Things in the Library 29 Sept...

Things you might remember...
You are invited to attend this public event in partnership with The Progress Educational Trust (PET). Life after Death: A woman's victory in having her deceased husband's children Tuesday, 24 October 2017, 6pm drinks reception, 6.30-8pm discussion. Lecture Theatre 4, Arts Tower, Western Bank, S10 2TN.

20 years ago, widow Diane Blood won the legal right to conceive a child using the sperm of her deceased husband Stephen Blood. This free event will bring together some of the people at the centre of this landmark legal case - including Diane herself and her son Liam. Two decades on from Diane's legal victory the speaker panel will look back on personal, legal, medical and ethical aspects of the case. They will also consider the impact of the case on others who have sought to use a person's sperm, egg or embryo to conceive a child after that person has died. Why do such scenarios still lead to legal difficulties and provoke public debate, in the UK and elsewhere? Attendance at this event is free, but advance booking is required

Things about CAMHS...
New research from the Royal College of Psychiatrists shows there are huge differences in CCG spending across the country. Their online tool can help you find out how much is spent on child and adolescent mental health services in each region.




Things about measuring...
A report published this week by Public Health England 'National child measurement programme (NCMP): trends in child BMI'  uses NCMP data to examine the changes in children’s body mass index (BMI) between 2006 to 2007 and 2015 to 2016.

Things about the future of health...
This report 'Future of health' presents findings from a survey conducted by RAND Europe at the request of the National Institute for Health Research (NIHR) to gather and synthesise stakeholder views on the future of health and healthcare in England in 20 to 30 years' time. The aim of the research was to generate an evidenced-based picture of the future health and healthcare needs, and how it might differ from today, in order to inform strategic discussions about the future priorities of the NIHR and the health and social care research communities more broadly.

The survey provided a rich and varied dataset based on responses from 300 stakeholders in total. A wide range of fields were represented, including public health, social care, primary care, cancer, genomics, mental health, geriatrics, child health, patient advocacy and health policy. The respondent group also included a number of professional and private stakeholder categories, such as clinicians, policy experts, academics and patient and public representatives.

The study findings validate a number of prominent health research priorities currently visible in England, such as antimicrobial resistance, the burden of dementia and age-related multi-morbidity, digital health and genomics. Interest in these areas and other themes, such as mental health, health inequalities and transforming health service models, cut across multiple disciplinary boundaries. However, it is clear that there are a variety of views among stakeholders on the relative importance of these areas of focus, and the best approach to manage their emergence in the coming decades.

The full dataset of survey responses, for which permission to share was given, has been published alongside the report and is a useful resource for those seeking to engage with a particular issue in more depth.

Things magical...
Calling witches, fairies, wizards, nifflers, fairy godmothers, elves, magicians and magical creatures of all ages! Hop on your broomsticks, flying carpets or dragons and join 'Off the Shelf' on The Moor for a spellbinding afternoon celebrating magical books of all kinds. Sat 7th October 1:00pm - 4:00 pm
From Room on the Broom to The Wizard of Oz, and from The Worst Witch to Lord of the Rings – we all love magical fiction. And 2017 marks 20 years of the boy wizard Harry Potter!
Visit Grimm & Co’s mysterious dark den, jam-packed with magical things to see and do. There will be lots of fun arts and crafts activities including storytelling, takeaway spells and potion-making. You can make a dragon puppet to take home and train, play an enchanted glass harp, write your own mini-book, create a potion, make your own wand with a certificate of authenticity and much more. Watch out for wizards, witches and real magicians – you might even spot Hagrid…
Come dressed as your favourite magical character or creature and join the fancy dress parade at 3pm.
To continue the fun, a very magical film will be screening at 4pm at The Light Cinema. Visit sheffield.lightcinemas.co.uk for details. Suitable for all ages, children must be accompanied by an adult.

Things to eat...
If you have a courgette glut - or even if you haven't - here is a nice vegetarian risotto to try Courgette and lemon. Although to my mind every good risotto should have a splash of wine in it before you start adding the stock.

Things in the library 22 Sept...

