bluuebunny/crossref_metadata_2025 huggingface dataset:
Muddy puddle treasure
Authors: Gascoyne Sue
Published: May 2014

Sue Gascoyne examines the important role of sensory learning, particularly outdoors play, and how practitioners can maximise sensory-rich play opportunities to nurture early childhood development.
Let's talk! About young children's communication and language development
Authors: Stevens Judith
Published: May 2014

The Year of Communication should give us all the impetus to look into the provision we offer young children in terms of language and literacy, starting with the lessons learnt from Every Child a Talker.
Profound changes ahead
Authors: Longfield Anne
Published: May 2014

The government is in the process of making far-reaching changes to how the early years workforce works, which means it is vital that practitioners open dialogue with each other and those in power.
The taming of the wolf
Authors: Hampshire Vivien
Published: May 2014

Viv Hampshire takes a fresh look at one of the most enduring and ‘bad’ characters in children's literature and recommends books that will help children to decide if he is really the villain he's made out to be?
Emotional environments
Authors: Hodgman Liz
Published: May 2014

The environment plays a key role in supporting and developing a child's learning and development. We often focus on the balance between indoors and outdoors, but emotions also need to be planned for.
Supporting self-esteem
Authors: Dukes Chris , Smith Maggie
Published: May 2014

A child's sense of worth affects how they learn and behave. Supporting a child to have a positive view of themselves and to build their self-esteem is one of the most important aspects of early years practice.
Nurturing imagination
Authors: Gascoyne Sue
Published: May 2014

Opportunities for nurturing children's imagination lie all around us, often in the form of the simplest of resources. Sue Gascoyne, shares some examples of highly imaginative play in children across the ages.
When a word can mean so much
Authors: Leitch Neil
Published: May 2014

Comments made recently by justice secretary Kenneth Clarke MP regarding those engaged in riots across the country will not help anyone, and only highlight the need for greater early years investment.
Early intervention grants
Authors: Tanuku Purnima
Published: May 2014

Purnima Tanuku OBE, offers an insight into the non-ringfenced, but all-encompassing funding reach of the Early Intervention Grant (EIG) and explains why you should influence how local authorities spend it.
What we can learn from... Hansel and Gretel
Authors: Chapman Ailsa
Published: May 2014

In this month's article we return to our theme of exploring practical activities based on classic fairytales, in this case, the Brothers Grimm story of Hansel and Gretel, the evil stepmother and a wicked witch.
The magic of mudlarks
Authors: Marie Row Donna
Published: May 2014

Outdoor play and Forest Schools are rightly becoming the cornerstones of early years education, but we tend to stop short of full-scale muddy experiences, which misses so many learning opportunities.
The secret life of sticks
Authors: Bromley Helen
Published: May 2014

This 12-part series offers a month-by-month guide for practitioners working outdoors with young children, supporting them and helping you celebrate, whatever the weather – this month, November.
Welfare and wellbeing
Authors: Hayes Doral
Published: May 2014

Recent serious case reviews and the importance placed on safeguarding issues should mean that children are safer than ever, but can we truly say that staff are empowered to raise their concerns?
Story time - friend or foe? Using stories to develop language skills
Authors: Bergmann Rebecca
Published: May 2014

We are in the final month of the National Year of Communication, which has highlighted the growing numbers of children with speech and language difficulties, and the many programmes that can help.
Boosting early language
Authors: Freeman Kate
Published: May 2014

The government has announced funding for an Early Language Development Programme, that will focus specifically on the birth to two-year-old age range. It will be delivered by a group headed by I CAN.
Enabling a true foundation: A sound antidote to the erosion of childhood
Authors: Katz Lilian , House Richard
Published: May 2014

The recently published book, Too Much, Too Soon?, throws into question just how we should define an appropriate ‘foundation’ for early development and learning, and ideally what these should consist of.
The distance from here to there
Authors: Emery Hilary
Published: May 2014

The transition to school has been an almost permanent hurdle in the UK's education system since time immemorial, and yet we still struggle to get it right and to make it as invisible as possible for children.
Every single thing ends
Authors: Sharpe Deborah
Published: May 2014

Of all the concepts we are happy to discuss, the subject of death is usually one we find awkward or try to avoid altogether, however, we need to help children explore its meaning whenever necessary.
Makes allotment of sense
Authors: Christie Sue
Published: May 2014

Sue Christie explains how taking the decision to rent space on an allotment provided endless learning opportunities, enriched the nursery menu and provided children with their own little Eden to explore.
Entitlement funding concerns
Authors: Leitch Neil
Published: May 2014

A recent report from the National Audit Office has highlighted the concerns within the sector regarding the adequacy of funding provided by government for the free entitlement for three and four-year-olds.
Make early years career of choice
Authors: Tanuku Purnima
Published: May 2014

A recent NDNA members survey, designed to inform a response to the Nutbrown review highlighted concerns about the status and perception of a career in childcare that urgently need to be addressed.
What we can learn from… Ireland
Authors: Chapman Ailsa
Published: May 2014

