Bobby Lazzara, MD

, Dr Bobby Lazarra discusses a survey study published in 

 that looks at the prevalence of prediabetes in the pediatric population of the United States. 

Articles

For Contemporary Pediatrics, Dr Bobby Lazarra discusses a survey study published in JAMA Pediatrics that looks at the prevalence of prediabetes in the pediatric population of the United States. 

Examining the prevalence of prediabetes in pediatrics (VIDEO)

I’m Dr. Bobby Lazarra. Welcome to the Medical News Minute.

 [was] a randomized, blinded adaptive trial  comparing the efficacy of 3 IV anticonvulsant agents in children and adults with status epilepticus. The drugs levetirecetum, fosphentyoin, and valproate were studied if benzodiazepines were ineffective. Now the primary outcome was no clinical evidence of seizures as well as improvement in the level of consciousness by 60 minutes. The findings: in 384 patients randomized, all 3 drugs met the primary endpoint in half of the patients with status epilepticus and all drugs had similar adverse events. So barring a contraindication, what is your choice and why? Or since the study showed no significant differences, do you simply go for the most cost-effective choice and which drug is that?

I’m Dr. Bobby Lazarra. This has been the Medical News Minute.

For Contemporary Pediatrics, Dr Bobby Lazzara discusses a randomized, blinded adaptive trial that looked at the efficacy of 3 intravenous anticonvulsant agents used to treat children with status epilepticus.

Efficacy of drugs for status epilepticus (VIDEO)

 a large cohort study using a military health system database looking at the concurrent diagnosis of hyperthyroidism and mental illness in a pediatric population. A distinct association was found between hypothyroidism and ADHD, adjustment disorder, anxiety disorder, bipolar disorder, depression, and suicidality. In all but suicidality the mental health disorder was the primary diagnosis first. So the authors conclude [that] this identified relationship needs to be kept in mind when addressing mental health disorders and hyperthyroidism in a pediatric population.

I’m Dr. Bobby Lazarra and this has been the Medical News Minute.

For Contemporary Pediatrics, Dr Bobby Lazzara discusses a large cohort study using a military health system database that examined the concurrent diagnosis of hyperthyroidism and mental illness.

Examining concurrent diagnosis of hyperthyroidism and mental illness (VIDEO)

I’m Dr Bobby Lazzara and welcome to the Medical News Minute.

A study recently published by the Department of Health and Human Services revealed that many Medicaid and rural children who were treated for ADHD did not receive recommended follow-up care. As a matter of fact, in over half a million Medicaid-enrolled children, who were newly prescribed an ADHD medication and over 3500 children who were hospitalized with a primary diagnosis of ADHD did not receive follow-up care within the time frames outlined in the national quality measures. Over 54,000 children did not receive behavioral therapy as recommended by professional guidelines. The Office of Inspector General recommends that the Centers for Medicare & Medicaid Services (CMS) work toward improving health outcomes by developing strategies to increase the number of children who receive timely follow-up care for ADHD. How do we do that? Number 1, collaborate with partners to improve follow-up rates. Number 2, CMS should provide technical assistance to implement follow-up care. And number 3, analyze the effectiveness of all of these. So, we need to provide the best care possible to one of our most vulnerable groups: children.

I’m Dr Bobby Lazzara and this has been the Medical News Minute.

For Contemporary Pediatrics, Dr Bobby Lazzara discusses a study published by Department of Health and Human Services that examined whether children enrolled with Medicaid who had an ADHD diagnosis received the recommended followup care.

Are kids with ADHD getting followup care in Medicaid? (VIDEO)

I’m Dr Bobby Lazzara and this is the Medical News Minute.

, a retrospective study of cosmetic-related injuries in US emergency departments from 2002 to 2016 for children under the age of five. The findings? Injuries were related to nail care, hair care, skin care, and fragrance products in that order of significance. Children less than 2 were most commonly affected with poisoning being the most common diagnosis in 86% of cases. The authors’ take home message: Exposure to cosmetics is an important mode of injury for young children. So? Keep out of reach!

I’m Dr Bobby Lazarra and this is the Medical News Minute.

For Contemporary Pediatrics, Dr Bobby Lazzara discusses a retrospective analysis published in Clinical Pediatrics that looked at the incidence of accidents involving cosmetics in children aged 5 years and younger.

Examining cosmetic-related accidents in children

I’m Dr Bobby Lazzara. Welcome to the Medical News Minute.

Network, a longitudinal study of almost 14,000 children with atopic dermatitis looking at sleep quality and sleep duration. The participants, well they were followed for a median duration of 11 years. The findings: sleep duration was similar between children with atopic dermatitis (AD) and without AD at all ages. However, children with active AD, well they reported worse sleep quality at all time points studied. Sleep impairment was more common among children with more severe disease and with co-morbid allergic rhinitis or asthma. The take-home message? Sleep quality and interventions to improve it need to be considered in children with atopic dermatitis. Agreed?

I’m Dr. Bobby Lazarra and this is the Medical News Minute.

For Contemporary Pediatrics, Dr Bobby Lazzara discusses a study published in JAMA Pediatrics that examined how atopic dermatitis impacted the sleep quality and duration of the 14,000 study participants.