“We really want the government to act'
Hundreds of ambulance staff and paramedics have walked out again across Northamptonshire in another planned strike over pay. East Midlands Ambulance Service said it believes up to half of its 4,000-strong workforce are not be at work.
Health secretary Steve Barclay said the strikes were "extremely regrettable". He told BBC Breakfast that the NHS is already under “very severe pressure" which has seen a "seven-fold increase in flu admissions".GMB officer Rachelle Wilkins, who attended the picket line with members at Mereway Ambulance Station in Northampton, said members wanted a pay rise in line with inflation after “bitterly disappointing” progress so far in talks with the government.
Members also want to improve their working conditions and the NHS is “quite clearly in crisis” with long waits for ambulances to drop off patients at hospitals throughout England, she added.
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Association of shift work with incident dementia: a community-based cohort study - BMC MedicineBackground Some observational studies had found that shift work would increase risks of metabolic disorders, cancers, and cardiovascular diseases, but there was no homogeneous evidence of such an association between shift work and incident dementia. This study aimed to investigate whether shift work would increase the risk of dementia in a general population. Methods One hundred seventy thousand seven hundred twenty-two employed participants without cognitive impairment or dementia at baseline recruited between 2006 and 2010 were selected from the UK Biobank cohort study. Follow-up occurred through June 2021. Shift work status at baseline was self-reported by participants and they were categorized as non-shift workers or shift workers. Among shift workers, participants were further categorized as night shift workers or shift but non-night shift workers. The primary outcome was all-cause dementia in a time-to-event analysis, and the secondary outcomes were subtypes of dementia, including Alzheimer’s disease, vascular dementia, and other types of dementia. Results In total, 716 dementia cases were observed among 170,722 participants over a median follow-up period of 12.4 years. Shift workers had an increased risk of all-cause dementia as compared with non-shift workers after multivariable adjustment (hazard ratio [HR], 1.30, 95% confidence interval [CI], 1.08–1.58); however, among shift workers, night shift work was not associated with the risk of dementia (HR, 1.04, 95% CI, 0.73–1.47). We found no significant interaction between shift work and genetic predisposition to dementia on the primary outcome (P for interaction = 0.77). Conclusions Shift work at baseline was associated with an increased risk of all-cause dementia. Among shift workers, there was no significant association between night shift work and the risk of dementia. The increased incidence of dementia in shift workers did not differ between participants in different genetic risk strata for dementia.
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