‘Ibuprofen best’ for child fevers

Most symptoms of a fever in young children can be managed at home

Ibuprofen is better at alleviating childhood fever than paracetamol and should be the drug of first choice, say UK researchers.

The Bristol-based trial involving 156 children aged between six months and six years showed ibuprofen reduced temperature faster than paracetamol.

The British Medical Journal work also says alternating the two drugs could help, which some GPs already recommend.

But experts advised against this, in line with official guidance.

The concern is the relative ease with which children could receive an overdose.

Fever is very common in young children, affecting seven in every 10 preschool children each year.

Parents wanting to use medicines to treat young, unwell children with fever should be advised to use ibuprofen first Lead researcher Dr Alastair Hay

It can be miserable for the child and cause anxiety for parents. Most fevers will settle by themselves but a few are caused by serious infections such as pneumonia.

Guidelines published last year by the National Institute for Health and Clinical Excellence (NICE) say either ibuprofen or paracetamol can be used for children unwell or distressed with fever.

But they say that, due to the lack of evidence, the two drugs should not be given together or alternated.

The researchers from the University of Bristol and the University of the West of England, recruited children who had a temperature between 37.8 and 41 degrees centigrade, due to an illness that could be managed at home.

Alternating drugs

Children were randomised to receive either paracetamol plus ibuprofen, just paracetamol, or just ibuprofen.

The medicines were given over a 48-hour period, with the group of children on both paracetamol and ibuprofen receiving them as separate doses.

This group received one dose of paracetamol every four to six hours (maximum of four doses in 24 hours) and then one dose of ibuprofen every six to eight hours (maximum of three doses in 24 hours).

Childhood fever A normal temperature is between 36-36.8C (96.8-98.24F) In children, any temperature of 38C (100.4F) or above is considered high and is called a fever To find out if your child has a fever, place a thermometer under your child’s armpit or use a special ear thermometer

The children’s condition was followed up at 24 hours, 48 hours and at day five.

The researchers found that in the first four hours children given both medicines spent 55 minutes less time with fever compared to those given paracetamol alone.

But giving two medicines was not markedly better than just giving ibuprofen.

However, over a 24 hour period, children given both medicines experienced 4.4 hours less time with fever than those given just paracetamol, and 2.5 hours less time with fever than those just given ibuprofen.

Safety issues

Dr Alastair Hay, consultant senior lecturer in primary health care at the University of Bristol, who led the study, said: “Doctors, nurses, pharmacists and parents wanting to use medicines to treat young, unwell children with fever should be advised to use ibuprofen first.

“If more sustained symptom control over a 24-hour period is wanted, giving both medicines alternately is better than giving one on its own.

“However, parents should keep a careful record of when doses are given to avoid accidentally giving too much.”

We believe parents should keep it simple. We do not see at this moment any need to change the advice Professor Steve Fields, chairman of the Royal College of General Practitioners

He said he thought it would be appropriate for NICE to review its guidance in light of the new study, saying the current guidance was too cautious.

In an accompanying editorial in the BMJ, Dr Anthony Harnden from the University of Oxford, warned of the relative ease with which children could receive an overdose.

He said that a “more complicated alternating regimen of paracetamol and ibuprofen may be less safe than using either drug alone”.

A spokeswoman for NICE said the 2007 guidance recommended that more research should be conducted on the effectiveness and safety of alternating doses of paracetamol and ibuprofen in reducing fever in children who remain febrile after the first fever-reducing medicine.

She said: “Any newly published research will need to be thoroughly assessed by independent experts as part of the process of updating clinical guidelines.

“This is essential to ensure that any new evidence is of the highest standards before any potential updates can be made to existing guidance.”

Professor Steve Fields, chairman of the Royal College of General Practitioners, advised parents and carers of children with fever to follow the NICE guidance.

“We believe parents should keep it simple. We do not see at this moment any need to change the advice.

“However, this paper does demonstrate that using ibuprofen initially is more effective at reducing temperature and may demonstrate that using both ibuprofen and paracetamol together could have a positive effect.”

Sarah Palin: 10 things we’ve learnt

It has been a week since Alaska Governor Sarah Palin was catapulted from relative obscurity to center stage as US Republican John McCain’s choice for running mate. Here are 10 things we now know about her.

Images of Sarah Palin, past and present

1. Her five children are named Track, Bristol, Willow, Piper and, last but not least, Trig Paxson Van Palin. According to the Washington Post newspaper, Track was named after the course of the sockeye salmon the family fishes off the town of Dillingham, while her eldest daughter’s name comes from Bristol Bay, an area known for its salmon fisheries. The name Willow relates to the state bird, the willow ptarmigan, and a nearby town, the paper says, while daughter Piper shares her name with the family’s small plane. Trig is the Norse word for “brave victory”, the Post adds.

