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== the muscles of the pelvic floor — ==

<div id="js-article-text" class="article-text float-l " ><h1>Tired? You may have too much iron in your blood<br></h1><p><span class="article-timestamp"><strong>PUBLISHED:</strong>01:37 GMT,mulberrybagscheapuksale, 5 March 2013</span> <span class="article-timestamp"><strong>UPDATED:</strong>01:37 GMT, 5 March 2013</span></p><p></p><h2 style="color: rgb(51, 204, 204);"><font style="font-size: 1.2em;">My 41-year-old son has been diagnosed with haemochromatosis, excess iron in the blood,christian louboutin shoes. <br></font></h2><h2 style="color: rgb(51, 204, 204);"><font style="font-size: 1.2em;">The treatment is for him to have half-a-litre of blood removed every week for a year. <br></font></h2><h2 style="color: rgb(51, 204, 204);"><font style="font-size: 1.2em;">I am very concerned &#8212; can he replace this blood so quickly?</font></h2><h2 style="color: rgb(51, 204, 204);"><font style="font-size:1.2em;">And should he nothave some kind of supplement to his diet to help his body deal with this?</font></h2><h2><font style="font-size: 1.2em;">Robert Robson, by email.</font></h2><p><font style="font-size:1.2em;">This treatment does sound alarming, but pleased be assured &#8212; your son has been correctly advised and is being properly treated.</font></p><p><font style="font-size:1.2em;">His condition, haemochromatosis, is a genetic disorder that causes the intestine to absorb excessive amounts of iron from food during digestion.</font></p><p><font style="font-size: 1.2em;">Iron is an essential component of the blood, and is responsible for transporting oxygen around the body as part of the compound haemoglobin.</font></p><p><font style="font-size:1.2em;">However, in excessive amounts it can be harmful. Normally, we absorb around one or two milligrams of iron each day from the food we eat &#8212; this is enough to keep our stores toppedup. </font></p><p><font style="font-size:1.2em;">By contrast, someone such as your son will absorb up to four times that quantity, and this will accumulate as the years pass. </font></p><p><font style="font-size:1.2em;">So by middle age the body may contain as much as 20 grams of iron (most people have around four grams).</font></p><p><font style="font-size:1.2em;">Although the body does lose some iron from the body from shed skin cells, sweat, and, in women, menstruation, this is not enough to clear the excess.</font></p><p><font style="font-size: 1.2em;">This build-up can have widespread effects throughout the body. <br></font></p><p><font style="font-size:1.2em;">Three-quarters of people with haemochromatosis will have weakness and lethargy, and there may also be liver damage and pigmentation of the skin. <br></font></p><p><font style="font-size: 1.2em;">Loss of libido and impotence are common, and affect 45 per cent of sufferers, and diabetes affects half of sufferers due to damage to the pancreas.</font></p><p><font style="font-size: 1.2em;">Damage to heart muscle can also occur,and there may also be joint pains. <br></font></p><p><font style="font-size: 1.2em;">These are serious potential complications, but fortunately, treatment is simple &#8212; as you have been made aware. <br></font></p><p><font style="font-size:1.2em;">Removing 500ml of blood (&#8216;one unit&#8217;) removes 200 to 250mg ofiron. This removal stimulates the bone marrow to make new blood cells. </font></p><p><font style="font-size:1.2em;">In making new cells, the body removes the excess iron and over a year of blood removal much of the damage is prevented or even reversed,christian louboutin uk. </font></p><p><font style="font-size:1.2em;">The body will easily be able to replace the blood that is being removed, so please do not worry that he will be left deficient. </font></p><p><font style="font-size:1.2em;">No supplements are needed if your son is eating normally, but when he has blood taken he should drink enough fluid and avoid vigorous exercise for 24 hours.</font></p><p><font style="font-size: 1.2em;">Once his iron stores are lowered to a suitable level he will need a long-term maintenance programme in which one unit of blood is removed every couple of months, and he will remain well.