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Newpaper24 - Global online News around the World 9b2c36b8-3ef3-11e8-b6d9-57447a4b43e5_image_hires_145828 The ‘dementia tsunami’ and why Hong Kong isn’t prepared to deal with anticipated surge in instances as inhabitants ages - NEWPAPER24  Newpaper24 - Global online News around the World 9b2c36b8-3ef3-11e8-b6d9-57447a4b43e5_image_hires_145828 The ‘dementia tsunami’ and why Hong Kong isn’t prepared to deal with anticipated surge in instances as inhabitants ages - NEWPAPER24

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The ‘dementia tsunami’ and why Hong Kong isn’t prepared to deal with anticipated surge in instances as inhabitants ages – NEWPAPER24

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The ‘dementia tsunami’ and why Hong Kong isn’t prepared to deal with anticipated surge in instances as inhabitants ages

2018-04-16 12:00:15


As Hong Kong’s inhabitants ages, specialists warn of a looming disaster over the long-neglected drawback of dementia, a illness that’s misunderstood on many ranges.

Dementia is projected by 2050 to afflict a 3rd of the town’s inhabitants aged 80 or over. The commonest sort is Alzheimer’s illness, a life-limiting sickness marked by a gradual deterioration in a single’s psychological capacities together with reminiscence, judgment and the power to speak.

How one can forestall dementia with way of life modifications together with quitting smoking, exercising and discovering friendship

Eric Chan, a Hong Kong Neurological Society council member, is anxious concerning the public’s poor understanding of dementia. “Within the early levels, individuals can’t differentiate what sort of reminiscence loss is psychological, that’s related to, say Alzheimer’s, or if it’s simply forgetfulness or decline of mind energy because of ageing,” the neurologist says. Consequently, victims get medical consideration later fairly than sooner.

Institutional points complicate the best way instances are dealt with, Chan notes.

“Dementia is a subject that’s fairly individually managed by completely different disciplines: psychiatrists, geriatricians, basic docs, even neurosurgeons in personal observe,” he says. Neurologists in Hong Kong have a much less lively position in coping with dementia than they do elsewhere. He urges a extra built-in method to deal with this difficulty.

Newpaper24 - Global online News around the World  The ‘dementia tsunami’ and why Hong Kong isn’t prepared to deal with anticipated surge in instances as inhabitants ages - NEWPAPER24

Dr Yolanda Lo, government director of the non-profit organisation Ageing and Higher Care Restricted, concurs and provides: “[There are] only a few neurologists, psychiatrists, and psychologists, and specialists and [they] are much more wanted. This isn’t a single drawback.”

In reality, dementia is a ballooning, multi-faceted drawback, one made worse by authorized and medical gaps, that may snowball right into a “dementia tsunami” which Hong Kong can be ill-equipped to deal with as its inhabitants ages, she says.

Newpaper24 - Global online News around the World  The ‘dementia tsunami’ and why Hong Kong isn’t prepared to deal with anticipated surge in instances as inhabitants ages - NEWPAPER24

Lo, too, is alarmed by the shortage of dementia consciousness. She is very involved about ignorance of instruments out there to plan for what occurs if an individual suffers dementia, comparable to advance directives, and a few lack of progress on the general public well being, institutional, and authorized fronts that make the town a harsh and unfriendly place for dementia victims.

Few Hongkongers have heard of or seen an advance directive, but it’s a key ingredient of advance care planning, which an individual makes use of to spell out their end-of-life care preferences within the occasion they turn out to be incapacitated. The formal doc covers specifics comparable to a “DNR”, or do-not-resuscitate, order.

Newpaper24 - Global online News around the World  The ‘dementia tsunami’ and why Hong Kong isn’t prepared to deal with anticipated surge in instances as inhabitants ages - NEWPAPER24

In public hospitals in Hong Kong, medical workers dealing with palliative care provoke such discussions with terminally ailing sufferers comparable to these with late-stage most cancers or renal failure. Lo considers such sufferers lucky in that they find out about advance directives.

