Friday, 29 June 2018

Things in the library 29 June...

Things to read and discuss...
You have a choice next Wednesday 4th July ...whether you come to our Reading Group at 17:15 to discuss 'The couple next door' and enjoy drinks and nibbles....or you can attend Journal Club at 17:30 where the paper being presented is "Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis"  along with muffins. If you time it right you could do a bit of both!

Things about healthy weight...
The Local Government Association have published an update on local actions taken to tackle childhood obesity. There are varying initiatives from restricting takeaways, encouraging more exercise or taking on the food & drinks industry. One of the initiatives featured is the local sugar tax introduced by the leisure group SIV ( part of the not-for-profit Sheffield City Trust). A 20p levy on soft drinks with more than 5 grams of sugar per 100ml came into force in July 2016. It excluded milk-based drinks and fruit juices, as the PHE review recommended. The impact of the sugar tax has been evaluated by researchers at Sheffield University in collaboration with SIV and the council.The review found in the first year after the introduction of the tax sales of high sugar drinks fell by 31 per cent per visit.The sales of lower sugar alternatives rose by 27 per cent, suggesting that the public did not simply purchase the drinks elsewhere. This was the equivalents of removing 1.3 million tonnes of sugar from the diet of local people.

More Things about obesity...
Part 2 of the government’s plan for action to significantly reduce childhood obesity by supporting healthier choices was published this week. This publication outlines the actions the government will take towards its goal of halving childhood obesity and reducing the gap in obesity between children from the most and least deprived areas by 2030.

Things for new consultants...
One of our blog readers (always great to hear from you!) suggested this blog post by Tessa Davis  'The End of the Beginning' would be interesting and useful for new (or about to become) consultants.  Although of course the most useful thing to know is what services your library can offer to save you time and support you in your work.

Things about young people's health...
The Health Foundation’s Young people’s future health inquiry is a first-of-its-kind research and engagement project that aims to build an understanding of the influences affecting the future health of young people. Listening to our future is the first report in the inquiry and shares the learning from their engagement work. When discussing what helped or hindered them in their transition to adulthood, young people identified four assets that were key to determining their current life experiences. These were as follows.
  • Appropriate skills and qualifications 
  • Personal connections
  • Financial and practical support
  • Emotional support
Things to make...
Soup isn't just for winter and can be beautifully cooling in this hot weather. I love this chilled almond soup...must be nearly time for my holidays!









Friday, 22 June 2018

Things in the library 22 June...

Things to help you sleep...
The University of Manchester yesterday unveiled new technology which could revolutionize displays in televisions, smartphones, projectors, computer screens and tablets. The researchers – who published their European Research Council funded study in the journal Sleep– say the technology could also mean that night workers are less likely to fall asleep at a computer. The device - which the researchers call a ‘melanopic display’ allows users to control the alerting effects of screen use and can also enhance the visual appearance of screens, say the team. The technology allows the amount of cyan light in images to be altered while keeping colours true. Conventional display is made up of red green and blue primary colours, which match up with three types of photoreceptors in our eyes. The team added a fourth ‘primary colour’ (cyan) which controls melanopsin cells in the eye which detect light, normally in the daytime. When the cyan light was turned up, the eleven participants in the trial felt more alert; when turned down, they felt more sleepy.

Things about sepsis...
Children’s immune systems could hold the key to preventing life-threatening infections and sepsis, a new study has revealed. The ground-breaking research conducted by an international team of scientists at the University of Sheffield and Harvard T.H. Chan School of Public Health, has identified the key response that children use to control infections - making them resilient to many severe infections and sepsis. The new study, which is the first of its kind, has helped scientists identify key differences in cell-pathway activity in the blood of septic adults and children. Establishing the pathways that help prevent sepsis is a powerful new way to discover drugs for intervention against sepsis and provides direct insight into potential cures for the disease. The findings of the study are now being used to design drugs for research into prevention of other pathological diseases including Alzheimer’s.

Things about fathers...
Father involvement with children has increased in recent decades.‍ Research has demonstrated the positive contributions fathers make to their children’s health and well-being.‍ For instance, father involvement has been linked to decreased risk of prematurity and infant mortality.‍ It has also been associated with the father’s parenting confidence, positive father-child interactions, future father involvement,10 and healthier coparenting relationships.‍ Father involvement benefits fathers themselves; men who are involved with their children report greater physical and mental health.‍
Despite the accumulating evidence for the benefits of father involvement,
few early parent education programs have focused on including fathers. In this systematic review, they examined father-inclusive perinatal parent education
programs in the United States as they relate to a range of father outcomes.

