the hometown of Saddam Hussein – fell to the extremists in July 2014.

The Iraqi forces were being aided by thousands of Iranian-backed Shia militias, as well as troops from Iran’s Revolutionary Guard. This caused unease in the US – which was reportedly not informed about the Tikrit offensive – and raised fears that the battle against Isis would only inflame the sectarian tensions that the militants have already exploited.

Last week, footage of Isis extremists destroying a collection of Assyrian antiquities in a museum in Mosul (pictured) caused global outrage. Men could be seen pushing statues off their pedestals and smashing them with sledgehammers. One of them explained: “These antiquities and idols behind me were from people in past centuries and were worshipped instead of God.”

It was not clear, however, how many of the statues were original: curators at Iraq’s National Museum in Baghdad, which re-opened this week, said that at least some of them were plaster casts, and that the originals were housed there in Baghdad and in other collections."



Now remember Iran and Iraq fought a huge and ugly war not that long ago. Iran and USA are at nuclear arming loggerheads, USA has invaded Iraq twice in last few decades, UK and USA almost went on to war with Syria last year. Etc etc.

Yet currently Iraqi forces with overt Iranian backing in the form of Revolutionary Guards and USA acquiescence and with Syrian delight are attempting to take back the city of Tikrit from ISIS.

It surely shows what a mess our foreign policy is in.

And for once - my enemies enemy is my enemy.

Thursday, 5 March 2015

UK population density - rats in a sack.




The UK is the 51st most populace country on earth. It's 242,910 km2 with a population of 64,105,700 meaning a population density per square kilometre of 262 as of July 2013. Given most of the countries above us in the list are small like Malta, the UK is in fact very densely populated.

See here for more details.

In short we are like rats in a sack and have a fast growing population unlike anywhere else in Europe at present. This is partly due to immigration levels and partly due to UK birth rates. It's the place where people want to be. Well the figures show everyone wants to go more specifically to London and the South East.

It all places pressure on transport infrastructure, health, education in fact everything. So long term planning is required and decisions need to be made.

The idea of "England's green and pleasant land" left us a long while ago but we have done pretty well none the less in maintaining a bit of green despite all of us cramming in to a small piece of land.

The UK's popularity has its aforementioned issues but perhaps reflects its virtues too such as being a safe place, low levels of corruption, law and order, advanced economy etc.

A double edged sword.

The Stats - Annual Mid-year Population Estimates, 2013 - From the Office of National Statistics.
• The population of the UK grew to 64.1 million in mid-2013, representing a gain of 400,600 (0.63%) over the previous year mid-2012. This growth is slightly below the average since 2003.
• This means that the UK’s population has increased by around 5 million since 2001, and by more than 10 million since 1964.
• Natural change (births minus deaths) contributed slightly more than net international migration to the population gain in the year. There were 212,100 more births than deaths (53% of the increase) and 183,400 more immigrants arriving than emigrants leaving (46% of the increase).
• The estimated populations of the four constituent countries of the UK in mid-2013 are 53.9 million (growth of 0.70%) in England, 5.3 million (growth of 0.27%) in Scotland, 3.1 million (growth of 0.27%) in Wales and 1.8 million (growth of 0.33%) in Northern Ireland.
• There were 792,400 births and 580,300 deaths in the year ending 30 June 2013. The number of births decreased from the previous year but is still above average for the last decade.
The number of deaths increased from the previous year and is the highest since the year to mid-2005.
• The population of the UK aged 65 and over was 11.1 million (17.4% of the UK population) in mid-2013, up by 290,800 from mid-2012. The number of people in this age group has increased by 17.3% since 2003.
• Growth of the UK population in the year to mid-2013 was higher than the EU average and highest of the four most populous EU member states.