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This article presents abstracts of research papers on anesthesia, including "Cardiac Arrest Following the Use of Hydrogen Peroxide -- Time to Reconsider Its Use," by M. Akuji, "High Flow Nasal Cannula as an Oxygen Delivery Device During Awake Fibreoptic Intubation," by S. Badiger et al. and "Accidental Intra-arterial Injection of Rocuronium Via Misplaced Intravenous Cannula," by C. Crossland et al.

The article presents abstracts on audiology which include the impact of plasticity following unilateral deafness, the use of signal-processing strategies to improve discrimination of amplified speech cues and the management of children with unilateral hearing impairment.

Background There is a challenging lack of evidence to inform best practice in the routine clinical care of juvenile idiopathic arthritis (JIA). Wide inter-centre variation in the definition and documentation of clinical data items is a major barrier to improvement. In response, we have developed a consensus agreed standardised core dataset called CAPTURE-JIA (n = 62 data items and a 'data dictionary' including agreed definitions of terms) designed to support routine collection of high-quality clinical data. The feasibility and acceptability of CAPTURE-JIA in clinical practice is not yet known and was the focus of this pilot study. Methods A purposeful sample of six paediatric rheumatology centres across England was invited to collect the CAPTURE-JIA dataset using paper collection forms (n = 20 patients/centre). The dataset was analysed for missing data. Six focus groups (n = 3-10) explored clinicians' views on acceptability and feasibility. Results One hundred and twenty-one patients were recruited over three months. The completeness of the dataset was similar across centres, with minor variations. The majority of data items (eg demographics, dates, ILAR type and examination) were >80% completed. However, 14/62 data items received >40% missing data. (Table 1) Further descriptive analyses highlighted incorrect completion of paper forms. Three themes emerged from the focus groups: problematic data items (missing from >10% forms at > 1 centre), format of clinician data forms and the role of digital data collection. Suggested solutions included minor changes to data item definitions and formatting. There were no refinements to the data items. Development of a digital data collection system was identified by all as essential. Due to a lack of clear consensus, the original CAPTURE forms included a number of ways to record joint count data. This proved confusing and a unanimous decision was taken to collect joint count data on all 83 joints in a tabular format. P10 Table 1: CAPTURE JIA data items with >40% missing data Data item  % forms with data item missing (if item required)  Relevant co-morbidities?  60  Macrophage activation syndrome?  100  Has the ILAR subtype changed?  50  Morning stiffness lasting >15 minutes?  42  History of any form of uveitis?  52  Date started uveitis mediation?  50  Strength of uveitis medication?  83  Counselled prior to new DMARD / biologic?  56  Enrolled in BECS/BCRD if new DMARD / biologic?  48  Joint count (homunculus or table format)  48  Physician assessment of systemic disease activity (VAS)  75  ESR  74  CRP  92  Plasma viscosity  100  Data item  % forms with data item missing (if item required)  Relevant co-morbidities?  60  Macrophage activation syndrome?  100  Has the ILAR subtype changed?  50  Morning stiffness lasting >15 minutes?  42  History of any form of uveitis?  52  Date started uveitis mediation?  50  Strength of uveitis medication?  83  Counselled prior to new DMARD / biologic?  56  Enrolled in BECS/BCRD if new DMARD / biologic?  48  Joint count (homunculus or table format)  48  Physician assessment of systemic disease activity (VAS)  75  ESR  74  CRP  92  Plasma viscosity  100  P10 Table 1: CAPTURE JIA data items with >40% missing data Data item  % forms with data item missing (if item required)  Relevant co-morbidities?  60  Macrophage activation syndrome?  100  Has the ILAR subtype changed?  50  Morning stiffness lasting >15 minutes?  42  History of any form of uveitis?  52  Date started uveitis mediation?  50  Strength of uveitis medication?  83  Counselled prior to new DMARD / biologic?  56  Enrolled in BECS/BCRD if new DMARD / biologic?  48  Joint count (homunculus or table format)  48  Physician assessment of systemic disease activity (VAS)  75  ESR  74  CRP  92  Plasma viscosity  100  Data item  % forms with data item missing (if item required)  Relevant co-morbidities?  60  Macrophage activation syndrome?  100  Has the ILAR subtype changed?  50  Morning stiffness lasting >15 minutes?  42  History of any form of uveitis?  52  Date started uveitis mediation?  50  Strength of uveitis medication?  83  Counselled prior to new DMARD / biologic?  56  Enrolled in BECS/BCRD if new DMARD / biologic?  48  Joint count (homunculus or table format)  48  Physician assessment of systemic disease activity (VAS)  75  ESR  74  CRP  92  Plasma viscosity  100  Conclusion Paper collection of the CAPTURE-JIA data items is feasible and acceptable in the routine clinical setting, but unlikely to be sustainable in the longer term if collected in duplicate with medical notes. A digital tool in the clinical domain, ideally interlocking with local systems, would offer many advantages, including more complete and time-efficient data collection. Conflicts of Interest The authors declare no conflicts of interest. [ABSTRACT FROM AUTHOR]