</font></p><p><font style="font-size: 1.2em;">Do be reassured &#8212; this is a safe and effective treatment for him.</font></p><p><font style="font-size:1.2em;"><br></font></p><h2 style="color: rgb(51, 204, 204);"><font style="font-size:1.2em;">For some time I have suffered a prolapse but this has not stopped me doing anything &#8212; I enjoy gardening, cooking and dancing. </font></h2><h2 style="color: rgb(51, 204, 204);"><font style="font-size:1.2em;">However, when lifting shopping recently it seemed to get worse. </font></h2><h2 style="color: rgb(51, 204, 204);"><font style="font-size:1.2em;">A gynaecologist has told me I need a hysterectomy (the appointment was rather distressing and consisted of him prodding me around and talking to the student nurses about my case as if I wasn&#8217;t there).</font></h2><h2 style="color: rgb(51, 204, 204);"><font style="font-size: 1.2em;">I am considering cancelling &#8212; why should I put my body through this when I feel fine at the moment? <br></font></h2><h2 style="color: rgb(51, 204, 204);"><font style="font-size:1.2em;">But myfamily want me to go ahead &#8212; can you give me your opinion?</font></h2><h2><font style="font-size:1.2em;">R.&#8201;M., Southampton.</font></h2><p><font style="font-size:1.2em;">This has been an upsetting experience for you &#8212; and I can see there are two problems on which to advise. </font></p><p><font style="font-size: 1.2em;">The more simple is the nature of prolapse and what is to be done about it. <br></font></p><p><font style="font-size: 1.2em;">More difficult is how to put you at ease after the distress and trauma you were put through.</font></p><p><font style="font-size:1.2em;">The impression I get is that you were treated very objectively, it seems rather roughly, as a teaching subject,louboutin uk. </font></p><p><font style="font-size:1.2em;">This was not the careful supportive and educational experience you expected and deserved, and I am not surprised your confidence is faltering.</font></p><p><font style="font-size: 1.2em;">A prolapse occurs when the muscles supporting the uterus &#8212; the muscles of the pelvic floor &#8212; weaken and stretch with age. <br></font></p><p><font style="font-size: 1.2em;">These muscles could also have been weakened by childbirth many years earlier. <br></font></p><p><font style="font-size:1.2em;">When this happens,cheap ghd, anything that increases pressure in the abdomen will force the uterus downwards, into,and through the vagina. </font></p><p><font style="font-size:1.2em;">This force can come from innocuous activities such as coughing, lifting a weight or straining to empty the bowel.</font></p><p><font style="font-size:1.2em;">While this can be repaired surgically, evidence suggests a more effective outcome is to remove the uterus, and this is why the gynaecologist stated that you should undergo a hysterectomy.</font></p><p><font style="font-size: 1.2em;">It is possible to hold the uterus up with a firm rubber or plastic device inserted into the vagina called a pessary.</font></p><p><font style="font-size:1.2em;"> This can be seen as a temporary solution or usedinthose who are not fit enough for surgery due to other healthproblems,Mulberry sale. </font></p><p><font style="font-size:1.2em;">However,Mulberry bags, the pessary needs to be replaced every few months for reasons of hygiene, so is not an ideal long-term solution.</font></p><p><font style="font-size:1.2em;">Doing nothing is probably not a good option as the condition will gradually worsen. </font></p><p><font style="font-size:1.2em;">This can interfere with normal bladder function and may also make evacuation of the bowels difficult.</font></p><p><font style="font-size:1.2em;">In terms of the operation itself, it is very often possible for the uterus to be removed vaginally, without the need for an incision in the abdomen.</font></p><p><font style="font-size:1.2em;">A general anaesthetic is the usual routine for this, although it can also be done with epidural anaesthesia along with intravenous sedation so you are almost asleep and unaware throughout. </font></p><p><font style="font-size: 1.2em;">I hope the shock and upset caused by the way you were handled has now faded and you are in a position to move forwards.