The problem for dementia sufferers is that dialogue about an advance directive should occur whereas their amenities are nonetheless intact.

Purposeful Evaluation Staging (FAST) is a typical diagnostic take a look at for Alzheimer’s, which identifies seven levels of the sickness. It may possibly take years for the illness to accentuate from gentle to extreme. By stage seven, signs of extreme cognitive decline are evident: the affected person can’t speak, stroll, eat or breathe on their very own.

Newpaper24 - Global online News around the World  The ‘dementia tsunami’ and why Hong Kong isn’t prepared to deal with anticipated surge in instances as inhabitants ages - NEWPAPER24

Lo says dialogue of an advance directive, and choices about which instructions to make, needs to be made at stage three of Alzheimer’s, when cognitive decline continues to be gentle.

A directive shouldn’t be an entire answer, Lo says, since, even when dementia victims have made choices prematurely, public well being employees could not abide by them.

The time to cope with dementia is now

That’s simply one of many penalties for dementia victims of the absence of a legislation governing advance directives in Hong Kong. “The ambulance crew don’t honour the advance directive as a result of there isn’t a laws,” Lo says. They are going to try to save lots of a life even when the affected person has accomplished a type that claims they don’t need to be resuscitated.

One other complication is the absence of a central registry of advance directives. Well being care professionals lament the challenges of the current guide system of flagging data that makes it tough to examine the validity of a directive and whether or not a selected hospital department has the freshest model of a affected person’s directive.

Newpaper24 - Global online News around the World  The ‘dementia tsunami’ and why Hong Kong isn’t prepared to deal with anticipated surge in instances as inhabitants ages - NEWPAPER24

Care suppliers could in the end disregard an advance directive as a result of they concern the authorized repercussions of following it.

One among 18 older adults Lo surveyed in a 2017 Metropolis College of Hong Kong examine as a part of an investigation of advance care planning described the problem of discovering somebody to be accountable for talking up for a affected person after they can now not communicate up for themselves. “Now all three of us [never-married individuals] want well being care proxies … how can we presumably ask our solely niece to behave for all of us? She’ll be scared away,” this 74-year-old responded.

How dementia is attributable to mini strokes, how you can detect it early and 9 methods to scale back your danger

Lo advocates speaking about dementia with one’s youngsters in order that, fairly than keep away from the subject, relations plan for the chance and take motion. She urges the Hong Kong authorities want to enhance training about, and consciousness of, points surrounding dementia, together with using advance directives to plan future care.

“If there’s public training, then we now have consciousness,” she says. Lo encourages Hongkongers to find out about dementia and households to construct consensus a few dementia sufferer’s end-of-life care preferences.

Her examine notes that one specific group could also be weak when dementia care in Hong Kong turns into a disaster: single individuals, whether or not widowed, divorced, or by no means married.

Probably the most tough factor prematurely care planning is discovering a surrogate or proxy

Dr Yolanda Lo

There may be intensive proof that individuals dwelling alone have the next danger of creating dementia. A 2017 examine printed within the Journal of Neurology, Neurosurgery and Psychiatry discovered the danger of dementia for single individuals was 42 per cent greater than that for {couples}. The researchers counsel a part of the rationale for that is their decrease degree of social stimulation.

The variety of single aged in Hong Kong is forecast to rise to 1.13 million, or greater than 41 per cent of over-65s, by 2064. Lo says single individuals are not conscious that they’re at greater danger of struggling dementia and that they should determine and designate a proxy – somebody to talk on their behalf if they can not communicate for themselves.

Digital detox ideas and how you can change off from units to keep away from digital dementia: specialists give their recommendation

“Probably the most tough factor prematurely care planning is discovering a surrogate or proxy,” she mentioned.

“We want training, we want prevention, we want planning; our authorized instruments, our manpower, our training and our skilled coaching all must step up.”