This article synthesizes ideas that emerged over the course of a 10-week symposium titled "Teaching Reproducible Research: Educational Outcomes" https://www.projecttier.org/fellowships-and-workshops/2021-spring-symposium that took place in the spring of 2021. The speakers included one linguist, three political scientists, seven psychologists, and three statisticians; about half of them were based in the United States and about half in the United Kingdom. The symposium focused on a particular form of reproducibility--namely computational reproducibility--and the paper begins with an exposition of what computational reproducibility is and how it can be achieved. Drawing on talks by the speakers and comments from participants, the paper then enumerates several reasons for which learning reproducible research methods enhance the education of college and university students; the benefits have partly to do with developing computational skills that prepare students for future education and employment, but they also have to do with their intellectual development more broadly. The article also distills insights from the symposium about practical strategies instructors can adopt to integrate reproducibility into their teaching, as well as to promote the practice among colleagues and throughout departmental curricula. The conceptual framework about the meaning and purposes of teaching reproducibility, and the practical guidance about how to get started, add up to an invitation to instructors to explore the potential for introducing reproducibility in their classes and research supervision. [ABSTRACT FROM AUTHOR]

The Photogrammetric Society existed as an independent learned society for some 50 years, from the 1950s to 2001. This period coincided with the growth of photogrammetry in the UK to become a well‐recognised and widely adopted methodology. A detailed history of the Society during that period was published by Atkinson and Newton in 2002. This paper attempts to give a more personalised view of the role and achievements of the Society through the eyes of a number of Society members. It focuses on the period from the 1970s to the 1990s – the heyday of the Society? [ABSTRACT FROM AUTHOR]

Despite decentralisation being a ubiquitous feature of human rights governance globally, the UN Committee on the Rights of the Child focuses primarily on the State as the locus for implementation of the UN Convention on the Rights of the Child (CRC). State control and a regulative approach prioritising justiciability of the CRC at national level are the Committee's dominant responses to decentralisation. This paper introduces decentralisation, including the risks and potential gains for CRC implementation. It is contended that a regulative approach may prove particularly challenging in the context of decentralisation. It is suggested that a normative approach, in which legislation is used to promote compliance through cultural acceptance of the CRC, and to support localisation of rights, may be better suited to the contours of decentralised governance. Taking the example of Wales, a devolved territory in the United Kingdom, it will be shown how a primarily normative approach to legal integration can help mainstream international norms in policy, enhance accountability for rights, and provide opportunities for policy advocacy at local level. The paper is a contribution to the literature on the instrumental value of legislation to support the realisation of human rights, applicable to decentralised systems of governance. [ABSTRACT FROM AUTHOR]