Things to eat...
Enjoy fantastic food at great prices during Dine Sheffield. Starting Thursday, 21 September, foodie’s can sample the cuisine of almost 50 restaurants and cafes throughout the city centre. Participating restaurants include established favourites, independent eateries and unique cafes. Diners will enjoy menus created especially for the week at a cost of either £5, £10 or £15.
The restaurants taking part include Marco’s Italian by Marco Pierre White, gourmet brasserie Browns and meat lover’s paradise Smoke Barbecue. They are joined by some of the city centre’s favourite restaurants and cafes such as tapas restaurant and bar Cubana, popular Indian restaurant Aagrah, new kid on the block Firepit BBQ, El Paso and Silversmiths.


Things about split families...
This article studies shared physical custody in Sweden, the country in the world where the phenomenon is most prevalent. They ask whether children in shared physical custody settings are more likely to report high levels of stress compared to children living in sole custody. The analysis is based on data with combined information from parents, children, and administrative registers. The models are controlled control for interparental as well as parent–child relationship quality and parents’ income. The results show that children sharing residence equally have lower likelihood of experiencing high levels of stress. The results can be interpreted as evidence for a positive effect of continuing everyday-like parental relationships after a family dissolution.

Things about Pediatric tracheotomy...
In this retrospective study, to assess outcomes of pediatric tracheotomy and duration of associated hospital stay according to indications, subjects were 142 consecutive pediatric patients (<18 years old) who underwent tracheotomy at a tertiary referral medical center, National Taiwan University Hospital, in 1997–2012. Age, sex, indications, pre-operative status (oxygen demand, number of repeated intubations), and post-operative status (duration of weaning, length of hospital stay, mortality) were analyzed. They conclude that outcomes of pediatric tracheotomy and duration of hospitalization depend on indications. Children with craniofacial anomalies had earlier tracheotomy age and longer mechanical ventilation before tracheotomy resulted in longer hospitalization. Earlier tracheotomy can shorten the duration of post-tracheotomy mechanical ventilation in several conditions.

Things about antibiotics...

A report, "Antibacterial agents in clinical development – an analysis of the antibacterial clinical development pipeline, including tuberculosis", launched this week by WHO shows a serious lack of new antibiotics under development to combat the growing threat of antimicrobial resistance.
Most of the drugs currently in the clinical pipeline are modifications of existing classes of antibiotics and are only short-term solutions. The report found very few potential treatment options for those antibiotic-resistant infections identified by WHO as posing the greatest threat to health, including drug-resistant tuberculosis which kills around 250 000 people each year.
"Antimicrobial resistance is a global health emergency that will seriously jeopardize progress in modern medicine," says Dr Tedros Adhanom Ghebreyesus, Director-General of WHO. "There is an urgent need for more investment in research and development for antibiotic-resistant infections including TB, otherwise we will be forced back to a time when people feared common infections and risked their lives from minor surgery."
In addition to multidrug-resistant tuberculosis, WHO has identified 12 classes of priority pathogens – some of them causing common infections such as pneumonia or urinary tract infections – that are increasingly resistant to existing antibiotics and urgently in need of new treatments.

Things about birthweight...
An e-pub this week in Acta Paediatrica looks at "Outcomes of infants with a birthweight less than or equal to 500 g in Northern England: 15 years experience" . They aimed to evaluate mortality and short-term neonatal morbidity of babies born ≤500 g cared for in the Northern Neonatal Network over a 15-year period.
They say "In conclusion, we have shown that survival to a year in babies born weighing ≤500 g and ≥22 weeks over the past 15 years is poor. This could be due to a combination of attitudes towards resuscitation and intensive care, or the intrinsic nature of these tiny babies. Manufacturers of equipment and devices should attempt to further miniaturise their products for neonatal intensive care so  that optimal monitoring and management can be offered to this exceptionally vulnerable group of babies, and survival can perhaps be improved."

Things we have achieved...
The University of Sheffield has recognised the work our staff did to make such a success of our 'Book a Librarian' campaign this year and is rewarding us with lunch. This means we will be closed from 12:00 to 14:00 on Wed 27th Sept. Apologies for any inconvenience - when we reopen we will be staying open to the normal 19:00...but we might need a bit of a snooze during the afternoon ...so please don't ask us anything too difficult!


Food for students...

Whether it is trying to walk 'the wrong way' past the hospital against the flow of freshers...or whether your own youngsters have flown the nest...you can't help but notice that the student term has begun again. So if you are, or know someone who is, a student why not look at these  easy recipes... more exciting than beans on toast....but with simple instructions and videos for the non-cook ..and why not try some yourself too. Here is a great simple tomato sauce

Things in the library 15th Sept...