This is the second article in a series looking at different countries that will use their characteristics, identity and peoples as starting points for practical activities and learning — this month, Ireland.
Listen through drawing
Authors: Williams David
Published: May 2014

David Williams introduces a creative and practical activity that will improve children's listening skills while helping them to express their feelings and emotions while experiencing different types of music.
Sticking to creativity
Authors: Bromley Helen
Published: May 2014

In this 12-part series, Helen Bromley explores resources, that are either free or relatively cheap, that can help you make the most of your outdoor environment – this month, the hidden world of sticks.
Difficult conversations
Authors: Miller Rebecca
Published: May 2014

We all experience situations where we find it difficult to have certain conversations, regardless of the position we hold or the person we are talking to, why is this and how can we overcome it?
Reception back in focus
Authors: Kiely Teresa
Published: May 2014

Now the long wait for the revised foundation stage is over we can start to work out how it affects our everyday practice, something that has always been slightly daunting for those working in reception.
Young bilingual children
Authors: Pandit Kalpana
Published: May 2014

Working with bilingual young children in an early years setting provides many challenges for both staff and family members, but it also offers plenty of real opportunities for wider learning and development.
Parent classes should carry no stigma
Authors: Longfield OBE Anne
Published: May 2014

Most people attend an ante-natal class during pregnancy, but few receive ongoing support post-birth, despite the fact that most parents would welcome help, which is why we need to back parenting classes.
Managing your time
Authors: Miller Rebecca
Published: May 2014

How often have you heard, or have you personally said, that there is never enough time in the day? It is vital that leaders prioritise their workloads and differentiate between urgent and important tasks.
Re-assess the gender gap
Authors: Lloyd Trefor
Published: May 2014

When we talk of achievement, behaviour and profiling we often fall into the trap of focusing just on boys and whether we are failing them, as if they are one homogenous group, which they are not, as this article explains.
Private investment idea is flawed
Authors: Leitch Neil
Published: May 2014

Government plans to persuade the private sector to invest in early years as a means of promoting early intervention through ‘social investment’ were recently spelled out by the Work and Pensions Secretary.
Fairies in the garden
Authors: Bromley Helen
Published: May 2014

In this 12-part series, Helen Bromley explores resources, that are either free or relatively cheap, that can help you make the most of your outdoor environment – this month, explore the magical world of fairies.
A Forest Full of Maths
Authors: McGrath Caroline
Published: May 2014

When we talk of Forest School, we often concentrate on the many positives for a young child's social, emotional wellbeing and physical skills, but there are also many mathematical learning opportunities.
Sustainable and affordable childcare
Authors: Tanuku Purnima
Published: May 2014

With the party political conference season in full swing, Purnima Tanuku OBE, outlines what she has been telling the politicians regarding the future of early years provision in the nursery sector.
The Softest of Touches
Authors: Clarke Jenni
Published: May 2014

The third article in our series focusing on playing with babies, aimed especially at giving confidence to practitioners working in the baby room for the first time, focuses on the sense of touch, hands and feet.
Take your pets to a vet
Authors: Sharpe Deborah
Published: May 2014

Helping children to learn about the health and wellbeing needs of a beloved pet, or a favourite type of animal, through role-play, games and visits, can open up the prime and specific areas of learning.
Beware of the book bag
Authors: Doyle Phoebe
Published: May 2014

How we assume children learn to read best could do with a little reflection from time to time. Phoebe Doyle speaks to one expert who warns of the ‘sending books home and hoping for the best’ approach.
Profile appears to be improving
Authors: Robb Sue
Published: May 2014

The last profile results that will published for the 2008 Early Years Foundation Stage have been released and while these show improvements in achievement levels, they highlight the challenges that lie ahead.
Fight the erosion of childhood
Authors: Ellyatt Wendy
Published: May 2014

One report after another details the decline in health and happiness of the UK's children, thanks in part to the school system, from commercial pressures, family issues and so on. Now is the time to act.
Games we used to play
Authors: Bromley Helen
Published: May 2014

In this 12-part series, Helen Bromley explores resources, that are either free or relatively cheap, that can help you make the most of your outdoor environment - this month, songs, rhymes and playing games.
We work better together
Authors: Kiely Teresa
Published: May 2014

A well thought-out and planned approach to a continuum of care can help a borough work effectively between children's centres and pre-schools to offer the best provision for disadvantaged two-year-olds
Rough and tumble play
Authors: Clarke Jenni
Published: May 2014

Babies need to experience the world in many ways, through all their senses and by using the feedback from their whole body and its motion through space; so bounce, rock, swing and fly toward learning.
Make our voices heard
Authors: Tanuku Purnima
Published: May 2014

Purnima Tanuku OBE examines the implications of the government's More Great Childcare report for nurseries and explains why the early years sector must stand together during this time of change.
Quality art in early years
Authors: Ruth Churchill Dower
Published: May 2014

The right to play and the need for artistic expression is as essential for a child as the air they breathe, but how do we find quality in creative early years practice and ensure it is endemic in our settings?
Special challenges ahead
Authors: Wall Kate
Published: May 2014

