Catalogue Search | MBRL
Are you sure you want to remove the book from the shelf?
{{itemTitle}}
696
result(s) for
"Simon, Francesca"
Sort by:
Horrid Henry robs the bank
Horrid Henry helps himself to all the money he needs to win his favourite board game, comes up with another spectacular money-making scheme for launching a newspaper with all the school gossip, vows vengeance on Perfect Peter when Peter picks his birthday party theme and has his own Pirate Party - and gets it by taking over as Head Teacher when Peter plays school with his goody-goody friends.
Book
6403 Retrospective analysis of referrals and clinical outcome of a new neonatal murmur clinic service in a district general hospital
ObjectivesThis study retrospectively reviewed referrals made to a new neonatal murmur clinic service at a district general hospital. Appropriateness of the referral and time interval from identification of murmur to clinic review were analysed against standards set in the local guideline. Murmur persistence at review and clinical outcomes were also evaluated.MethodsRetrospective observational study of babies less than 30 days old referred to the neonatal murmur clinic on the amber and green pathway in accordance with local guideline from July 2021 -July 2022. Data was collected from the online referral form and clinical notes.ResultsThere were 77 patients <30 days of age referred for a murmur. Of these, 38% were reviewed outside of neonatal murmur clinic. 69 patients with online referrals were analysed further. 97% of referrals had incomplete information, including documentation of cardiac observations. 80% had documented 4 limb blood pressures, 91% documented femoral pulses. 94% of families did not receive an information leaflet.On the ‘green’ pathway, 70% of patients were seen within the 4–6 weeks standard target, an average 6.31 weeks. 73% of these patients had a normal ECHO at cardiac review. In this group, 21 had a murmur and of these, 48% had a normal ECHO and 52% an abnormal ECHO. 31 patients did not have a murmur at point of cardiac review, of these 84% had a normal ECHO, 10% had an abnormal ECHO, 6% did not have an ECHO.On the ‘amber’ pathway, 85% of patients were seen within the 2–4 weeks standard target, an average 1.97 weeks. 78% of these patients with a murmur at the time of cardiac review had an abnormal ECHO. There was no association between presence of murmur and abnormality detected on ECHO in this group.ConclusionIn conclusion, our audit showed that the majority of online referrals had incomplete information. As previously seen in literature, there is evidence to suggest that all patients should have a thorough clinical examination and that clear communication including the use of information leaflets will help reduce parental anxiety.1 2 The majority of the patients were seen within the target timeframe stated in the guideline. Absence of a murmur at time of cardiac review in ‘green’ patients related to normal ECHO findings; however, the presence or absence of a murmur at time of cardiac review in amber patients did not relate to presence of abnormality on ECHO.ReferencesRao H, Shenvi A. ‘G251(P) cardiac murmurs in neonates: Review of current local practice and clinical outcomes’, Paediatricians with expertise in cardiology special interest group [Preprint]. 2018; doi:10.1136/archdischild-2018-rcpch.244.Frank JE, Jacobe KM. Evaluation and management of heart murmurs in children, American family physician. 2011; Available at: https://www.aafp.org/pubs/afp/issues/2011/1001/p793.html (Accessed: 27 October 2023).
Journal Article
Horrid Henry's revenge
An unabridged CD of the bestselling naughty child., so you can read along. Horrid Henry is hugely popular with children and adults - over 500,000 audio copies sold in various formats. Unmissable entertainment for 3-9-year-olds. A brilliant collection of four stories about this favourite character - one of the few new characters to have emerged in recent years for this age group. Wickedly subversive, hilariously funny and bang up to date, Horrid Henry's fame is spreading. In this collection, enhanced by Miranda Richardson's brilliant reading and really horrid music and sound effects, Henry accompanies his father to the office, hacks into his parents' computer, meets the Demon Dinner Lady and plans the ultimate revenge on Perfect Peter.
Book
Horrid Henry and the Abominable Snowman
Building a snowman brings out Horrid Henry's competitive streak; he sets up his Monstrous Makeovers business to rival Moody Margaret's Miraculous Makeovers; things go badly wrong when a famous author comes to school; and he thinks 'You'll all be sorry when I'm dead' and spends a rainy day writing his will.
Book
Horrid Henry and the abominable snowman
Horrid Henry builds a big, mean monster snowman in order to win the snowman competition against Moody Margaret's ballerina snowgirl, and claim the prize--a year's supply of ice cream--all for himself. Plus three more stories that go well with ice cream.
Book