2. Her rimless glasses are now a style phenomenon. The titanium Kawasaki 704 frames – designed in Japan, where they sell for $300 – are apparently flying off the shelves. Her upswept hair-do is also reportedly spawning imitators. LA Times fashion writer Booth Moore writes: “The untidiness of her updo has a can-do spirit that says, ‘I have more important things to do than worry about my hair, so I just twirled it into this clip so I could get to the real business of governing and shooting caribou and having babies and taking them to hockey practice.'”

3. John McCain picked someone who not only appeals to “Wal-Mart Moms” but is one herself, shopping for the family in a local branch. Not only that, writes New York Times columnist William Kristol, but “he picked someone who, in 1999 as Wasilla mayor, presided over a wedding of two Wal-Mart associates at the local Wal-Mart”.

4. Mrs Palin enjoys moose-hunting and salmon-fishing – and has said her favorite dish is moose stew. Former Republican senator and one-time presidential hopeful Fred Thompson described her as “the only nominee in the history of either party who knows how to properly field-dress a moose”. Cindy McCain, in her speech to the party’s national convention, said her husband John had “picked a reform-minded, hockey-mommin’, basketball-shooting, moose-hunting, salmon-fishing, pistol-packing mother-of-five for vice-president”.

5. A month before her fifth child, Trig, was due, Mrs Palin’s waters broke while she was in Texas to address a conference. She delivered her speech nonetheless and embarked on the long flight back to Alaska – changing planes in Seattle – before traveling an hour by road to hospital to give birth. She says she was not in “active labor” and her doctor said it was fine. Alaska Airlines allows women to travel in the late stages of pregnancy. Husband Todd – a commercial fisherman – is quoted by the s Anchorage Daily Newas saying: “You can’t have a fish picker from Texas.” Three days later, Mrs Palin was back at work.

6. As governor of Alaska, Mrs Palin ditched plans for a “bridge to nowhere” – a federally-funded project to link a handful of Alaskans to an airport at a cost of hundreds of millions of dollars. In her speech to the Republican National Convention, she said she had told the US Congress “thanks, but no thanks”. But US media say she appeared to support the project while running for governor in 2006, though she said the proposed design was too “grandiose”. And when she announced the cancellation of the bridge a year ago – after it gained notoriety as an example of wasteful spending – she hardly seemed to be turning down federal funds out of thrift. She explained the decision by saying, “It’s clear that Congress has little interest in spending any more money on a bridge between Ketchikan and Gravina Island.” The federal funding was diverted to other projects in Alaska.

Mrs Palin enjoys hunting, shooting and fishing for salmon

7. In a line that has gone down well at the Republican National Convention and on the campaign trail, she boasts of putting the previous governor’s “luxury jet” on eBay as a measure to cut wasteful spending. That is true. But what she has not always explained to her audience is that the plane failed to sell on the internet auction site and so aides had to broker a deal with a buyer.

8. She was baptised a Catholic as an infant but attended a Pentecostal church in Wasilla – her hometown since her parents moved to Alaska from Idaho when she was three months old – for many years. She now attends Wasilla Bible Church, a non-denominational, evangelical church. The Associated Press reports that the church is promoting a conference that promises to convert gays into heterosexuals through the power of prayer.

9. As hunters sometimes do, Mrs Palin has incurred the wrath of wildlife-lovers. It’s not just that she shoots moose and caribou, she has also backed legislation to encourage the aerial hunting of wolves, as a “predator control” measure. Plus, she has opposed the US government’s listing of a variety of animals as endangered, including the polar bear and the beluga whale. Unlike Mr McCain and to the horror of many environmentalists, she actively supports drilling for oil in the Arctic National Wildlife Refuge.

10. She is a self-described “average hockey mom”; a biography published a few months ago was entitled Sarah: How a Hockey Mom Turned Alaska’s Political Establishment on Its Ear. The hockey mom branding could prove useful come November in the swing states of Michigan and Minnesota, where ice hockey is a big game. Her best-known joke so far? “What’s the difference between a hockey mom and a pit bull? Lipstick.”

Palin takes battle to Democrats

Palin takes battle to Democrats

John McCain’s running mate, Sarah Palin, has made a stinging attack on Democratic presidential runner Barack Obama at the US Republican convention.

She gave her first major campaign speech to an enthusiastic crowd at the convention in St Paul, Minnesota.

Defending her small-town roots, she attacked Mr Obama as having talked of change, but done nothing of substance.