Things for sale...
Book sale @Illingworth Library
We now have on sale some old editions of books which we have replaced with newer stock. Please note that books are sold on a first-come, first-served basis and cannot be reserved, however special arrangements may be arranged for SCH staff who are not based at the Western Bank site.
If you are interested in purchasing any items please come to the Illingworth Library, F Floor, Stephenson Wing, and ask at the counter.
If you would like to see a list of the items available please email us.
Payment may be made in cash /cheque or arrangements can be made to pay by card if over a £5.00 minimum charge  - card payments will be processed via the general office between 9.00am and 4.30pm (closed for lunch 12.30-1.30pm)
Please note that no book sales will be possible within 30 minutes of our closing times.
Our opening hours are: Mon - Thurs 8:45 until 19:00 and Friday 8:45 until 17:00

Things about childhood...
The Good Childhood Report 2017, produced in partnership with the University of York, is the sixth in a series of annual reports published by The Children’s Society about how children in the UK feel about their lives. The report examines the latest trends in well-being over time, explanations for gender patterns in well-being, and insights into how multiple experiences of disadvantage are linked to children’s well-being.
The latest report shows that young people’s happiness is at its lowest since 2010. Fear of crime, living in a family struggling to pay the bills and not having enough emotional support at home are just some of the serious problems that leave teenagers more likely to be unhappy. Teenagers with more than seven serious problems in their life are ten times more likely to feel unhappy than those with none.

Things about health and work in degree courses...
A study mapping the coverage of health and work topics in healthcare and business degree courses.
The study mapped the coverage of six core health and work topics in a selection of business, healthcare and social work courses in England. This included examining:

• Perceptions among course leaders on the importance of health & work topics for particular healthcare and business occupations;
• The extent to which health and work was included in course objectives and curricula;
• How health and work topics are assessed; and
• Factors influencing the teaching of health and work.

The healthcare courses examined in the study included undergraduate career-entry provision for medicine, dentistry, nursing, allied health professionals (AHP) and social work. The business courses examined in the study included both undergraduate and postgraduate courses, with a particular focus on Masters of Business Administration (MBA) courses.

Things about constipation...

A recent article in Acta Paediatrica looked at 'Physical activity may decrease the likelihood of children developing constipation'

AIM: Childhood constipation is common. We evaluated children diagnosed with constipation, who were referred to an Icelandic paediatric emergency department, and determined the effect of lifestyle factors on its aetiology.

METHODS: The parents of children who were diagnosed with constipation and participated in a phase IIB clinical trial on laxative suppositories answered an online questionnaire about their children's lifestyle and constipation in March-April 2013. The parents of non-constipated children that visited the paediatric department of Landspitali University Hospital or an Icelandic outpatient clinic answered the same questionnaire.

RESULTS: We analysed responses regarding 190 children aged 1-18 years: 60 with constipation and 130 without. We found that 40% of the constipated children had recurrent symptoms, 27% had to seek medical attention more than once and 33% received medication per rectum. The 47/130 control group subjects aged 10-18 were much more likely to exercise more than three times a week (72%) and for more than a hour (62%) than the 26/60 constipated children of the same age (42% and 35%, respectively).

CONCLUSION: Constipation risk factors varied with age and many children diagnosed with constipation had recurrent symptoms. Physical activity may affect the likelihood of developing constipation in older children. 

Things about neonatal sleep...

A recent article about sleep/wake patterns in neonates in Sleep journal 'Neonatal sleep-wake analyses predict 18-month neurodevelopmental outcomes'

The neurological examination of critically ill neonates is largely limited to reflexive behavior. The exam often ignores sleep-wake physiology that may reflect brain integrity and influence long-term outcomes. We assessed whether polysomnography and concurrent cerebral near-infrared spectroscopy (NIRS) might improve prediction of 18-month neurodevelopmental outcomes.

Methods

Term newborns with suspected seizures underwent standardized neurologic examinations to generate Thompson scores, and had 12-hour bedside polysomnography with concurrent cerebral NIRS. For each infant, the distribution of sleep-wake stages and electroencephalogram delta power were computed. NIRS-derived fractional tissue oxygen extraction (FTOE) was calculated across sleep-wake stages. At age 18–22 months, surviving subjects were evaluated with Bayley Scales of Infant Development (Bayley-III), 3rd edition.

