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. 

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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.

Author | Bobby Lazzara, MD

Articles

Examining the prevalence of prediabetes in pediatrics (VIDEO)

Efficacy of drugs for status epilepticus (VIDEO)

Examining concurrent diagnosis of hyperthyroidism and mental illness (VIDEO)

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