Things in the library 16th Oct...

 Things to inspire... 

Despite yesterday being my day off I made sure I was able to listen to the Clinical Summit keynote speaker Liz O'Riordan who I have heard before on the radio. She did not disappoint and i strongly recommend you catching up with the presentation. She recommended several books which we will try to buy for the library. If you - or those around you - struggle with work-life balance then this is the talk for you. One of her passions (as a surgeon turned patient) is the dissemination and sharing of good quality information and signposting patients/parents to useful resources. One such resource that you might find useful for your patients and their families is Contact a charity for families with disabled children. They also have part of their website aimed at health professionals.

Things to join in... 

(photo taken in February)

Our next Randomised Coffee Trial will run in November so now is the time to sign-up. This is the chance to be randomly matched with someone else in the trust and to take 30-40 minutes out of your day to connect. You can talk about work if you want and possibly learn something new or make new connections or just share your interests. If you wish you can take a socially distanced walk outside in the park instead of a virtual meeting. On previous participants 95% said it was a positive experience. Click on this link for a form to sign-up, you will be matched and informed what to do next at the end of October and if someone recommended RCTs to you then give us their name and they might win a prize donated by Starbucks for our 70th birthday celebrations.  

Things competitive...  

(photo taken in February)

If you haven't yet joined in the competition we are running with a Book token from Blackwells as the prize (can be used online). Don't miss your chance. Treasure to be found... no-one has yet got all the correct answers!

Things LGBT+ in the NHS... 

This new report from The University of York follows a three-year study to understand how LGBT+ employee networks operate within the NHS, how they are run, what they can do to improve  relationships between colleagues, and ultimately, how they can improve the wellbeing of LGBT+ employees. The report sets out a series of recommendations on how networks could be used in inclusive work environments. The report concludes unequivocally that, while the NHS provide a very positive space for many LGBT+ networks students, there is a real need for the sector to engage with LGBT+ networks and to review how it provides support for networks to ensure NHS trusts get the most from their LGBT+ networks.

Things about evidence... 

For more than 30 years hundreds of organisations and tens of thousands of individuals have been driving improvements in the quality and outcomes of healthcare by promoting and supporting the synthesis, transfer and implementation of evidence into clinical practice. On October 20th 2020 World Evidence-Based Healthcare Day celebrates the impact of researchers, academics, students, clinicians, consumers, patients and other agents of change who are driving improvements in the quality and outcomes of healthcare globally. There are many inspiring stories here of where evidence has made a difference. If you need help searching for the right evidence to support you and inform your work then please use our Book a Librarian service or sign up for our Current Awareness services when you join the library.

Things diagnostic... 

Professor Sir Mike Richards was commissioned by NHS chief executive Sir Simon Stevens to review diagnostic services as part of the NHS Long Term Plan. The review’s proposals will help save lives and improve people’s quality of life including for cancer, stroke, heart disease and respiratory conditions. In his report, presented to the NHS England and NHS Improvement board meeting 1st October, leading medical expert Sir Mike says that these new services would be ‘covid free’, with diagnostic checks in A&E separated from tests taken ahead of routine procedures. Such an approach would be quicker and safe for patients, so anyone who is in hospital should be able to get a scan on the day.Access to blood tests in the community should also be expanded so that people can give samples close to their homes, at least six days a week, without having to go to hospital.Professor Sir Mike, who was the first NHS national cancer director and the CQC’s chief inspector of hospitals, said that the need for radical change has been further amplified by the pandemic.The report adds that any new services will need to be implemented over time, requiring significant investment in facilities, equipment and workforce alongside replacing outdated testing machines. More information here.

Things to make... 

I love fish and it is often my choice on a restaurant menu (if I remember correctly!) so here is a quick dish you can make 'Honey & orange roast sea bass with lentils' 

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 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!