Heart pump ‘mends’ woman’s heart

Heather McIntyre

Heather McIntyre: “My heart started to recover because it was getting that wee break”

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A 27-year-old woman whose heart stopped beating on the operating table has been saved by a Nasa-inspired heart pump.

Mother-of-three Heather McIntyre, from Airdrie, suffered heart failure last July, five months after giving birth.

A surgeon at Scotland’s Golden Jubilee National Hospital kept her alive by massaging her heart and inserting a Ventricular Assist Device (VAD).

It uses tiny motors designed by NASA scientists to pump blood around the body, taking over the heart’s function.

While Ms McIntyre was on the operating table, her family were told she had died “a couple of times” because her heart had stopped beating.

However, cardiothoracic surgeon Saleem Haj-Yahia refused to give up on her.

“All her organs failed: kidneys, liver, lungs and heart,” he said.

“She needed a very quick resuscitation which required taking her immediately to theatre.

“We needed to open the chest and massage the heart, while implanting the device.”

Ms McIntyre said her family was told she had just a 5% chance of survival, but over the following weeks her heart, and other organs, started to recover.

She said: “My heart started to recover because it was getting that wee rest. Well that’s what they think anyway. They said that is what basically saved my life.”

‘Vital development’

The Golden Jubilee hospital in Clydebank is one of only a handful of hospitals in the UK to use VADs.

The device is usually used as a temporary measure while a patient waits for a transplant but for a small number of people their own heart recovers after a break.

Ventricular Assist DeviceThere are different types of VADs,including the portable device used by Ms McIntyre

It is hoped that once its clinical effectiveness is fully proven, VADs could be used as “destination” therapy for patients who are not eligible for transplant.

It is a vital development, according to heart specialist Dr Mark Petrie.

“In the past we were limited to drugs and pacemakers but now we can actually take over the function of the heart and drive blood around the body so it’s a huge benefit for patients who are acutely sick,” he said.

Unfortunately surgeons at the Golden Jubilee had to amputate Ms McIntyre’s left leg, which had been severely damaged by a blood clot caused by her heart failure.

However, Ms McIntyre is already walking on crutches and is full of optimism for the future.

“I’m fine about it,” she said.

“I’ve got a prosthetic leg. I’m home with my kids. I’m not going to sit in the house and cry because I’ve lost my leg or I’ve got scars.

“I’m going out and I see more people than I ever did and I feel so good.”

Meanwhile the Scottish government launched a new heart failure strategy at the Golden Jubilee National Hospital, which aims to improve access to experts, increase the number of heart transplants, and enhance the VAD service.

This article is from the BBC News website. © British Broadcasting Corporation, The BBC is not responsible for the content of external internet sites.

Challenge to abortion law fails

woman taking a pillWomen take four pills as part of the second part of their medication
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A legal bid to allow women having an early medical abortion to take some of their pills at home has been rejected by the High Court.

The British Pregnancy Advisory Service (BPAS) had challenged the law, arguing women should choose where they complete their treatment.

Women currently have to make two visits and are given pills each time.

The Department of Health opposed the change, which would have covered England, Scotland and Wales

Early medical abortions involve taking two sets of pills. These are taken 24 to 48 hours apart in order to induce a miscarriage.

They are available to women seeking abortion in the first nine weeks of pregnancy – more than 70,000 a year.

After an initial consultation, women have two appointments with a doctor and both times are given a set of pills.

In some other countries, both sets of pills are handed over at once and women are given instructions about when they should take the second set.

“It cannot be morally right to compel a woman to physically take tablets in a clinic and to subject her to the anxiety that symptoms will start on the journey back when her doctor knows it is safe and indeed preferable for her to take these at home”

Ann Furedi British Pregnancy Advisory Service

BPAS had argued giving women both sets of pills at once would mean women could control where the abortion actually takes place and could be sure that they would not experience cramping and bleeding on the way home from their appointments.

The charity questioned whether the legal definition of “treatment” for abortion covers both the prescription and the administration of medication.

