Oakview Family Practice
190 Shroffold Road
Downham
Bromley
BR1 5NJ
Tel: 020 8695 6677
Oakview Family Practice
Tel: 020 8695 6677
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01 Sep - 01 Oct
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Find out about all of the free NHS services available to support you as you go try to give up smoking.
01 Aug - 01 Oct
NHS Summer Health
Stay safe in the sun, including sunscreens, sunburn relief, heat exhaustion, eczema and moles. Summer holidays are great fun for children, but can bring risks. Find out more
01 Jul - 01 Oct
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Would you like loads of tips and help to make changes for a healthier future? As part of Change4Life, you will receive tons of helpful information, recipes, tools, tips, and games for the kids.
Yahoo Health
Expert warns of complacency after swine flu fizzle (AP)
AP - A leading virus expert urged health authorities around the world Sunday to stay vigilant even though the recent swine flu pandemic was less deadly than expected, warning that bird flu could spark the next global outbreak.
Cholera kills 41 in Central African nation of Chad (AP)
AP - Health officials in Chad say an outbreak of cholera in the Central African nation has killed at least 41 people.
Can home cooking be hazardous to your health? (AP)
AP - Could your kitchen at home pass a restaurant inspection?
Botox maker to pay $600M to resolve investigation (AP)
AP - Allergan Inc., the maker of wrinkle-smoothing Botox, has agreed to pay $600 million to settle a yearslong federal investigation into its marketing of the top-selling, botulin-based drug.
New test seen as big advance in diagnosing TB (AP)
AP - Scientists are reporting a major advance in diagnosing tuberculosis: A new test can reveal in less than two hours, with very high accuracy, whether someone has the disease and if it's resistant to the main drug for treating it.
Journal editors question sale of diet pill Meridia (AP)
AP - Editors of a top medical journal call Meridia "another flawed diet pill" and question whether it should stay on the market as a study shows it raises the risk of heart attack and stroke in people with heart problems.
Study: Diet Drug Meridia May Boost Heart Risks (Time.com)
Time.com - A new study finds that some users of the weight-loss pill Meridia may have an increased risk of heart attack or stroke
For Bonobo Males, Mom Is the Best Wingman (LiveScience.com)
LiveScience.com - To most human males, the thought of your mother anywhere near your sex life is probably horrifying. Not so for the bonobo, one of our closest primate relatives. A new study confirms that hanging out with mom boosts male bonobos' chances of getting intimate with a fertile female.
Clinical Trials Update: Sept. 3, 2010 (HealthDay)
HealthDay - (HealthDay News) -- Here are the latest clinical trials, courtesy of ClinicalConnection.com:
More parents 'redshirting' kindergartners (LiveScience.com)
LiveScience.com - As schools start back into session around the country, some parents of young children face a difficult question: Send their little ones to kindergarten as soon as they become age-eligible, or hold them back in hopes that an additional year of maturity will give them an academic boost?
MedPage Today
Investigation Reveals More Woes for Rosiglitazone
(MedPage Today) -- On July 15—a day after the FDA completed two days of hearings on rosiglitazone (Avandia)—a British advisory commission on drugs concluded that the product should be withdrawn from the market, according to an investigation conducted by BMJ.
Washington Week: Insurance, State Actions Top News
WASHINGTON (MedPage Today) -- Several studies highlighting insurance issues were released this week, including one on federal programs for kids and two others focused on employer-provided medical coverage.
FDA Approves New Eye Pressure Drop Formulation
WASHINGTON (MedPage Today) -- The FDA approved a new formulation of the drug bimatoprost (Lumigan) in a 0.01% solution as a first-line treatment to reduce elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension.
Kids on HAART Would Benefit from Revaccinations (CME/CE)
(MedPage Today) -- Children with HIV who received standard childhood immunizations before starting on highly active antiretroviral therapy (HAART) could benefit from revaccination, a review suggests.
New Guidelines Out for Pneumococcal Vaccine (CME/CE)
(MedPage Today) -- Adults with asthma and those who smoke should receive the 23-valent polysaccharide vaccine to prevent pneumococcal disease, according to new recommendations from the CDC.
OSHA Should Dictate Residents' Hours, Group Says
WASHINGTON (MedPage Today) -- The consumer group Public Citizen is urging the Occupational Safety and Health Administration (OSHA) to regulate the work hours of resident physicians.
Four Factors Increase Risk of Opioid Dependence (CME/CE)
(MedPage Today) -- A combination of four factors appears to significantly increase the risk of opioid dependence among patients taking prescription painkillers, researchers have found.
Low IgG Poses Infection Risk With Rituximab (CME/CE)
(MedPage Today) -- Certain subgroups of patients with rheumatoid arthritis, particularly those who have low levels of IgG, are at risk for severe infections when treated with rituximab, French investigators found.
ESC: Stockholm Take Home Message -- Watch the 'Not' Warfarins
STOCKHOLM (MedPage Today) -- An investigational antiplatelet -- ticagrelor (Brilinta) -- emerged as a big winner from the five-day long European Society of Cardiology congress, but the buzz here focused instead on a trio of investigational oral anticoagulants -- dabigatran, rivaroxaban, and apixaban.