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Hong Kong public hospitals chief Leung Pak-yin to give up when contract ends in 2019 – NEWPAPER24

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Newpaper24 - Global online News around the World ec1679c4-493b-11e8-85b3-af25d27017e0_image_hires_081417 Hong Kong public hospitals chief Leung Pak-yin to give up when contract ends in 2019 - NEWPAPER24

Hong Kong public hospitals chief Leung Pak-yin to give up when contract ends in 2019

2018-04-27 02:00:28


The top of Hong Kong’s Hospital Authority will go away the organisation, which has been rocked by a sequence of latest blunders, when his contract ends subsequent yr.

Dr Leung Pak-yin, who turns 60 subsequent yr, described his resolution to go away after 9 years as chief govt as “emotional and troublesome”. In a letter to his 76,000 employees on Thursday, Leung additionally stated his greater than 10-year stint on the authority, which runs town’s public hospitals, was “essentially the most wonderful web page” in his life.

Leung, the authority’s longest-serving boss, would depart the publish at nicely under the federal government’s retirement age of 65. Earlier than taking on the highest job in 2010, Leung was the authority’s first director for high quality and security, a place created to cut back so-called sentinel occasions – a time period for blunders and untoward incidents in well being care.

Newpaper24 - Global online News around the World  Hong Kong public hospitals chief Leung Pak-yin to give up when contract ends in 2019 - NEWPAPER24

Information of his departure got here with the authority having acquired a finances of HK$61 billion (US$7.7 billion) this monetary yr, an 11 per cent rise over final yr, and a authorities dedication to push on with the second 10-year improvement plan to enhance ageing hospital amenities.

5,000 extra hospital beds, higher working amenities by 2026

“Leaving the HA is an emotional and troublesome resolution for me,” Leung wrote. Nevertheless, “I’m excited to have the ability to begin a brand new chapter of my life quickly, however undoubtedly really feel unhappy to say goodbye to this huge household.”

Latest incidents the authority has confronted embody the case of a mind going lacking after an post-mortem at North District Hospital. On high of that, well being secretary Sophia Chan Siu-chee introduced a probe right into a suspected medical blunder at United Christian Hospital that left a 15-year-old lady half-paralysed after one among her arteries was wrongly pierced throughout a medical process.

Newpaper24 - Global online News around the World  Hong Kong public hospitals chief Leung Pak-yin to give up when contract ends in 2019 - NEWPAPER24

As deputy director of well being in 2004, Leung grew to become the primary controller of the Division of Well being’s Centre for Well being Safety, which was arrange as a response to the SARS outbreak the earlier yr. He was seconded to the authority in 2007.

Leung stated he was honoured to have served as chief govt of those “sturdy devoted groups’’.

“We’ve got overcome many challenges and difficulties through the years, and however the quite a few tough days and nights, now we have upheld our resolve and efforts which finally enabled constructive modifications and enhancements.”

Is Hong Kong prepared for the following lethal epidemic?

Authority chairman John Leong Chi-yan paid tribute to Leung’s dedication and dedication, which have been “pivotal to the continual enhancements of Hong Kong’s public well being care system”.

Sufferers’ rights advocate Tim Pang Hung-cheong additionally had good issues to say about Leung’s management.

“He respects and attaches significance to sufferers’ opinion,” stated Pang, including that Leung had often met representatives from varied teams to get their ideas.

Newpaper24 - Global online News around the World  Hong Kong public hospitals chief Leung Pak-yin to give up when contract ends in 2019 - NEWPAPER24

Pang additionally stated {that a} reporting mechanism on medical blunders launched after Leung joined the authority had restored public confidence in public well being care providers.

However he stated Leung may have finished higher on together with sufferers’ voices on extra points such because the mechanism for introducing medication.

Dr Mak Siu-king, president of Hong Kong Public Docs’ Affiliation, described Leung as a “listener”.

“He may be discovered once we wish to talk about a problem with him,” Mak stated, including that Leung would comply with up on issues which have been raised by frontline medics.