Introduction: There are many challenges we must adapt to in healthcare - health inequalities, environmental concern, ageing populations and multimorbidity to name a few. The English health system has responded by restructuring into Integrated Care Systems1. These are collaborative, place-based partnerships tackling health inequalities and improving care coordination. Additional skills are likely needed for professionals to thrive in and potentiate the promise of ICSs for patients. One key component identified in the Future Doctor Report2, was cultivating generalism. This led to the inception of the Enhance programme for generalism3 - a developing multiprofessional educational offer in England. Aim and Method: Any change is best supported by academically rigorous evidence. Some published evidence was anticipated, as the generalism concept has existed for centuries and some professionals practice in this way today. Three literature searches were commissioned from the Health Education England library service around the evidence for generalism. This presentation will focus on "what are the benefits of generalism to patients, the healthcare system and healthcare professionals". A second search was performed by a HEE fellow. All included papers were critically analysed. Results: 32 papers were identified by the library service. No further papers were included from the second search due to their age (approx. 30 years). All were written in English, 19 from the UK and 13 from across Europe, Asia and Africa, published between 2017-2020. Papers were methodologically diverse, predominantly qualitative, reviews, opinion pieces or project evaluations. Common themes included doctor preparedness, CPD and skills learning. Two papers each, respectively, explored professional and patient satisfaction. A subset of 8 papers felt to be of most relevance to the question were then analysed. Article types were similar to the above, originating from the UK, Thailand or Norway. Four common themes were identified: QI; CPD; preparedness and professional satisfaction. Only one examined patient satisfaction. Interestingly, this paper's findings aligned closely with the principles and aims of the Enhance programme and ICSs - person-centred, well-coordinated care, understanding realworld causes of ill health4. Conclusion: Although there are some proponent opinion pieces and indirect evidence, no papers have been identified that examine this question directly. There is a distinct lack of robust academic exploration of the actual (as opposed to posited potential) benefits to patients, professionals other than doctors and system-wide impacts from generalism. Implications: This work highlights several new and exciting areas for future research - likely to be interdisciplinary. How best to research applying a generalist approach for its benefits to stakeholders in terms of the Institute of Medicine's 6 domains of quality may be a future key question to consider. [ABSTRACT FROM AUTHOR]

This paper from CILIP's Health Libraries Group (HLG) committee is written by the previous International Officer who worked in partnership with Shane Godbolt. It outlines Shane's contribution to the Health Libraries Group over several decades and focuses on the collaborative work on international visits. [ABSTRACT FROM AUTHOR]

An introduction is presented in which the editor discusses articles in the issue on the topics including papers from 14th AIDSImpact conference with broad range of global considerations; and psychological ramifications of the epidemic need as much understanding as the virological challenge.

Abstracts of papers presented during the Association of Otolaryngologists in Training Annual Meeting on June 20, 2014 in Exeter, England is presented on topics including the parotid tumor, quality improvement, and procedures of limited clinical value in ear, nose, and throat (ENT).

This paper is based on the Founder's lecture of the same title presented at the BASPCAN Congress, 'New Directions in Child Protection and Well-being', in April 2015 in Edinburgh. In a very schematic way, it attempts to critically review changes in child protection policies in the UK since the first BASPCAN Congress in 1991. It argues that while there are similarities, there are also important differences. The nature of the problems to be addressed has become both broader and more complex and this is reflected in developments in policy and practice. At the same time, the challenges for child protection have become increasingly politicised such that the narrative of professional and system failure has become more dominant and pervasive. This has the effect of deflecting political and policy attention from the size and nature of the social problems to be addressed. The paper concludes by considering the most recent developments and their possible impact including the statutory Independent Inquiry into Child Sexual Abuse chaired by Justice Lowell Goddard. Key Practitioner Messages The changing political contexts are significant for the way in which practice is and can be carried out., In many ways, developments over the last 24 years can be seen as a story of growing social awareness and progress rather than one of 'blame and failure'. [ABSTRACT FROM AUTHOR]