Early years practitioners with responsibility for children with special educational needs and disabilities have faced endless changes to policy over the years, and there is more to come, as Kate Wall explains.
An excellent journey
Authors: Jefferies Tina
Published: May 2014

We have been providing for the needs of children in childcare and education contexts in the UK for a long time and, therefore, surely we should expect excellence in every practitioner and setting.
Newborn screening tests
Authors: Day Lin
Published: May 2014

Practitioners, especially those working in children's centres, can play a big role in helping expectant mothers understand the various tests that babies undergo in the period immediately following birth.
Emotional expressions
Authors: Maurice Claire
Published: May 2014

UNESCO suggests that ‘when education and care settings accept children through their doors, they are making a pledge to prepare those children for the future’. Can emotional literacy help achieve this?
Only increased funding will do
Authors: Leitch Neil
Published: May 2014

There has been a plenty of talk about the importance of early years education, and of raising standards, but this will not come cheap, and it is now high time the government really started investing heavily.
Of patterns and plots
Authors: White Hilary
Published: May 2014

This is the second of three articles exploring how picture books can be used within the prime and specific areas of learning. This month we take a look at Understanding the world and Mathematics.
Finding the meaning
Authors: Rivolta Heidi
Published: May 2014

This month, our French activities will help you to introduce a number of basic questions and simple phrases to your children, making use of puppets, body language and games to help foster learning.
A red letter day for noses
Authors: Lambert Suzie
Published: May 2014

Many nurseries will be raising money for good causes in March, so get the date in your diary and start planning! Suzie Lambert offers practical ideas on how to make Red Nose Day 2013 a day to remember.
Found and fascinating
Authors: Bromley Helen
Published: May 2014

In this 12-part series, Helen Bromley explores resources, that are either free or relatively cheap, that can help you make the most of your outdoor environment -this month, the joy of free and found materials.
Please listen when you consult us
Authors: Leitch Neil
Published: May 2014

The government's notion of what constitutes a proper consultation has left the sector frustrated at not being able to put across our valid opinions on important matters that desperately need addressing.
We must all stand together
Authors: Tanuku Purnima
Published: May 2014

More Great Childcare, and the changes it proposes, based on French evidence, give the impression of a system of education that needs fixing, but this is at odds with a report that suggests that all is well.
Over the rickety bridge
Authors: Chapman Ailsa
Published: May 2014

Revisiting one of the all-time classic fairytales, The Three Billy Goats Gruff, and growing our own little meadow, proved to be far more stimulating and enriching than we could ever have imagined.
Don't be afraid of storms!
Authors: Horvath Judit
Published: May 2014

In the fourth of a six-part series, Don't be afraid of… Judit Horvath explores some unusual, lesser-used resources. This article highlights the many possibilities offered by rainy, windy, stormy and snowy days.
Voucher scheme needs tweaking
Authors: Shukla Anand
Published: May 2014

The consultation period has now ended for those wishing to have their say on the design of a tax-free childcare scheme, with an early report suggesting the views of parents differed markedly from ministers.
It is time for something new
Authors: Ellyatt Wendy
Published: May 2014

Rather than misguided and barbed attacks on the early years sector that wants the best for children, by ministers who are being badly advised, we need to move educational policy making beyond politics.
What we can learn from… Christmas
Authors: Chapman Ailsa
Published: May 2014

This month, we focus on the wonderful celebration of Christmas, popular for its gift giving, carolling, decorations and feasting, but also for its spiritual origins and message of hope in dark times.
Little dancing thumbs
Authors: Rivolta Heidi
Published: May 2014

In this series we explore the use of traditional French nursery rhymes and songs to introduce action words and phrases – this month, we focus on Un petit pouce qui marche [One little walking thumb].
Fixing the early years
Authors: Moss Peter
Published: May 2014

We are in a hole and we need to stop digging, the early years is in a mess and it needs fixing, while policy-makers meddle, we need to reclaim early childhood education and re-asses its principles.
Schools are doing it for themselves
Authors: Collins Kevan
Published: May 2014

Schools can now tailor delivery of the curriculum to meet their own teaching beliefs and strengths. 5 to 7 talked to Kevan Collins, the director of the National Primary Strategy
101 uses for a can of baked beans
Authors: Worsfold Helen
Published: May 2014

A lesson from the humblest starting point can grow into the most satisfying teaching. ‘My favourite lesson' begins with Helen Worsfold a Primary teacher in Cornwall who turned to the kitchen cupboard to inspire her school for a harvest assembly
Learning to listen and ready to learn
Authors: Palme Sue
Published: May 2014

Focus on essential listening skills with the next stage of Foundations of Literacy, a programme devised to provide the tools for successful learning
Managing the inclusion agenda
Authors: Moore Gill
Published: May 2014

Mainstream inclusion is placing growing demands on schools. As the implications become clearer, schools are taking on part-time staff with full SEN responsibility
An independent state Building bridges
Authors: Lepkowska Dorothy
Published: May 2014

Dorothy Lepkowska takes a look at how the funding given to partnerships between independent and state schools is helping pupils from both, to succeed.
Everything to play for Tips and ideas
Authors: Port Carolyn
Published: May 2014

