Paper Chase #5 - Does Head Gear Help in Soccer Related Head Injury
From November 2019, UmbilicologyUse of headgear in soccer does was not shown to prevent concussions.
6min 8Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #4 - Outcomes in Pediatric Gastric Bypass
From November 2019, UmbilicologyAdolescents had similar response to gastric bypass to adults in terms of weight loss and respond better in regards to remission of diabetes and hypertension.
7min 14Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #3 - Are Two (or More) Heads Better than One to Make Diagnoses
From November 2019, UmbilicologyCombined answers of multiple users on an online case platform were more likely to have the correct diagnosis than single users.
6min 39Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #2 - Team Sports and ACEs
From November 2019, UmbilicologyTeam sports participation does seem to be protective against the adverse effects of adverse childhood experiences(ACEs).
5min 34Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #1 - Nutrition and Atopic Disease
From November 2019, UmbilicologyThis clinical report from the AAP summarizes the current evidence for dietary interventions in prevention of atopic disease. There is mostly not benefit to any dietary intervention.
5min 43Roy Benaroch, MD and Geoffrey R. Simon, MD
The AAP Says What: IVF in Hospitalized Children
From November 2019, UmbilicologyThe new AAP policy statement recommends isotonic fluids for hospitalized children 28 days to 18 years of age. • These recommendations do not apply to neurosurgical disorders, congenital or acquired cardiac disease, hepatic disease, cancer, renal dysfunction, diabetes insipidus, voluminous watery …
11min 39Liza Green Golan Mackintosh, MD and Solomon Behar, MD
Paper Chase #5 | Baloxavir for influenza
From October 2019, He Barfs... He Scores!A new antiviral approved for children 12 years of age and up appears to be similar in efficacy to oseltamivir.
7min 32Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #4 | Prediction Rule for Rebound in Neonatal Hyperbilirubinemia
From October 2019, He Barfs... He Scores!Children with a gestational age greater than or equal to 38 weeks who are treated until they have a bilirubin level two points less than the criteria for which phototherapy was initiated are unlikely to have rebound hyperbilirubinemia.
4min 58Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #3 | Fill rate of antibiotic Rxs for STIs
From October 2019, He Barfs... He Scores!In this retrospective review only 58% of adolescents who were diagnosed with pelvic inflammatory disease or chlamydia filled prescriptions for antibiotics.
6min 20Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #2 | PPI use in infants and fracture risk
From October 2019, He Barfs... He Scores!Use of a proton pump inhibitor(PPI) but not H2 blocker in infancy was associated with higher risk of fracture in childhood.
4min 57Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #1 | Efficacy of varicella and pertussis vaccines
From October 2019, He Barfs... He Scores!Study 1 Bottom line: This study was a retrospective database study looking at health system records of 6.4 million children from 2003 through 2014 looking. They looked at the change in cases of herpes zoster per 100 000 person years. • Paper 2 Bottom line: Undervaccinated and unvaccinated …
7min 52Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #5 | Marijuana and Mental Health
From September 2019, JUST SAY NO TO N2OBottom line: Cannabis use is associated with an increased risk of later mental health disorders.
3min 47Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #4 | Isopropyl alcohol for nausea
From September 2019, JUST SAY NO TO N2OBottom line: In adults, a quick whiff of nasal isopropyl alcohol, is an effective intervention to help with nausea.
4min 37Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #3 | Do Teens Lie About Tobacco Use?
From September 2019, JUST SAY NO TO N2OBottom line: Teens usually tell the truth to their doctors with regard to tobacco ad marijuana use! Urine testing was consistent with self reported use of e-cigs, tobacco and marijuana in adolescents.
5min 3Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #2 | Sexual Assault in Transgender Kids and School Bathroom Policy
From September 2019, JUST SAY NO TO N2OBottom line: Sexual assault is common among gender non-conforming youth and insisting that youth who are transgender, have to use certain bathrooms or locker rooms based on gender assigned at birth increases the risk of sexual assault.
6min 13Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #1 | Reflux guideline update
From September 2019, JUST SAY NO TO N2OBottom line: GERD therapy for children is only indicated for clear GERD symptoms, and even then only for a short time.
8min 49Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #5 | Psychosis and ADHD Meds
From August 2019, You Mec Me Sick!BOTTOM LINE: Both methylphenidate and amphetamines may increase the risk of a psychotic event; the effect is stronger with amphetamines.
7min 56Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #4 | Montelukast and Psych Events
From August 2019, You Mec Me Sick!BOTTOM LINE: Montelukast appeared to double the risk of a neuropsychiatric event among asthmatic children, though the overall risk remained small.
6min 9Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #3 | Abx prescribing in telemedicine
From August 2019, You Mec Me Sick!BOTTOM LINE: Telehealth visits were more likely than in-person visits to result in an antibiotic prescription that wasn't needed.
8min 33Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #2 | Risk Stratification of Febrile Young Infants
From August 2019, You Mec Me Sick!BOTTOM LINE: Simple, objective clinical decision rules based on easily-obtained lab results can accurately predict which babies are at higher risk for serious infections.
7min 8Roy Benaroch, MD and Geoffrey R. Simon, MD
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