Type 1 diabetes in children

Many children are not diagnosed early enough. Nicky Kime highlights the symptoms and importance of an accurate early diagnosis

Weight loss in type 2 diabetes

Support from nurses is crucial to help obese and overweight patients achieve and maintain weight loss, explains Nicky Kim

Maintaining heart health

Risk factors for heart disease are wide ranging and cumulative. Nicky Kime outlines simple advice that can alter outcomes

Management of Prediabetes

Nurses have a key role in promoting the patient's self-management and fostering motivation for lifestyle change, writes Nicky Kim

Diadromous Fish Investigations, 2016: Anadromous Alosid Restoration and Evaluation

Eight fishways on six New Hampshire (NH) coastal rivers were operated during the spring of 2016 to facilitate the passage of river herring (Alewife Alosa pseudoharengus and Blueback Herring Alosa aestivalis), American Shad Alosa sapidissima, and other diadromous fish over dams. Estimated numbers of river herring using all coastal river fish ladders in 2016 increased by approximately 40.5% from 2015. Alewives dominated returns to the Cocheco, Exeter, and Lamprey rivers while the Oyster River had a slightly higher percentage of Blueback Herring returning. The Oyster River continues to have low return numbers and exhibits signs that habitat problems are inhibiting restoration efforts. The Winnicut River fishway is ineffective at passing river herring and an investigation to determine a solution is ongoing. In the absence of restoration efforts, no American Shad returned to NH fishways in 2016. In an effort to enhance local spawning stocks, thousands of river F-61-RI-1_16_AR Page 2 herring were transferred from the Cocheco and Lamprey rivers to the Merrimack River drainage to assist in anadromous fish restoration efforts. In 2016, 2,250 river herring were stocked in impoundments or lakes within the Great Bay Estuary drainage. The NH Fish and Game Department has continued to work with state and federal agencies and non-governmental organizations on various cooperative diadromous fish passage projects on coastal NH rivers

'Join Us On Our Journey': developing a new model of care for children and young people with type 1 diabetes Final report for NHS Diabetes

The aims of this research were to develop a model of care that will deliver the aspirations of the policy document, ‘Making Every Young Person with Diabetes Matter’ and improve the care provision for children and young people with Type 1 diabetes in England. Children and young people with Type 1 diabetes, their families and professionals, in nine acute trusts throughout the Yorkshire and the Humber region, participated in talking group discussions and individual interviews to find out about their experiences of diabetes care provision. Findings show that there are certain aspects of the care pathway that need to be addressed. In particular, diabetes care, resources, education, psychological support, school/college and transition were found to be the main areas of concern. Recommendations have been made indicating how current practice needs to change if the care of children and young people with Type 1 diabetes is to improve

Comprehensive Conservation Outreach Plan

With funding from the Natural Resources Outreach Coalition (NROC) and the New Hampshire Estuaries Project (NHEP) the Town of Newmarket has undertaken the constructing of three signs and two educational/information kiosks for two recently acquired open space parcels and associated information for distribution on all conservation and passive recreation lands in the Town of Newmarket. The third kiosk involved repairing an existing structure rather than building a new one. The costs for the project include the creation and printing of maps and brochures for distribution, creation and installation of the kiosks (which will also house several signs from our funding partners) and the primary identification signs for three conservation parcels

Anadromous Fish Investigations, Year 2005

Seven department fish ladders on six coastal rivers were operated during the spring of 2005 to facilitate the passage of river herring, American shad, and other diadromous fish over dams. Estimated numbers of river herring monitored in 2005 were lower than in 2004 in all six rivers. This may be attributed to high flows in all monitored rivers during the river herring run. Record low returns at the Exeter and Taylor river ladders are of concern. Possible causes of low return numbers in the Exeter are low dissolved oxygen levels in the river, impediments to downstream migration, excessive harvest by the in-river fishery, or a combination of the three. Alewives constituted 100% of the returns in the Lamprey and Exeter rivers and dominated returns in the Cocheco and Winnicut rivers. River herring returns in the Oyster and Taylor rivers were exclusively blueback herring. Confirmed returns of shad to the fishways were 12 in the Lamprey, three in the Exeter, and eight in the Cocheco rivers. The number of returns to the Exeter River decreased from 22 in 2004 to three in 2005. It is speculated that the reduction in returns could be due to water quality problems in the impoundment above the dam or incidental mortality in the in-river fishery for river herring. Biological samples indicated that ages ranged from III to VII and the ratio of males to females was three to one. In a concerted effort between New Hampshire Fish and Game and the U.S. Fish and Wildlife Service (USFWS), approximately 3,200 river herring were transferred into impoundments or lakes in the Great Bay Estuary drainage to enhance spawning stocks. No American shad were stocked this year as low numbers at the Merrimack River fish lift prevented collection of gravid adults. In addition, other collaborative efforts to restore anadromous fish to NH coastal rivers include dam removal or fish passage projects on three rivers within the Great Bay system. The first dam located at the head-of-tide on the Bellamy River was removed in 2004 to provide access to additional spawning and rearing habitat for species such as river herring and rainbow smelt. A feasibility study has recently been completed on fish passage options for the Winnicut River dam with dam removal and installation of a technical fishway at the next upstream barrier being chosen as the preferred option. Finally, a nature-like fishway has been selected as the preferred option for fish passage at Wiswall Dam on the Lamprey River and an Environmental Assessment for this project has been developed and approved

Growing Greener Initiative

Using funds from this grant, the City of Dover Open Lands Committee worked in conjunction with the Planning Department and Conservation Commission to plan, promote and present a series of workshops. These workshops were designed to educate decision- makers and residents about the economic, aesthetic, and environmental benefits of open space. In addition, the Dover Open Lands Committee developed two brochures and a display to publicize the Open Lands Committee and to encourage further citizen participation