Is your school playground looking a little tired? Would you like it to have more play value? Carolyn Port takes a look at several funds and schemes you can apply to in order to create a better play environment for your pupils.
Recipe for success The Farmer's Choice
Authors: Youngman Angela
Published: May 2014

Angela Youngman profiles organic specialists Abel and Cole and reveals how the company is working with schools to help them raise money.
Budget for the future What will it mean for you?
Authors: Gower Barry
Published: May 2014

In the light of the 2008 Budget, Barry Gower revisits the effect of the change in the basic rate of tax on Gift Aid.
Music to the ears CDs for cash
Authors: Youngman Angela
Published: May 2014

Angela Youngman profiles Orchard Studios− school fundraising scheme.
Inspiring award Creative chances for students
Authors: Baker Shari
Published: May 2014

Shari Baker looks at how the new Arts Award can support schools in helping their under−achievers gain nationally recognised qualifications and potentially go on to work or further study within the creative industries.
Culture drive Grants, workshops and support
Authors: Elkin Susan
Published: May 2014

Susan Elkin takes a look at some subsidised performing arts resources.
The Mercers'Company: To a better future
Authors: Maiden Andrew
Published: May 2014

Andrew Maiden reveals how an ancient livery company has created a hub of schools to help promote excellence and share it with others.
Mixing business with fundraising: Making that link
Authors: Warren Laura
Published: May 2014

Laura Warren discusses some ways Parent Teacher Associations can get local businesses involved in school fundraising.
A helping hand: The Sutton Trust
Authors: Maiden Andrew
Published: May 2014

Frustrated by the lack of opportunities for young people from challenging backgrounds to achieve success in life, the founder of the Sutton Trust sought to provide educational opportunities to promote social mobility.
On the agenda: Mixing business and leisure
Authors: Griggs Amy
Published: May 2014

This month Fundraising for Schools takes a look at sport from two different angles: Getting additional funding to develop sport in schools at a grassroots level and using sport as an effective fundraiser in its own right.
Just the ticket Getting that commission
Authors: Youngman Angela
Published: May 2014

Angela Youngman explains how schools can work in partnership with a major bookings company to raise additional funds.
Right to a tee: Golf days!
Authors: Youngman Angela
Published: May 2014

Angela Youngman discusses setting up a sporty fundraising event.
Telling your story Tools checklist
Authors: Molloy Paul
Published: May 2014

Paul Molloy gives a clear and concise list of points to consider when organising your fundraising campaign.
Top tips for: Getting your message across
Authors: David Anthony
Published: May 2014

Anthony David gives some advice on communicating your vision clearly.
Tacolneston VC Primary Garage sale
Authors: Youngman Angela
Published: May 2014

Angela Youngman profiles the fundraising efforts of a rural primary school.
Holistic approach Child−led fundraising ideas
Authors: David Anthony
Published: May 2014

How can you involve students in contributing to fundraising appeals? Anthony David provides some handy tips.
The long game: Keeping that momentum going!
Authors: Maiden Andrew
Published: May 2014

Getting funding is not easy. Keeping a regular flow of funding requires a longer term approach. In the first of two articles, Andrew Maiden sets out a realistic strategy to getting the money rolling in.
Political focus: Pupil premiums
Authors: Lepkowska Dorothy
Published: May 2014

Dorothy Lepkowska puts this issue under the spotlight and considers how each main political party proposes to close up the achievement gap between children from different backgrounds.
Making money all year round
Authors: Wheeler Pascal
Published: May 2014

Finding innovative ways to generate funds throughout the year is a challenge for any school. Working with an external service provider can be a cost-effective solution, writes Pascal Wheeler.
The long game Part 2
Authors: Baker Shari
Published: May 2014

In this second part, of a two part series outlining support for capital projects, Shari Baker unravels government responsibilities and funding remits for capital projects between voluntary aided (VA) schools and local authorities (LA), and looks in more detail at corporate sponsorship.
Celebrate your school while making money
Authors: Berry Neil
Published: May 2014

Not many schools consider self-publishing to promote their activities and also to raise funds, but those who do consider it well worthwhile, writes Neil Berry.
Just the job Funding salary costs
Authors: Baker Shari
Published: May 2014

Shari Baker outlines how a little creativity, and attention to the language of a funding application, can open doors to previously unavailable funds.
Checking the numbersCapital campaigns
Authors: Maiden Andrew
Published: May 2014

Capital campaigns soak up a lot of resources (in time and money), so it is important to find ways to maintain your school's focus throughout the entire project. Strong leadership is required from project managers, working to a clear and regularly audited plan, writes Andrew Maiden.
Stretching to meet the needs of a new curriculum
Authors: David Anthony
Published: May 2014

Anthony David reviews the potential risks and the costs of implementing a new curriculum, and illustrates these with a couple of case studies.
Journal scan
Authors: Williams Julia
Published: May 2014

Julia Williams, lecturer in gastrointestinal nursing, Burdett Institute of Gastrointestinal Nursing with King's College, London and St Mark's Hospital, Harrow, examines topical articles from a selection of nursing and health journals
The state of GI nursing
Authors: Norton Christine , Porrett Terri
Published: May 2014