Admitting Clinical Errors Not Always Best Policy
(MedPage Today) -- Wide-scale disclosure of clinical errors seems intuitively to be the ethical choice for hospitals and physicians, but researchers from the University of Washington suggest that disclosure should be decided on a case-by-case basis rather than a one-size-fits-all solution
WHO Swine Flu
Influenza - update 115
Worldwide, H1N1 2009 virus transmission remains most intense in parts of India and in parts of the temperate southern hemisphere, particularly New Zealand and more recently in Australia.
Influenza - update 114
The situation in New Zealand and India remains largely unchanged since the last update. Influenza H1N1 (2009) virus transmission remains locally intense in parts of India and New Zealand.
Influenza - update 113
Influenza H1N1 (2009) virus transmission remains locally intense in parts of India and New Zealand.
Director-General statement following the ninth meeting of the Emergency Committee
The Emergency Committee held its ninth meeting by teleconference on 10 August 2010.
WHO recommendations for the post-pandemic period
The world is now in the post-pandemic period. Based on knowledge about past pandemics, the H1N1 (2009) virus is expected to continue to circulate as a seasonal virus for some years to come. While the level of concern is now greatly diminished, vigilance on the part of national health authorities remains important. Such vigilance is especially critical in the immediate post-pandemic period, when the behaviour of the H1N1 (2009) virus as a seasonal virus cannot be reliably predicted.
Pandemic (H1N1) 2009 - update 112
As of 1 August 2010, worldwide more than 214 countries and overseas territories or communities have reported laboratory confirmed cases of pandemic influenza H1N1 2009, including over 18449 deaths.
Pandemic (H1N1) 2009 - update 111
As of 25 July 2010, worldwide more than 214 countries and overseas territories or communities have reported laboratory confirmed cases of pandemic influenza H1N1 2009, including over 18398 deaths.
Pandemic (H1N1) 2009 - update 110
As of 18 July 2010, worldwide more than 214 countries and overseas territories or communities have reported laboratory confirmed cases of pandemic influenza H1N1 2009, including over 18366 deaths.
Monitoring patterns and levels of worldwide activity
As part of regular monitoring of H1N1 pandemic influenza, the WHO is in close dialogue with public health experts in countries worldwide, specifically to determine whether H1N1 activity has returned to levels and patterns normally seen for seasonal flu.
Pandemic (H1N1) 2009 - update 109
As of 12 July, worldwide more than 214 countries and overseas territories or communities have reported laboratory confirmed cases of pandemic influenza H1N1 2009, including over 18337deaths.
Life Style
Essentials of a healthy diet
Start with a basis of plenty of fruit and vegetables 5 portions should just be the beginning! Aim to have a variety and include green leafy vegetables, broccoli, onions, garlic and leeks, berries (the darker the better!), not too much as fruit juice and not too many bananas. Potatoes should not be one of your portions!
Keep your blood sugar levels as constant as possible. This can be done by eating small frequent meals and by choosing to eat more ‘complex’ carbohydrates. You will feel better, have more energy and loose weight! Look for low Glycaemic (GI) or low Glycaemic load (GL) foods.
This means more oats, whole grains, pulses (beans, peas, lentils and chickpeas) brown rice rather than white. Wholemeal bread not white.
Make sure you have enough essential fatty acids in your diet by eating oily fish 2 - 3 x a week or supplementing with fish oil capsules 1,000mg DHA/EPA a day.
Use healthy oils for salad dressings eg olive oil or as an additional source of omega 3 cold pressed flax oil but keep this in the fridge and out of direct light.
Have sufficient phospholipids. These are found in eggs, virgin oils, and organ meats such as liver. Phosphatidyl choline and serine are the two most important. Another good source is lecithin (5g a day)
Try to eat seeds and nuts regularly, again a variety. You can use these for snacks, mix them in with yoghurts and salads and even add them to your cooking.
Ensure you drink your 2 litres (8 glasses) of water a day, probably worth filtering if you can.
What you should try to reduce
Saturated fats. These are fats that are solid or almost so at room temperature. Full fat cheeses, butter, cream, lard, fat on meat and margerine.
Be careful how you use oils and fats in cooking. If you are frying do not overheat the oil and try to use olive or rapeseed oil and never re-use the oil.
Try to cut down on refined carbohydrates particularly sugar and products made with white flour eg white bread, cakes, biscuits. Again check labels for hidden ingredients.
White rice should also be switched to brown or wild rice, you will gain vitamins and minerals and digest these more slowly keeping your sugar levels more constant.
If you eat a lot of meat try to cut this down in particular processed meats such as bacon, salami and smoked meats.
Tea, coffee and other stimulant drinks, just don’t overdo it!
What to avoid
Artificial sweeteners and flavourings such as Aspartame and Monosodium Glutamate there are a lot of concerns about the possible effects of these with links to behaviour problems and learning difficulties in children, Alzheimers and Parkinson’s disease to mention only a few. (Aspartame breaks down to Methanol, Formic Acid and Formaldehyde in the body!) These substances are a particular problem for the young and elderly.
Trans fats or hydrolysed fats. These are fats altered by cooking and are used to add shelf life and flavour to foods but are seriously bad for our health. High levels often in biscuits and cakes, many margarines and lots of processed foods.
Useful Books
Health Defense Dr Paul Clayton
After Atkins Dr Paul Clayton
New Optimum Nutrition Bible Patrick Holford
Beating Cancer with Nutrition Patrick Quillin
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Optimum Nutrition
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