But the High Court ruled treatment covered the administration as well, although it said the health secretary had the power to amend the rules if advances in medicine justified it.

The legal challenge only applied to England, Wales and Scotland as abortion is illegal in Northern Ireland unless the pregnant woman’s life is in danger.

Some had claimed changing the law would send out a message that you can use abortion as contraception. Concern was also expressed that young girls having early medical abortions could end up feeling isolated and frightened.

But BPAS chief executive Ann Furedi said the charity would continue to press for a change in the law.

She said: “It cannot be morally right to compel a woman to physically take tablets in a clinic and to subject her to the anxiety that symptoms will start on the journey back when her doctor knows it is safe and indeed preferable for her to take these at home.”

This article is from the BBC News website. © British Broadcasting Corporation, The BBC is not responsible for the content of external internet sites.

Supercomputer v human on TV quiz

board from jeopardyIBM machines have previously taken on chess players
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A supercomputer, designed by IBM, is to face two human contestants on the US quiz show Jeopardy.

Watson will pit its wits against two of the game’s most successful players.

At stake is a $1 million prize (£620,000) and the reputation of the field of artificial intelligence.

The company said Watson signals a new era in computing where machines will increasingly be able to learn and understand what humans are really asking them for.

Jeopardy is seen as the greatest challenge for Watson because of the show’s rapid fire format and clues that rely on subtle meanings, puns, and riddles; something humans excel at and computers do not.

“Watson has to come up with an answer based on what information it has in its brain just like any human has in his head,” Rod Smith, IBM’s emerging technology director told BBC News.

“Watson could be connected to the internet all the time, but it won’t be because that is not the way to play Jeopardy. This really is about setting the bar and working through all the data it has in less than three seconds to come up with the right answer.”

Jeopardy, which first aired on US television in 1964, tests a player’s knowledge of trivia in a range of categories, from geography and politics to history and entertainment.

In a twist on traditional game play, contestants are provided with answers and need to supply the questions. A dollar amount is attached to each question and the player with the most amount of money at the end wins the game.

The technology behind Watson relies on analytics to understand what is being asked, to crunch through massive amounts of data and provide the best answer based on the evidence it finds.

That store of information adds up to 15 terabytes of memory, about the size of the total printed text in the Library of Congress.

Mr Smith said inside Watson’s brain are around “a million different books and 200m pages of material”.

two former Jeopardy winnersMr Jennings and Mr Rutter are battle hardened contestants

The amount of power used for Watson is equal to that of a small university.

Watson’s adversaries in the show are Ken Jennings, who won 74 games in a row – the most consecutive victories ever – and Brad Rutter, who scored the most money with winnings of more than $3m.

Mr Jennings told his hometown newspaper the Seattle Times that “it’s nerve-wracking because you know a computer can’t get intimidated. A human player might get frustrated. Watson has no ego, no consciousness”.

The competition was held inside IBM’s lab in New York and will be broadcast over the next three nights.

“The crowd is full of IBM employees cheering for human blood. It was an away game for the human race. It was gladiatorial,” added Mr Jennings.

Mr Smith said the end game is about equipping Watson to help us “solve world problems and neighbourhood problems”.

“Think about today’s government – it produces volumes of data and stuff that we don’t even know what to ask. Think about health care or the fact that as we do drug evaluation, you would like to know the different reactions and the different relationships.

“Well Watson can do these types of things, analyse the data quickly and come up with information that is useful to answer these questions”.

As well as practical business applications, Stephen Baker, author of Final Jeopardy: Man vs. Machine and the Quest to Know Everything, told NPR News that Watson also brings a bit of lustre to what is seen as an unsexy company.

“They need to do this kind of thing because they’re not like Apple and Google. They don’t have stuff that people want. So they have to show that they can do really fun stuff so that they can attract, you know, great PhDs to their programmes”.

The winner of Jeopardy will receive $1 million. The second place receives $300,000 and third place $200,000. Mr Jennings and Mr Rutter have both said they will donate half of their winnings to charity, and IBM will donate all of its winnings to charity.

