Things in the library 16 July...

Things to search...

Training sessions can be booked on how to conduct a search for evidence using HDAS (Healthcare Databases Advanced Search) accessed via the NICE website.  These sessions and other training we offer can be booked on a 1:1 basis using our Book a Librarian Form (currently conducted via Microsoft Teams).

Another place to search - particularly for guidelines - is TRIP Medical Database. Their new website has launched and if you access via an NHS network you should automatically get access to the Pro version. To help you with the new site there is a brief overview video and a key to the results page.

Things about Looked After Children...

The Nuffield Foundation has published findings from a study carried out by researchers at University College London and Kings College London looking at the health and social outcomes of people who have been in care in England and Wales. The study of data from census reports on 353,601 people, including 5,681 who spent time in care as children, found that there were large social, economic and health inequalities in adulthood for people who spent time in care as children.

Ofsted has launched a survey aimed at young people who are currently preparing to leave care, and care leavers aged 16 and over. The survey asks questions about the planning, preparation and support young people are given when leaving care, to help Ofsted improve its inspections. If you are aware of anyone who might like to participate in this, the deadline for submissions is 23 July 2021.

Things about RSV... 

This RCPCH free webinar, presented on 29 June 2021, was convened to support paediatricians and other child health professionals with managing bronchiolitis and other respiratory viruses this year. It looked at how to manage patient flow, ‘keeping patients safe and pathways open’, covered recognition, management and discharge, and signposted to resources for parents.

Things about Randomised Coffee Trials...

Thank you for those who have sent in feedback - some of the comments are listed below - and to the one person who's chat didn't go so well we are truly sorry you had this experience. We hope that you will have better luck next time as we do expect that people joining in with these chats will do so with kindness, friendliness and in the spirit of mutual discovery and support.

it was lovely finding out about another role in the hospital and how support can be offered in so many different forms.

a positive experience and lovely person

I enjoy meeting new people in this context. It is always interesting.

Thank you for providing this opportunity.  Although it's nice to meet in person, having them virtually has enabled me to participate more and arrange meetings more easily as I don't work at Weston Bank.

It was great to take the time to meet a colleague and learn about their experiences of working in the Trust, and life more widely too. 

I really enjoyed the chat, was nice to learn about other areas of workings within the hospital.  My match was lovely!

Love this project and always excited to meet my partner each time. 

Adorable chat with x  

The next RCT will be in the Autumn but you can sign up in advance if you wish (if you have signed up before and asked to be kept on the list there is no need to fill in the form again). We don't know if/when face-to-face meetings will become the norm, however we will keep the virtual option for those who prefer that (particularly those based at home or working away from the Acute site).

Things to eat... 

Amazingly our first grandchild will be one year old next week....what a year it has been. We are hosting her birthday party (mainly for adults) and are sure to feature one of our favourite buffet salads from Delia - Pesto Rice Salad - always popular and very easy to prepare in advance.

Things not happening...

Due to the aforementioned birthday I will be taking Annual Leave next Friday, so I am sorry that there will be no blog next week.... I will be untangling the bunting and making the house child-proof!

Have a lovely weekend everyone

Things in the library 19th March...

 Things not in the library... 

Me until after Easter, so there may not be a blog for the next couple of weeks - so if you celebrate it may I wish you all a Happy Easter in advance. The library will be closed Good Friday and Easter Monday re-opening on Tuesday 6th April.

Things from 1949... 

We have reciprocal arrangements with libraries across the UK which is where we source most of the articles we supply to you via our Article Request service.  This week I was asked to supply an article to another health library from a 1949 issue of the Lancet. This necessitated the deployment of the step ladder and initiated a little cloud of dust, as these are not consulted frequently. They are always fascinating however and this article was no exception - The Seven Sins of Medicine. This was in a lecture by Richard Asher MD to medical students "in the hope that those students who wish to avoid them may do so and those who wish to indulge in them may enlarge their repertoire or refine their techniques". A humorous article but making a serious point with some poignant examples of bad practice. The seven sins listed are obscurity, cruelty, bad manners, over specialisation, love of the rare, stupidity and sloth. If anyone would like a copy of the article please contact the library - or come and explore some of our older journals yourself.

Things about obesity... 