This inaugural virtual issue of the Health Information and Libraries Journal ( HILJ) celebrates the contribution of health information in informing health and social care library and information provision. It has been drawn together to reflect the 2010 biennial Health Libraries Group conference theme of Keeping Information Centre Stage Amid Changing Scenery and includes a series of eleven key papers published in the journal over the last two years. This virtual issue mirrors the usual format of a journal issue with a review article, original articles and regular features on Learning and Teaching in Action, Using Evidence in Practice and International Perspectives and Initiatives. All papers included in this virtual issue of Health Information and Libraries Journal are available free online. [ABSTRACT FROM AUTHOR]

Aim This paper reviews three research methods for developing consensus. Background Consensus statements and guidelines are increasingly used to clarify and standardise practice, and inform health policy, when relevant and rigorous evidence is lacking. Clinicians need to evaluate the quality of practice guidelines to determine whether to incorporate them into clinical practice or reject them. Formal methods of developing consensus provide a scientific method that uses expert panel members to evaluate current evidence and expert opinions to produce consensus statements for clinical problems. Data sources Online search for relevant literature was conducted in Medline and CINAHL. Review methods A literature review of consensus, consensus development and research methods papers published in English in peer-reviewed journals. Discussion The three methods of developing consensus discussed are the Delphi technique, nominal group technique and the consensus development conference. The techniques and their respective advantages are described, and examples from the literature are provided. The three methods are compared and a flowchart to assist researchers selecting an appropriate method is included. Online resources with information on the development and evaluation of clinical guidelines are reviewed. Conclusion This paper will help researchers to select an appropriate research method for developing consensus statements and guidelines. Implications for research/practice When developing consensus guidelines for clinical practice, researchers should use a formal research method to ensure rigour and credibility. [ABSTRACT FROM AUTHOR]

The paper analyzes the history of green wedges in Britain from their origins in the first decade of the twentieth century up until the outbreak of the Second World War. Often neglected by the literature in favour of the ‘greenbelt’, the ‘green wedge’ was equally at the forefront of the minds of planners debating urban growth and the provision of open spaces for modern cities. Firstly, the paper looks into the origins of the idea, with particular focus on discussions about the integration of park and traffic systems in the period. Secondly, it focuses on the fundamental role that the 1910 RIBA Town Planning Conference played in the emergence of the green wedges idea and in its immediate reception and diffusion. Subsequently, the paper discusses the idea's development after the Conference, predominantly in plans for Greater London and in texts by its main supporters, which included H. V. Lanchester, G. L. Pepler, T. H. Mawson, and P. Abercrombie. [ABSTRACT FROM PUBLISHER]

Background: In the first wave of COVID-19, the UK Government relied heavily on digital channels to provide information to the public. This disproportionately excluded older people - one of the groups with least access to (or experience of) using the internet. Approximately 11.5 million people in the UK lack digital skills and 4.8 million people never go online, with around half (51%) of these being aged over 65. The Greater Manchester (GM) response was to work collaboratively with a number of key Ageing groups to develop Keeping Well at Home, a booklet providing evidence based health and wellbeing information and advice for older people during COVID-19 restrictions. Methods: An evaluation of the booklet was undertaken during summer 2020 by the Healthy Ageing team at the Applied Research Collaboration GM. As national restrictions on movement remained in place at the time, a postal questionnaire was distributed to a sample of older adults in GM. Results: Nearly 500 questionnaires were returned. The response was overwhelmingly positive; 92% found the information helpful; 90% agreed the booklet would help older people stay healthy during lockdown; 74% had used the home exercises section; 78% found the tips for keeping their mind well helpful. Around 50% of respondents did not have internet access. Paper based resources was the preferred choice for 92% of respondents with only 6% opting for digital versions. Conclusions: The evidence from the evaluation challenges the growing trend towards communicating just through digital channels, and emphasises the need for tailored paper-based materials for older adults. The Keeping Well at Home booklet also shows the value of working with older adults to ensure the content and design are inviting to readers. Information, support and services must be made available in an offline equivalent and proactively disseminated to reach those who otherwise would not have access to it. Key messages: Print-based communications are preferred over digital for some groups; ensuring inclusivity is critical as the ‘digital by default’ approach excludes large numbers of our population. Including target group representatives as co-editors to advise on content and stylistic design is key to ensure content is relevant and useful. [ABSTRACT FROM AUTHOR]