Mr McCain made a surprise appearance on stage, with her family, saying: “Don’t you think we made the right choice?”

The Arizona senator has been formally nominated as the party’s presidential candidate in a roll call vote by state delegations. He is expected to accept the nomination on Thursday.

I’ve learned quickly… , that if you’re not a member in good standing of the Washington elite, then some in the media consider a candidate unqualified for that reason alone Sarah Palin

In a speech designed to rally the party base, she spoke of her family, including her elder son, who is about to be deployed to Iraq in the US Army, and her younger son, who has Down’s Syndrome.

The mother-of-five highlighted her background as a small-town “average hockey mom” and stressed that she was not part of the “Washington elite”.

In a salvo directed at media commentators who have questioned her qualifications, she said she was “not going to Washington to seek their good opinion” but to serve the people.

Mrs Palin praised the “determination, resolve and sheer guts” of Mr McCain and said she was honoured to help him.

Mrs Palin also attacked Mr Obama’s “change agenda” and suggested he was more interested in idealism and “high-flown speech-making” than acting for “real Americans”.

“In politics, there are some candidates who use change to promote their careers,” she said.

I liked the parliamentary-style jabs at Obama BBC North America editor Justin Webb

“And then there are those, like John McCain, who use their careers to promote change.”

She also targeted Mr Obama’s experience as a community organiser and remarks he made earlier this year when he spoke of “bitter” working-class people “clinging to guns or religion”.

“I guess that a small-town mayor is sort of like a ‘community organizer’, except that you have actual responsibilities,” she said.

“I might add that in small towns, we don’t quite know what to make of a candidate who lavishes praise on working people when they are listening, and then talks about how bitterly they cling to their religion and guns when those people aren’t listening.”

Mrs Palin – who supports drilling for oil in Alaska’s Arctic National Wildlife Refuge – said that while drilling “will not solve all of America’s energy problems”, that is “no excuse to do nothing at all”.

Democrats under fire

Former Governors Mitt Romney and Mike Huckabee opened the night by hailing Mr McCain and attacking the Democrats.

Mr Romney, a one-time rival of Mr McCain for the Republican nomination, used his speech to hammer the Democrats over their “liberal” agenda.

“We have a prescription for every American who wants change in Washington – throw out the big government liberals and elect John McCain,” the former Massachusetts governor said.

He also lauded Mr McCain’s national security credentials, saying he was the presidential contender who would defeat “evil” radical Islam.

Mr Huckabee, also a former rival of Mr McCain, joked that he had hoped to be giving the speech on Thursday night – when Mr McCain will accept the party’s nomination to run for president in November’s election.

But, he said, he was delighted to be speaking for his second choice, Mr McCain – “a man with the character and stubborn kind of integrity that we need in a president”.

He defended Mrs Palin against criticism from the media, saying its coverage had been “tackier than a costume change at a Madonna concert”, and attacked the Democrats’ vice-presidential candidate Joe Biden.

You need to face your enemy in order to defeat them. John McCain will face this threat and bring victory to this country Rudy Giuliani

“I am so tired of hearing about her lack of experience. She got more votes running for mayor of Wasilla, Alaska, than Joe Biden got running for president of the United States,” he said, referring to Mr Biden’s performance in the Democratic primaries.

Former New York City Mayor Rudy Giuliani followed Mr Huckabee on stage, calling the 2008 presidential election a “turning point” for the people of the US.

He charged the Democrats with being in denial about the threat from terrorism and said Mr McCain had the foreign policy, national security and leadership experience that counted.

“The choice in this election comes down to substance over style,” he said. “John has been tested. Barack Obama has not. Tough times require strong leadership, and this is no time for on the job training.”

Vetting questions

The Alaska governor’s speech comes amid scrutiny of her record and after two days dominated by the news her daughter Bristol, 17, is pregnant.

Mrs Palin and her family, including Bristol and her boyfriend, greeted Mr McCain at the airport as he arrived in Minnesota on Wednesday.

Ahead of her address, senior McCain campaign adviser Steve Schmidt issued a statement saying that media questions over how thoroughly Mrs Palin was vetted should end.

It has also been revealed that an attorney has been hired to represent Mrs Palin in an Alaska state ethics investigation involving alleged abuse of power.

Mrs Palin told US network CNBC she had “nothing to hide”. Her deposition is expected to be scheduled soon.

There have also been reports that Mrs Palin sought special financial favors for her city and state – something the McCain campaign is against.

She was elected governor of Alaska in 2006 and before that was mayor of the small town of Wasilla, Alaska.