Whilst attending a dept audit meeting recently (do let us know if you would like us to support your department in the way) I was interested to learn about Sheffield's Live Lighter service. They provide brief interventions weight management training aimed at all professionals working across Sheffield that regularly engage with children and young people under 18. It will encourage a considered approach to bringing up the topic of weight management with children and their families and provide a suggested standardised process of how to have a quick, positive and opportune conversation around the topic when talking to those that it may be relevant to. It will also involve an overview of Live Lighter’s specialised free weight management programme for families in Sheffield and how professionals can refer to that (training is usually 1 hour but can be adapted in length if required.) If there are any teams or individuals that would like to access training, please email and they will appoint a staff member to arrange/deliver. For NHS staff this Sharepoint link should open a video telling you more about their work. Any difficulties please contact the library.

Things to 'attend'... 

An 'on-demand' production from Sheffield's Crucible Theatre. From writer Chris Bush (Standing at the Sky’s Edge), The Band Plays On is a rousing night of extraordinary tales and live music. Funny, moving and often unexpected, these episodes from our past might start to show us a way forward. Stories of solidarity and survival from the Steel City, punctuated by songs from some of Sheffield’s best-loved bands and artists. You can purchase a pass for 3 days' access at a time that suits you from Tuesday 16 until Sunday 28 March. This has had excellent reviews so I hope to watch it this weekend. 

Things about Clinical Skills Net... 

Some of the Trust's mandatory training is hosted on this platform. You will need an account set up to access this, so if you haven't already done so please email the library with the following information.

• your assignment number (found on ESR or your payslip)
• your ESR staff category
• your nhs.net email address

We cannot register you without this information

Things to make... 

Make a classic Simnel cake for Easter - a spicy fruit cake covered in marzipan and traditionally with 11 small marzipan balls decorating the top (one for each of the apostles). Simnel cakes have been known since at least medieval times, the meaning of the word "simnel" is unclear: there is a 1226 reference to "bread made into a simnel", which is understood to mean the finest white bread, from the Latin simila – "fine flour" (from which 'semolina' also derives). [source Wikipedia]

Things in the library 26 Feb...

 Things to join...

I don't know where February has gone but already it is nearly time for the next Reading Group meeting. This month we are discussing Ben Elton's 'High Society' about the pervasive nature of illegal drugs within society. If you want to join us please contact the library for the link - we meet online on the first Wednesday of every month at 18:30 for about 1 hour.  Our next book will be 'Once upon a River' by Diane Setterfield. 

Things about digital technology... 

Digital technology can support the NHS to deliver high quality specialist care more efficiently. To achieve these digital advances, the right environment for innovation, education and collaboration needs to exist. On the 24 March there is an event as part of National Health Executive's NHE365 Festival  'Achieving Digital Efficiency' - a topic in which has been a top priority during the global pandemic.

Things online...

As well as Reading Group going online we have developed more of our training to be available in this way and this could be something we continue even after the pandemic. It is useful for people based away from the Acute site of the hospital and hopefully will also reduce the number of people not turning up for booked training.

We now run our popular Critical Appraisal Course online. Please email the library if you would like to participate. There needs to be a commitment from participants to engage with all three elements of the course.

Virtual Critical Appraisal Course (SCH employees only)

The course is in 3 parts and all 3 must be completed, a certificate is awarded on completion

Part 1 Course slides and workbook

Part 2 Article appraisal

Part 3 Microsoft teams meeting to discuss workbook answers and article appraisal

Things about Girls... 

For over a decade, Girlguiding’s research has captured girls’ and young women’s lives, highlighting their views, experiences, and the challenges they face. From gender stereotypes to body image concerns, girls and young women continue to face unequal pressures and barriers to living confident and full lives. Now, as well as these, they are confronting the impact of the Covid-19 pandemic. It has radically changed their lives and opportunities and shaped their perspectives. Through this recent publication 'Back in lockdown: Girls’ and young women’s hopes and fears for the future', girls’ and young women’s voices reveal how they’re coping with the profound changes that have occurred in their lives over the past year. They tell us about the things they’re finding hard, what they’re concerned about and their hopes for the future. This research builds on the Girlguiding's previous survey with girls and young women in May 2020. 

Things about SEN... 

This House of Commons Library briefing sets out the system of support for children and young people in England aged 0-25 with special educational needs (SEN). The briefing provides an overview of the new system introduced in 2014, the transitional arrangements, and how the new system differs from that which preceded it. It also includes a brief history of the movement towards reform that preceded the 2014 changes, and information on the impact of the new system available to date.