This is not IBM’s first foray at taking on humans. In 1997 the company’s computer Deep Blue beat chess champion Gary Kasparov.

This article is from the BBC News website. © British Broadcasting Corporation, The BBC is not responsible for the content of external internet sites.

Concern at alcohol admission rise

Man DrinkingAlcohol misuse is linked to heart disease, stroke and some cancers.
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The number of people admitted to hospital in the UK because of problem drinking could rise to 1.5 million a year by 2015, a charity says.

Alcohol Concern estimates that it will cost the NHS £3.7bn annually if nothing is done to stop the increase.

It wants alcohol specialists to be employed in all hospitals and GP practices.

The Department of Health said it would publish a new alcohol strategy in the summer.

Thousands of people die each year as a result of their drinking, mostly as a result of alcoholic liver disease.

Drinking is also associated with an increased risk of heart disease, stroke and some cancers.

The charity says the number of people being treated in hospital for alcohol misuse has gone from 500,000 in 2002-3 to 1.1 million in 2009-10.

It states that 1.5 million people will need treating every year by the end of the Parliament, if there is no new investment in alcohol services to stop the rise.

The report calls for specialist alcohol health workers to be employed across the health service.

It claims this will in fact save the NHS £3 for every £1 spent.

Don Shenker, chief executive at Alcohol Concern, said: “With the prime minister saying that NHS is becoming ‘increasingly unaffordable’, we can show how billions can be saved simply by introducing alcohol health workers in hospitals to help patients reduce their drinking.

“As problem drinking costs the country so dear, a modest investment in supporting problem drinkers will lead to a three-fold saving, surely a necessity in an economic downturn.”

Primary care trusts in England, which are being abolished as part of government changes to the health service, are criticised in the report for not dedicating enough of their budgets to alcohol problems.

The authors identify the transfer of powers to GPs as an “ideal chance” to transform alcohol services.

A spokesperson for the Department of Health said: “Misuse of alcohol can cause significant harm and the government has wasted no time in taking tough action to tackle problem drinking, including plans to stop supermarkets from selling alcohol below cost and working to introduce a tougher licensing regime.

“It is clear we need a bold new approach to tackling this and other public health issues because so many of the life-style driven health problems are already at alarming levels.

“That is why the newly published strategy for public health sets out plans to ring-fence public health spending, devolve power and budgets to local communities, and work across areas from behavioural science to education to improve public health.

“We will also be publishing a new alcohol strategy to follow on from the Public Health White Paper in the summer.”

This article is from the BBC News website. © British Broadcasting Corporation, The BBC is not responsible for the content of external internet sites.

Council cuts ‘will hurt the NHS’

Elderly patientSocial care services are being cut by local authorities
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The NHS will have to deal with the fall-out from some of the cuts being announced by councils, experts predict.

Health bosses, public health chiefs and charities told the BBC the close working relationship between the two meant consequences were “inevitable”.

They said elderly care, mental health and services for vulnerable young people were the most at risk.

Some fear hospitals could get clogged with extra patients due to the cuts.

There has been a raft of announcements by councils in the past week. Services being cut include leisure services, day centres, social care support and youth services.

Most expect this to be just the start of a series of savings local government has to make after the announcement in autumn’s spending review that its funding is to be cut by a quarter in the next four years.

But now those working in NHS have warned the impact of these cuts will also be felt in the heath service.

Issues raised include:

Hospitals getting clogged with patients who cannot be discharged into the community because of cuts to social care supportChild mental health services suffering as school counselling services are withdrawnHealthy lifestyle drive affected by closing leisure centres and swimming poolsFalls in spending on support for vulnerable young people, including drug abuse and teenage pregnancy services, could see progress stallIncreased hospital admissions because of cuts to community schemes such as day centres and falls prevention services

Dr Frank Atherton, president of the Association of Directors of Public Health, said he was “very concerned” as local government and the NHS often work hand-in-hand in areas such as public health, elderly care and mental health.

“There is real concern. Some of these cuts are short-sighted and are just going to see people develop more serious problems which are then more expensive to treat”

Lucie Russell Young Minds

“When budgets get tight there is always a risk that partnership working suffers. Local government has an important role in supporting people in the community and without that their problems get worse and the NHS has to step in.”