Mak hoped Leung’s successor can be acquainted with the operations of town’s public well being care system and proceed to hearken to frontline employees.

Hong Kong’s struggling public hospitals want a transfusion of medical doctors and nurses from abroad

Leung’s contract ends in November subsequent yr.

The authority is a statutory physique chargeable for managing Hong Kong’s 43 public hospitals and establishments, 48 specialist outpatient clinics and 73 common outpatient clinics offering a complete of 28,329 beds.

Further reporting by Elizabeth Cheung



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Elbow’s Man Garvey to be songwriting professor – NEWPAPER24

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Newpaper24 - Global online News around the World _101054836_cf7e8c21-17eb-4f21-9265-d22926cc6201 Elbow's Man Garvey to be songwriting professor - NEWPAPER24

Elbow’s Man Garvey to be songwriting professor

2018-04-27 00:39:44

Picture caption Garvey obtained an Ivor Novello award in 2009 for the lyrics for Elbow’s hit One Day Like This

Singer Man Garvey is to turn into a professor of songwriting at Manchester Metropolitan College (MMU).

The Elbow frontman, described as “the foremost lyricist of his era”, mentioned he would cross on what he had discovered from songwriters comparable to Sir Elton John and Robert Plant.

He added he was trying ahead to “working with names that everybody will come to know”.

Garvey may also give a masterclass in writing for music as a part of his position.

Elbow gained an Ivor Novello music and lyrics award in 2009 for One Day Like This and have been nominated in the identical class for the 2018 awards for Magnificent (She Says).

Picture copyright Getty Pictures
Picture caption Elbow gained the Mercury Music Prize in 2008 for the album The Seldom Seen Child

Garvey mentioned he had “by no means had a dialog with one other author that hasn’t not directly knowledgeable my very own work”.

The Newpaper24 Radio 6 Music presenter mentioned he had “been fortunate sufficient to be taught from among the finest ever” and wished to cross that have on.

He added that Manchester “has nurtured among the perfect” names in music.

Adam O’Riordan, who leads MMU’s Manchester Writing Faculty, mentioned Garvey becoming a member of the staff as a visiting professor “feels very particular”.

“Because the foremost lyricist of his era… he’ll convey a wealth of expertise, ardour and knowledge,” he added.

Elbow’s fourth album, The Seldom Seen Child, gained the 2008 Mercury Music Prize and the band have been named Finest British Group on the 2009 Brit Awards.

The singer, who was given an honorary doctorate by MMU in 2012, has additionally turned his hand to appearing and can quickly be seen reprising his position as Kayleigh’s brother-in-law in Peter Kay’s Automobile Share.

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‘Bespoke options’ looked for 4 Scottish Borders faculties – NEWPAPER24

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Newpaper24 - Global online News around the World _98569354_bordersschoolsmix 'Bespoke options' looked for 4 Scottish Borders faculties - NEWPAPER24

‘Bespoke options’ looked for 4 Scottish Borders faculties

2018-04-27 00:04:56

Picture copyright Geograph/Google
Picture caption Plans might be developed to assist maximise funding to switch the 4 faculties

Particular person “bespoke options” are to be developed for 4 secondary faculties within the Scottish Borders.

It comes after three of them had been discovered to have main defects or had been discovered to be in fixed want of restore.

Scottish Borders Council has agreed to create “individualised strategic plans” for the websites in Galashiels, Hawick, Peebles and Selkirk.

The council hopes to switch all 4 of the colleges throughout the subsequent 10 to 15 years.

A latest evaluation graded Galashiels Academy, Hawick Excessive Faculty and Selkirk Excessive Faculty as being in “poor” situation.

Peebles Excessive Faculty was rated as “sufficient” with solely minor repairs wanted.

Now particular person plans for every college might be developed in the direction of changing them in an effort to maximise the funding obtainable.

Within the meantime, some enchancment works might be carried out.

A progress report might be introduced again to the council in October.

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