Things about carbs and fats... 

A recent study in Nature Medicine was highlighted recently by NIH Research Matters.  The amount and types of food available to the average person have changed over time. These changes are believed to contribute to the rise in obesity by promoting increased calorie intake. Excess weight can cause various health problems, including diabetes, heart disease, and stroke. 

There has been a great deal of debate over what aspects of our food have promoted obesity. High carbohydrates are believed to result in large swings in your body’s insulin levels, which may cause increased hunger and calorie consumption. High-fat foods may promote increased calorie consumption because they contain more calories per bite and can leave you feeling less full. 

In the research when on the low-fat diet, the participants ate 550 to 700 fewer calories per day than when on the low-carb diet. Despite the large differences in calorie intake, they reported no differences in hunger, enjoyment of meals, or fullness between the two diets.

People lost weight on both diets, but only the low-fat diet led to a significant loss of body fat. The low-fat diet resulted in higher blood glucose and insulin levels compared with the low-carb diet. This is a concern because variable glucose levels can be a risk factor for coronary artery disease.

“Interestingly, our findings suggest benefits to both diets, at least in the short-term. While the low-fat, plant-based diet helps curb appetite, the animal-based, low-carb diet resulted in lower and more steady insulin and glucose levels,” Hall says. “We don’t yet know if these differences would be sustained over the long term.”

The researchers note that the study was not designed to make diet recommendations for weight loss. Results may have been different if the participants were actively trying to lose weight. Further, results may be different outside the lab, in which all meals were prepared and provided in a tightly controlled clinical environment. Factors such as food costs, food availability, and meal preparation constraints can make adherence to diets challenging.

Things about digital resilience... 

NSPCC Learning has released a podcast looking at the NSPCC's InCtrl service, designed to prevent technology-assisted child sexual abuse by supporting children and young people to build digital resilience. The podcast discusses: concerns that lead to children being referred to InCtrl; how practitioners work with young people on their online behaviour; the importance of involving parents and carers; and how children and young people’s views have been incorporated into the development and implementation of the service. Listen to the podcast or read the transcript : Building children and young people’s digital resilience

Things to make...

A beautiful spring-like day today but still cold. So a perfect meal would be this vibrant  Green pesto minestrone which is really easy to make.

Things in the library 11 Dec...

Things closing for Christmas... 

These are our closing dates for Christmas - I am posting them now as I am on annual leave next week so this will be the last blog before Christmas.

Mon 21 Dec  Closed for Stock Taking

Tues 22 Dec – Sun 3 Jan  Closed for Christmas & New Year

We will reopen Mon 4 Jan 2021

As always there is a book drop box outside the library if you need to return items whilst we are closed.

Things finished, until the next one...  

The recent Randomised Coffee Trial is receiving good feedback from people who took part. Some people found it difficult meeting online without disturbing colleagues in their workplaces. Not much we can do to help with that I'm afraid - hopefully people will be able to meet up again physically at some point next year - you will perhaps have to encourage your colleagues to sign up too!. Some people based on the Acute site went for a socially distanced walk in the park. Meeting virtually is not ideal but it does make it easier to meet colleagues from different sites. We expect the next RCT to be in February with sign-up being available anytime from now until the end of January.

Things about autism...

This article was highlighted to us from our colleagues in CAMHS 'The effectiveness of parent training for children with autism spectrum disorder: a systematic review and meta-analyses' it is available on open access. 

Things about training... 

If you are clinical staff you may be directed to use Clinical Skills Net for some of your training.  If so and you have not previously registered to use this, then please email the library and tell us your NHS email address, staff assignment number (you can find this when you log in to ESR) and your staff category/job role. We will then set up your account so you can access the courses.

Things to attend... 

The next Journal Club meeting is on Tuesday 15th  December 13:00 - 14:00.

Venue: Virtually & from the Education & Skills Centre. Click here to join the meeting.

Paper: Primary care faecal calprotectin testing in children with suspected inflammatory bowel disease: a diagnostic accuracy study

Things about Christmas past... 

