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RE: Digest Number 2411

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Ashton had her allergy testing just prior to her diagnosis of CVID. We have a

tendency to all not show anything on normal skin testing. Our dr does a " gold

top " test. It is a stronger solution. Then, boy, what reactions. She still gets

her allergy shots every other week. The IVIG is making the biggest difference in

her asthma etc.

They say that some people have more and some less histamine on the skin. I guess

that is why some people, like me and my girls, don't show reactions on the

normal skin testing.

I am glad to hear that 's port is working so well. It is much better for

Ashton since she got hers last June.

Right now Ash has the flu. The doctor confirmed it with a swab this afternoon.

She is on Tamiflu now. She is coughing terrible.

I am praying she does ok, and the rest of us don't get it.

L

Mom to Ashton 11 CVID, Asthma, Dyslexia & Marina 8 Asthma

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Hi ,

Our prayers go out to Ashton, we hope she is feeling better soon.

mom to - CVID, asthma, GERD

RE: Digest Number 2411

Ashton had her allergy testing just prior to her diagnosis of CVID. We have a

tendency to all not show anything on normal skin testing. Our dr does a " gold

top " test. It is a stronger solution. Then, boy, what reactions. She still gets

her allergy shots every other week. The IVIG is making the biggest difference in

her asthma etc.

They say that some people have more and some less histamine on the skin. I

guess that is why some people, like me and my girls, don't show reactions on the

normal skin testing.

I am glad to hear that 's port is working so well. It is much better

for Ashton since she got hers last June.

Right now Ash has the flu. The doctor confirmed it with a swab this afternoon.

She is on Tamiflu now. She is coughing terrible.

I am praying she does ok, and the rest of us don't get it.

L

Mom to Ashton 11 CVID, Asthma, Dyslexia & Marina 8 Asthma

This forum is open to parents and caregivers of children diagnosed with a

Primary Immune Deficiency. Opinions or medical advice stated here are the sole

responsibility of the poster and should not be taken as professional advice.

To unsubscribe

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To search group archives go to:

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Guest guest

nancy, you could also get Tamiflu for the rest of you....but it is more

expensive. Libby, my 10 yo healthy child was quite sick with influenza

a....spent about three days on the couch.....Once we added zithromax to the

ramantidine....she really turned the corner...She had a bilateral ear

infection, pharyngitis, and then the cough....avoided pneumonia tho...sending

get well wishes. linda

Quoting THOMAS RUSSO <rn4premies@...>:

>

>

>

>

>

> Hi ,

>

> Our prayers go out to Ashton, we hope she is feeling better soon.

>

> mom to - CVID, asthma, GERD

>

>   RE: Digest Number 2411

>

>

>

>

>

>

>

>   Ashton had her allergy testing just prior to her diagnosis of CVID. We have

> a tendency to all not show anything on normal skin testing. Our dr does a

> " gold top " test. It is a stronger solution. Then, boy, what reactions. She

> still gets her allergy shots every other week. The IVIG is making the biggest

> difference in her asthma etc.

>

>   They say that some people have more and some less histamine on the skin. I

> guess that is why some people, like me and my girls, don't show reactions on

> the normal skin testing.

>

>

>

>   I am glad to hear that 's port is working so well. It is much

> better for Ashton since she got hers last June.

>

>   Right now Ash has the flu. The doctor confirmed it with a swab this

> afternoon. She is on Tamiflu now. She is coughing terrible.

>

>   I am praying she does ok, and the rest of us don't get it.

>

>

>

>   L

>

>   Mom to Ashton 11 CVID, Asthma, Dyslexia  & Marina 8 Asthma

>

>

>

>

>

>

>

>   This forum is open to parents and caregivers of children diagnosed with a

> Primary Immune Deficiency.  Opinions or medical advice stated here are the

> sole responsibility of the poster and should not be taken as professional

> advice.

>

>

>

>   To unsubscribe

> -unsubscribe@groups<mailto:-unsubscribe@groups>.

>

>   To search group archives go to:

>

/messages<PedP

ID/messages>

>

>

>  

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Guest guest

Thank you for the info, I could not understand why Noelle would not react during

the skin test when she is truly allergic to certain things. The IVIG has helped

her asthma greatly also. Since we started Sub-Q 2 months ago she has grown 3/4

of an inch! I will ask the allergist about the stronger skin test so we can

verify the drug allergies.

I hope that Ashton gets better from the flu soon.

Sara

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Guest guest

Dear All,

Lecturer Practitioner in School Nursing

www.jobs.nhs.uk ref 525-PCNJWL98. Closing date 14th March

I would be grateful if you could pass this on to any SCPHN(SN) who might be interested in applying. We are jointly appointing this person with Tower Hamlets PCT and the person appointed will join the team in my department

who run the SCPHN/PC programmes. We have recently appointed a new LP in Health Visiting and we have a lot of experience in supporting LPs. If anyone would like further information they can contact myself or Rita Newland:

R.M.Bryar@... or

R.M.Newland@....

