Hand hygiene in nurseries and schools…

There may be a simple solution to respiratory infections, reports Dr Robert Arlt

Respiratory infections are a major cause of absenteeism in nurseries and schools, causing considerable inconvenience for parents and children.

But these infections may also increase the risk of more serious respiratory conditions. And even if they are most often of viral origin, they will still quite often lead to lead to antibiotic treatments, may they be fully justified or not, with their possible consequences for the immune system later in life.
There are only two really effective ways to avoid respiratory infections: vaccinations for a few of them and, for all of them, hand hygiene.
Studies prove that hand hygiene programs which educate children, parents and day care center workers can be effective in reducing the number of respiratory infections.


A recent study performed on 911 children between 0 and 3 years of age in 24 day care centers in Spain. The children were from various cultural and socioeconomic backgrounds. They were divided in three groups, one getting educated in hand-washing with water and soap, one in using hand sanitizer and one did not get any education at all. It appeared that the children educated in washing with water and soap had had significantly less respiratory infections and antibiotics than the uneducated after eight months of observation, but the children who had used hand sanitizer did even better.
Other studies may have to follow in other environments, but regular use of hand sanitizers at nurseries and schools could be highly recommendable.

Dr Robert Arlt Private Paediatrician at Roseneath Medical Practice in Richmond

Ref.: Effectiveness of a Hand Hygiene Program at Child Care Centers: A Cluster Randomized Trial Ernestina Azor-Martinez et al. Pediatrics 2018;142

 

Things you should know before going gluten-free

Did you know…

that a gluten free diet can be quite harmful if not closely controlled by an experienced dietitian?

 

 

It seems to me that it is getting very fashionable to leave out gluten in diets in adults as well as in children without any proof for a genuine intolerance.

Gluten-free diet firstly will lead to missing out on fiber, although this may be partly compensated by consuming more whole grains like amaranth, kasha, millet and quinoa, and from fruits, vegetables and nuts.

Consumer Reports also found that some gluten-free foods have more fat, sugar and/or salt than their regular counterparts, and are short on nutrients like iron and folic acid – found in foods with enriched-wheat flour.

Many products also replace wheat with rice. This is a concern because the U.S. Food and Drug Administration has been monitoring rice and rice products for the presence of small amounts of arsenic, which finds its way into rice from both natural and human sources. So, it’s important not to overload on this grain, even whole-grain brown rice.

Finally a large study led from 2009 to 2012 in the USA showed higher levels of various heavy metals in bloods of people following a gluten free diet,  which they attributed to higher consumption of rice, leafy vegetables, fish and shellfish. So while consuming fish once a week seems to raise IQ in children by 4 points according to a recent study, it would however not be advisable to have it much more often.

So a strict gluten free diet should be reserved for patient with genuine autoimmune gluten intolerance also called celiac disease

If you suspect having issues with gluten you should see your doctor will be able to rule out or to a great extent confirm celiac disease by blood testing, and if necessary will look at other causes for your complaints

At Roseneath Medical Practice we will be happy to perform these assessments.

Dr Robert Arlt MD as been a practicing Paediatrician (children’s doctor) since 1992 and has experience of working in Germany, France and the UK and is offering his services (private Consultant Paediatrician) at Roseneath Medical Practice in Richmond.

Did you know? Few facts about alcohol consumption…

Did you know that your body can only process one unit of alcohol an hour?

Regularly drinking too much or binge drinking puts your health at serious risk.

alcohol consumption
How much is too much?

-The UK Chief Medical Officers’ guidance is now the same for both men and women- a limit of 14 units of alcohol a week should not be exceeded.

– Fourteen units is the equivalent of : – six pints of beer (4%); six glasses (175ml) of wine (13%); 14 glasses of 25ml spirits (40%)

– In pregnancy it is advised not to drink alcohol at all, to minimise risk to baby

What are the potential health risks of alcohol?
  • Disturbed sleep patterns
  • Weight gain
  • Cardiovascular disease- increased risk of diabetes, high blood pressure, stroke
  • Acid reflux
  • Liver disease
  • Reduced fertility and sexual dysfunction,
  • Cancers of the mouth, head/neck, liver, bowel, pancreas
  • Osteoporosis
  • Memory loss, dementia, depression and anxiety, stress and anger problems
Is alcohol good for the heart?

