Things in the library 24 Nov...

Things about IBD...

Family history is the strongest risk factor for developing Crohn’s disease (CD) or ulcerative colitis (UC). This research investigated whether the proximity of relationship with the affected relative and concordance for type of IBD modifies the effect of family history on phenotype and disease severity. They concluded that a family history of CD in 1st degree relatives was associated with complicated CD. Family history discordant for type of IBD or in distant relatives did not influence disease phenotype or natural history.

Things about asthma...
It is well established that the healthy bronchial tree contains a microbiome distinct from that of the upper respiratory tract and that the lung microbiome may be dysregulated in individuals with a chronic respiratory disease, such as asthma. In addition, after birth, gut microbes interact with the host tissue, especially with the lymphatic tissue, thereby guaranteeing efficient immune activation. This review focuses on the available literature on the relationships between the gut microbiome, immune function and asthma in childhood, as well as the therapeutic strategies aimed at acting on the modulation of the microbiome. This article is in Immunotherapy journal which isn't one easily available to you as part of your NHS Open Athens resources however we can get most resources for you from other libraries or the British Library - just ask us or fill in a request form.

Things about fat intake in children...
Elevated cholesterol has been linked to cardiovascular disease in adults and preclinical markers of atherosclerosis in children, thus reducing saturated (SFA) and trans-fatty acids (TFA) intake from an early age may help to reduce cholesterol and the risk of cardiovascular disease later in life. The aim of this review 'Health effects of saturated and trans-fatty acid intake in children and adolescents: Systematic review and meta-analysis' is to examine the evidence for health effects associated with reducing SFA and TFA intake in free-living children, adolescents and young adults between 2 to 19 years of age. The conclusion is that advice to reduce saturated fatty acids intake of children results in a significant reduction in total and LDL-cholesterol levels as well as diastolic blood pressure without evidence of adverse effects on growth and development. Dietary guidelines for children and adolescents should continue to recommend diets low in saturated fat.

Things about keeping up-to-date...
Through our blog and our weekly bulletin to all SCH staff on a Monday we try to draw your attention to new developments and reports. However for more subject specific information do try out our e-prompt service which will inform you of new publications in your areas of interest. Please remember that articles to which you are alerted are not automatically available to you full text but anything you want to read in more detail you can request from us (as above). Watch out in the New Year for a new service we will be offering.

Things to visit...
I am off to the Christmas market at Wakefield's Hepworth Gallery this weekend which I am told is very good. I love the gallery itself so I am hoping to buy lots of Christmas presents too. Rather tempted by the sound of Rhubarb Gin!


Things to eat...
Did you know this weekend is 'Stir-up Sunday'?  Traditionally this is the day to make your Christmas puddings and mincemeat as it is the last Sunday before Advent - the Christian count-down to Christmas. Everyone in the family takes a turn to stir the pudding mix and each person involved makes a special wish for the year ahead. This can also be the point to add 'silver' coins as it is believed that finding a coin brings good luck. Although we always added coins just before bringing the pudding to the table to make sure that the children were able to find (and not choke) on them! You may not want to make a pudding but mincemeat is very easy for children to make and perhaps give as gifts.

Things in the library 17th Nov...

Things to attend...
The next journal club will be on Tues 21st November, 1-2pm, in the Education and Skills Centre, F Floor, Stephenson Wing.
Papers:​ Steroids and bronchodilators for acute bronchiolitis in the first two years of life and Epinephrine for bronchiolitis
Journal Club is open to all SCH health professionals and is a fun, informal way of learning to criticise papers and gather evidence to change practice. At each meeting a speaker presents a critical appraisal of a research paper, using a recognised appraisal tool such as CASP Group members then have an informal discussion to determine whether or not current practice should be altered in light of the presenter's findings.


Things about mental health...

The Social Care Institute for Excellence's Expert Working Group has developed a new model to improve mental health support for children and young people, which places the young person at the centre. The model is based on ‘I statements’ supported by enablers. The model highlights what good, holistic support for mental health and well-being looks like from the perspective of the young person, and what needs to be in place to make it happen. To support their findings, they then developed an eco-map, to be used in conjunction with the accompanying decision trees. The eco-maps are representations of the choices that should be available to the young person and/or primary caregiver to access the right support and resources.




Things about children's services...
This  report - Turning the Tide -  from the National Children’s Bureau looks at current funding and spend right across children and young people's services. They provide an estimate of how much councils are receiving for children and young people's services and where this is being allocated.







