Tim van Hasselt

Cheeky fox came back, kids so excited. They got within a few metres of it.

Then the cat came and had another face off..

Mountain in Wales

Finally did some scrambling up mountains in Wales, Tryfan and Bristley, mate took this cheesy photo without me knowing.

We are so lucky in the Midlands to be under 3 hours drive from these amazing places

Sorry to be that guy but chance of confounding, and residual confounding after adjustment is very high.
More data needed probably...
But I wonder if anyone is looking at original vaccine RCT followup data for cancer incidence though, that could be fascinating...

Even in the state English NHS patients families and staff (some patient exceptions, E.g. Nicu parents) have to pay for parking. Even if hospitals not close to train stations and not easy bus.

The mini profiles of WM political figures very good, potentially important future of politics given how unpredictable world is

Robot engineering droid with woman's head

When you find some lego your kids built, and it reminds you of the psychological-horror-with robots-game Soma

Creepy!

Sophie Jackson: paediatrician and trailblazer for doctors with disabilities “To fully understand our patients, we ideally need to have shared experience with them,” paediatric trainee Sophie Jackson said. “Having doctors of diverse backgrounds and abilities is crucial because...

So sorry to read that Dr Sophie Jackson has passed away.
Such an inspirational figure.

A huge loss to the healthcare community, and the children she looked after and their families.

Sophie Jackson: paediatrician and trailblazer for doctors with disabilities | The BMJ

doi.org/10.1136/bmj....

To me this is a thread of normal sized things. Have you seen a emdotrachel tube for an adult man (8.0) its like a drainpipe!
NICU makes sense, best place to work

Really enjoyed this deep dive, thanks OGWN team! 🙂
Would be good to have ongoing further deep dive eps on other big issues UK faces like local government & council finances, education & SEN, tax system, etc please

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Photos of a pigeon live on stage at Rock City, Nottingham last night, plus some guys called the Beta Band who played some great stuff.

Been a while since I've been to a proper gig, black painted walls, sticky floors, and band having a great time

Orange cat meets orange fox!

@donsharkey.bsky.social So far Ilana and me have featured from the UK. I'm sure certain prolific Nottingham based trainees could get in contact with them...

#343 - Investigating preterm birth and readmission to the PICU (Dr. Tim Van Hasselt) Hello friends 👋In this episode, I had the pleasure of speaking with Dr Tim Van Hasselt, who is now a NIHR Academic Clinical Lecturer and Neonatal Subspeciality Registrar (fellow-equivalent) at the Uni...

I had a great chat with Rupa from St Louis for the Incubator podcast, talking about how we train in neonatology in the UK, and my research

www.the-incubator.org/post/343-inv...

@ebneo.bsky.social @nicupodcast.bsky.social

Morbidities and Hospitalization by Age 2 Years in Infants Born Very Preterm This cohort study examines the prevalence of hospital admissions before age 2 years among children born at less than 32 weeks’ gestation in England and Wales and associations between hospitalization a...

Happy to share latest work on hospital admissions of very preterm children in England and Wales.

Majority of children had at least 1 admission between neonatal discharge and their 2nd birthday, mostly short unplanned admissions for respiratory infections.

jamanetwork.com/journals/jam...

Premature babies in UK to be immunised against winter virus RSV From late September, 9,000 babies and vulnerable infants in the UK will have a long-lasting injection.

www.bbc.co.uk/news/article...

Not sure you can see the swifts on the photo but nice evening display over the gardens last night

Contribution of ethnicity and deprivation to paediatric critical care outcomes in the UK, 2008–21: a national retrospective cohort study Variation in PICU mortality by ethnicity and area-level deprivation highlights the importance of further investigation into systemic drivers of disparities in PICU outcomes in the UK. Targeted strateg...

Well done to Hannah Mitchell & her great team who produced this hugely important work:

Contribution of ethnicity and deprivation to paediatric critical care outcomes in the UK, 2008–21: a national retrospective cohort study - The Lancet Child & Adolescent Health www.thelancet.com/journals/lan...