Palin case highlights teenage pregnancy

The Expressyoureself Blog looks at the problem of teenage pregnancy in the US after the revelation that the 17-year-old daughter of Alaska Governor and new Republican vice-presidential candidate Sarah Palin is pregnant.

Bristol Palin’s pregnancy was announced on Monday

The US is said to have one of the worst annual rates of teenage pregnancies in the developed world.

According to a report by Population Action International, published at the end of last year, there were 44 births per 1,000 women aged 15-19 in the US for 2000-2005.

This compares with figures in the UK – itself said to be the country with the worst teenage pregnancy rate in Europe – of 27 births per 1,000 women aged 15-19.

Put differently, America is estimated to have some 750,000 teenage pregnancies a year.

Despite the continuous declines, the US teenage pregnancy rate is still among the highest among industrialised nations Centers for Disease Control and Prevention

According to America’s leading health agency, the Centers for Disease Control and Prevention (CDC): “About one-third of girls in the United States get pregnant before age 20.”

More than 80% of births in this group “were unintended, meaning they occurred sooner than desired or were not wanted at any time”, the CDC said.

Separately, in a report on 2002 data, the CDC said: “Despite the continuous declines, the US teenage pregnancy rate is still among the highest among industrialized nations. The costs of teenage childbearing in the United States are substantial.

“The National Campaign to Prevent Teen Pregnancy recently estimated that $9.1bn in public funding was expended on teenage childbearing in 2004. These costs include public assistance, healthcare, child welfare and other expenses.”

Abstinence education

There is a debate state-side as to the reason for this high pregnancy rate.

The US offers government funding for health education programmes that promote sexual abstinence until marriage, although US lawmakers were investigating earlier this year whether to cut the funding.

State governments receive federal money they must match to fund abstinence programs.

Opponents of abstinence education say the approach ignores the fact that teenagers are sexually active and fails to give them accurate medical information or advice on safer sex.

Governor Palin herself has said she opposes funding sexual-education programs in Alaska and has supported abstinence programs in schools.

“The explicit sex-ed programs will not find my support,” she wrote in a 2006 questionnaire distributed among gubernatorial candidates, the Associated Press reports.

A social conservative who is opposed to abortion, she said in a statement her daughter Bristol would keep the child and was to get married.

And in 2005, presidential candidate John McCain, who picked Mrs Palin as his running mate, opposed a Senate Democratic proposal that would have spent tens of millions of dollars to pay for pregnancy prevention programmes other than abstinence-only education, including education on emergency contraception such as the morning-after pill, AP reports.

Bush backs McCain for president

President George W Bush has praised John McCain’s service and leadership in a speech to the Republican convention.

Speaking via video-link from the White House, he told delegates in St Paul, Minnesota, that Mr McCain was “a great American and the next president”.

Mr McCain is due to be nominated on Thursday as the party’s presidential candidate for November’s election.

The main talking point so far has been the news that the teenage daughter of Mr McCain’s running mate is pregnant.

Alaska Governor Sarah Palin, chosen as the vice-presidential nominee last week, announced on Monday that her 17-year-old daughter, Bristol, would have the baby and marry her boyfriend.

In his eight-minute address, Mr Bush described Mr McCain as a president ready to make the tough decisions needed “in a dangerous world”.

John McCain’s life is a story of service above self President George W Bush

“John McCain’s life has prepared him to make those choices. He is ready to lead this nation,” Mr Bush said.

He also spoke of Mr McCain’s life as “a story of service above self” and emphasized the “independence and character” he showed in backing the administration’s “surge” strategy of pouring more forces into Iraq.

Former Senator Fred Thompson, who ran against Mr McCain in the party’s primaries, opened a lively speech with criticism of the Democrats and the media for their scrutiny of Mrs Palin and her family.

He also spoke of Mr McCain’s military service, his courage while a prisoner of war in Vietnam and his commitment to reform in Washington.

Mr Thompson went on to attack the Democrats and their record since taking control of Congress in the 2006 mid-term elections.

Independent Senator Joe Lieberman, a former Democrat who was Al Gore’s running mate in 2000, spoke of Mr McCain as “the best choice to bring our country together and lead our country forward”.

Gustav appeal

Most of the first day’s political events were suspended out of respect for communities affected by Hurricane Gustav.

Instead, Mr McCain’s wife, Cindy, and First Lady Laura Bush made calls to support those under threat.

Mrs Bush told delegates that such events transcended party politics and reminded people that they were Americans first.

Gustav was downgraded to a tropical storm after making landfall on Monday west of New Orleans, where hundreds of thousands of people had been evacuated.