The demand for less hostile and more humanitarian ways of caring for patients in health care institutions are becoming more widespread and accepted in Japan. In the city of Tsukuba, student groups are leading the way in developing ways in making hospital stays less stressful through arts programs. This paper is the result of direct participation, observation, and assistance by the hospitals, medical staff, and students who are organize hands-on projects and interactive art sessions designed to serve patients directly. The Arts in Hospital program is a useful tool in engaging community participation and communication among students and hospital staff. It provides a learning opportunity to students, and a creative outlet for patients on extended care. Active participation by students has a very positive impact on by giving them practical outlets to exercise their creativity and knowledge, while hospitals benefit through their service, which also cuts costs. Further research is needed to identify the direct benefit to patients, and the future prospects of arts-based hospital projects in Japan. [ABSTRACT FROM AUTHOR]

Abstracts of research papers on pediatric topics are presented including the effectiveness of the Eat Right Emirates (ERE) healthy lifestyle tool used in the United Arab Emirates (UAE), adherence of commercial weaning foods for four-six months old infants with recommendations on the timing of gluten introduction, and adolescent scoliosis surgery for enhanced recovery pathway.

Abstracts of research papers on topics related to human nutrition and dietetics are presented including primary school meal provision in Great Britain and Spain, effects of meal and alcohol timing on postprandial lipaenemia, and changes in food neophobia and its impact on food habits, nutritional intake and future health among international students in Wales.

Abstracts of research papers on clinical nutrition topics are presented including the association between adherence to a gluten-free diet and reduced symptoms of fibromyalgia, differences in omega-3 polyunsaturated fatty acid profiles between vegetarians and omnivores and its association with mood, the effect of red tray on food and fluid consumption in elderly care home residents.

Abstracts of research papers on topics related to nutrition and dietetic services are presented including the effectiveness of a dietician-led weight management intervention in patients with severe mental illness, allege unsafe workload for National Health Service (NHS) workforce, and division of work time of NHS dietetic workforce.

Abstracts of short paper presentations are presented including "Comprehensive Chromosome Screening of Single Sperm Using a Whole Genome Sequencing Technique" by Araz Raberi et al, "Correlation Between Telomere Length and Genetic Complement in Human Sperm" by Federica Cariati and "The Dynamics of Chromatin Configuration During Ovine Oocyte Maturation in Vitro" by Chutima Topipat et al.

In the decades since the Conference on Devolution's proceedings concluded in stalemate in April 1920, the Conference has been consigned to the margins of political and constitutional history. However, within this limited literature, one interpretation of the Conference's proceedings has been universally held: that the subject of the powers the devolved legislatures should enjoy was a rare source of consensus. This article challenges this orthodoxy, using archival evidence from the Conference to demonstrate that while a consensus on powers may have existed on paper, such agreement certainly did not exist in practice. [ABSTRACT FROM PUBLISHER]

The author discusses the history of counselling psychology in Great Britain. Topics include the first annual conference of the British Psychological Society's Special Group in Counselling Psychology held in Birmingham, England in 1990, the relevance of positive psychology to counselling psychology, and the paper by Steffen, Vossler and Joseph.

Interdisciplinary research teams and departments are seen by some as a way of addressing problems that cannot be understood using a traditionally narrow and uniform approach rooted in a particular discipline. This paper presents a postgraduate perspective by discussing the positive and negative impacts on Ph.D. research of this type of work and making recommendations for integrating students into teams containing multiple unfamiliar disciplines. These include formal discussion of opportunities and risks and following advice from those who have taken this route. [ABSTRACT FROM PUBLISHER]

The article discusses a meeting organized by the Food and Health Forum of the Royal Society of Medicine that was held in Great Britain on March 27, 2014. At the meeting various papers on dietary guidelines are presented by several professors including Jayne Woodside, Tom Sanders and Peter Aggett. It also informs that attendees at the conference are welcomed by Anthony Mander, President of the Food and Health Forum.

