Dietitians working in this field require behavioural change skills, motivational techniques and the ability to communicate to children of differing ages and their parents. Knowledge of local child safe guarding procedures are necessary for all working in this field. Recommendations on basic and advanced skills required are specified.
 
  This paper was written to compliment a full review document. The complexities around case management, child protection issues and competing family motivations require dietitians trained at undergraduate and postgraduate level to deliver high quality weight management and behavioural change.
 This paper was written to compliment a full review document. The complexities around case management, child protection issues and competing family motivations require dietitians trained at undergraduate and postgraduate level to deliver high quality weight management and behavioural change.The solvent-free organic π-liquids have been attracting increasing attentions owing to the inherent optoelectronic properties accompanied by the advantages of non-volatility and high processability. Herein, we reported a series of naphthalene derivatives substituted with chiral branched alkyl chains, which are present as liquids (Nap1-3) or solid (Nap4) at room temperature, depending on the substitution positions. Circular dichroism (CD) and circularly polarized luminescence (CPL) were only observed for enantiomeric Nap2 (2,3-substituted) liquid. It is suggested that the chiral aggregation in the π-liquid leads to the CD signal and the chiral excimer resulting in the CPL performance.  https://www.selleckchem.com/products/vit-2763.html  When achiral anthracene or pyrene was dissolved in Nap2, the π-liquid could serve as chirality and energy transfer media in which both CD and CPL emerged from the achiral anthracene. A CPL dissymmetry factor (|glum |) of anthracene reached to 5.2×10-2 when dissolved in chiral Nap2 liquid, which is nearly two orders of magnitude higher than that of the pure Nap2 π-liquid.
  A quarter of the United Kingdom's population are living with obesity, a disease that causes an estimated 30000 deaths each year. This coincides with an under-utilisation of weight management services across the country with the majority of patients with morbid obesity having no record of any weight loss intervention at all. This study explores the factors that influence patient access to weight management services.
 
  Expert opinion was obtained using semi-structured interviews and the Delphi methodology. Participants were selected from primary and secondary healthcare settings. Healthcare professionals (HCPs) had experience working in weight management services or in services dealing with obesity-related comorbidities. Patients had experience in attending a variety weight management services.
 
  Nineteen participants completed all aspects of the study. The main barriers included negative perceptions, low mood/depression, obesity not being considered as a serious disease, lack of access to services for housebailability of specialist services. Awareness of these factors when designing future weight management services will help to improve their utilisation.Studies with infant siblings of children with Autism Spectrum Disorder have attempted to identify early markers for the disorder and suggest that autistic symptoms emerge between 12 and 24 months of age. Yet, a reliable first-year marker remains elusive. We propose that in order to establish first-year manifestations of this inherently social disorder, we need to develop research methods that are sufficiently socially demanding and realistically interactive. Building on Keemink et al. [2019, Developmental Psychology, 55, 1362-1371], we employed a gaze-contingent eye-tracking paradigm in which infants could interact with face stimuli. Infants could elicit emotional expressions (happiness, sadness, surprise, fear, disgust, anger) from on-screen faces by engaging in eye contact. We collected eye-tracking data and video-recorded behavioural response data from 122 (64 male, 58 female) typically developing infants and 31 infant siblings (17 male, 14 female) aged 6-, 9- and 12-months old. All infants demonstrated a n a computer screen (e.g., they smile and imitate less) in comparison to infants without an older sibling with autism. Reduced responsiveness within social interaction could potentially have implications for how parents and carers interact with these infants.
  To determine (i) wait times and out-of-pocket costs for children attending private specialists for initial mental health appointments; and (ii) whether these differed between specialists working in metropolitan versus rural areas and in low, medium and high socio-economic areas.
 
  Prospective secret shopper study whereby a researcher posed as a parent seeking an appointment for her child with anxiety or attention-deficit/hyperactivity disorder. We contacted 317 private paediatrician, psychiatrist and psychologist practices in Victoria and South Australia between 12 March and 5 May 2019.
 
  One third (29.8%) of private practices were closed to new referrals. The average wait times for paediatricians, psychiatrists, and psychologists were 44, 41 and 34 days, respectively. Average out-of-pocket costs quoted were AU$120 for paediatricians, AU$176 for psychiatrists and AU$85 for psychologists.
 
  Parents face extensive wait times and substantial out-of-pocket costs when seeking private mental health services for their child.
 Parents face extensive wait times and substantial out-of-pocket costs when seeking private mental health services for their child.
  To describe a novel laparoscopic technique to treat sliding hiatal hernia in dogs.
 
  Retrospective case series.
 
  Eight dogs with sliding hiatal hernia treated with laparoscopy.
 
  Surgery reports were reviewed for technique description and animal outcomes.
 
  Six dogs were brachycephalic. Dogs were placed in right lateral oblique recumbency. Four dogs were placed in a reverse Trendelenburg position to visualize the esophageal hiatus. A single port was placed 2 cm caudal to the last rib on the left side. An extra cannula was added in four dogs. A large-bore orogastric tube was introduced in five dogs and used in four dogs to reduce the hernia. A unidirectional nonabsorbable barbed suture was used for the closure of the esophageal hiatus and the esophagopexy. A left-sided gastropexy was performed for all the cases. The gastropexy was performed with a gastrostomy tube to bypass the esophagus in four dogs. Intraoperative complications included pneumothorax in three dogs. Conversion was elective in three cases and emergent in one case.