The storm came three years after Hurricane Katrina struck, killing more than 1,800 people and resulting in huge damage to the city and its surrounding area. President Bush was strongly criticised over his handling of the crisis.

Palin talking point

The Republican Party convention is now getting down to work after the uncertainty brought on by Hurricane Gustav.

Tuesday’s events are focusing on Mr McCain, a concentrated piece of political image building with a keynote speech from Joe Lieberman, the Democrat-turned-independent senator, who has decided to support the party’s candidate, our correspondent says.

Sarah Palin’s announcement has so far overshadowed the convention

President Bush cancelled his planned opening night speech amid concerns that overt political campaigning would play badly with voters at a time of potential crisis.

But many Republicans will be glad he is not here in St Paul in person, our correspondent says, and much of this week will be about defining Mr McCain as very different to his unpopular predecessor.

Meanwhile, media attention has continued to focus on Mrs Palin, who is facing an ethics investigation in her home state and whose daughter’s pregnancy made headlines on Monday.

The Associated Press reported on Tuesday that Bristol’s boyfriend, named as 18-year-old Levi Johnston, would be joining the Palin family at the convention in Minnesota.

The AP quotes Mr Johnston’s mother, Sherry, as saying he had been put under no pressure to marry and that the pair had been planning to wed before they knew she was pregnant.

Our correspondent says Mrs Palin’s selection as vice-presidential candidate has caused great excitement among social conservatives and evangelical Christians here.

But across the broader Republican Party there seems to be some unease – she is an unknown quantity, and when she is finally brought out on to the convention stage on Wednesday, many McCain supporters will be crossing their fingers and hoping she performs, he adds.

The 72-year-old Arizona senator is expected to formally accept his candidacy in a prime-time speech on Thursday evening.

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What is your reaction to the Republican convention? Tell us your thoughts on the event so far

For those too young to remember the Cold War…

Before the days of flat screen monitors… and Perestroika

The conflict in Georgia has awoken fears of a new Cold War between Russia and its allies and the West, nearly 20 years after the fall of the Berlin Wall. But will the animosity come back to haunt Western imaginations as it once did?

“We share the same biology,
regardless of ideology.
Believe me when I say to you,
I hope the Russians love their children too”

That couplet might be a mere piece of lyrical doggerel to any listener born after 9 November 1989, but when Sting released the single Russians in 1985, it came out of a deep mine of anxiety in the West about the course of the Cold War.

A good period in which to make profound statements…

For nearly five decades, the Cold War provided a rich seam running right through popular culture in the West, throwing out films, music, novels and even computer games that carried the fears, conscious and subconscious, of millions.

In the 1950s, science fiction movies were often allegories about different aspects of Cold War politics. Invasion of the Body-Snatchers was interpreted as a reference to McCarthy-era paranoia, Invaders from Mars as a parable of communist infiltration, and the Day the Earth Stood Still as a simple fantasy that some higher supernatural power would come to try and sort everything out.

After the world reached the brink of war during the Cuban Missile Crisis in 1962, there was another wave of Cold War-inspired fiction, with Stanley Kubrick’s Dr Strangelove perhaps the most notable example.

With the detente of the 1970s the Cold War thread became less noticeable, but with worsening relations in the early 1980s, both sides of the Atlantic were suddenly replete with fictional Cold War dystopian scenarios.

On the British side people were treated to the agonisingly poignant graphic novel When the Wind Blows by Raymond Briggs and its film adaptation, as well as 1984’s Threads, about the terrifying aftermath of a nuclear strike. On the other side of the Atlantic, there were the mini-series Amerika and World War III, and the gruesome The Day After with its vivid montages of men, women, children and even horses being vaporized.

…and ripe for sensational scare-mongering

On the silver screen WarGames explored the issue of computer hacking against a background of mutually assured destruction , while Red Dawn took the usual brat pack characters complete with preppy letterman jackets, and armed them with AK-47s to fight a Soviet invasion of the US. Popular attitudes towards the Eastern Bloc were shaped by movies like Rocky IV, where the drug cheat Ivan Drago was emblematic of suspicions held against Soviet athletes.

As well as Sting’s Russians, Frankie Goes To Hollywood’s chart-topper Two Tribes provided a musical accompaniment to the era. It seems strange to discuss now what was, even then, viewed as often laughable ephemera, but the course of popular culture reflected deep-seated fears, particularly significant among those too young to temper their concerns with a grasp of the political context.

Almost as soon as it had intensified, the Cold War quickly ebbed away, and by the end of the 1989, with the Berlin Wall coming down and relations defrosting across the whole of eastern Europe, it suddenly became a bit silly to pick the Soviet state as baddies.