The article discusses the thirty-fifth annual conference and annual general meeting (AGM) of the Scottish Legal History Group (SLHG) which was held in Edinburgh, Scotland on October 3, 2015, and it provides abstracts of several papers by authors such as Dauvit Broun, Joanna Tucker, and Dr. Jenny Wormald which were presented at the event. According to the article, an additional SLHG conference will be held on October 1, 2016. Scottish judicial records and declaratory power are assessed.

An introduction is presented noting that the special supplement issue focuses on the contributions of British addictions researcher Griffith Edwards, with the articles in the issue adapted from papers given at a January 2013 conference at the Institute of Psychiatry, Kings College, London, England.

Background Rituximab is an anti-CD20 chimeric monoclonal antibody that depletes pre-plasma B cells. It is used in paediatric rheumatology for conditions including juvenile systemic lupus erythematosus (jSLE), juvenile dermatomyositis (JDM), vasculitides and refractory juvenile idiopathic arthritis (JIA). We aim to describe the cohort of patients treated with rituximab in the Scottish Paediatric and Adolescent Rheumatology Network (SPARN) in a 5-year period, and assess the need for a network guideline. Methods A review of paper and electronic case records. Patients seen within the SPARN network who received Rituximab between 2014 and 2018 were included. Results Vasculitis Rituximab was given to 16 patients in 5 different SPARN centres between 2014 and 2018. Male: Female ratio was 1:4.3. Mean age at first dose of rituximab was 12.75 years. Mean disease duration pre rituximab was 1 year. 8 (50%) patients had jSLE, 7 multisystem and 1 isolated lupus nephritis. 3 had ANCA-positive vasculitis and 5 had other conditions. (1 had RF+ve JIA; 1 severe panuveitis; 1 had an unspecified autoinflammatory condition; 1 had COPA syndrome with severe interstitial lung disease and 1 had autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy (APECED). Documentation of pre-rituximab checks was poor. Baseline bloods were done in all 16 patients. 11 patients had lymphocyte subsets and 13 immunoglobulins documented. Disease-specific antibodies were measured in all patients in whom applicable (11). 11 had a chest x-ray prior to rituximab. In 9 cases a pre-rituximab pregnancy test was indicated: none were documented. In only 3 patients was a pre-rituximab history of recent infections documented. In 8 patients a discussion regarding treatment risks and benefits was documented. Post-infusion lymphocyte subset monitoring was variable but documented in 15. 1 patient was never B cell deplete. 9 never fully reconstituted. RTX dose information was available for 14. All received doses of 750mg/m2 with 6 having the dose capped at 1g. Dose frequency information was available for all. The majority (9) received 2 doses. Of the rest, 1 patient received a single dose. 3 received 3 doses, 2 had 4 and 1 had 5. All patients in whom information was available, received pre-medication with paracetamol, chlorphenamine and methylprednisolone (n = 14). 4 patients had side effects noted (rash/itch in 1, anaphylaxis in 1, facial flushing in 1 and post-infusion infection in 1). Clinical response was clearly documented in 8 patients, 7 of whom showed clinical improvement (2 had systemic jSLE, 2 had ANCA +ve vasculitis, 1 had isolated lupus nephritis, 1 had COPA syndrome and 1 had RF+ JIA). Conclusion Rituximab is used for a range of conditions and in a number of centres within SPARN. This review highlights variation in and poor documentation of pre-rituximab discussions and investigations, prescribing, monitoring and response. A SPARN rituximab protocol is being developed to address this. Conflicts of Interest The authors declare no conflicts of interest. [ABSTRACT FROM AUTHOR]