Many thanks, Ros

From: [ ]

Sent: 07 March 2009 12:41

Subject: Digest Number 2411

SENATE

FOR HEALTH VISITING AND SCHOOL NU

Messages In This Digest (6 Messages)

1a. Re: Marmot review of health inequalities From: sharman burchell

2a. models of working From: sharman burchell

2b. Re: models of working From: Cowley

2c. Re: models of working From: sharman burchell

3. FW: models of working From: Caan, Woody

4. search for holy grail From: Cowley

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Messages

1a.

Re: Marmot review of

health inequalities

Posted by: " sharman burchell "

sharmanburchell@...

matilda21062002

Fri Mar 6, 2009 8:00 am (PST)

Thanks , yes the evaluation will be very important and I need to give this some careful thought.

On a seperate note I am being involved in organising a DV conference regarding children , but also I think children will be invited to a conference for them. Has anybody done this , seen it , got any ideas. Ideas for speakers in this area would be great , I've

got some people in mind , but if any senate members have seen some passionate speakers on the subject of children and Dv ,names on a hat would be great , Thanks Sharman

From: colesewcardiff (DOT) ac.uk

Date: Fri, 6 Mar 2009 12:42:35 +0000

Subject: RE: Marmot review of health inequalities

Well done, Sharman. I see in the BMJ that the US is calling for emphasis on prevention and a

wellness agenda in health reforms. There is nothing new about prevention in the UK but it has just

never been centre stage till of late in the inequalities agenda. There is a long way to go to

demonstrate outcomes. I think you are at the start of such a wonderful innovation and I hope there

is funding to evaluate it carefully, so promoting further posts.

>>> sharman burchell <sharmanburchellhotmail> 05/03/2009 18:41 >>>

Thanks Woody ! That DH stuff enabled me to evidence the need for universal services being

preventative with regards Dv. I was able to sell it as us being early adopters ! I forgot to mention

Coles as she also sent some really useful links , the forum literally saved my bacon ! Sharm x

From: Woody.Caananglia (DOT) ac.uk

Date: Thu, 5 Mar 2009 18:22:50 +0000

Subject: RE: Marmot review of health inequalities

Congratulations, Sharman!

From: [mailto: ] On Behalf Of sharman

burchell

Sent: 05 March 2009 18:07

Subject: RE: Marmot review of health inequalities

These are interesting points.

I am seconded to a domestic violence team and have some dealings with the local family intervention

team(FIP) and ASBO teams. Of the families they are engaged with whereby children are , or abour to

commit crime 75% (ish ) have a background of witnessing family violence. Domestic violence will

affect ALL children , however being poor and witnessing DV is a double diadvantage. By the time they

reach school their capacity to learn will be greatly reduced , speach and language will be poorer.

Significantly these children often get diagnosed with ADHD. This is no longer a medical problem

rather it is societal. The emergence of enhanced knowledge regarding neurological development needs

to be embedded in other organisations . I am trying to work with our local police regarding this and

the importance of information sharing " lower " thresholds of DV. The WHO have stated NO1 action to

eliminate violence ahead of alcohol strategies and weopon reduction is increasing nurturing

families. If we wait until families are in crisis , then important opportunities for intervention

and prevention are lost . The health inequalities for these children will change their whole lives

tradjectory.

Thanks for your links and Woody , I have heard they have funded my post for 3 years , YAY !

sharman

From: sarahcowley183btinternet

Date: Tue, 3 Mar 2009 20:14:34 +0000

Subject: Re: Marmot review of health inequalities

Maggie thank you for this very considered response. I think there are some ideas for outcomes

here, too.

On 1 Mar 2009, at 22:45, Maggie Fisher wrote:

I would suggest looking at reducing NAI and the lessons learnt from Serious Case Reviews as we

don't seem to be translating the lessons learnt into practice!!! In the recently published biennial

analysis of serious case reviews 2003-2005 one of the key findings from this research report by

et al (2008) was that 2/3 of the 161 children studied died and a 1/3 were seriously injured.

47% of these were children under 1 and only 12% of the 161 children were on the child protection

register. This emphasises the necessity of a robust health visiting service delivered by highly

trained skilled professionals who are alert to the ways in which difficulties and protective factors

interact if they are to understand the infant/child’s experience and how significant harm might

arise. The early evidence from the biennial analysis Serious Case Reviews 2005-7 shows that this

picture has not changed much from the previous biennial analysis and that 46% of the children were

under 1 and over 50% of these

were under 6 months with a significant proportion of these under 3

months old.There is a crucial time between coming home from hospital and going to the child health

clinic when incidents occurred. InScandinavia, where each baby is seen an average of six times by

health visitors, the infant mortality rate is the lowest in the world.

