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Finigan V.,Pennine Acute NHS Hospitals Trust
The practising midwife | Year: 2013

Obesity is on the rise and at epidemic levels in many countries, including the UK. The costs of managing the health of a public with large body mass index (BMI) is spiralling out of control and, without a call for action, will continue to escalate. In this paper Valerie Finigan discusses the impact of increased maternal BMI in pregnancy, and breastfeeding. She highlights the associated risks of obesity for the infant if breastfeeding fails, the challenges the mother may face in breastfeeding, and identifies ways that the challenges can be minimised. Finigan considers the reasons why breastfeeding is successful in reducing obesity in the infant. The aims of the paper are to introduce ideas that improve outcomes and reduce the likelihood of obesity for both the mother and infant Source


Waldon K.,Pennine Acute NHS Hospitals Trust | Abbas J.R.,Salford Royal NHS Foundation Trust | Shakir S.,Pennine Acute NHS Hospitals Trust | Afify S.,Pennine Acute NHS Hospitals Trust
BMJ Case Reports | Year: 2015

Gastroenteropancreatic neuroendocrine tumours are associated with development of further primary tumours. Certain conditions give an inherited predisposition to developing neoplasia. To the best of our knowledge, this is the first paper to report a patient with neuroendocrine tumour and three other tumours: a further bowel cancer, a brain tumour and a skin cancer. We report a case of a 42-year-old Caucasian man presenting with clinical features of intestinal obstruction who on histopathology of surgical specimen was found to have two distinct tumours of the bowel: a colonic adenocarcinoma at the splenic flexure and a well-differentiated neuroendocrine tumour of the terminal ileum. His history included a basal cell carcinoma and a benign brain tumour. He had extensive family history of neoplasia suggesting an inherited predisposition. Our case demonstrates the importance of investigating patients with known neuroendocrine tumours for further malignancy and suggests that patients with multiple primary malignancies should be referred for genetic testing. © 2015 BMJ Publishing Group. Source

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