Background There is a need for additional treatment options in refractory JIA uveitis which has responded inadequately to MTX and anti TNFα. There has been interest in the use of tocilizumab, the APTITUDE trial using SC tocilizumab in JIA uveitis and the STOP-Uveitis study comparing 2 dosing regimens of iv tocilizumab in adults. Anecdotal evidence reports JIA uveitis patients who were stable on IV tocilizumab flaring when switched to sc administration. We describe the successful use of IV tocilizumab and concurrent sc MTX in two cases. Methods Retrospective review of patient paper and electronic medical records. Results Case 1.: A five-year-old female presented with severe anterior uveitis in her right eye. She was diagnosed with idiopathic uveitis and treated with topical steroid, oral then SC MTX infliximab, mycophenolate and adalimumab, all with inadequate control of her uveitis. At the age of 12, on adalimumab, she developed arthritis and her diagnosis was changed to JIA uveitis. 7 years after initial diagnosis she was commenced on IV tocilizumab 8mgs/kg 4-weekly with improved control of her uveitis although initially still requiring some topical steroid. She required intra-articular steroids for active arthritis and agreed to restart SC MTX. On tocilizumab and MTX combined, her arthritis settled and her topical eye drops were weaned for the first time since diagnosis. From age 5 until 14 she was continually on topical steroids, consequently developing raised intraocular pressure and a dense cataract. With improved disease control she had cataract surgery aged 14. She has maintained good disease control for the last five years on the combination of IV tocilizumab and SC MTX and has not required any further steroids. Case 2: A 3 year old female with oligoarticular JIA had severe bilateral uveitis at presentation. Initial treatment was with oral prednisolone, topical steroid and SC MTX. 6 months after diagnosis her uveitis remained active and she was commenced on infliximab with additional IV methylprednisolone. Venous access was challenging, required a portacath to facilitate treatment. By the age of 6 she had developed a cataract requiring surgery and still had incomplete control of her uveitis. Infliximab was increased to 10mgs/kg 4 weekly with little further benefit and at the age of 7 she was changed to adalimumab. On this she developed macular oedema requiring pulse IV methylprednisolone. 5 years after diagnosis she was commenced on IV tocilizimab initially 4 weekly, increasing after three months to 2 weekly. Her methylprednisolone was weaned and she has subsequently maintained good disease control on IV tocilizumab 10mgs/kg 2 weekly with SC methotrexate. Conclusion We describe two cases of refractory JIA and uveitis in whom IV tocilizumab with SC methotrexate has provided good disease control. Further studies are required to determine the optimal dosing regimen. Conflicts of Interest The authors declare no conflicts of interest. [ABSTRACT FROM AUTHOR]

