News & Current Affairs

September 7, 2008

Vein tubes ‘fitted needlessly’

Vein tubes ‘fitted needlessly’

Cannula being inserted in order to take blood

Cannulas are used to help take blood and to give drugs and fluids

A third of patients have unnecessary tubes inserted into veins when they are in hospital, pharmacists have warned.

Researchers from Aberdeen’s Robert Gordon University said this needlessly exposed them to serious complications, such as infections and blood clots.

Just under 350 patients were studied over six weeks, the majority of whom had the tubes, called cannulas, fitted.

An A&E expert recognized cannulas should be used less frequently and for shorter periods.

It’s entirely reasonable to look at their use
Dr Martin Shalley, emergency medicine consultant

The study was presented to the British Pharmaceutical Conference in Manchester.

Cannulas – hollow plastic tubes with a needle at the tip which cost around £1.70 each – are used to give medication and fluids to people who cannot swallow because they are unconscious or being given nil by mouth, and it has been estimated that around 80% of hospital patients have them fitted.

Drugs may also be more easily absorbed if given this way.

But potential complications include problems with veins (phlebitis), drugs leaking into tissues around the site of the tube, serious infection and blood clots.

‘Common practice’

Of the patients studied – who were all treated in the acute medical assessment unit of Aberdeen Royal Infirmary, 91% of patients had a cannula inserted. But 28% of the tubes were never used.

The researchers also found that in 71% of patient records there was no documentation of a cannula being inserted, while in 57% there was no documentation of it being removed.

Four patients had developed blood poisoning, which infection control specialists said was likely to be linked to the cannula.

The researchers, led by Dr Yash Kumarasamy, said that in many UK hospitals, it has become common practice to insert an intravenous cannula when the patient is admitted, irrespective of need.

He said: “We would like to see the introduction of a formal procedure under which hospital pharmacists review patients and their medications and make recommendations to the treatment team about whether or not a cannula is needed.”

Dr Martin Shalley, a former president of the British Association of Emergency Medicine, agreed there had been an over-reliance on cannula use.

He said many trusts had policies saying cannulas had to be removed after 72 hours

“It used to be a knee-jerk response to insert a cannula – but we now recognise there’s a need to think if fitting one is a benefit for that patient.

“It’s entirely reasonable to look at their use. That’s the case in A&E medicine and across acute medicine too.”

And Dr Shalley said he thought the level of use of cannulas had increased the level of hospital-acquired infections such as MRSA.

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September 4, 2008

BP moves to settle Russia dispute

BP moves to settle Russia dispute

TNK Plaque

The row has focused attention on the rights of foreign investors in Russia.

BP has signed an agreement aimed at solving a festering dispute over control of its Russian venture TNK-BP.

The boss of TNK-BP, Robert Dudley, will step down as part of the deal with the Russian billionaires that control half of the business.

Three independent directors will also be appointed to TNK-BP’s board.

Mr Dudley’s departure had been central to the power struggle between BP and the Russian investors in the venture, which accounts for 25% of BP’s profits.

The memorandum of understanding, signed on Thursday, also includes the option to list up to 20% of the venture on international markets.

TNK-BP’s Russian partners had long called for Mr Dudley’s departure and Mr Dudley left Russia in July in the face of what he said was “sustained harassment”.

This is a positive signal for the Russian market
Igor Sechin, Russian deputy prime minister

BP said it had agreed to offer a Russian-speaking candidate for the post, with extensive Russian business experience.

The Russian shareholders had accused BP of running TNK-BP like a subsidiary and Mr Dudley of favoring the British shareholder.

BP chairman Peter Sutherland said that the agreement, to be finalised over coming months, would relieve recent tensions between the two sides.

“It will create a stable base from which to grow the joint venture to the benefit of everyone involved, including the Russian state,” Mr Sutherland said

He said that Mr Dudley had been an outstanding chief executive and would be hard to replace.

‘Positive signal’

BP owns 50% of the venture while the Russian shareholding is made up of a number of Russian billionaires who control a consortium known as Alfa Access Renova (AAR).

Russia welcomed the compromise between AAR and BP.

“We are pleased that this situation has been resolved and the shareholders have come to an agreement without the involvement of third parties, including the state,” said Igor Sechin, Deputy Prime Minister of the Russian Federation.

“This is a positive signal for the Russian market. We support the development of TNK-BP and believe that this company has excellent long-term prospects.”

Viktor Vekselberg, chairman of Renova, said the agreement was the result of difficult negotiations.

“Most importantly, emotions were not allowed to prevail over common sense and both sides found the solution that best meets the interests of TNK-BP,” he said.

August 28, 2008

For those too young to remember the Cold War…

For those too young to remember the Cold War…

WarGames

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.

Sting

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.

Frankie Goes to Hollywood

…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

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.


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

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