Stephen Lowe, from Age UK, said community services for the elderly played an important role in stopping people’s conditions deteriorating and ending up in hospital.

“Without these services people can go down-hill very quickly and end up in hospital. That is not good for the individual but is also more expensive as well.”

Nigel Edwards, head of the NHS Confederation, which represents managers, agreed, pointing out that as well as increasing admissions, cuts could increase bed-blocking – cases where a patient is ready for discharge but unable to be released because of the lack of services available in the community.

“It is inevitable if you cut services that help people live independently in the community there will be a knock-on effect for the NHS.”

But he added the cuts in services such as leisure centres could also have a long-term effect on issues such as obesity which would again rebound on the health service.

Services for young people are also under threat.

The Department of Health only recently announced extra funding for mental health services, but because these are jointly funded by local government for children there are reports of cuts in some places.

Youth Access, an umbrella group for counselling and advice services, said schemes in places such as Newcastle, Manchester and London were already under threat.

Other youth services funded by local government, including teenage pregnancy and drug abuse, are also facing an uncertain future after the Department for Education announced funding for such projects will be cut by 10% next year.

Lucie Russell, of the charity Young Minds, said: “There is real concern. Some of these cuts are short-sighted and are just going to see people develop more serious problems which are then more expensive to treat.”

This article is from the BBC News website. © British Broadcasting Corporation, The BBC is not responsible for the content of external internet sites.

Who started it?

Revolutions can be short and bloody, or slow and peaceful. Each is different, though there are recurring patterns – including some that were on show in Egypt.

Trotsky once remarked that if poverty was the cause of revolutions, there would be revolutions all the time because most people in the world were poor. What is needed to turn a million people’s grumbling discontent into a crowd on the streets is a spark to electrify them.

Violent death has been the most common catalyst for radicalising discontent in the revolutions of the last 30 years. Sometimes the spark is grisly, like the mass incineration of hundreds in an Iranian cinema in 1978 blamed on the Shah’s secret police.

Sometimes the desperate act of a single suicidally inflammatory protester like vegetable salesman Mohammed Bouazizi in Tunisia, in December 2010, catches the imagination of a country.

Even rumours of brutality, such as the claims the Communist secret police had beaten two students to death in Prague in November, 1989, can fire up a public already deeply disillusioned with the system. Reports that Milosevic had had his predecessor, Ivan Stambolic, “disappeared” in the weeks before the Yugoslav presidential elections in 2000 helped to crystallise Serbian rejection of his regime.

Death – though in this case non-violent – also played a role in China in April 1989, when students in Beijing hijacked the officially-sponsored mourning for the former Communist leader, Hu Yaobang, to occupy Tiananmen Square and protest against the Party’s corruption and dictatorship.

Revolutions: Iran to EgyptIran: Jan 1978 – Apr 1979Tiananmen Square: Apr – Jun 1989East Germany: Sept – Nov 1989Russia: 19-21 Aug 1991Indonesia: 12-21 May 1998Serbia: Sep – Oct 2000Georgia: 2-23 Nov 2003Ukraine: Nov – Dec 2004Lebanon: Feb – Apr 2005Iran: Jun – Aug 2009Tunisia: 17 Dec 2010 – 14 Jan 2011Egypt: 25 Jan – 11 Feb 2011

But although the Chinese crisis set the template for how to stage protests and occupy symbolic city-centre squares, it also was the most obvious failure of “People Power”.

Unlike other elderly dictators, Deng Xiaoping showed energy and skill in striking back at the protesters. His regime had made a billion Chinese peasants better off. They were the soldiers sent to shoot down the crowds.

Protests against Suharto’s “re-election” in Indonesia in March 1998, culminated in the shooting of four students in May, which set off a round of bigger demonstrations and more violence until more than 1,000 were dead.

