Impact may include difficulties with movement, cognition, hearing and vision, communication, emotion, and behaviour.Using the list of patients we then contacted the parents via telephone or in person to gather the information. We developed a proforma for our parent discussions to provide a standardised approach as well as a parent information sheet to enable consent. Proforma included asking about . GI issues experienced . Treatments felt to be most effective . Effect of GI issues on patient . Effect of GI issues on family

Impact may include difficulties with movement, cognition, hearing and vision, communication, emotion, and behaviour.Using the list of patients we then contacted the parents via telephone or in person to gather the information. We developed a proforma for our parent discussions to provide a standardised approach as well as a parent information sheet to enable consent. Proforma included asking about . GI issues experienced . Treatments felt to be most effective . Effect of GI issues on patient . Effect of GI issues on family

Conclusions ConclusionMultiprofessional assessment using a biopsychosocial approach to CYP with PUPS leads to better recognition of underlying mental illness, improved short-term functional outcomes, reduced medical costs and improved school attendance. The challenge is securing longer term funding. REFERENCES1.. Hinton D, Kirk S. Families' and healthcare professionals' perceptions of healthcare services for children and young people with medically unexplained symptoms: a narrative review of the literature. Health & Social Care in the Community 2016;24(1):12-26. 2.. Campo JV. Annual research review: functional somatic symptoms and associated anxiety and depressiondevelopmental psychopathology in pediatric practice.

person-years, White British obese had 1,555 consultations per 1000 person-years; prescriptions: Pakistani obese had 4,421 prescriptions per 1000 person-years, White British obese had 2,056 prescriptions per 1000 person-years). Conclusions Obese children in both groups had on average more primary care consultations and a greater number of prescriptions. This association was moderated by ethnicity with Pakistani children having significantly higher rates. These findings underline the importance of reducing childhood obesity and highlight the need for further research to understand the differences in use of primary care services between different ethnic communities.

moments like nursing handovers and ward rounds were noted to be the loudest periods, with a range of 65 to 70 dB.The questionnaires reflect that although staff members have some knowledge on noise levels and their impact on the newborn, education on the effect of noise in ambience around preterm can be helpful.On the subject of the permissible loudness, 53.3% of staff answered 55dB, most of the participants were unsure. Regarding the level of noise at which babies start experiencing pain, 60% answered more than 90dB, and 13.3% answered more than 200dB. Handovers and conversations in the unit were noted to have a physiological and psychological effect on the neonates as evidenced by previous studies and suggestions were made to reduce the noise by altering alarm volumes, adding visual aids, and educating staff and parents Conclusions We conclude that the loudness of noise has adverse effects on the quality of care of newborns. Guidelines to regulate the noise intensity should be followed to ensure the best of care to growing preterms. Moving forward, our intended actions would be: to educate staff and parents on this topic, obtain a certified device to monitor the noise level, alter the environmental factors influencing the increase in noise and use visual aids to help reduce the noise in our unit thus protecting the newborn babies from harmful noise exposure.