As many of you will have seen, following concerns and anecdotal reports of job losses, particularly among nurse specialists, we have been conducting a survey. Thank you to the 460 of you who had replied by the end of August. Results are still coming in at the time of writing, and we shall be working closely with Bowel Cancer UK and the RCN Press Office to gain some publicity for our results over the coming weeks.
A guide to Ileo−anal pouch surgery and related complications
Authors: Perry−Woodford Zarah L , McLaughlin Simon D
Published: May 2014

Restorative proctocolectomy with ileal pouch-anal anastomosis is now considered the procedure of choice in patients with ulcerative colitis who require colectomy. It is also performed in some patients with familial adenomatous polyposis. Although the operation is increasingly being performed in district general hospitals, patient follow−up varies considerably. This article provides specialist nursing staff with a thorough understanding of this procedure in order that they may provide comprehensive, research−based care for their patients.
Development of a referral pathway for psychological support in IBD
Authors: Dinani Naila , Ludlow Helen , Green John T
Published: May 2014

Due to the chronic nature of inflammatory bowel disease (IBD), together with the complications that can arise from both the condition and the medications used to treat it, patients′ quality of life can be significantly impaired (Casellas et al, 2002). Stress-induced alterations in gastrointestinal inflammation can result in increased disease activity (Mawdsley et al, 2005). The UK IBD Audit (2006) recommended that ′direct referral pathways should be available for IBD teams to refer directly to psychological support services′. Currently, only 21% of participating hospitals have this service. Nurses caring for patients with IBD are well placed to aid in the assessment of psychological needs and suitability of further support services. As part of a third-year medical student project, existing psychological support services were evaluated for their potential benefit to patients with IBD. A pilot scoring system was developed to help identify those patients who may benefit from such a referral and an algorithm produced to aid the referral pathway. It is anticipated that during the next UK IBD audit cycle in 2008, our referral system will be in place and working to the benefit of those patients requiring additional psychological support. The aims of the audit were: to review literature that relates IBD with psychological factors and wellbeing; to investigate what support services are currently available in Cardiff and the Vale for patients with IBD and psychological issues; to study a group of 50 patients with IBD and pilot a scoring system to assess their psychological wellbeing and perceived need for support; to formulate an algorithm for use by nursing and medical staff in the gastroenterology department to identify those patients with IBD who require additional psychological support and to produce a referral pathway to appropriate support services.
New treatment options for patients with ulcerative colitis
Authors: Fraser Aileen
Published: May 2014

In the past 12 months, a number of new products have been licensed in the UK for the treatment of inflammatory bowel disease (IBD) and ulcerative colitis. Nurses working in the field of IBD, especially non−medical prescribing nurses, need to be aware of these new products so that they are able to give accurate information and advice to their patients and assist them in making informed decisions about their treatment. This article discusses the etiology of ulcerative colitis and the management of the condition through the use of such treatments.
Percutaneous tibial nerve stimulation: a new treatment for faecal incontinence
Authors: Allison Marion , Prosser Karen , Martin-Lumbard Kim
Published: May 2014

Percutaneous tibial nerve stimulation is a new non−invasive treatment for patients with faecal incontinence that can be given in an outpatient setting by specialist nurses. It is safe and cost effective (Shafik et al, 2003) and early data suggest it is as effective as established alternative treatments. This article reviews the development of the technique and early clinical studies into its effectiveness, how it is carried out and the experience at Barts and the London NHS Trust. It then goes on to discuss the implications for specialist practice and the need for continuing research to extend one′s knowledge of this treatment option for faecal incontinence.
Liver disease in women: Examining prevalence and complications
Authors: Sargent Suzanne , Clayton Michelle
Published: May 2014

Liver disease and liver cirrhosis continue to be a growing problem in the UK, with a 45% increase in incidence and 68% increase in prevalence of cirrhosis (Fleming et al, 2008). This increase has been attributed to an increase in alcohol consumption, viral hepatitis, and non-alcoholic fatty liver disease linked to obesity. While liver disease affects both genders, the increase of liver disease in women is a growing concern, as certain liver diseases are more prominent in women or are related specifically to pregnancy. In this article, Suzanne Sargent and Michelle Clayton provide an overview of liver disease in women.
Experiences of the ‘1st Newcastle ERCP and EUS Course for Nurses’
Authors: Nayar Manu , Nicholson Gillian , Gray Heather , Hodgson Linda
Published: May 2014

Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS) are complex endoscopic procedures requiring highly skilled nursing assistants. For these procedures to be performed safely and efficiently, regular training and teaching for all staff involved is essential. Currently there are no mandatory training courses in the region for these procedures despite the recognized need. The aim of the first Newcastle ERCP and EUS course was to address the basic principles of these complex endoscopic procedures and highlight recent developments in the field. In this article, Manu Nayar, Gillian Nicholson, Heather Gray and Linda Hodgson outline the experiences of fifty nurses who attended the course.
Crohn's disease in children and adolescents
Authors: Ellis Michelle , Cole Angela
Published: May 2014