Poster presentation Tuesday 8 October Background Over one in four children and young people (CYP) present to paediatric rheumatology services with non-inflammatory conditions. However, there is a lack of evidence-based treatments and clinical guidelines supporting the management of these patients. Our project aims to determine whether CYP diagnosed with different non-inflammatory conditions and their families are satisfied with the service offered by the paediatric rheumatology department at Leeds General Infirmary. In addition, we wanted to assess which interventions they found most helpful and to check if there were differences between children and young people diagnosed with different non-inflammatory conditions. Methods 632 patients seen by Leeds paediatric rheumatology between July 2017 and June 2018 were diagnosed with non-inflammatory conditions; the three most common groups of conditions were symptomatic hypermobility (SH), chronic pain syndrome (CPS) and muscular back pain (MBP). We undertook a patient satisfaction survey, including patients reported assessment of their physical and psycho-social outcomes, focussing on these three groups only. 198 participants (80 SH; 74 CPS; 44 MBP) were invited to the study by sending them a postal questionnaire with self-addressed and stamped envelopes to return them. The questionnaire did not include any identifiable patient information but a different coloured paper was sent to patients with the three different groups of diagnoses to allow comparison of these groups. All had attended the paediatric rheumatology clinic for their initial assessment and had been referred on to appropriate management services as for the treating clinician including physiotherapy, occupational therapy, podiatry/orthotics, pain management, and/or psychology. Results A total of 33 filled questionnaires were received over the next 2 months including 4 (9.09%) from patients diagnosed with MBP, 11 (13.75%) from patients diagnosed with SH and 18 (24.32%) from patients diagnosed with CPS. Mann-Whitney-U calculations were performed to compare groups. The CPS patient group derived less benefit from physical therapies compared with non-CPS patients (U = 35.5, p = 0.0251) and that their reported mental health is worse than non-CPS patients (U = 31.5, p = 0.034). Within the CPS group, patients benefitted more from occupational therapy (U = 13.5, p = 0.01242) and pain management clinic (U = 9.5, p = 0.0226) than podiatry/orthotics services. When asked to rate their overall satisfaction out of 10, the median scores for the SH and MBP groups were 9 and 10 respectively, the median score for the CPS group was 5. Conclusion Our data would suggest that patients suffering with CPS would benefit from a more holistic approach including referrals to a psychologist, occupational therapy and the pain management team. The CPS group seemed most dissatisfied with the services provided by the clinic. The results of the project were fed back to the clinical team and we hope to repeat the survey in future after potential changes suggested by the survey have been implemented. Conflicts of Interest The authors declare no conflicts of interest. [ABSTRACT FROM AUTHOR]

It's conference time again! There is an exciting programme in prospect in this year's biennial Health Libraries Group (#HLG2018) conference covering key elements of library and information workers' daily practice. Uppermost in everyone's mind is the importance of ongoing personal and professional development with the Health Libraries Group Continuing Professional Development Panel putting this into practice as they host regional peer support sessions for presenters in the period leading up to the conference. As the official journal of the Health Libraries Group, the Health Information and Libraries Journal is similarly keen to support presenters in the practical task of translating their presentations into papers. Do get in touch if you would like advice on what to do next. [ABSTRACT FROM AUTHOR]

Background: As research in family medicine covers varied topics, multiple methodologies such as qualitative research (QR) and mixed methods research (MMR) are crucial. However, we do not know about the difference in the proportion of QR or MMR between Japan, the UK and the US. This knowledge is needed to shape future research within countries with developing primary care such as Japan and other Asian countries. This study aims to describe the use of QR and MMR in Japanese primary care and compare this to the UK and US; then to make informed recommendations for primary care research. Methods: A repeated cross-sectional study (2012–2016) based on the abstracts submitted to the annual conferences of the Japanese Primary Care Association in Japan, the Royal College of General Practitioners in the UK, and the North American Primary Care Research Group in the US and other North American countries. The proportions of QR/MMR among all the posters and paper presentations for each of these three conferences were assessed. Also examined were trends and types of qualitative techniques for all three countries and participants/settings for Japan. Results: There were 1080 abstracts for Japan, 575 for UK and 3614 for US conferences. QR/MMR proportions were 7.5%, 15.1% and 28.1%, respectively. Japan's proportion was lower than that of UK and US (p < 0.001). The proportion was increasing over time for the UK (p = 0.02). Steps for coding and analyses was most popular for Japan, thematic analysis for the UK and grounded theory for the US. Primary care doctors and hospitals were the commonest contexts for Japan. Conclusions: QR and MMR were not as popular in primary care in Japan compared to the UK and the US, whereas their use was increasing in the UK. Approaches, participants and settings may differ among these countries. Education and promotion of QR/MMR and multi-disciplinary collaborations need to be recommended in Japan with developing primary care. [ABSTRACT FROM AUTHOR]

The article offers information on developments related to the British nursing sector as of July 2015. Topics discussed include the publication of "Getting Ahead: Why Mental Health at Work Matters," by mental health charity Mind, issuance of "How Can and Should UK Society Adjust to Dementia?" paper by the Joseph Rowntree Foundation, and check on English language competence for nurses and midwives who were trained in European Union (EU) countries by Nursing and Midwifery Council (NMC).