Things about diabetes...
More than 5,000 people are expected to benefit from a pilot project which will see five companies and eight areas of the country test drive a range of apps, gadgets, wristbands and other innovative digital products, which starts this month. Users will be able to access health coaches and online support groups as well as set and monitor goals electronically. Some patients will also receive wearable technology to help them monitor activity levels and receive motivational messages and prompts, which is being made available on the NHS for the first time. This online method of receiving support has the potential to have a similar impact to face-to-face interventions – helping bring down high blood sugar levels and in turn prevent or delay onset of Type 2 diabetes.

Things about turmeric...
My friend's dog Woody swears to the health benefits of turmeric (well his owner's do!)...there is certainly some interesting evidence around it's use although further research is required to resolve uncertainties related to dosage form, dose and medication frequency of turmeric/curcumin. Whether or not it has health benefits this reminded me what a lovely warming spice it is, so here is a quick scrambled egg recipe for lunch/brunch over the weekend.

Things in the library 10th Nov...

Things virtual today and tomorrow...

As part of the ESRC Festival of Social Sciences, there are some exciting free events for all the family to enjoy in the city this weekend.
Urban Extravaganza: The VR Experience Friday 10 November, 12-5pm, repeated on Saturday 11 November, 11am-3pm Winter Garden
This exciting hands-on event will showcase the origins and evolution of five cities (Sheffield, Edinburgh, Manhattan, Liverpool and Manchester) using virtual reality experiences. There will be two virtual reality headsets - one headset is bookable in advance and one headset will operate on a drop-in basis (please note, it may be necessary to queue). The virtual reality experience can be used by children aged 14+ or aged 8+ with parental agreement.
Feeling Good in a Green City Friday 10 November, 12-5pm, repeated on Saturday 11 November, 11am-3pm Winter Garden. Sheffield is one of Europe's greenest cities. People notice different kinds of nature around the city in different ways and not always the 'green' parts. For the first time, you will be able to hear the experiences of other residents of the city at an interactive listening post.
Nature and greenspace can improve our mental well-being. Researchers at the University of Sheffield's Landscape Department will offer you the chance to suggest your own creative ways to connect people with nature in Sheffield and contribute to the mental health of the city's residents.

Things about Clinical Audit...
Clinical Audit Awareness Week is on the horizon (20th - 24th November) and as part of the SCH Trust's celebrations the Quality & Standards Dept  are offering two 2.5hr Bitesize Introduction to Clinical Audit and Service Evaluation sessions.   21st Nov 10:00 - 12.30   24th Nov 14:00 - 16.30
Certificates of attendance will be produced for staff that can be used in portfolios, re-validations, etc. Please book via Learning & Development.




Things about gangs...
From the Children's commissioner is a review of the evidence on the subjective well-being of children involved in gangs in England. Children’s Voices: The Wellbeing of Children involved in Gangs in England


Things about clinical leadership...
This blog from the King's Fund - Clinical leadership – moving from good will to good practice - gives examples from the UK where clinical leadership has made a difference to improved services and quality of care.

Things from NSPCC...
Ensuring children’s voices are heard in research
The NSPCC’s Impact and evidence series features a blog by Dr. Catherine Hamilton-Giachritsis, Reader in Clinical Psychology, University of Bath; Dr. Elly Hanson, Forensic Clinical Psychologist; and Pat Branigan, Development & Impact Manager at the NSPCC discussing the challenges presented by professional gatekeeping, and how to overcome them. Professional gatekeeping happens when professionals are reluctant to identify children and young people to take part in research, which prevents the young person from making an informed choice about whether to take part or not. Strategies to overcome professional gatekeeping include: engaging young people in participation groups and research advisory groups; engaging with practitioners; and finding routes directly to young people.
Impact of online and offline child sexual abuse: "Everyone deserves to be happy and safe"

We live in an increasingly digital world but know relatively little about the effects of CSA carried out using online or digital technologies (technology-assisted CSA, or TA-CSA). NSPCC commissioned researchers from the University of Bath, University of Birmingham and CEOP to find out more.
The research team carried out interviews and questionnaires with a group of young people aged 15-19, who were recruited through the NSPCC, Childline and the National Crime Agency. The research focused on TA-CSA in particular, but sexual abuse often involves both offline and online contexts and environments. Professionals were asked how they perceive TA-CSA, and what impact they think it has on young people

Things to eat...
A nice heart warming salmon dish chosen by Sarah this week ...Gratin of fresh & smoked salmon, beetroot, potatoes & dill

Things in the library 3rd Nov...