I have just been re-reading Charles Dickens 'A Christmas Carol' as I try to do each year. One of the things I always enjoy is the glimpses of life in 1843, of the Cratchit’s Christmas pudding he writes:

"A great deal of steam! the pudding was out of the copper. A smell like a washing-day! That was the cloth. A smell like an eating-house and a pastry cook's next door to each other, with a laundress's next door to that. That was the pudding."

Not many people make their own puddings these days and if they do I hope they don't use their washing machines, but if you have left over Christmas pudding this year there are many options. I have seen one suggestion that you fry up a slice to go with a full English breakfast in the place of black pudding!. Perhaps a little more conventional is Christmas pudding ice cream.

Illingworth Library staff would like to wish everyone a 

Merry Christmas and a Happy New Year

Things in the library 5th June...

Things about reading...

We had an excellent Reading Group meeting this week where we discussed 'God's Own Country'. Our next virtual meeting will be 1st July  at 18.15 - 19.15 and our next book is 'Before the coffee gets cold' by Toshikazu Kawaguchi  If you would like to join us please email the library.

In a small back alley in Tokyo, there is a café which has been serving carefully brewed coffee for more than one hundred years. But this coffee shop offers its customers a unique experience: the chance to travel back in time. In Before the Coffee Gets Cold, we meet four visitors, each of whom is hoping to make use of the café’s time-travelling offer, but the journey into the past does not come without risks: customers must sit in a particular seat, they cannot leave the café, and finally, they must return to the present before the coffee gets cold . . .Toshikazu Kawaguchi’s beautiful, moving story – translated from Japanese by Geoffrey Trousselot – explores the age-old question: what would you change if you could travel back in time? More importantly, who would you want to meet, maybe for one last time?

Things about training...

We are getting quite accustomed to online training for literature searches, managing references (Menderley) etc and are happy to do this. If you would like to Book a Librarian session with us please do so - all you need is a computer with audio and video capabilities and we can come to you wherever you are. We are hoping to expand the courses we can offer via this method and will probably keep this as a training option even when the library is fully open again. 

Things about learning...

The Learning Hub is a new digital platform that provides easy access to a wide range of resources that are pertinent to education and training in health and care.  New features will be frequently released to provide a comprehensive learning experience for users. You can access the Learning Hub either using eligible e-Learning for Healthcare log in details or by creating a Learning Hub account. 

The resources shared on the platform play a pivotal role in its success, in its vision for collaboration and supporting learners.  Many stakeholders from across the health and care workforce, including clinical commissioning groups, social care, professional bodies, charities and the simulation community, have already contributed a range of quality learning resources.  Many of the resources are in response to the COVID-19 efforts to support the health and care workforce.  These resources include videos, webinars, slide presentations, Q&A packs, simulation scripts, lesson plans and web links to support system readiness, recovery and beyond.

Things about nature...

From R S Illingworth 'Babies & Young Children'

Many of us are discovering nooks and crannies in our local area in which to enjoy the benefits of nature during this lockdown. This article caught my attention this week looking at the effect of nature play on the health and developmental outcomes of children. The studies they looked at showed "Nature play had consistent positive impacts on physical activity outcomes and cognitive play behaviours (imaginative and dramatic play)." although they pointed out this difficulty of comparing studies of this kind.

Things about assessing physical activity...

Although based on American recommendations this article in Pediatrics looks at the role of GPs and paediatricians in supporting physical activity amongst children & adolescents. Physical activity is known to shown to be associated with decreased rates of smoking and fewer symptoms of depression, and increased rates of inactivity and sedentary activity can predict future alcohol and drug use in adolescents. Benefits of increased activity on academic achievement, memory, attention are also cited along with the more obvious physical benefits of improved health.

Things about Coronavirus mental health...

The NSPCC has released figures which show that Childline has delivered 6,938 counselling sessions to children and young people in the UK who mentioned the coronavirus crisis since January 2020. Figures also show that more than half (16,644) of all counselling between 23 March, the start of lockdown, and 10 May 2020 related to mental /emotional health; suicidal thoughts and feelings; or self-harm.

Things online...

Don't forget that we have a good selection  of e-books (159) available to you which you can access via our library catalogue even if you are working at home. You can see all of the available titles here and if you have any specific needs you can search here and, depending on cost, you can ask us to authorise a purchase or short-term loan of new titles  - for this you will need to log in with your NHS Athens account.

Things to eat...