Crohn's disease is an inflammatory bowel disease that may affect any part of the gastrointestinal tract. The disease can have a considerable impact on the adolescent's physical, psychological and social development, all of which need to be considered when supporting children and adolescents at diagnosis and throughout the disease pathway. Michelle Ellis and Angela Cole outline the condition, incidence, diagnosis, symptomology, investigations and management of the disease in children and adolescents. The impact on adolescent development and transition from child or adolescent to adult care is also discussed.
The here and now of pancreatic cancer
Authors: Hayes Catherine
Published: May 2014

Pancreatic cancer is responsible for 6% of all cancer related deaths worldwide each year. In this article, Catherine Hayes contextualizes the clinical impact of the disease, incorporating an overview of the pre-disposing risk factors of the development of the disease. Factors of the wider public health agenda are presented as one mechanism by which early detection and mechanisms of screening patients might be enhanced. The article explores the symptoms and diagnostic pathway of the condition incorporating treatment and management plans and concludes with an overview of the progressive developments in the treatment and management of the condition.
Endoscopic dilatation of oesophageal strictures—when, which, how?
Authors: Mann Steven
Published: May 2014

People with dysphagia have difficulty swallowing and may even experience pain while swallowing. This can lead to a poor quality of life, weight loss and malnutrition. In this article, Steven Mann discusses the indication for dilatation for people with dysphagia, appropriate patient preparation, the choice of dilators, risks and benefits of the procedure and how to manage the patient during and after the procedure.
Sacral nerve stimulation in patients with faecal incontinence
Authors: N Thin Noel , Knowles Charles , Allison Marion
Published: May 2014

Sacral nerve stimulation (SNS) is a minimally invasive surgical technique with high success rates and few complications for the treatment of faecal incontinence (FI). It is now considered the first-line surgical option for FI in the UK and has been recommended by the National Institute for Health and Clinical Excellence (NICE) since 2007. The ultimate aim of all FI treatments is to improve quality of life (QoL). In this article, Noel Thin, Charles Knowles and Marion Allison review the current literature on the effectiveness of SNS in improving QoL and the different measures used to assess this, focusing on outcomes in the medium (12–36 months) and long-term (over 36 months). The congruence and use of QoL measures in the evaluation of success within the present literature is also assessed.
Diagnosis and assessment of irritable bowel syndrome: current perspectives
Authors: D Smith Graeme
Published: May 2014

Irritable bowel syndrome (IBS) is a long-term functional bowel condition; it is the most commonly diagnosed gastrointestinal (GI) condition in clinical practice. However, it remains a poorly understood disorder in which diagnosis and assessment can be challenging for health professionals, as the classical symptoms of IBS cannot be ascribed to biochemical or structural abnormalities. In the absence of such a pathophysiological explanation, presenting IBS symptoms are suggested as the most reliable diagnostic feature. Despite support for making a positive diagnosis of IBS on the basis of these symptoms, many clinicians continue to approach IBS as diagnosis by exclusion. In article, Graeme D Smith explores current perspectives on diagnosis, classifcation and assessment of IBS. Attention is given to the role that nurses can play in this process.
Health managers and the case of nurse endoscopists in New Zealand
Authors: Khan Mohammad Imran , Khan Robert , Owen Wanda
Published: May 2014

Training and recruiting nurses for colonoscopy is an attractive cost-saving solution and can help with the extra workload that colorectal cancer screening programmes can create. In this article, Dr Mohammad Imran Khan, Robert Khan and Wanda Owen surveyed the views of health managers in New Zealand regarding the introduction of nurse endoscopists in health services and found that while the majority of managers were supportive of the nurse endoscopist role, few have current plans in their hospital for the introduction of nurse endoscopists
Prader–Willi syndrome: genotype, cause, phenotype and management
Authors: Pogson Delia
Published: May 2014

Prader–Willi syndrome (PWS) is a complex neurodevelopmental genetic condition that results in a range of phenotypic features including hypotonia, hyperphagia and behavioural difficulties. PWS is caused by the paternal loss of imprinting genes from the chromosome 15q11.2–13. If left unmanaged, the central obesity caused by hyperphagia and the behavioural features such as foraging and stealing of foods will dominate the life of the person with PWS and his/her family, resulting in practical and psychological difficulties. In this article, Delia Pogson outlines the pathogenesis of this rare disorder and discusses the multidisciplinary approach required to manage and treat this condition.
Ostomy appliance with an integral adhesive border: luxury or necessity?
Authors: Nichols Thom , McPhail Jackie
Published: May 2014

Patients often use a variety of extra adhesive products with their stoma pouches. In this article, Thom Nichols and Jackie McPhail review the additional items that patients use and their reasons for using them. The authors go on to explore the use of pouches with an integral adhesive border, and their potential benefts to patients. The costs of such products are compared with the costs of stoma pouches plus additional products such as ‘skin barrier extenders’, and the potential cost savings of using an integral adhesive bordered product are discussed.
A nurse-led accelerated infliximab infusion service: patient satisfaction and safety
Authors: Greveson Kay , Sue Woodward London
Published: May 2014

