Rahul Chodhari

Wearables indicate six sleep health dimensions in young adolescents. Sleep irregularity and shorter duration were associated with transdiagnostic mental health symptoms. ja.ma/3NG6RRh

New research from the Royal Free London is helping to better understand a key symptom of Parkinson’s. A study by Dr David Williams, neurologist at North Middlesex University Hospital, shows that an increase in mistakes in the signals telling muscles to move can lead to slowed or frozen movement. His research also suggests that while the brain sends the correct instruction, the signal can become unclear by the time it reaches the muscles — resulting in a “quiet signal”. These findings could support earlier diagnosis and open up opportunities for future disease prevention. “Because we can’t reverse damage that has been done we need to identify the disease as early as possible and begin preventative treatment." — Dr David Williams 🔗 Read the full story: ow.ly/9oZ950YH6vk 🔗 Read the study: ow.ly/onMs50YH6vl #WorldParkinsonsDay

Most clinical research starts with adults, with the resulting changes to practice and policy then trickling down to children. A major new report has questioned this approach bmj.com/content/393/bm…

Among extremely preterm infants, prophylactic acetaminophen for patent ductus arteriosus accelerated ductal closure but did not increase survival without severe neonatal morbidity at 36 weeks and was associated with higher rates of cholestasis. ja.ma/4mn1var

PPB has introduced guidelines for Software as a Medical Device to regulate emerging digital health technologies.

Annual prevalence of unmet health care needs among children with #AutismSpectrumDisorder in the US doubled from 2016 to 2023, with sharp postpandemic increases in unmet mental and medical health care needs. ja.ma/4bHEHyp

We’ve launched a new GIRFT evaluation & learning page, bringing together evidence on what works, how change happens & how improvements can be sustained across the #NHS. Learn more & visit the new webpage to download evaluations of interest👉ow.ly/LwCw50YGrl7 #Evaluation

A parent-led developmental intervention improved executive function at school age in preterm children, especially in disadvantaged settings, supporting early, home-based approaches for neurodevelopment. ja.ma/4c2KAX0

Not all medicines are equal ⏱️ Some need to be taken at a certain time 🍽️ Some need to be taken with food 🍂 Some may interact with herbal remedies

Neonatal jaundice assessment across all skin tones: finding the gaps between guidelines and practice... This evaluation highlights a disconnect between the known risks of severe jaundice in black and South Asian infants and the guidance provided to frontline clinicians. Half of local guidelines fail to highlight visual assessment risks, and clinicians appear to be creating informal ‘safety margins’ regarding transcutaneous bilirubin accuracy. There is an urgent need for consensus on specific protocols for jaundice assessment in darker skin tones to close this safety gap. Read more here: bit.ly/4s9Ynjl

“There is an urgent need to ensure their use is safe” More people are turning to AI chatbots for health questions—from symptoms to clinical reports. A new Editorial explores what that means for primary care. Read in The Lancet Primary Care: spkl.io/6010A22Xi spkl.io/6019A22X9

Less than full-time is the new normal in paediatric training in the UK LTFT permitted for any trainee since 2022 Hospitals need to adapt to new reality @LaurenDhugga adc.bmj.com/content/early/…

Is “productivity” in healthcare a ‘four letter word’ for clinicians? 🤬 #fmlmconf24

@AnnCase2301 @NHSEngland @MRadford_HEECN @duncan_CNSE @SineadONeillNHS @Jane_Avery_ @cstilesuk Of course, the multiprofessional clinical engagement is really driving this programme - optimised workforce & efficiency of resources ultimately enhancing clinical services and pathways @RahulRFH - excited for you to meet all our CNO fellows too! @dulwichchris @NHSEngland

@EDRoyalFree Thanks to @KarenHTurner1 and the @rfl_qi team for encouraging and developing culture of improvement from the ground up @RoyalFreeNHS

ICYMI: Our paediatric asthma and allergy team have won the prestigious Barry Kay award at the world allergy conference in Edinburgh – the first time the event has been held in the UK for 28 years. 👏 🏆 😍

@BAPIOUK @RCPCHtweets @RameshMehta15 @indranilc @jsbamrah @RCPCHPresident @BijuCSimon @H3MADRI @Sajay70 Looks like great fun.

Join us for the famous BAPIO dinner at the RCPCH annual conference on the 28th June from 6:30 pm onwards.@RCPCHtweets @RameshMehta15 @indranilc @jsbamrah @RCPCHPresident @BijuCSimon @H3MADRI @Sajay70

With thanks to @emmachallans - a thought for today (and every day) It reminds me of the proverb (thanks to @HughMcCaughey for this one: “if you want to go fast, go alone. If you want to go far, go together”

@mountfordjames @emmachallans @HughMcCaughey @KathrynPerera @PennyPereira1 @theQCommunity @BMJLeader @BobKlaber @BolaOwolabi8 @HelenBevanTweet @bailey_suzie @WmtyWorld @WMTYScot Both quotes are excellent.

#PAAM2021 Excellent pro con session on step 1 GINA 2021 guidelines for mild asthma. Excess use of short acting beta 2 agonist associated with increased allergic inflammation of lungs and susceptibility to viral infections. Need for concomitant inhaled steroids. @Louise_jFleming