Things about eating patterns...
Childhood nutrition is important in optimising growth, development and future health. This study compared dietary intakes of Australian children aged 4–8 years with
(i) Australian Guide to Healthy Eating (AGHE) food group recommendations and 
(ii) age‐specific Nutrient Reference Values (NRVs), in addition to 
(iii) describing food group intakes of children meeting key NRVs. 
Significant discrepancies existed between contemporary dietary patterns of Australian children and national recommendations. 

Things about sugar...

Children in England are on track to consume around 4,800 cubes of sugar by the end of the year, more than double the maximum recommendation. Children aged 4 to 10 years should have no more than the equivalent of 5 to 6 cubes of sugar each day, but are consuming on average 13 cubes. This means they are on track to consume around 4,800 cubes of sugar by the end of the year, more than double the maximum recommendation. Sugary soft drinks remain one of the main contributors of free sugars to children’s diets, more than ice cream and puddings combined. Apart from fruit juice, which counts as one of our 5 A Day, the other main sources of sugar in children’s diets are:

  • Sugary soft drinks (including squashes, juice drinks, energy drinks, cola and other fizzy drinks) 10%
  • Buns, cakes, pastries and fruit pies 10%
  • Sugars, including table sugar, preserves and sweet spreads 9%
  • Biscuits 9%
  • Breakfast cereals 8%
  • Chocolate confectionery 7%
  • Sugar confectionery 7%
  • Yoghurt, fromage frais and other dairy desserts 6%
  • Ice cream 5%
  • Puddings 4%
Things about child mortality...
England and Sweden are both prosperous Western European countries with universal social security and healthcare, so one might expect mortality rates to be similar: not so. A major study in The Lancet highlights how badly England is doing compared with Sweden  The authors looked at national data for mortality between 2003 and 2012 for children aged 2 days to 4 years (deaths on days 0 and 1 were excluded because of possible discrepancies in live birth vs stillbirth classification). They identified a range of diagnostic and clinical data that were collected universally, and could be meaningfully compared between the two countries. Their interpretation is that excess child mortality in England compared with Sweden was largely explained by the unfavourable distribution of birth characteristics in England. Socioeconomic factors contributed to these differences through associations with adverse birth characteristics and increased mortality after 1 month of age. Policies to reduce child mortality in England could have most impact by reducing adverse birth characteristics through improving the health of women before and during pregnancy and reducing socioeconomic disadvantage.

Things to eat...
Well the exciting news is that after several months I now have a means of cooking food without having to use the microwave...just in time for a heatwave when we will want to eat salads! So as I have spinach leaves growing in the garden I think I will try this seedy spinach salad out....and I will need the cooker to fry the seeds.










Friday, 15 June 2018

Things in the library 15th June...

Things about ADHD...
A recent article in 'Child's Nervous System' looked at whether there is an association between mild head injury (MHI) and attention deficit hyperactivity disorder (ADHD) symptoms in preschool children. That preschool children with MHI have more pre-injury ADHD symptoms and oppositional and emotional-behavioural symptoms than healthy children without trauma. Clinicians should screen children with MHI for ADHD symptoms and refer them for treatment when necessary. Evaluation of children presenting with MHI by a child psychiatrist may prevent repetition of injuries.

Things from the Children's commissioner...

The report, ‘Public Spending on Children in England: 2000 to 2020’, shows that levels of government spending on children have been broadly maintained over the last twenty years. However, the analysis also reveals a number of deeply concerning trends, with mainstream and acute services, such as 4-16 education and support for children in care, protected at the expense of targeted preventative services. Almost half of spending on children’s services now goes on 73,000 children in the care system, while the other half has to cover the remaining 11.7 million children in England. Altogether, 72% of children’s services budgets go towards helping families in severe need.
The report shows there has been a significant reorientation of spending in recent years towards statutory help for children in crisis, while overall children’s services spending has been largely frozen since 2009–10. Spending on preventative support, such as Sure Start and young people’s services, has consequently been cut by around 60% in real-terms between 2009–10 and 2016–17.

Things about NHS70...
The University of Sheffield is holding an exhibition and activity event on Thurs 5 July 11am-7pm Sheffield Cathedral forecourt. There will lots of hands-on activities and demos from healthcare organisations across the city, including stands focusing on Sheffield's contribution the development of medical research and clinical trials. There will be activities for all ages including healthcare robots, taking the carbohydrate challenge, using computer models to measure our body’s movements, finding out how our hearts works, the chance to explore a vintage ambulance and much more.

Things about preterm children...
Preterm Children Have Higher Risk Than Full-term Children of Invasive Pneumococcal Disease During the First 2 Years of Life according to a recent publication in Pediatric Infectious Disease Journal






Things about winter...
Yes I know summer has finally arrived but NHS Confederation has been looking the pressures on the NHS...which are not just in winter. Their report System under strain is available online







Things about transforming care...
Transforming care is built on principles that put the child, young person or adult and their family and community at the centre.  Sometimes this can be hard to achieve if someone’s particular needs do not fit into services which already exist. This case study looks at Josh, who has a learning disability and autism, and how transforming care helped to bring him home to live with his family in Cornwall.