Hollywood had to find new protagonists for a new zeitgeist, and fast.

Bond sabbatical

While rarely casting Russia itself as the main enemy in a storyline, and indeed often featuring a sympathetic KGB general, the James Bond franchise was unmistakably driven by Cold War themes of espionage and fear of weapons technology. It was inevitably affected, says film critic James King.

It was a competition to be modern – consumer society was used as a bulwark against communism Jane Pavitt

“Bond went into limbo for seven years, for many reasons, but one was that it didn’t feel relevant any more.

“The first film I remember that actually caught up was True Lies. When that came out it was almost a James Bond film and it had a new Hollywood enemy, which was an Arab – this was the new thing.”

Post 9/11 there has been a glut of movies either tackling the threat of terrorism, attacking the politics of the war on terror and Guantanamo Bay, as well as a host of television programmes that have explored the fall-out for Muslim communities on both sides of the Atlantic. A poster for the current movie Shoot on Sight – with its tag line “Is it a crime to be a Muslim?” – is typical.

In the space between the end of the Cold War and Islamist terrorism entering the mainstream mindset as the main threat to the West, movie producers did their best to come up with convincing action movie baddies.

Having been conceived long before the fall of the wall, the Hunt for Red October, an adaptation of Tom Clancy’s 1984 novel, still performed well at the box office in 1990. But in projects conceived after the end of Cold War hostilities, the baddies are very often neo-nationalists or rebels trying to destabilise a friendly Russia (Crimson Tide and Air Force One) or are avaricious terrorists and gangsters of other nationalities (Die Hard).

Cold War the Sequel

The effect of the end of the Cold War on secret services and military personnel came to be a major theme. John Le Carre was one of those spy novel authors who made the transition smoothly. The Russia House marked the last of his novels released during the Cold War, the next three deal with the effect of the thaw on intelligence operatives, while the subsequent four, including the Tailor of Panama and the Constant Gardener are not directly related to the Cold War. But Hodder and Stoughton, his publisher, maintain sales of the Cold War novels were unaffected by the events of 1989.

Threads – not your average prime-time BBC drama

King is sceptical about whether current Cold War fears will quickly feed back into popular culture.

“Films take a while to get on the screen – I don’t think we will see anything for a year.”

Film producers and publishers may also feel that with the long lead times, tensions could be defused by the time anything gets to market.

They are returning to Cold War classics but not necessarily because of modern fears over relations between the West and Russia. WarGames was recently remade as a straight-to-DVD release although terrorism underpinned the story rather than a renewed Cold War. It has also been recently reported that Red Dawn is to be remade, although the exact plot is unclear.

But as well as those cultural products directly referencing or making allusions to the Cold War, the conflict also provided the backdrop to massive shifts and vigorous battles in everything from product design and modern art to fashion, says Jane Pavitt, curator of the Cold War Modern exhibition opening next month at the Victoria and Albert Museum.

“It was a competition to be modern,” says Pavitt. “Consumer society was used as a bulwark against communism in Europe in the 1950s. That’s why fashion and kitchen goods can be seen as part of this.”

For those who were too young to remember the Berlin Wall coming down, or were born afterwards, the unique fears of the Cold War era, and the popular culture they steered, may be hard to appreciate.

But for anyone over the age of 25 in the West, they remain a deeply significant part of our psyche.

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Add your comments on this story.

What about Soviet / Eastern Bloc popular culture during the cold war – was it also full of espionage dramas and ‘what if’ nuclear bomb scenarios? As someone old enough to remember it from a British perspective, I realise I have no idea at all how it was perceived and represented in media the other side of the Iron Curtain. I’m sure there is a level of propaganda and also aware that creativity was somewhat stifled, but is there a parallel strand of writing/drama/film-making that we’re all ignorant of over here?
WorldGirl, Enfield, UK

I have grown up at the other side of the Iron Curtain and can assure you: the fear that the Cold War would spiral out of control was just as real on our side, only that we expected the West to make the first move. This was reflected in our popular culture in a similar way as was quoted in the article. I used to think: perhaps both sides are just too afraid of each other, perhaps such fears could be calmed by assuring each other that “we” would not make the first move. However, my views have changed a bit over the years. Having seen how readily the West is prepared to enter into a war (Yugoslavia, twice in Iraq, Afghanistan) and how openly it encroaches on Russia’s borders by supporting various colour-coded revolutions, I am beginning to wonder who was indeed the more aggressive side. For anyone getting into a rage about this posting: just for one moment, try to forget our view that we are always right and that our view on democracy justifies any means to spread it around the world. Try to be unbiased and then read again what I said.
Holger Laux, Bristol, UK