Function over diagnoses: parents of extremely preterm infants give recommendations to clinicians about their information needs Objectives Extremely preterm children may have a prolonged neonatal intensive care unit (NICU) stay. Their parents interact with clinicians both before and after birth. There is little information abo...

"Function over diagnoses: parents of extremely preterm infants give recommendations to clinicians about their information needs"

Another intriguing paper from Annie Janvier's group in Canada

fn.bmj.com/content/earl...

@99nicu.bsky.social @ebneo.bsky.social @nicupodcast.bsky.social

Rethinking clinical trial design and electronic health record systems could improve clinical research in the UK Husain describes the need for closer collaboration between universities and NHS organisations.1 At the heart of this struggling relationship are financial pressures, with partnered institutions essent...

doi.org/10.1136/bmj....

Good letter in BMJ identifies key challenges for clinical academia and trials - with some suggestions for how we could do better.

Better use of patient data seems like could be part of the answer.

@nicupodcast.bsky.social @99nicu.bsky.social

Disability, ableism, and decision-making at extreme prematurity Ableism plays a pervasive yet often unexamined role in decision-making at extreme prematurity. This review examines how ableist assumptions about qual…

Thought provoking paper I read today, does ableism affect the way we talk to parents in NICU?

Includes suggested phrases e.g. 'what does a good life look like for your child?' and 'we are here to support you making the best decision for your family'

www.sciencedirect.com/science/arti...

Prematurity and obstructive sleep apnea in children: The perfect storm As survival rates for premature infants improve, understanding the link between prematurity and obstructive sleep apnea (OSA) has become critical for …

Another thing not sure we always think about...

Prematurity and obstructive sleep apnea in children: The perfect storm

www.sciencedirect.com/science/arti...

@99nicu.bsky.social @nicupodcast.bsky.social

Moderate-To-Late Preterm Infants Benefit From the Early Collaborative Intervention: Primary Outcomes of an RCT - PubMed ClinicalTrials.gov: NCT02034617.

Interesting!

Moderate-To-Late Preterm Infants Benefit From the Early Collaborative Intervention: Primary Outcomes of an RCT

87 babies born 30-36wk, 3 sessions for parent-baby interactions

pubmed.ncbi.nlm.nih.gov/40511708/

@ebneo.bsky.social
@nicupodcast.bsky.social
@99nicu.bsky.social

Loved listening to a range of great talks, and chance to discuss good practice, challenges, and priorities for care of children with complex chronic conditions

Impact of complex chronic diseases and life-limiting condition status on paediatric hospitalization: observational study - PubMed • There is an important overlap between children classified as having C-CD and those with LLC. Both groups exhibited substantial utilization of hospital resources and high in-hospital mortality, being...

This came up on my alerts, very good paper using data from the Basque region to look at medical complexity and life limiting conditions in children, important group of children who spend a lot of time in hospital.

pubmed.ncbi.nlm.nih.gov/40447966/

The boy who came back: the near-death, and changed life, of my son Max It was, we were told, a case of sudden infant death syndrome interrupted. What followed would transform my understanding of parenting, disability and the breadth of what makes a meaningful life

www.theguardian.com/lifeandstyle...

Fantastic piece in @theguardian.com.

Doctors only see part of families' lives after brain injury in childhood, this illuminates a bit more of the other side.

ABC programme to reduce brain injury in childbirth will be rolled out in England An NHS programme designed to improve safety in maternity care and help prevent brain injuries during childbirth is set to be rolled out in England. The government said that the Avoiding Brain Injurie...

BMJ News:

ABC programme to reduce brain injury in childbirth will be rolled out in England

doi.org/10.1136/bmj....

Back in Somerset today to present research findings on preterm PICU admissions to the South West Neonatal Network, thanks for the invitation, was a great excuse for a morning run through the lanes.
Also heard about some great work in the westcountry including home antibiotics

Things we can do: turn to methodologist colleagues, use GRADE, and newer reporting tools mentioned in the article, and don't just rely uncritically on p-values!