Results

Twenty-nine subjects completed the Bayley-III. Increased newborn time in quiet sleep predicted worse 18-month cognitive and motor scores (robust regression models, adjusted r2=0.22, p=0.007, and 0.27, 0.004, respectively). Decreased 0.5–2 Hz EEG power during quiet sleep predicted worse 18-month language and motor scores (adjusted r2=0.25, p=0.0005, and 0.33, 0.001, respectively). Predictive value remained significant after adjustment for neonatal Thompson scores or exposure to phenobarbital. Similarly, an attenuated difference in FTOE, between neonatal wakefulness and quiet sleep, predicted worse 18-month cognitive, language, and motor scores in adjusted analyses (each p<0.05).

Conclusions

These prospective, longitudinal data suggest that inefficient neonatal sleep – as quantified by increased time in quiet sleep, lower electroencephalogram delta power during that stage, and muted differences in FTOE between quiet sleep and wakefulness – may improve prediction of adverse long-term outcomes for newborns with neurological dysfunction.

Things to attend in Sheffield...

Off the shelf  7- 28th October 2017
Now in its 26th year, the 2017 programme includes an array of international, national and local talent who represent diverse, exciting and thought provoking interpretations of the written and spoken word.
The roll call of guests includes; Lee Child, Robert Webb, Brian Blessed, Mark Haddon, George Monbiot, Robert McCrum, Laurie Penny, Stephen McGann, Tariq Ali, Harriet Harman, Hollie McNish, Philip Kerr,  Sunjeev Sahota, Clinton Woods, Michael Rosen, Kate Summerscale, Simon Jenkins, Melvyn Bragg, Jenni Murray, Henry Blofeld, Chris Difford, Tim Dowling, John O’Farrell, Peggy Seeger and many more.
Have a look at the brochure and visit the new website at www.offtheshelf.org.uk where you will find easy links to the box office to make your bookings.

Things to do with a butternut squash...

I had a comedy accident with a large butternut squash this week (details on request) so to get my own back on the squash family I thought I would share one of my very favourite recipes of all time 'Butternut squash & sage risotto' ...be careful! It put me in mind of this famous and still very funny Hoffnung sketch - though no wheelbarrows were involved in my incident.

Things in the library 8 Sept

Things at risk... Patient safety
As the NHS faces up to another tough winter, NHS Providers, the organisation that represents 97% of  hospital, mental health, community and ambulance service trusts in England, is calling for an immediate emergency cash injection of between £200 and £350 million to enable the NHS to manage patient safety risk this winter.
In a new report published today, NHS Providers gives its latest assessment of the state of play on planning for what is currently heading for a worse winter than last year – widely regarded as the worst winter for the NHS in recent times.

Things to help life sciences...
Industry proposals to help the UK’s life sciences sector become an international benchmark for success were unveiled this month. The report, written by Life Science’s Champion Professor Sir John Bell, provides recommendations to government on the long term success of the life sciences sector. It was written in collaboration with industry, academia, charity, and research organisations.
The report is organised into 7 themes:

• Health Advanced Research Programme (HARP) proposal
• reinforcing the UK science offer
• growth and infrastructure
• NHS collaboration
• data
• skills
• regulation

Little known things...

University hospitals play a crucial role in the NHS, delivering high-quality acute care, training the doctors and health professionals of tomorrow and conducting groundbreaking clinical research. 

The five key themes of the Life Sciences Industrial Strategy – science, growth, NHS, data and skills – find their home in university hospitals. Having the right combination of specialist personnel and research infrastructure has made these Trusts the ideal partners for industry. 

The NHS Confederation have been working with the Association of UK University Hospitals to set out the vital role and contribution they make. 

You can see the document here.

Things to support NHS clinical genetics and genomics services

In October 2016 an evidence session explored whether and how the National Data Guardian (NDG) might help to address concerns about the legitimacy of genomic data sharing within the NHS for direct care and routine service delivery. This paper published in August 2017, describes the key issues emerging from the evidence session and further discussions with others stakeholders. Dr Mark Taylor, a member of the NDG panel, has also authored an article about this work.

Things to attend..