It’s interesting, and perhaps significant, that in times of national perceived potential threat from outside, so much creativity happens. I remember vividly the tension of the 1980s, the big changes in the UK and around the world. In some ways, it was an exciting time because every new day could bring danger. Is that what we humans survive on and does it draw us together?
Krystyna, Sedgley

In the mid 1980’s I can remember being in a 6th form who generally agreed that they would not live to be 30 because nuclear war was both imminent and inevitable. A strange mix of living a normal life but with the constant knowledge of impending disaster. This is probably why I felt so uneasy with the worsening relationship between Russia and the West. The world is, in my opinion, much less stable than it was in the 80s and the politicians are much more dangerous and paranoid than Maggie/Ronnie/Andropov/Chernenko.
John Ferris, Coventry, UK

I’m 27 and can just about remember the Berlin Wall coming down, though I can’t say I remember much more about the cold war. I’d raise your threshold to at least 30!
James, London

How true. I was only nine years old when they installed an air raid siren to the roof of our school. There were lots of discussions about what we would do with our last three minutes of life before the bombs arrived. It sounds trivial now but at the time we were convinced it would happen.
Dawn, Redhill

Reading the above it confirms my gut feeling that it is the Media that stir up scenarios causing more trouble than most just by publishing half of the story and twisting the facts. Even the BBC has succumbed to the drum of the gutter press by allowing the papers to show headlines on some of their programmes such as Breakfast, the BBC does not need to give the like of these people air time they have enough journalists to concoct their own stories, so why of why do they (BBC) despoil their standards with drivel?
Robert, Liverpool

I was born in 1985 so missed the hysteria, but we were subjected to ‘Threads’ in school. I didn’t sleep for weeks and when I did I dreamt of that cat on fire and the melting milk bottles! Haven’t been to Sheffield since!!
Martin Doyle, St Albans

Threads was an excellent – and terrifying – story, and was also the first ‘post-holocaust drama’ to incorporate the concept of the nuclear winter, which had only recently been realised. And it was more than just a story: it included occasional subtitles to spell out what would be happening. It’s hardly likely to get repeated (and would in all likelihood be out of date with its figures), but as an illustration of why not to play with nuclear weapons it was second to none.
Ruaraidh Gillies, Wirral, UK

Please stop doing this. Drumming up panic when there is no need. Even Russia has said they don’t want another cold war. There is NO crisis, just sabre rattling as always.
Rich, UK

Yes a large influence on Culture of the 80’s when I grew up. I went into the RAF and ended up at Greenham Common on the other side from the peace camp. I have still have a Cold War playlist on my iPod with tracks like ‘Two Tribes’, ‘Mad World’ and ’19’. Recent Computer games like Operation Flashpoint also hark back to the Cold War 80s. Are we going into a Second Cold War. Yes and there is nothing the West can do.
Simon CS, Farnham, Surrey, UK

The Cold War was fun and inspired some great films.
Matt, Philadelphia USA

Let’s hope that we don’t go back to the scare-mongering of the early eighties. For once I would like to think that today’s youngsters are a bit de-sensitised to the whole ‘we’re all going to die’ thoughts portrayed back then. I myself started digging out a bunker at the age of seven for our family to shelter in. When I was discovered I claimed it was a copy of Percy Thrower’s Blue Peter sunken garden!!!
Jenny, Wolves

I remember being absolutely terrified of nuclear war growing up. It was an all too real possibility. The intro to “Two Tribes” used to frighten me, and “Threads” is just as disturbing to watch now as it ever was. We also had the misfortune to live nine miles from the RAF/US Navy bases and oil refineries making us a prime target. When the Air Force did their low-flying exercises in the middle of the night, I’d lie awake waiting for a bomb blast to follow. That said, I think the idea of being nuked at any moment really beefed up Western popular culture at the time.
Mandi, Cardiff, Wales

They don’t need to drop the bomb. Russia has between 1/4 and 1/3 of the world’s oil and natural gas.

All they have to do is turn the taps off.
Philip Le Roux, Aldershot HANTS UK

The best transfer of the summer

The best transfer of the summer

Courtesy BBC SPORTS

Nothing excites a football fan over the summer months quite as much as a few new faces.

I have always enjoyed turning up for a pre-season fixture to take a look at the summer signings. The fact that you can never really conclude anything about a player in a pedestrian and more or less completely meaningless game against some local amateur outfit takes a back seat while you try to wrestle with the big questions.