In Ofsted’s evaluations of serious case reviews 1 April 2007 to 31 March 2008, they noted that in

nine of the cases involving very young babies health staff had missed, or misinterpreted, signs and

symptoms of abuse. Too often professionals took the word of parents at face value without

considering the effects on the child. There were factors in the families involved related to drug

and alcohol misuse, domestic violence, mental illness and learning difficulties which were often not

properly taken into account in assessing risk and considering the impact on the child. One of the

key findings from “Why Children Die” (CEMACH, 2006) was the importance of continuity of care and

the regular review of children in general practice. It was also recommended that primary care

professional maintain their skills in the recognition of serious illness in children and proactively

follow up children who do not attend appointments. In the 126 cases reviewed by the panel, there

were situations were failure to follow up those who did not attend for their appointments was

associated with later death.

The above must areas must be worthy of exploration for the Marmot review.

The other area I think that might prove worth considering is the increasing numbers of young

children with diagnosable mental health disorders.Nationally 10% of children aged 5-15 years suffer

from a diagnosable and that this is the most common cause of functional disability in this age

group. (Office for National Statistics 2004). Older children (aged 11–16 years) are more likely

than younger children (aged 5–10) to be affected (12% compared with 8%).

Recent studies have suggested that children in England are not developing as well emotionally

compared to many other nations. The2007 UNICEF Report showed that the UK came bottom of a league

table for child well being across 21 industrialised countries. The recently published Good Childhood

Inquiry also suggested we could do better. More effort needs to be going into universal services to

prevent 10% of 5-15 years olds suffering from diagnosable mental health disorders. The perintal

mental health services are few and far between in many areas of the country and with the massive

cuts in the HV service I fear things can only get worse!!!

We are all familiar with the consequences for children and families that cuts in the HV service and

the inappropriate use of grade mix has on them.

Best wishesMaggie

Marmot review of health inequalities

This review has been set up, to report in the summer; there is a

specific group looking at the

early years. What should we be feeding into the review? I think there

should be something about

our universal service, but getting together evidence for that, in the

face of RCT evidence thatis

all focused on targeted services, is quite a challenge.

Full details on the website,

http://www.ucl.ac.uk/gheg/marmotreview

<http://www.ucl.ac.uk/gheg/marmotreview> and their 'front sheet' pasted

below for interest.

Professor Sir Marmot has been asked by the Governement to

Chair an independent Review to

propose the most effective strategies for reducing health

inequalities in England from 2010.

The Review follows the publication of the global Commission on Social

Determinants of Health, also

chaired by Sir Marmot and published by the WHO. The CSDH

advocated that national governments

develop and implement strategies and policies suited to their

particular national context aimed at

improving health equity. The English review is a response to that

recommendation and to

the

government's commitment to reducing health inequalities in England.

The aim of the Review is to propose an evidence based strategy for

reducing health inequalities

from 2010. The strategy will include policies and interventions that

address the social determinants

of health inequalities.

The Review has four tasks:

(i) identify, for the health inequalities challenge facing England,

the evidence most relevant to

underpinning future policy and action

(ii) show how this evidence could be translated into practice

(iii) advise on possible objectives and measures, building on the

experience of the current PSA

target on infant mortality and life expectancy

(iv) publish a report of the review's work that will contribute to

the development of a post-2010

health inequalities strategy

It is anticipated that the Review will also have relevance for other

countries developing

strategies aimed at tackling health inequalities, following the

recommendations of the CSDH.

sarahcowley183btinternet <mailto:sarahcowley183btinternet>

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4.

search for holy grail

Posted by: " Cowley "

sarahcowley183@...

senatehvsn1

Fri Mar 6, 2009 12:16 pm (PST)

I have been asked to post this job advert, and you may notice a

slight element of scepticism in the subject line! Actually, they

have some very good people working on the project, and need another

good person who is willing to accept this poisoned chalice (excuse

mixed metaphors).

Job Advert

Project Lead

‘PREview’ PROJECT: developing predictive tools for child health

and well-being

The Family Nurse Partnership and Healthy Child Programme

Department of Health

We are looking for a leader in child health promotion to take

forward this exciting project to develop a predictive tool for child

health and well-being that supports the Healthy Child Programme at

individual, community and population levels. This is a full time

fixed term appointment or secondment opportunity until 31 March 2010

with the possibility of an extension.

Secondment or fixed term contract (8c)

For an application form visit www.nhsjobs.nhs.uk

For further details contact:

familynursepartnership@....gov.uk

Closing date: 18 March 2009



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