</font></p><p><br></p><h2 style="font-style: italic;"><font style="font-size:1.2em;">By the way...</font></h2><h2><font style="font-size:1.2em;">Why this delay in testing doctors&#8217; English?</font></h2><p><font style="font-size: 1.2em;"><span style="font-weight: bold;">On finishing their training at medical school, all doctors must present their credentials to the General Medical Council (GMC), the registration body that exists to protect and maintain the health and safety of the public. </span><br style="font-weight: bold;"><span style="font-weight: bold;"></span></font></p><p><font style="font-size: 1.2em;"><span style="font-weight: bold;">The upholding of standards is a difficult task because of the balance to be achieved between protecting the public and being fair to the doctors &#8212; and there has always been a feeling, possibly misplaced, that the Council has tended to take the side of the doctors. </span><br style="font-weight: bold;"><span style="font-weight: bold;"></span></font></p><p><font style="font-size: 1.2em;"><span style="font-weight: bold;">Closing ranks, as the saying goes.</span><br style="font-weight: bold;"><span style="font-weight: bold;"></span></font></p><p><font style="font-size: 1.2em;"><span style="font-weight: bold;">For most of my 40-year career the regulator seemed to be fairly sleepy, mainly obsessed about whether or not doctors were sleeping with their patients, but not really very interested in the maintenance of standards.</span><br style="font-weight: bold;"><span style="font-weight: bold;"></span></font></p><p><font style="font-size: 1.2em;"><span style="font-weight: bold;">Until 2004 that is, when the critical focus of Dame Janet Smith was applied as part of her investigation into issues arising from the case of mass murderer Harold Shipman. <br></span></font></p><p><font style="font-size: 1.2em;"><span style="font-weight: bold;">Dame Janet identified multiple deficiencies in the procedures of the Council, and much of this has now been remedied,ghd sale. </span><br style="font-weight: bold;"><span style="font-weight: bold;"></span></font></p><p><font style="font-size: 1.2em;"><span style="font-weight: bold;">The GMC has woken up and is starting to perform &#8212; but part of the problem has been the general uselessness and slack performance of Parliament.</span><br style="font-weight: bold;"><span style="font-weight: bold;"></span></font></p><p><font style="font-size: 1.2em;"><span style="font-weight: bold;">Never was this writ larger than with the issue of doctors&#8217; ability to speak English.</span><br style="font-weight: bold;"><span style="font-weight: bold;"></span></font></p><p><font style="font-size: 1.2em;"><span style="font-weight: bold;">The GMC is independent of both the Government and the profession, but is accountable to Parliament.</span><br style="font-weight: bold;"><span style="font-weight: bold;"></span></font></p><p><font style="font-size: 1.2em;"><span style="font-weight: bold;">It&#8217;s complicated, but one consequence of this is that while for years the GMC has been able to check the language skills of doctors from outside Europe, it&#8217;s only just been given the authority &#8212; through a change in the legislation via Parliament &#8212; to check in on those who qualify within the European Union.</span><br style="font-weight: bold;"><span style="font-weight: bold;"></span></font></p><p><font style="font-size: 1.2em;"><span style="font-weight: bold;">How often have I banged on in this column about the pivotal role of good communication in medical care? </span><br style="font-weight: bold;"><span style="font-weight: bold;"></span></font></p><p><font style="font-size: 1.2em;"><span style="font-weight: bold;">How many patients have suffered directly as a result of the poor English skills of their EU doctor,ghd hair straighteners?</span><br style="font-weight: bold;"><span style="font-weight: bold;"></span></font></p><p><font style="font-size: 1.2em;"><span style="font-weight: bold;">Oddly,Mulberry outlet, one of my friends, a consultant dermatologist, is English yet he graduated in medicine from a university in Germany &#8212; and on completing his degree there he had to pass a test of competence in speaking German before he was allowed to see a single patient.