Things to attend...
The next journal club for SCH staff will be on Thurs 9th Nov 8am - 9am. The paper presented will be 'Effectiveness of β-Lactam Monotherapy vs Macrolide Combination Therapy for Children Hospitalized With Pneumonia'. Come along and ask us if you want to read the paper in advance.

Things about diabetes and infections...
People with diabetes mellitus (DM) have increased infection risk. The healthcare utilization of pediatric and adolescent diabetic patients with infection is not well defined. This study evaluates the number of pediatric and adolescent patients with DM that seek medical treatment for infection management and assesses its socioeconomic impact. It concludes that children and adolescents with type 1 and type 2 DM commonly present to the ED and require hospitalization for infection evaluation and management. Encounters with infection make up a large proportion of a growing economic burden on the United States’healthcare system. As the prevalence of DM grows, this burden can be expected to become even more significant. Cost-effective strategies for the prevention of infection in pediatric patients with DM are needed.

Things about consent...
Informed consent for pediatric anesthesia is unique because it is obtained from surrogates (ie, parents) rather than from the patient and sought after parents have authorized the surgical intervention. There is limited data on how pediatric anesthesia informed and consent discussions are conducted. The purpose of this study was to characterize the content of preanesthesia informed consent discussions and assess their impact on parent recall and understanding.

Things about breastfeeding and asthma...
The conclusion of this study was that ' In a pediatric population with asthma, children who had been breastfed had a statistically significantly lower risk of asthma exacerbations later in life compared to asthmatic children who had not been breastfed.'

Things about breastfeeding and SIDS...
This study looked at 2267 SIDS cases and 6837 control infants from eight case-control studies. Although the variables collected in each study varied slightly, limiting their ability to include all studies in the analysis and control for all confounders, the conclusion was that breastfeeding duration of at least 2 months was associated with half the risk of SIDS. Breastfeeding does not need to be exclusive to confer this protection.





Things about CQC and mental health...
The report of the first phase of a Government-commissioned review of mental health services for children and young people in England has been officially released (Friday 27 October). The CQC has drawn on existing reports, research and other evidence and its inspections of children and young people’s mental health services, as well as conversations with young people to identify the strengths and weaknesses of the current system. The report confirms many of the issues raised in the Five Year Forward View for Mental Health published in 2016 and in particular, comments on the difficulties children and young people face in accessing appropriate support for their mental health concerns from a system that is fragmented and where services vary in quality. During phase two of the thematic review, CQC will undertake fieldwork to identify what helps local services to achieve, or hinders them from achieving, improvements in the quality of mental health services for children and young people, as set out in the NHS’s Five Year Forward View for Mental Health.

Things about ME to watch...
The Clinical Academic Society and Sheffield Academic Medicine Society are delighted to be hosting a screening of the multi-award winning documentary UNREST at the University of Sheffield. Time for Unrest is a global impact campaign that seeks to increase awareness, education, research and funding around ME. This condition is generally not taught in undergraduate medical education and can be misunderstood within the medical profession. Unrest gives an insight into how debilitating ME/CFS can be and an opportunity to discuss the condition with a panel of clinicians and those with first hand experience.  Unrest world-premiered January in the documentary competition at the 2017 Sundance Film Festival, where it won a Special Jury Prize for editing. It has also recently been submitted as an Oscar consideration.

This event is primarily to educate and is therefore free to medical students, junior doctors, consultants and other medical professionals as well as University staff and students who have an interest. The screening is also open to the public with a small donation to the local charity Sheffield ME Group.
Tickets are available here: Eventbrite

Things about us...

You don't have to access the library to use many of our services but if you want to see what we look like (and our view out on a rather grey day) then look at these amateur (ie shaky) videos on our Google+ site!  You might also like some of our Training Resources to help you with various tasks.




Things about Childline...

NSPCC's Childline service gives children and young people a safe and confidential space to talk, be listened to and get support. In 2016/17 they provided more than 295,000 counselling sessions. Their annual review explores what children and young people are telling Childline during counselling sessions. It looks at who is contacting Childline, why, when and how. It focuses on 3 key areas and it highlights strategies that young people tell Childline they find helpful when coping with challenges.

• anxiety
• suicidal thoughts and feelings
• what children who are d/Deaf, disabled or have a health condition are talking to Childline about.

Things to eat...

This roast veg and chickpea stew from Deliciously Ella sounds nice....although we will be munching on a joint of pork cooked on the bbq accompanied by all the trimmings making the best roast pork sandwiches ever at our big family bonfire party!