A nice mixture of summer vegetables along with a bit of comfort food feel seems right for this 'not quite as hot' weather. Caponata with cheesy polenta, which is gluten-free and vegetarian.

Things in the library 6th March...

Things about Evidence Based Practice...
Our next Quiz to celebrate our 70th year birthday is now open...how much do you think you know about Evidence Based medicine...try our quiz and at the end of March the highest scoring entry will receive a prize. If you find you know less than you thought you did then check out our training page.


Things to read...
Our reading group meeting this week was unanimous in liking John Wyndham's 'Day of the Triffids' which despite being written in 1951 still felt relevant and exciting today...and a little scary! Our next book is Olive Kitteridge by Elizabeth Strout and our meeting to talk about it will be on April 1st at 17:15 in the Illingworth Library (F Floor Grey lifts). Refreshments provided.


Things to attend...
Children & Young People's Mental Health (CAMHS) 2020 Conference & Exhibition Tuesday, 14 July 2020 Ambassadors Hotel, Bloomsbury, London. This national CPD accredited conference programme will explore emerging trends in children and young people’s mental health services, such as the interaction between online platforms for gaming/gambling and addiction; as well as existing issues with access to services, social media use and legislating to support CYPMHS and service users.


Things about rare diseases...
An update to the implementation plan for the  UK Strategy for Rare Diseases in England has been published by Department of  Health & Social Care around 3 million people in the UK will be affected by a rare disease, 80% of which will be of a genetic origin and over 75% of all rare diseases affect children.

Keeping up-to-date...

We have many ways to help you keep up-to-date.
When you join the library you can tell us your main areas of interest which means you will get notifications of new items we have added to our catalogue (books, websites, articles written by SCH colleagues, new gold Clinical Audits/service Evaluations). This will also mean you get a monthly email with a few articles we have selected that might be of interest to you.
e-prompt 
You can also sign up to one of our subject e-prompts giving a more comprehensive list of recent journal articles emailed to you regularly.

Things to eat...
It has been nice and sunny this week and the spring flowers are staring to show their colours so a nice spring recipe today with Parmesan spring chicken.

Things in the Library 7th July

Things about reading group...

We held our second meeting this week discussing 'Elizabeth is Missing' and we gave it a score of 76%. Our next book is “Fried Green Tomatoes at the Whistle Stop Cafe” by Fannie Flagg

“The day Idgie Threadgoode and Ruth Jamison opened the Whistle Stop Cafe, the town took a turn for the better. It was the Depression and that cafe was a home from home for many of us. You could get eggs, grits, bacon, ham, coffee and a smile for 25 cents. Ruth was just the sweetest girl you ever met. And Idgie? She was a character, all right. You never saw anyone so headstrong. But how anybody could have thought she murdered that man is beyond me.” Fried Green Tomatoes at the Whistle Stop Cafe is a mouth-watering tale of love, laughter and mystery. 
We are a friendly bunch and enjoying discussing our reading over a drink and some nibbles. Do come along if you enjoy reading and chatting 1st Wednesday of every month in the library at 17:15 for about 1 hour.

Things about ADHD...
An article in Journal of Attention Disorders 'Examining the Relationship Between Children’s ADHD Symptomatology and Inadequate Parenting: the role of household chaos.' This study examines the interrelations of parenting practices, emotional climate, and household chaos in families with children with and without ADHD. In particular, indirect pathways from children’s ADHD symptomatology to inadequate parenting and negative emotional climate via household chaos were investigated.


Things about research...
The  Royal College of Physicians have produced a document "Research for all: Sharing good practice in research management" this document outlines the conditions needed to support research directors, managers, clinical and non-clinical staff and, ultimately, patients. The added examples of good practice from NHS organisations around the country aim to help build the knowledge base for all involved or wanting to be involved in research. By recognising and addressing barriers to pursuing research, both doctors and R&D departments can underpin research as a core activity and demonstrate how it is everyone’s responsibility.



