Enablers and challenges to inclusion for disabled children, young people and their families

The report reflects the views of 10 young people, 123 parent carers of disabled children and adults and 128 professionals and volunteers who responded to the Disability Matters ‘call for evidence’ earlier this year | RCPCH

The report, ‘Disability Matters in Britain 2016: Enablers and challenges to inclusion for disabled children, young people and their families,’ pulls together the views and experiences of disabled children, young people and their parents or carers with the aim of raising awareness of good practice being adopted already, encouraging others to follow their lead and to help ensure that disabled people of all ages are valued as equals in our communities.

Read an overview of the report here

Read the full report here

New Method for Predicting Congenital CMV Infection During the Prenatal Period

Tanimura, K. et al. (2016) Clinical Infectious Diseases. DOI:10.1093/cid/ciw707

Image source: Pete Jeffs – Wellcome Images // CC BY-NC-ND 4.0

Image shows illustration of a human cytomegalovirus (HCMV) virus particle

Background: The aim of this prospective study was to determine maternal clinical, laboratory, and ultrasound findings that effectively predict the occurrence of congenital cytomegalovirus (CMV) infection in high-risk pregnant women.

Conclusions: This is the first prospective cohort study to suggest that the presence of CMV-DNA in the maternal uterine cervical secretion and ultrasound fetal abnormalities was predictive of the occurrence of congenital CMV infection in high-risk pregnant women.

Read the full abstract here

Study reveals lack of supporting evidence for claims about fertility treatments

Spencer, E.A. et al. (2016) BMJ Open. 6:e013940

B0007661 Intracytoplasmic sperm injection (ICSI), artwork
Image source: Maurizio De Angelis – Wellcome Images // CC BY-NC-ND 4.0

Objectives: Fertility services in the UK are offered by over 200 Human Fertilisation and Embryology Authority (HFEA)-registered NHS and private clinics. While in vitro fertilisation (IVF) and intracytoplasmic sperm injection (ICSI) form part of the National Institute for Health and Care Excellence (NICE) guidance, many further interventions are offered. We aimed to record claims of benefit for interventions offered by fertility centres via information on the centres’ websites and record what evidence was cited for these claims.

Conclusions: Many fertility centres in the UK offer a range of treatments in addition to standard IVF procedures, and for many of these interventions claims of benefit are made. In most cases, the claims are not quantified and evidence is not cited to support the claims. There is a need for more information on interventions to be made available by fertility centres, to support well-informed treatment decisions.

Read the full abstract and article here

Screening newborns for muscle wasting condition not recommended

The UK National Screening Committee (UK NSC) finds babies should not be screened for Duchenne muscular dystrophy.

B0003724 Nerve in skeletal muscle, showing dystrophin location
Image source: Prof. Peter Brophy – Wellcome Images // CC BY-NC-ND 4.0

Image shows nerve in skeletal muscle, showing dystrophin location.

Newborn babies should not be screened for the muscle wasting condition Duchenne Muscular Dystrophy, according to the UK’s independent expert screening committee. The current test available for the condition incorrectly identifies some babies as having the condition and misses others who go on to develop the disease.

Read the full over view here

NHS England sets out steps to improve mental health care for pregnant women and new mums

NHS England | Published online: 26 November 2016

amour-1842072_960_720Simon Stevens, Chief Executive of NHS England will tell the Mind conference on Tuesday that £40m is to be allocated to 20 areas of the country to fund new specialist community mental health services for mums in the immediate run up to and after birth, and help reach 30,000 more women a year by 2021. A further £20m will be allocated next year.

The funding for new mums will see new or bigger teams in those areas providing specialist care for all new and expectant mums with severe mental ill health like severe post-natal depression.

Read the full news story here

A Structured Transition Program Among Young Adults With Type 1 Diabetes

Pyatak, E. et al. Journal of Adolescent Health. Published online: November 23 2016


Purpose: We identified and treated young adults with type 1 diabetes who had been lost to follow-up during their transfer from pediatric to adult care, comparing their clinical, psychosocial, and health care utilization outcomes to participants receiving continuous care (CC) throughout the transition to adult care.


Conclusions: Our study suggests that, for young adults with a history of lapses in care, a structured transition program is effective in lowering A1C, reducing severe hypoglycemia and emergency department utilization, and improving uptake of routine diabetes care. Loss to follow-up and psychosocial concerns remain significant challenges in this population.

Read the full abstract here