Many inflammatory bowel disease (IBD) nurse specialists now have the responsibility of managing a biologics service, and with more referrals come issues of bed capacity and patient satisfaction. While accelerated infusions—where infliximab is given according to a structured protocol over a shorter period—have been shown to be safe in rheumatology patients, there are limited data looking specifically at IBD patients. In this paper, Kay Greveson and Sue Woodward describe a prospective service development review that was conducted to determine the incidence of infusion-related reactions with an accelerated-infusion protocol and to explore patient perceptions of a nurse-led accelerated-infusion regimen.
A challenging case study: small bowel transplantation with a unique twist
Authors: Turley Simon
Published: May 2014

Small bowel transplants are a challenging procedure. Simon Turley presents a case study highlighting the considerable challenges faced by stoma care nurses in the management of these patients. The case study presents a UK’s first in transplant surgery with a unique twist — a small bowel transplant and a full-thickness abdominal wall replacement. A Bishop–Koop ileostomy was formed, but proved challenging to manage because of its extremely low position incorporated within the lower abdominal suture line; dehiscence of the upper abdominal wound added another care dimension. Collaborative working enabled good patient care, despite a poor outcome.
Endoscopic retrograde cholangiopancreatography
Authors: Patel KV , Wong T
Published: May 2014

Endoscopic retrograde cholangiopancreatography is an important procedure in the diagnosis and management of pancreatobiliary disease. Since its introduction of in 1968, it has become an almost exclusively therapeutic procedure. A large audit in the UK has confirmed the procedure is safe with favourable outcomes when compared with other reported international outcomes. The procedure requires a multidisciplinary approach to ensure optimal outcomes. In this review, the first in a two-part series, KV Patel and T Wong discuss the patient journey through the procedure. Indications and potential complications will be explored next month
Lactose intolerance: causes, effects, diagnosis and symptom control
Authors: Coutts Alison
Published: May 2014

Lactose intolerance is a very common complaint which leads to a number of distressing gut symptoms in those affected. It can be quite easy to control by reducing milk consumption, and possibly by adding lactase to the diet. However, clinicians should be wary of over-diagnosing this condition, particularly in the indigenous white population, and thereby depriving the individual of a useful, cheap and nutritious food. If lactose intolerance is suspected, it should be carefully investigated and diagnosed, prior to the introduction of dietary management.
The benefits of probiotics in irritable bowel syndrome
Authors: Emmanuel Anton
Published: May 2014

Probiotics are defined as living organisms that, when ingested in adequate amounts, exert a beneficial effect on the health of the host. Irritable bowel syndrome (IBS) is a heterogenous condition with a wide variety of possible causes, encompassing neurological, psychological and immunological changes. Emerging evidence of low-grade immune activation in a subset of IBS patients who develop their symptoms after infection has raised the possibility of a role for the indigenous gut flora in causing some IBS symptoms. This has resulted in the possibility that modifying this bacterial environment with probiotics may hold promise for treating IBS. Clinical trial evidence of these agents is beginning to emerge. This review emphasises the importance of three factors in defining efficacy: specific selection of bacterial strains, viability of these strains, and delivered dose.
Can smoking provide mental health benefits?
Authors: Welyczko Nikki
Published: May 2014

Nikki Welyczko, Senior Lecturer and Academic Lead for Adult Nursing at the Faculty of Health and Life Sciences, De Montfort University, provides a brief overview of recently published nursing and health articles.
MYH-associated polyposis: natural history and care of the patient
Authors: Cuthill Vicky , Samarasinghe Muditha
Published: May 2014

MYH-associated polyposis (MAP; sometimes referred to as MUTYH-associated polyposis) is a rare, autosomal recessive, inherited condition. It is clinically similar to familial adenomatous polyposis (FAP), characterised by the development of 10 to hundreds of colorectal adenomas, which usually develop during young adulthood. The development of these polyps lead to an increased lifetime risk of colorectal cancer. Once diagnosed, the treatment, surgical options, and ongoing surveillance of MAP is similar in nature to FAP. As with FAP, the diagnosis of MAP is based clinically on the identification of colorectal adenomas and may be confirmed by genetic testing. The main difference is the recessive inheritance pattern, which has an important effect on the care of the family. This article will review the natural history of MAP and discuss the recommended screening and surveillance of this patient group.
BIG support for big ops
Authors: Hopkins Gillian
Published: May 2014

Gillian Hopkins, Stoma Care CNS at Cheltenham General Hospital, discusses pelvic exenterations and the support offered to female patients undergoing these operations through the Ladies BIG Op Group
Hot or cold? Warm heart, cool brain
Authors: Andrews Peter JD
Published: May 2014

There is considerable interest in cooling as a therapy after acute brain injury. This is fuelled by laboratory evidence showing that a reduction in systemic temperature reduces neuronal loss and improves global functional recovery in models of acute brain injury of all aetiologies and in all species, and the strong association between pyrexia and poor neurological outcome in head injury (Jones et al, 1994) and stroke. Reproducing these positive results in clinical trials has been problematic and it can be argued that a more sophisticated approach might be necessary.
Damage control in orthopaedic injuries
Authors: Mannion Stephen J
Published: May 2014

