Methods Staff from simulation and paediatric metabolic medicine collaborated to devise multi-professional metabolic emergency scenarios. Cases highlighted specific aspects of underlying inborn errors of metabolism and general clinical principles and protocols. Simulation sessions involved medical and nursing staff from all levels. Participant feedback focused upon session utility and applicability to the clinical environment. Analysis of simulation data was retrospectively performed of all metabolic emergency simulation data. Results Between January 2017 and September 2018, there were 7 metabolic simulation sessions involving 56 members of staff. Scenarios involved inherited metabolic conditions with complications assessing generic skills including: an allergic reaction to enzyme replacement therapy in a child with Hunter's syndrome; sepsis in a child with methylmalonic acidaemia and seizures in a child with a decompensated urea cycle defect. Participant feedback was positive with high session utility reported and applicability to clinical practice. Conclusions Participants in simulated metabolic emergencies report this training as a valuable opportunity to practise team working and clinical skills. Scenarios incorporating common emergencies in rare conditions can meet generic and sub-speciality specific training needs. Further work is planned to devise syllabus based metabolic scenarios and contribute to training in this neglected field.

significant increase in reported cases worldwide. However, most cases still remain unreported. Identified cases have brought to the fore the fact that at the centre of CSA prevention is Prevention Educational Programmes. In order to develop an effective programme, it is important to understand how parents perceive and respond to child sexual abuse. Aim This study, which is a pre-intervention study, aimed at understanding the knowledge, perception and preventive practices of mothers on prevention of child sexual abuse in a tertiary hospital setting in the Eastern State of Nigeria. Method In a descriptive cross-sectional study, 203 caregivers of children who came to the outpatient clinic were enrolled. A self-administered questionnaire which was developed by the researcher along with demographic profile sheet to assess the knowledge, perception and preventive practices of caregivers on prevention of child sexual abuse was used. Results A total of 203 respondents, majority (64.5%) were mothers, with most (42.4%) belonging to the age group 21%-30. 73.9% had tertiary education, majority (61.1%) were civil servants. On knowledge, a good proportion of the caregivers have moderately adequate knowledge (70.8%) with 22.1% and 14.8% of them believing that females cannot sexually abuse children and that boys cannot be sexually abused respectively. On perception,76.1% of care givers had adequate perception but 40.9% believed that CSA prevention education will induce children to know too much about sex. Concerning practice, 26.6% have moderately adequate practice regarding prevention of child sexual abuse. Only 11.8% of the caregivers had CSA preventive and sex talks with their children regularly. Conclusion The present study has identified the need for CSA prevention education even among the highly educated. Therefore, our intervention will focus on filling this gap and finding ways to translate knowledge and perception into the right preventive practice. The forthcoming preventive education strategies will seek to teach the best ways of preventing CSA.Background The number of people migrating for labour is growing around the world, particularly in low-and middle-income countries. Parents often move for work, leaving their children behind. In China alone there are 61 million leftbehind children and adolescents (LBCA). Methods We conducted a systematic review including studies on parental migration and LBCA aged 0-19 years in low-and middle-income countries. Our outcomes were the 10 main causes of disability-adjusted life years in the under-5, 5-9 and 10-19 year age groups. These included nutrition, mental health, unintentional injuries, infectious disease, substance use, unprotected sex, early pregnancy and abuse among. We searched databases including MEDLINE, EMBASE and CINAHL from inception to April 2017, with no language restrictions. We conducted meta-analyses, sensitivity analyses based on the quality of studies, subgroup analyses (internal and international migration and one or two parent absence), and meta-regression t...