"No one talks about it": using emotional methodologies to overcome climate silence and inertia in Higher Education.

Higher Education (HE) is, at best, struggling to rise to the challenges of the climate and ecological crises (CEC) and, at worst, actively contributing to them by perpetuating particular ways of knowing, relating, and acting. Calls for HE to radically transform its activities in response to the polycrises abound, yet questions about how this will be achieved are often overlooked. This article proposes that a lack of capacity to express and share emotions about the CEC in universities is at the heart of their relative climate silence and inertia.

Measuring patient and carer experience related to paediatric gastrointestinal endoscopy: multicentre questionnaire study.

Background: The Paediatric Endoscopy Global Rating Scale (P-GRS) is a quality improvement tool used in the UK. An important aspect of this includes regular surveys on the patient and/or carer's endoscopy experience. The aim of our study was to design and implement a patient/carer experience questionnaire.

Improved Medical Treatment and Surgical Surveillance of Children and Adolescents with Ulcerative Colitis in the United Kingdom.

Background: Pediatric ulcerative colitis (UC) presents at an earlier age and increasing prevalence. Our aim was to examine morbidity, steroid sparing strategies, and surgical outcome in children with active UC.

Methods: A national prospective audit was conducted for the inpatient period of all children with UC for medical or surgical treatment in the United Kingdom (UK) over 1 year.

[3-hydroxy-3-methylglutaryl-CoA lyase deficiency: a case report and literature review].

Introduction: 3-hydroxy-3-methylglutaryl-CoA (HMG-CoA) lyase deficiency is an autosomal recessive disorder that usually presents in the neonatal period with vomiting, metabolic acidosis, hypoglycemia and absent ketonuria. Few cases are reported in the literature, and optimal dietary management and long term outcome are not fully understood.

Case Report: We report a 2 year old girl with HMG-CoA-lyase deficiency who had limited fasting tolerance on a low protein diet, with several recurrent hospital admissions with severe hypoketotic hypoglycaemia and metabolic acidosis.

Two Cases of Spinal Muscular Atrophy Type II with Eosinophilic Oesophagitis.

Although primarily characterised by loss of motor neurons from the anterior horn of spinal cord and muscle atrophy, spinal muscular atrophy (SMA) is now recognised as a multi-systemic disorder. Here, we report two SMA Type II patients with eosinophilic oesophagitis (EoE), a rare, chronic immune/antigen-mediated condition. One patient presented with dysphagia and poor weight gain, and the second patient had symptoms of gastro-oesophageal reflux (GOR) and poor weight gain.