Reform strategies for the NHS: effective or cosmetic cladding? This is the title of the Faculty of Medicine, Dentistry and Health's seventh ScHARR Pemberton Lecture which will take place on Wednesday 27 September 2017 at 5.15pm at Lecture Theatre 1, The Diamond.

In this lecture, Jennifer Dixon, chief executive of the Health Foundation,  draws on her experience from academe, medicine, policy analysis, and the wide portfolio of activities by the Health Foundation to prompt discussion on how progress in the NHS might be optimised.

Things to eat on a budget

I discovered the BBC has a collection of recipes for students on a budget. Very useful for my daughter who I have just taken back to Leeds College of Art.  Since she is vegetarian I have chosen a suitable dish. (Sarah)

Paneer-stuffed pancakes

These cheap and cheerful paneer pancakes take just 20 minutes to plate up and make an iron-rich veggie meal for two. Spoon on mango chutney and enjoy.

Things in the library 1st Sept...

Things turning orange and yellow...
As today is the first day of Autumn (my favourite season) I thought I would remind you of some of the regular things which take place in or near the library. Our recently started Reading Group is continuing to flourish and will be meeting this week on Wed 6th Sept 17:15 for about an hour. This month we are discussing 'Lion' - do come along and join us, we are an informal and friendly group - drinks and nibbles provided.  There is reading of a different sort in Journal Club with muffins - the next meeting is on Thursday 7 September, 8am to 9am, in the Education and Skills Centre, F Floor, Stephenson Wing. Presenter:​ Charlie Elder Paper:​ Predicting risk of serious bacterial infections in febrile children in the Emergency Department. All SCH staff welcome.

Things to promote early child development...
A recent review article looked at evidence for health and nutrition interventions affecting direct measures of early child development. Sixty systematic reviews contained the outcomes of interest. Various interventions reduced morbidity and improved child growth, but few had direct measures of child development. Of particular benefit were food and micronutrient supplementation for mothers to reduce the risk of small for gestational age and iodine deficiency, strategies to reduce iron deficiency anemia in infancy, and early neonatal care (appropriate resuscitation, delayed cord clamping, and Kangaroo Mother Care). Neuroprotective interventions for imminent preterm birth showed the largest effect sizes (antenatal corticosteroids for developmental delay: risk ratio 0.49, 95% confidence interval 0.24 to 1.00; magnesium sulfate for gross motor dysfunction: risk ratio 0.61, 95% confidence interval 0.44 to 0.85). findings should guide the prioritization and scale-up of interventions within critical periods of early infancy and childhood, and encourage research into their implementation at scale.

Things about a new challenge...

A new term doesn't just have to be for the children - if you or someone you know has never been to University but might like to... then the University of Sheffield run a Discover course that might be of interest. Discover is a FREE award winning short course, designed to inspire adults who haven’t been to university to progress with their learning. It focuses on themes that link into the subjects offered by the Department for Lifelong Learning. You can express an interest for the coming 2017-18 sessions here.
The course gives a real flavour of the University experience, giving participants a chance to take part in a range of small group activities and discussions. It also provides vital information, advice and guidance such as how to apply to university and how to finance your studies.
What makes the course innovative – and award-winning - is that the sessions feature discussion stimulated by ‘objects’ – objects that may be of personal significance to participants, or objects that form part of the Museums vast store of treasures from around the world.
There are no formal entry requirements, but please note that:

• participants for whom English is their second language must be able to speak and write the language to at least ESOL Level 2
• participants who have already gained a degree are not eligible for this course.

Things about bonding...

The Through Each Other’s Eyes (TEOE) programme was a one-year programme operating in the local authority of Haringey from March 2016 to April 2017. The TEOE programme sought to promote infants’ social and emotional development using video interaction guidance (VIG) with families. Through VIG, parents are given increased opportunities to observe and reflect on video recordings of their positive interactions with their child. The overall aim of the programme was to support parents to bond with their baby. This report describes the evaluation of a service development project in its implementation of a VIG programme in Haringey and makes a preliminary assessment of the programme’s feasibility and acceptability for use with families living in the borough who have infants of 12 months or younger. Results from the preliminary outcomes and process evaluations show that VIG has benefits for parents, practitioners and managers within early years servi

Some of my favourite foods...
I love roasted peppers and goats cheese so this will be appearing on my table sometime soon and they fit nicely into the Autumn colours theme!