Things about the genome...
A report from the Chief Medical Officer (Prof Dame Sally C Davies) entitled 'Generation Genome' has been published and she takes a detailed look at genomics, exploring how we currently utilise genomics in our health and care system and how its potential may be developed. She says in her foreword:
"Genomics is not tomorrow. Its here today. I believe genomic services should be available to more patients, whilst being a cost-effective service in the NHS. This is exciting science with the potential for fantastic improvements in prevention, health protection and patient outcomes"

Things about digital literacy...
A report published by RCN and HEE on Improving Digital Literacy states that:
"Sound literacy capabilities are needed by everyone working and learning in health and social care if we are to maximise the potential of technology and digital in health and social care. It’s no longer possible to think about digital literacy as either purely technical proficiency or just something ‘other people’ do. We all need the right digital knowledge, skills, attitudes and behaviours that will enable us to provide the best possible care for all".  They define digital literacy as: "the ability for everyone working in healthcare being able to learn, work and develop effectively in a digital workplace and society."
Here in the Illingworth library we consider ourselves to be digitally literate and we are always trying out new ideas and ways of working. If you or your department need any help do consider asking us or Book a Librarian for a training session.

So with the next Reading Group in mind...
From the book:
1 green tomato per person
White cornmeal
Bacon dripping
Salt & pepper
Slice tomatoes 1/4 thick and season then coat with cornmeal - heat the dripping then fry on both sides until lightly brown.
"You'll think you died and gone to heaven"

Or if you prefer a posher version Nigel Slater's is here Fried Green Tomatoes 

Things in the library 9 October

Things to go with muffins - Journal Club
Next week the Journal Club will be on Thursday 15 October from  8:00 to 9:00 held on  F Floor Stephenson Wing. All clinicians welcome and the paper being discussed is "Using multifaceted education to improve management in acute viral bronchiolitis" Murch H, Oakley J,Pierrepoint M, et al. Arch Dis Child 2015. Please contact the library if you need help accessing a copy of the full text.

Things about health visitors and school nurses 
"Health visiting and school nursing partnership nurse interface and improved partnership working" has been published. This pathway is guidance to support professionals to deliver improved outcomes, and outlines aspirations for service delivery. The guidance will assist in the delivery of the Healthy Child Programme and will help local areas to shape their services.

Things about training doctors

The BMA defines 'core principles' of training for doctors. The six key principles set out in the document were formulated following consultation with BMA members, as well as being informed by existing policy, and include that education, training and development is:

• Responsive to the population’s health requirements
• Rooted in an ethos of professional excellence
• An inspiring process of continuous life-long learning
• Fair and inclusive
• Supportive and flexible for learners and trainees
• Designed to enable employers and infrastructure to provide value and support.

Things about children's mental wellbeing
A new resource from Public Health England’s (PHE) Mental Health Intelligence Network highlights the importance of local organisations measuring and acting to improve the mental wellbeing of children and young people. Measuring mental wellbeing in children and young people shows that raising levels of mental wellbeing influences a child’s ability to learn, their resilience to risky behaviours and their physical and mental health in adulthood. Half of all mental health problems emerge before the age of 14 and 1 in 10 children will have a clinically diagnosed mental health problem during their childhood.

(C)Gill Kaye 2015

Things exciting 
The landing outside the library is being painted as part of the signage project in the hospital so we expect our entrance will look very smart soon.

Things Philosophical
Philosophy at the Showroom is a series of sessions probing the philosophical questions raised by some of cinema's most intriguing films, and discussing books that have philosophical themes (either philosophical texts, or other works that raise philosophical questions). The talks will not presuppose any prior knowledge of philosophy, and we hope they will lead to the development of a thriving community of those interested in the subject in the city. Following the showing of the film, there will then be a short talk from a philosopher, and then general discussion. October Session : Babette's Feast introduced by Hugh Pyper Thursday 29 October 6pm. Tickets are available directly from the Showroom.You will need to pay the usual Showroom ticket charge for seeing the film.





Things musical 
The new season of University musical events have been announced and includes: Global Soundtracks, New York, Beethoven Plus and a live performance of The Snowman and Peter & the Wolf on Dec 19th.


Things about social media

I recently did a session with one of the departments in the hospital talking about the uses of social media. If you would like us to bring a training session to your department on anything information related then please ask. Here is a fun quiz to find out your social media age.
Thinking about age brings me nicely on to..



Things cakey 

(C) Gill Kaye 2015

As I write my son is at home making a birthday cake for his girlfriend...I kept getting baking related texts earlier in the week! Wonder if he will bake one for my birthday next week.....although I don't think we would have enough candles for mine! He has chosen to make this carrot cake here is the recipe but he has decorated his and it looks wonderful!