Thirty years earlier Suharto could kill hundreds of thousands with impunity. But corruption and the Asian economic crisis had imploded support for his regime. After 32 years in power, his family and their cronies were too rich, while too many former backers were getting poorer – a poverty they shared with ordinary people.

“Revolutions are 24-hour-a day events – they require stamina and quick thinking from both protesters and dictators”

What collapses a regime is when insiders turn against it. So long as police, army and senior officials think they have more to lose by revolution than by defending a regime, then even mass protests can be defied and crushed. Remember Tiananmen Square.

But if insiders and the men with guns begin to question the wisdom of backing a regime – or can be bought off – then it implodes quickly.

Tunisia’s Ben Ali decided to flee when his generals told him they would not shoot into the crowds. In Romania, in December, 1989, Ceausescu lived to see the general he relied on to crush the protesters become his chief judge at his trial on Christmas Day.

External pressure plays a role in completing regime-change. In 1989, the refusal of the Soviet leader, Mikhail Gorbachev, to use the Red Army to back East European Communists facing protests in the streets made the local generals realise that force was not an option.

The United States has repeatedly pressed its authoritarian allies to compromise and then, once they have started on that slippery slope, to resign.

Longevity of a regime and especially the old age of a ruler can result in a fatal incapacity to react to events quickly.

“Graceful exits are rare in revolutions”

Revolutions are 24-hour-a day events – they require stamina and quick thinking from both protesters and dictators. An elderly inflexible but ailing leader contributes to the crisis.

From the cancer-stricken Shah of Iran via the ailing Honecker in East Germany to Indonesia’s Suharto, decades in power had encouraged a political sclerosis which made nimble political manoeuvres impossible. As Egypt reminds, revolutions are made by the young.

Graceful exits are rare in revolutions, but the offer of secure retirement can speed up and smooth the change.

In 2003, Georgia’s Shevardnadze was denounced by some as a “Ceausescu” but he was let alone in his villa after he resigned. Suharto’s generals had ensured he retired to die in peace a decade later – but his son “Tommy” was imprisoned.

Often there is a hunger among people to punish the fallen rulers. Their successors, too, find retribution against the old leader can be a useful distraction from the economic and social problems, which don’t disappear with the change of regime.

Oxford historian Mark Almond is the author of Uprising – Political Upheavals that have Shaped the World.

This article is from the BBC News website. © British Broadcasting Corporation, The BBC is not responsible for the content of external internet sites.

A lesson in love?

Letters spelling 'I love you'

Literature’s lust for unrequited love leaves us ill prepared for the reality of what love really is, says Alain de Botton in his weekly column.

From my early adolescence through to my early 30s, my most intense feelings of love were towards people who had little or no interest in loving me back.

Women who already had boyfriends, who meant to return my calls but had a habit of losing numbers, who gently explained they needed a little more time on their own, or preferred not to let sex spoil a valuable friendship.

Far from deserving pity for my fate I was in fact strangely blessed, for my apparent misfortune put me in touch with the most intense of all varieties of love – the unrequited kind.

Anyone who reads even a few novels about love will swiftly recognise that love in literature is almost always impeded in some way. What we call a love story is nothing of the sort, it is merely a story of love’s interruption and delay. It is the record of a gradual victory over a range of obstacles to a happy union (parents, society, shyness, cowardice). With the consummation of love, there tends to be only one thing left for an author to do – end the story.

Australian Ballet's Romeo and JulietRomeo is not known for his sense of humour

This focus on unrequitedness is of course a great solace for the lovelorn. It means that their feelings are continually heightened and confirmed by what they read. They are trained to dwell on, and even celebrate, the bitter-sweet sensations of waiting for a phone call and microwaving meals-for-one.

My immersion in literature made it natural that I should have been left somewhat unprepared for a most surprising event that befell me in my early 30s. Surprising, that is, for someone whose favourite novels had long included Goethe’s The Sorrows of Young Werther (an unhappy quest for love followed by suicide) and Tolstoy’s Anna Karenina (ditto).

I met someone, she didn’t fail to call back, she didn’t prefer to leave it at friendship, she didn’t have to get home for work the next day. We fell in love and got married.