The advice on this can be confusing.  The potential health benefits to the heart are considered  to be outweighed by other health risks ( as listed above) and only occur if the limit of fourteen units is spaced out during the week (ie not binge drinking). Drinking within the recommended limit is key.

How can we help?

See Dr Soori at Roseneath Medical Practice for an assessment of your drinking pattern and complete evaluation of your resulting physical and emotional health. Blood tests can be done at the practice, with same day results. Depending on the findings advice  and management will be provided to improve your health and prevent potentially serious illnesses.

 

Facharzt für Kinder- und Jugendmedizin

Herzlich willkommen in unserem Team!

In Roseneath Medical Practice freuen wir uns sehr Dr. Robert Arlt, einen bekannten und seit Langem in Richmond etablierten Facharzt für Kinder- und Jugendmedizin, in unserem Team begrüßen zu dürfen.

Dr Robert Arlt hat seine Weiterbildung zum Facharzt für Kinder- und Jugendmedizin nach seinem Grundstudium in Straßburg in Tübingen und Böblingen absolviert. Er ist seit Februar 1992 im Saarland niedergelassen und ist auch weiterhin teilweise dort tätig und daher mit dem deutschen Gesundheitssystem bestens vertraut. NHS Erfahrung könnte er am Royal Free Hospital und am Royal Hospital for Integrated Medicine sammeln. In privater Praxis in UK ist Dr Arlt seit zehn Jahren tätig.
Dr Arlt hat auch Zusatzausbildungen über drei Jahre in Homöopathie (bei Professor Matthias Dorsci im Kinderzentrum München) und in Akupunktur (Universität Paris XIII) absolviert.
Er hat auch langjährige Erfahrung in Allergologie und mit Ultraschalluntersuchungen (Hüfte, Abdomen, Harnwege und Säuglingsschädel hauptsächlich).

Abdominal / central obesity Q&As

Did you know that abdominal fat is a predictor of Type 2 diabetes, heart disease and some cancers?

In fact, abdominal (central) obesity is more closely related with cardiovascular disease than general obesity.

 

gp in richmond; obesity

 

Why  does ‘abdominal’  or ‘central’ obesity arise?

  • Because one may consume more usable calories than he/she expends
  • Alcohol and a high meat consumption has been associated specifically with abdominal obesity
  • Conditions that predispose to central obesity are Cushing’s syndrome or Polycystic ovary syndrome (PCOS)

Why does abdominal fat become more of an issue with age?

  • This is predominantly due to a drop in metabolic rate (the number of calories the body needs to function)
  • Menopause – with the associated change in hormones women tend to hold weight in their abdominal area

What are the possible problems that may arise from central obesity?

  • Osteoarthritis of weight bearing joints eg hips and knees
  • Insulin resistance,  resulting in Type 2 Diabetes
  • Cardiovascular disease
  • Asthma-  people with obesity are more likely to be hospitalised for asthma                   
  • Alzheimer’s disease

What can you do to help ?

  • Exercise (combining aerobic exercise with resistance training is more effective than cardiovascular exercise alone in getting rid of abdominal fat). Also exercise leads to a reduction in cortisol production – a hormone that leads to more abdominal fat deposits
  • Eating healthily – consume the same number or fewer calories than used

How can we help?

See Dr Soori at Roseneath Medical Practice for abdominal measurement, exploration of possible causes,  assessment of your health risks, and advice and treatment of your excess weight condition. Advice will be provided on how one can improve their metabolic rate through diet and lifestyle changes.  Medication can in some cases help to reduce fat absorption, and anti-diabetic drugs can be prescribed which can help diabetes and central obesity.