</span><br style="font-weight: bold;"><span style="font-weight: bold;"></span></font></p><p><font style="font-size: 1.2em;"><span style="font-weight: bold;">Why have our parliamentarians been dilatory on this issue? </span><br style="font-weight: bold;"><span style="font-weight: bold;"></span></font></p><p><font style="font-size:1.2em;"><span style="font-weight: bold;">Hopefully now there will be progress &#8212; and patient protection &#8212; at last.</span><br></font></p><p> </p>             </div>
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== 'Bribing Steven seemed to work ==

<div id="js-article-text" class="article-text wide"><h1>The drinks are on Finn! England bowler revels in glory after solid display with bat<br></h1><p> By </p><p><span class="article-timestamp"><strong>PUBLISHED:</strong>04:36 GMT, 10 March 2013</span> <span class="article-timestamp"><strong>UPDATED:</strong>09:47 GMT, 10 March 2013</span></p><p><font style="font-size: 1.2em;">The drinks will be on the 'Watford Wall' Steven Finn when he returns home after his nightwatchman heroics helped England salvage a draw in the first Test against New Zealand.</font></p><p><font style="font-size: 1.2em;">Come what may in two more matches of a series England were expected by many to win easily, Finn has already earned rich reward from his team-mates for almost five hours of defiance on the final day at the University Oval in Dunedin.</font></p><p><font style="font-size: 1.2em;">Captain Alastair Cook and James Anderson, previous incumbent as England's resident nightwatchman, both promised to ship two cases of wine to Finn's house as an incentive during his maiden half-century - not just in Tests but any professional cricket.</font></p><p><font style="font-size: 1.2em;">Shunted up from number nine to three,Finn made a nonsense of his previous first-class best 32 with a painstaking innings of 56 which delayed the Kiwis for 203 balls and allowed England to reach the safety of 421 for six - 128 runs in front thanks too to Cook's 24th Test century, fellow opener Nick Compton's first and 52 from Jonathan Trott.</font></p><p><font style="font-size: 1.2em;">It all means England can head after all for the second Test in Wellington still all square, despite their first-innings collapse to 167 all out.</font></p><p><font style="font-size: 1.2em;">For Finn, when the time comes to reflect on his significant part in the successful rearguard, he will be able to relax as well with more than a glass or two of white or red,christian louboutin uk.</font></p><p><font style="font-size: 1.2em;">'All I know is there will be a few cases of wine being sent to my house back in England,louboutin shoes,' the fast bowler told www.ecbtv.co.uk.</font></p><p><font style="font-size: 1.2em;">'I think it was a case of wine from Cook and a case from Jimmy, if I saw it through to lunch and then tea.</font></p><p><font style="font-size: 1.2em;">'So I've got four cases of wine coming my way, I think.'</font></p><p><font style="font-size: 1.2em;">Finn could perhaps have been forgiven for more animated celebrations when he completed his 50.</font></p><p><font style="font-size: 1.2em;">But mindful of other tailenders' histrionics in similar circumstances, and unfamiliar with the etiquette despite a top score of 106 in club cricket, he remained understated.</font></p><p> </p><p><font style="font-size: 1.2em;">'I remember watching Glenn McGrath and he was riding his bat like a pony,' said Finn.</font></p><p><font style="font-size: 1.2em;">'I thought to myself I wasn't going to do that.</font></p><p><font style="font-size: 1.2em;">'I haven't done it for years. So it was a bit alien holding the bat up, but good fun.'</font></p><p><font style="font-size: 1.2em;">Cook, meanwhile, can consider his andAnderson's outlay well-spent - and he is already contemplating repeat tactics, should the situation recur.</font></p><p><font style="font-size: 1.2em;">'Bribing Steven seemed to work,ghd sale, so maybe we can apply that again,louboutin uk,' he said.