Suddenly, literature ceased to be any useful guide to what to expect. All that my books had prepared me for was an image of continuous perfection, a “happy love” that was essentially without any movement or action. It was a static image, like the sort we might have of a faraway holiday destination, and in a host of ways as unrelated to the reality of love as a postcard is to the reality of travel.

Literature and philosophy often dwell on the way that, soon after meeting our loved one, we may be filled with the curious sense that we know them already. It seems as though we’ve met them somewhere before, in a previous life perhaps, or in our dreams.

In Plato’s Symposium, Aristophanes explains this feeling of familiarity with the claim that the loved one was our long lost “other half” whose body we had originally been stuck to. All human beings used to be hermaphrodites, recounts Aristophanes, creatures with four hands and four legs and two faces turned in opposite directions on the same head. But these hermaphrodites were so powerful and their pride so overweening that Zeus was forced to cut them in two – into a male and female half – and from that day, each man and each woman has yearned to rejoin the half from which he or she has been severed.

Alain de Botton

“Unrequited love may be painful, but it is safely painful, because it does not involve inflicting damage on anyone but oneself”

I date the realisation that, despite all that united us, my wife was perhaps not the person from whom Zeus’s cruel stroke had severed me, to a moment shortly after our move in together when she introduced me to a kettle she’d bought for the house. It was practical, efficient, but exactly the kind of kettle I hated. If we were actually in love, how was she able to declare a household item beautiful which I found ugly?

It took me only a few moments to shake myself free of that most pervasive and unhelpful of all literary romantic myths: the idea that happy love must mean conflict-free love. Differences between my wife and I gathered over a host of small matters of taste and opinion.

Why did I insist on leaving the pasta to boil for those fatal extra minutes? Why was I so attached to my ragged winter coat? Why did she always park the car with one of its wheels squashed against the kerb? Why was I such a light sleeper? Why did she have to own so many clothes if she wore so few?

It is surely not coincidental that most great lovers in literature are devoid of a sense of humour. It is as hard to imagine cracking a joke with Romeo as it is with Young Werther, both of them seem differently but desperately intense. And with the inability to laugh comes an inability to acknowledge the messiness and complexity of all things human, the contradictions inherent in any union, the need to accept that your partner will never learn to park the car or cook the pasta – but that you love them nevertheless.

Humour renders direct confrontation unnecessary, you can glide over an irritant, winking at it obliquely, making a criticism without actually needing to speak it (“By this joke I let you know that I dislike X without needing to tell you so, your laughter acknowledges the criticism”).

It is a sign that two people have stopped loving one another (or at least stopped wishing to make the effort that constitutes an astonishing degree of what true, mature love appears to be), when they are no longer able to spin differences into jokes. Humour lines the walls of irritation between our ideals and reality. Behind each joke, there can be a hint of difference, of disappointment even, but it is a difference that has been defused and can therefore be passed over without the need for melodrama.

We are taught to imagine that romantic love might be akin to Christian love, a universal emotion that would allow us to declare: “I will love you for everything that you are.” A love without conditions or boundaries, a love that is the embodiment of acceptance.

Married coupleMarriage doesn’t mean love becomes bland

But the arguments that even the closest couples experience are a reminder that Christian love does not well survive the transition into the bedroom. Its message seems more suited to the universal than the particular, to the love of all men for all women, to the love of two companions who will not hear each other clipping their toe-nails.

Married love teaches us that we bring all of ourselves into a marriage – anxiety, boredom, free-floating sadness and alarm. I continue sometimes to feel unhappy about my work, to worry about my future and to be disappointed with myself and with my friends. Except that now, rather than sharing my sorrows, I tend to blame the person who lives beside me for them. My wife isn’t just a witness to my problems, on a bad day, she can sadly end up being held responsible for them.

Unrequited love may be painful, but it is safely painful, because it does not involve inflicting damage on anyone but oneself. It’s a private pain that is as bitter-sweet as it is self-induced. But as soon as love is reciprocated, you have to be prepared to give up the passivity of simply being hurt and take on the responsibility of perpetrating hurt yourself.