Things about migration...

From next Tuesday 23 June the Migration Matters Festival will be taking place over five days across Sheffield. Migration Matters is an annual Sheffield festival that runs during national Refugee Week. Events take place in city centre and community venues, uniting Sheffield’s communities and cultures. Sheffield was the UK’s first City of Sanctuary and it is a city that is made vibrant by its diversity and interconnecting cultures. Last year’s festival saw thousands of people enjoy events including: theatre, film, music, fashion, installation, talks and food events. It includes a photography exhibition 'Hidden Voices: The Health Experiences of Migrant Children' at Theatre Deli (202 Eyre Street) - no booking required.

Things to eat...
Fancy a bit of baking?  Well these polenta cupcakes are easy and quick and make the most of seasonal strawberries.

Friday, 8 June 2018

Things in the library 8th June...

Things about obesity...
The House of Commons Health Committee has published a report which states that current estimates suggest that nearly a third of children aged 2 to 15 are overweight or obese in the UK and younger generations are becoming obese at earlier ages and staying obese for longer. Obesity rates are highest for children from the most deprived areas and this situation is getting worse. Children aged 5 and from the poorest income groups are twice as likely to be obese compared to their most well-off counterparts and by age 11 they are three times as likely. The case for stronger action on this unacceptable and widening health inequality is compelling. The Government is expected to publish shortly a refreshed version of the childhood obesity plan first published in summer 2016. This report outlines the following key areas which demand attention as a matter of urgency by the Government before the next chapter of the plan is finalised: A ‘whole systems’ approach; Marketing and advertising; Price promotions; Early years and schools; Takeaways; Fiscal measures; Labelling and Services for children living with obesity.

Things about child sexual abuse and adverse experiences...

The Department of Health and Social Care have published a report which sets out current knowledge on trauma-informed care approaches to child sexual abuse and child sexual exploitation. It includes personal case studies and recommendations for a trusted relationship model.
They have also published a report about adverse childhood experiences which presents key findings from a study that aimed to
describe: the development and piloting of the Implementation Pack; practitioner views of the Implementation Pack; and practitioner (and where possible client) views on REACh (Routine Enquiry about Adversity in Childhood

Things about Lycra...
An article not on the fashion pages but in European Journal of Paediatric Neurology! Lycra garments have recently been used for children with cerebral palsy, with favourable effects on alignment, biomechanics and neuromuscular activity. An immediate improvement of static balance was observed at baseline, with the first use of the Lycra suit. Further improvement was observed at the 6 month follow up, with a statistical significance for the parameters assessing the antero–posterior axis. Both parents and children also reported functional benefits.

Things to do briskly...
Moderate intensity physical activity means getting the heart rate up and breathing faster. Just 10 minutes of brisk walking a day is an easy way for adults to introduce more moderate intensity physical activity into their day and reduce their risk of early death by up to 15%. To help adults do this, Public Health Englands’s ‘Active 10’ app has been created and it is the only app of its kind that combines intensity and time, rather than just distance.

Things about neonates...
An article on the effects of music on hospitalised preterm neonates was published in January (Developmental Medicine & Child Neurology. 2018 Jan 24;ePub ahead of print) and Evidence-based Neonatology have recently reviewed it and their commentary concludes:
With recent evidence suggesting that preterm neonates may be suffering from sensory deprivation, this review complements previous evidence in suggesting that music therapy may moderate the effects of preterm birth on neurodevelopment. However further investigation through well-designed and adequately powered RCTs, which give appropriate consideration to the nature of the musical stimuli provided, will be essential in establishing the short- and long-term effectiveness and safety of this intervention.
Things about children's eating behaviour...
A review article in 'Nutrients'  looks at the relevant factors involved in the creation of some children’s food preferences and eating behaviours in order to highlight the topic and give paediatricians practical instruments to understand the background behind eating behaviour and to manage children’s nutrition for preventive purposes. In this analysis, parental food habits and feeding strategies are the most dominant determinants of a child’s eating behaviour and food choices. Parents should expose their offspring to a range of good food choices while acting as positive role models. Prevention programmes should be addressed taking into account socioeconomic aspects and education.

Things about peregrines...
If you want to find out more about the University of Sheffield's peregrines then book a free place on their Sheffield Peregrine Evening Thu 14 June  18:00 – 20:30 their will be a chance to view the adults and fledglings from the Churchyard (please bring binoculars, if possible. A few pairs will be available to borrow.) followed by talks (in St George's Church Lecture Theatre).

Things to eat...
Make the most of rhubarb at the moment - and what better than a crumble