</font></p><p><font style="font-size: 1.2em;">'He gets well-rewarded for his efforts today. He's done very well out of a few of the lads.'</font></p><p><font style="font-size: 1.2em;">So motivated was Finn, in fact, that Cook's opposite number Brendon McCullum was astounded by his improvementsince they played together in New Zealand domestic cricket,Mulberry handbags.</font></p><p><font style="font-size: 1.2em;">Asked if he was shocked a nightwatchman could occupy the crease for so long, the Kiwi captain said: 'Yes, especially Finny.</font></p><p><font style="font-size: 1.2em;">'He played at Otago and I've seen his batting before ... he's certainly worked on it.'</font></p><p><font style="font-size: 1.2em;">Cook was surprised too, but delighted,Mulberry uk.</font></p><p><font style="font-size: 1.2em;">'The way Steven applied himself was fantastic,' said the left-hander.</font></p><p><font style="font-size: 1.2em;">'I certainly didn't know he had that in him and I don't think he did either.</font></p><p><font style="font-size: 1.2em;">'But it shows when you really put your mind to something and you're very disciplined on a flat wicket, anyone can make themselves very hard to get out.</font></p><p><font style="font-size: 1.2em;">'We've always known he's got a solid defence and he showed that today.'</font></p><p><font style="font-size: 1.2em;">Finn was vindicating England's decision to replace Anderson as their nightwatchman - and Cook's confidence in Compton was also borne out,mulberrybagscheapuksale.</font></p><p><font style="font-size: 1.2em;">'It's always a great time to be part of that history when someone scores their first hundred,' he said.</font></p><p><font style="font-size: 1.2em;">'Any time you get nought for England, you're under pressure in the second innings - and he played like he can.</font></p><p><font style="font-size: 1.2em;">'It's great that he's gone on to get ahundred and I think we'll see him take a big step forward because a hundred as an opening batter for England will give you a huge amount of confidence.</font></p><p><font style="font-size: 1.2em;">'Knowing you can perform at this level is a big mental hurdle for any batsman.'</font></p><p><font style="font-size: 1.2em;">Cook believes England too can take encouragement from their resilience after that worrying first-innings blip.</font></p><p><font style="font-size: 1.2em;">'When you get bowled out for 160 in the first innings on a good wicket ,louboutin shoes... you're always facing an uphill battle just to save the game,' he added.</font></p><p><font style="font-size: 1.2em;">'We certainly felt after day one pretty much it was damage limitation from there on,Mulberry outlet.</font></p><p><font style="font-size: 1.2em;">'If you look at pretty much all the shots, it was poor execution - you can describe them as soft dismissals,ghd straighteners.</font></p><p><font style="font-size: 1.2em;">'It's very hard to come back in a game from there. But the character we showed to dig ourselves out of that hole is very pleasing.</font></p><p><font style="font-size: 1.2em;">'We've been lucky certainly, in one sense, to escape with a draw.</font></p><p><font style="font-size: 1.2em;">'It's a huge reminder that, if you don't perform, you don't deserve to win anything.'</font></p><p><font style="font-size: 1.2em;">Meanwhile, Kevin Pietersen is expected to be fit for next week's second Test, despite concern over pain in his right knee.</font></p><p><font style="font-size:1.2em;">New Zealand will announce their squad for the second Test tomorrow, with an update on frontline seamer Doug Bracewell's availability anticipated as he recovers from the foot injurywhich ruled him out in Dunedin.</font></p><p></p>             </div>
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== The Chancellor is a keen proponent of shale gas – ==