There have been other surprising things about marriage and the experience of requited love. One of the most challenging is the intense dependence it brings. Proust tells the story of Mohammed II who, sensing that he was falling in love with one of his wives in his harem, at once had her killed because he did not wish to live in spiritual bondage to another.

However far fetched a response, the story nevertheless captures something about the dangers of true love. A marriage is scary in part because it involves putting oneself almost wholly in someone else’s hands. If my wife and I have an argument, we can no longer, as we might have done in the past, go off back to our own flats. There is now only one marital home. But though this constricted space may often be an imposition, in reality, it is also the best medium I have ever encountered for understanding the word compromise.

FIND OUT MOREA Point of View, with Alain de Botton, is on Fridays on Radio 4 at 2050 GMT and repeated Sundays, 0850 GMTOr listen to A Point of View on the iPlayer

Most of Western literature seems committed to the idea that love cannot last, it is based on absence and lack and is killed by routine and stability. “When you come to live with a woman, you will soon cease to see anything of what made you love her,” writes Proust, unhelpfully, but representatively. According to this view, love is simply a direction, not a place and burns itself out with marriage.

Montaigne declared that: “In love, there is nothing but a frantic desire for what flees from us.” A view echoed by Anatole France’s maxim that: “It is not customary to love what one has.”

But under the guise of worldly cynicism, this approach in fact betrays a quasi-adolescent blindness, for it attributes all the excitement and heroism of love to its unrequited part, while implicitly suggesting that there must be something at once easy and unheroic about the quest for everyday happiness.

As I now recognise, marriage is rarely in danger of being dull, and never in danger of being simple. The word marriage, suburban and colourless in its connotations, in fact hides a welter of intensity and depth that puts to shame the most passionate works of literature.



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Swiss ‘reject’ tighter gun curbs

A man fires a pistol at a shooting range near Bern, Switzerland - 6 January 2011Sport shooting is very popular in Switzerland
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Voters in Switzerland are due to go to the polls in a referendum aimed at restricting gun ownership.

If approved, it would end the long practice of Swiss men keeping their weapons at home both during and after compulsory military service.

Weapons would have to be registered and owners prove they know how to use them.

Supporters of the controls say suicides and gun crime would be reduced. Those against say locking weapons in arsenals would undermine trust in the army.

There are an estimated two to three million guns circulating in Switzerland, but no-one knows the exact number because there is no national firearms register, says the BBC’s Imogen Foulkes in Geneva.

In addition to the semi-automatic assault rifle that all those serving in the army store at home, there are thousands of hunting rifles and pistols.

Serving and former soldiers have been allowed to keep their weapons at home since World War II.

The proposal to end that custom is backed by a coalition of doctors, women’s groups and police associations.

Although Switzerland’s overall crime rate is low by European standards, the country has the highest rate of gun suicide in Europe.

The proposal’s backers say keeping soldiers’ firearms locked up in armouries would reduce the suicide rate.

A number of recent high-profile killings have also lent support for greater gun control.

But the Swiss army is a national institution, and changing anything about it is controversial, says our correspondent.

Opponents of the proposals say taking soldiers’ guns away would undermine the military and could open the door to abolishing Switzerland’s citizen army all together.

Opinion polls suggest the nation is fairly evenly divided over the issue.

This article is from the BBC News website. © British Broadcasting Corporation, The BBC is not responsible for the content of external internet sites.

Boy, 13, stabbed as dog attacked

A 12-year-old boy has been stabbed in Greater Manchester, police have confirmed.

The boy is said to be in a critical but stable condition in hospital following an incident in Cherry Lane, Sale.

Offficers were called to the area on Saturday evening. Firs Way is currently closed between Cherry Lane and Firtree Avenue.

It is understood that a dog was also stabbed to death in the same incident. Police investigations are continuing.

This article is from the BBC News website. © British Broadcasting Corporation, The BBC is not responsible for the content of external internet sites.