The principles of ‘damage control surgery’, first described by Rotondo et al (1993) in relation to severe penetrating abdominal injury, can also be applied to patients with orthopaedic injuries. The basic principles are the same:
National on-line recruitment to foundation programmes in the UK: evolution and evaluation
Authors: Palmer Robert G , Feest Kathy , Howes Jonathan , Wall David , Gallen Derek
Published: May 2014

The UK Foundation Programme Office has successfully delivered the second year of the nationally coordinated and internet-based process for placement to foundation schools. This article describes the process, its development and evaluation. Fair and transparent procedures have been used, satisfying equal opportunities legislation.
Total lipid management and residual risk: beyond statin therapy
Authors: Evans Marc
Published: May 2014

Reducing cholesterol with statins has been clearly shown to reduce the risk of cardiovascular disease, but despite statin therapy there remains a considerable residual risk of cardiovascular disease. This article reviews the evidence supporting the management of lipids beyond cholesterol reduction with statin therapy alone.
Gambling addiction: what the non-specialist needs to know
Authors: George Sanju , Huang Xiuqin
Published: May 2014

Gambling addiction can have numerous deleterious consequences for the gambler, his/her family and society, but most gamblers go undiagnosed and untreated because of various patient-and clinician-related factors. This article outlines gambling and related problems, and the screening, assessment and treatment of gambling addiction.
The restless legs syndrome: is it more than that?
Authors: Shneerson JM
Published: May 2014

The restless legs syndrome is not only common and frequently unrecognized but research has revealed that the limb symptoms are only part of the clinical picture. Abnormalities of dopamine availability in the CNS have been demonstrated and suggest new approaches to treatment.
Non-traumatic neurological emergencies presenting to the intensive care unit
Authors: Stephenson Kerstie , Wilkinson Jonathan
Published: May 2014

There is little evidence for the management of non-traumatic neuromuscular disorders, so the best approach to treatment is often unclear. This article discusses some of the more common disorders — Guillain—Barré syndrome, acute transverse myelitis and myasthenia gravis — and looks at their critical care management.
Teleradiology: 21st century communication in surgery
Authors: Shergill Iqbal , Mohammed Aza
Published: May 2014

Teleradiology was first introduced to provide a solution in emergency situations where a timely report of diagnostic imaging was required for the emergency management of certain conditions. This article provides an overview of teleradiology including its potential value and drawbacks.
Radiological investigation of acute stroke 2: the multimodal approach
Authors: Ngan-Soo Eleanor , Pearce Tim , Bradley Marcus
Published: May 2014

Stroke is an important condition with high mortality and morbidity. Radiology plays a central part in the acute stroke management pathway, with its role now widened beyond establishing the diagnosis. This article reviews radiological techniques beyond the non-enhanced computed tomography brain scan.
Management of prostate cancer
Authors: Eylert MF , Persad R
Published: May 2014

Prostate cancer is common, but may take an indolent course. Hospital doctors regularly encounter patients with prostate cancer who have unrelated diseases, but occasionally these patients present to different specialties with cancer-related symptoms. This article reviews the core knowledge needed for managing these patients.
Inherited arrhythmia syndromes
Authors: Cahill Thomas J , Lambiase Pier D
Published: May 2014

Inherited arrhythmia syndromes are an important contributor to sudden death in children and adults. These cardiac ‘channelopathies’ lead to arrhythmias in a structurally normal myocardium and are often variable in penetrance and expressivity. The clinical features and management options for the four major channelopathies are outlined.
Clostridium histolyticum collagenase in the treatment of Dupuytren's contracture
Authors: Azzopardi Ernest , Boyce Dean E
Published: May 2014

Dupuytren's disease is a common, costly and recurrent health issue. This review compares Clostridum histolyticum collagenase with current operative treatments. Collagenase management is an effective non-surgical alternative associated with lower risks of serious adverse events, but higher incidence of non-serious adverse events.
Systemic disease involvement of the hand: manifestations on plain radiograph
Authors: Sellon Major Edward , Liakos Alex , Sallomi David , Anderson Hugh , Panthakalam Sam , Howlett David
Published: May 2014

This educational pictorial review provides an appreciation of the range of radiographic findings seen on a hand radiograph that contribute to a diagnosis of systemic disease, whether in clinical practice or the exam scenario.
Artificial hydration in the terminally ill patient
Authors: Boland Elaine , Johnson Miriam , Boland Jason
Published: May 2014

Oral fluid intake is often reduced in dying patients. This article outlines the clinical assessment of the likely net benefit of artificial hydration, and the evidence relating to its use.
Postgraduate training in medical professionalism
Authors: Esen Umo I
Published: May 2014

Medical professionalism receives little attention in postgraduate medical education, despite its importance in producing clinically and professionally competent specialists. Guidance for translating professionalism from postgraduate curricula into practice is lacking. This is the challenge for every postgraduate training programme.