Are they any good? Has the gaffer finally found the missing piece of the jigsaw? Does this guy ever kick the ball with his left foot? How on earth did the manager find someone from the second tier of the Belgian league?

Come to think of it, summer signings probably don’t do any harm to season ticket sales and a constant flow of transfer speculation keeps the local paper ticking over during the fallow summer weeks.

But with the Football League starting on Saturday, just what has been the best bit of business during the summer?
I’m not talking necessarily about the most expensive or high-profile – it could be a wise old head on a free transfer or a real gem unearthed from non-league. What I’m looking for is the most inspired signing of the summer, the player who could make the difference between success and failure.

I’m not going to pretend for a moment that I’m familiar with every decent transfer – that is where you lot come in – but here are a few contenders for your consideration.

Derby County, not surprisingly, have been very busy and I think the striking partnership of Rob Hulse (£1.75m from Sheffield United) and Nathan Ellington (season-long loan from Watford) could be the best in the Championship.

Ellington was terrible last season but the word is that he is desperate to prove his knockers wrong while Rams boss Paul Jewell certainly knows how to get the best out of him. Hulse is a talented footballer but has different attributes to the pacy and athletic Ellington and they should complement each other. Defender Alan Stubbs also looks a good acquisition.

Freddy Eastwood’s move from Southend to Wolves really didn’t work out but he should be a decent acquisition for Coventry, while Arturo Lupoli, once of Arsenal, is an intriguing loan signing for Norwich from Italian side Fiorentina.

Nicky Maynard is an intelligent footballer, with good awareness in and around the box. If Bristol City were a touch predictable towards the end of last season then he should add a new dimension to their game, though at £2.25m from Crewe he did not come cheap.

A couple of veterans worth keeping an eye on are striker Andy Cole and midfielder Lee Carsley. Cole has moved to his home-town club of Nottingham Forest and the 36-year-old wants his final season as a player to end in promotion. A big ask. Carsley has joined Birmingham on a free transfer from Everton. He was a regular last season and I think he could prove to be a brilliant signing. The fact he has been made captain in the absence of Damien Johnson hints at the impact he has already had.

Several teams have looked to shore up their defences. They might not grab headlines but Mark Hudson (Palace to Charlton) and Kaspars Gorkss (Blackpool to QPR) could prove to be important and much-needed captures.

Leeds are desperate to win promotion to the Championship and reports suggest that midfielder Andy Robinson is set to play an important role. Argentine Luciano Becchio remains an unknown quantity but the striker has spent time with Boca Juniors, Barcelona and Mallorca (though last season he played in Spain’s third tier with Merida).

Derby County and Crystal Palace fans no doubt remember Marco Reich, the German forward who is back in English football with Walsall having joined from Kickers Offenbach. He was quality last time he was here and in League One he should have plenty to offer.

David Livermore was very consistent at Millwall but after joining Leeds in July 2006 the midfielder was sold by the Yorkshire club to Hull less than two weeks later. The Tigers loaned him to Oldham last season but after signing for Brighton permanently in July, I expect him to have real presence for the Seagulls.

A colleague of mine is adamant that the signing of the summer in League One is Kieran Lee, who has joined Oldham from Man Utd. I’ve never seen him play – have you? As a full-back/midfielder he certainly provides options for Latics boss John Sheridan.

Liverpool central defender Jack Hobbs is hoping to gain valuable first-team experience on a season-long loan at Leicester from Liverpool. The Foxes have also brought in defender Michael Morrison from Cambridge United. Manager Nigel Pearson is a former centre-half and both could blossom under his tutelage.

Huddersfield boss Stan Ternent, a wily old operator, has gone for experience with the likes of Chris Lucketti (Sheffield United) and Keigan Parker (Blackpool). Watch out for an improved showing from the Terriers.

In League Two, Lincoln boss Peter Jackson has also gone for experience, bringing in the likes of Frank Sinclair and Stefan Oakes.

Most deals at this level have been either free transfers or season-long loans but one move that caught the eye was Shrewsbury shelling out a club record £170,000 for Forest striker Grant Holt. He didn’t really deliver at Forest but has been prolific through pre-season and will be determined to deliver at his new club.

New boys Exeter have plumped for experience in striker Marcus Stewart. The 35-year-old has made more than 500 league appearances and should bring plenty of knowledge, though his scoring record at previous club Yeovil was far from spectacular.

But one of the best deals in League Two has surely got to be Notts County signing defender Michael Johnson on a permanent contract. He made a huge difference after arriving at Meadow Lane on loan last season and remains an impressive and consistent performer.

But how many potentially sensational signings have I missed and how many of the ones listed above do you think will make a big impression over the coming months?