Cameron defends Big Society idea

David Cameron giving Big Society speechDavid Cameron said the aim of the idea was to build a “stronger, bigger society”
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David Cameron has rejected accusations that his Big Society policy is simply a mask for government spending cuts.

The prime minister said his initiative to give a greater role for community and voluntary groups was intended to change the way the country was run.

Writing in the Observer, he accepted that such organisations might need help in the face of government cuts.

Charity leader Dame Elisabeth Hoodless has said the cuts attacked volunteering and the whole concept of Big Society.

Mr Cameron said: “Building a stronger, bigger society is something we should try and do whether spending is going up or down.

“But there is a broader point to be made. As the state spends less and does less – which would be happening whichever party was in government – there would be a positive benefit if some parts of society were to step forward and do more.”

“The whole approach of building a bigger, stronger, more active society involves something of a revolt against the top down, statist approach of recent years”

David Cameron

The prime minister said billions of pounds of government contacts would be opened up to bids from groups within society.

“The scale of this opportunity dwarfs anything they’ve ever had before,” he said.

Mr Cameron said the government would announce details in the coming week of a £100m transition fund to help groups at a time when local councils were seeing their budgets cut.

There will also be a Big Society bank to inject £200m of working capital for projects approved under the scheme.

Mr Cameron said: “We are not naively hoping the seeds will grow everywhere of their own accord; we are helping to nurture them.

“That’s why we will soon be announcing the partners who will help us deliver our commitment to provide 5,000 community organisers in the areas where they are needed most.”

Rejecting the notion that the Big Society was too vague, Mr Cameron said: “True, it doesn’t follow some grand plan or central design.

“But that’s because the whole approach of building a bigger, stronger, more active society involves something of a revolt against the top down, statist approach of recent years.

“The Big Society is about changing the way our country is run. That’s why the Big Society is here to stay.”

Dame Elisabeth, who is retiring as executive director of the country’s largest volunteering charity the Community Service Volunteers (CSV), said “massive” council cuts would make it harder for people to do more in their communities.

Liverpool City Council has withdrawn as one of four pilot areas for the Big Society plans.

Council leader Joe Anderson said government cuts had threatened the future of many local volunteer groups.

At Prime Minister’s Questions this week, Labour leader Ed Miliband said the government’s cuts were making society “smaller and weaker”.

Mr Miliband continued his assault on the Big Society in the Independent on Sunday, saying the government was undermining the concept’s foundations with billions of pounds of cuts.

He suggested the current administration’s substance and style resembled that of Margaret Thatcher’s in the early 1980s.

This article is from the BBC News website. © British Broadcasting Corporation, The BBC is not responsible for the content of external internet sites.

Gay church ‘marriages’ proposed

Male couple at wedding showGay couples currently cannot get married in religious settings
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Ministers will publish plans to change the law to enable same-sex couples to “marry” in church, the BBC has learned.

Equalities Minister Lynne Featherstone is to propose lifting the ban on civil partnerships taking place in religious settings in England and Wales.

But churches will not be compelled to hold ceremonies if individual clergy are opposed on religious grounds.

The legislation would also cover synagogues and mosques although homosexuality is forbidden under Islam.

Currently same-sex marriages are banned from using hymns or even readings from the Bible.

The changes will be welcomed by gay rights campaigners but are likely to raise the ire of many churchgoers.

The The Sunday Telegraph claims the decision to push ahead with the legislation is a victory for Mrs Featherstone and her fellow Liberal Democrats.

The Telegraph says the Church of England has already said it will not allow any of its churches to be used for civil partnership ceremonies.

But Quakers, Unitarians, and Liberal Jews are thought to be more sympathetic to the idea, says the paper.

The move follows an amendment to the Equality Act by Lord Alli, a Labour peer.

The Home Office spokesman said: “The government is currently considering what the next stage should be for civil partnerships, including how some religious organisations can allow same-sex couples to register their relationship in a religious setting if they wish to do so.

“Ministers have met a range of people and organisations to hear their views on this issue. An announcement will be made in due course.”

This article is from the BBC News website. © British Broadcasting Corporation, The BBC is not responsible for the content of external internet sites.