<div id="js-article-text" class="article-text wide"><h1>Foreign firms cash in on fracking boom in the UK: Most companies licensed to drill using technique are not British-owned</h1><p> By </p><p><span class="article-timestamp"><strong>PUBLISHED:</strong>02:10 GMT, 5 March 2013</span> <span class="article-timestamp"><strong>UPDATED:</strong>07:52 GMT, 5 March 2013</span></p><p><font style="font-size: 1.2em;">The shale gas energy boom which critics say will scar the countryside could line the pockets of foreign firms rather than boosting the British economy,ghd hair straighteners.</font></p><p><font style="font-size: 1.2em;">Most of the companies licensed to drill for the fuel using the controversial technique known as fracking are not UK-owned, it can be revealed. <br></font></p><p><font style="font-size: 1.2em;">The biggest is IGas, which controls a sixth of the exploration rights issued so far. Last month,christian louboutin sale, its largest shareholder was bought by the Chinese government.</font></p><p><font style="font-size: 1.2em;">Other firms granted licences have Australian or US backers</font>.</p><p><font style="font-size: 1.2em;">Among the plots where IGas has the right to drill is land in George Osborne&#8217,ghd straighteners;s shale-rich Tatton constituency in Cheshire.</font></p><p><font style="font-size: 1.2em;">The Chancellor is a keen proponent of shale gas &#8211,Mulberry handbags; he is expected to bring in tax breaks for the industry &#8211; but with fears over noise and pollution it is unclear whether his constituents will share his enthusiasm,Mulberry bags. <br></font></p><p><font style="font-size: 1.2em;">Supporters of fracking claim it could bring down energy bills, but opponents insist it will scar the landscape and pollute water.</font></p><p><font style="font-size: 1.2em;">In the coming weeks, a report by the British Geological Survey is expected to announce that shale gas deposits are far larger than previously predicted, fuelling hopes that the UK&#8217;s energy landscape can be transformed in the same way as in the US,mulberrybagscheapuksale, where drilling has helped cut prices. <br></font></p><p><font style="font-size: 1.2em;">David Cameron wants to see Britain at the heart of the &#8216,Mulberry uk;shale gas revolution&#8217;. But analysis of Department of Energy and Climate Change data by Greenpeace indicates that six out of ten licences are held by companies with a foreign firm as their only or main investor.</font></p><p><font style="font-size: 1.2em;">Barry Gardiner, Labour&#8217;s special envoy for Climate Change warned that shale gas will be much harder to exploit in Britain than in the US.</font></p><p><font style="font-size: 1.2em;">He said: &#8216;In an age of international contracts, inevitably you are looking at multi-national concerns being involved. <br></font></p><p><font style="font-size: 1.2em;">'It is never the case that the benefits are going to end up back in the domestic country unless there is a state monopoly. But the concern is that the ultimate beneficiaries will end up being elsewhere.</font></p><p><font style="font-size:1.2em;">&#8216;We are in a very different situation than the US,cheap christian louboutin, we are a much more densely populated country and it will be very problematic to drill for shale gas here.&#8217;</font></p><p><font style="font-size: 1.2em;">The controversial technique to extract shale gas - known as fracking - uses a high-pressured mix of water and chemicals to force out reserves from deep layers of rock. <br></font></p><p><font style="font-size: 1.2em;">Campaigners claim drilling could scar the British countryside, pollute water supplies, and clog roads with hundreds of lorries transporting gas and dirty water.<br></font></p><p><font style="font-size: 1.2em;">Greenpeace energy campaigner Lawrence Carter said: &#8216;The Government has earmarked nearly two thirds of England for potential fracking, despite everyone from BP to the Energy Secretary to energy regulator Ofgem saying that UK shale gas won&#8217;t bring down bills,ghd hair straighteners.</font></p><p><font style="font-size: 1.2em;">&#8216;Now we find that over half of the drilling rights in the UK are held by companies that are significantly made up of foreign interests, including the Chinese government. <br></font></p><p><font style="font-size:1.2em;">'We already know the Chancellor is offering them generous tax breaks, so you have to ask yourself how consumers and the wider economy will benefit, let alone the climate,Mulberry bags.&#8217; <br></font></p><p><br></p>              </div>
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