ADC Podcast

Global child health: Why kernicterus is still a major cause of death and disability

Neonatal jaundice is predominantly a benign condition that affects 60%–80% of newborns worldwide but progresses to potentially harmful severe hyperbilirubinaemia in some.
Despite the proven therapeutic benefits of phototherapy for preventing extreme hyperbilirubinaemia, acute bilirubin encephalopathy or kernicterus, several low-income and middle-income countries continue to report high rates of avoidable exchange transfusions, as well as bilirubin-induced mortality and neurodevelopmental disorders.
A review recently published in ADC examines the contributory factors to the burden of severe hyperbilirubinaemia and kernicterus and provide strategies for improving care.
ADC Global Health editor Nick Brown talks to co-author Tina Slusher, Department of Pediatrics, University of Minnesota & Hennepin County Medical Center, Minneapolis, to hear what they suggest.
Read the full paper: http://goo.gl/7fO5h1

October 2014’s Archimedes podcast

Bob Phillips talks you through this month's Archimedes questions, including is ultrasound scanning as sensitive as CT in detecting skull fractures in children presenting following head injury? And should children who have a febrile seizure be screened for iron deficiency?
For the full articles, see http://adc.bmj.com/content/99/10.toc

September 2014’s ADC highlights

Mark Beattie discusses his picks from September's ADC.For all the content from the issues, see: http://adc.bmj.com/content/99/9.toc

August 2014’s ADC highlights

Mark Beattie discusses his picks from August's ADC.
For all the content from the issues, see http://adc.bmj.com/content/99/7.toc

September 2014’s Archimedes podcast

Listen here to a shortcut to the answers for these clinical questions:
Ultrarapid intravenous rehydration in children who are dehydrated from viral gastroenteritis: does it work?
http://adc.bmj.com/content/99/9/878.1.full
Humidified heated high flow nasal cannula versus nasal continuous positive airway pressure for providing respiratory support following extubation in preterm newborns
http://adc.bmj.com/content/99/9/880.full
After that, you might want to read about studies which compare some therapy to "standard care":
http://blogs.bmj.com/adc/2014/07/09/compared-to-standard-care/
As always, let us know your thoughts on the podcasts via twitter or facebook, or comment on the podcast page.

Antibiotic therapy for pneumonia

Community-acquired pneumonia (CAP) remains a force to reckon with, as it accounts for 1.1 million of all deaths in children less than 5 years of age globally, with disproportionately higher mortality occurring in the low and middle income-countries (LMICs) of Southeast Asia and Africa. Existing strategies to curb pneumonia-related morbidity and mortality have not effectively translated into meaningful control of pneumonia-related burden. A recent systematic review in ADC looks at trials conducted in LMICs to determine the most suitable antibiotic therapy for treating pneumonia (very severe, severe and non-severe). ADC global health commissioning editor Nick Brown talks to one of the authors, Rehana Salam, Division of Women and Child Health, The Aga Khan University, Karachi, Pakistan, to hear what they found.Read the paper: http://goo.gl/ZCw0Rr

August 2014’s Archimedes podcast

Summer might be here, and the time might be right for dancing in the streets, but for the dedicated follower of EBM, there's only one thing to listen to.This month's Archimedes podcast covers a rant about journal clubs, using subcutaneous fluids in children and the treatment of congenital CMV infection. The papers can be found here: http://adc.bmj.com/content/99/8.tocAs always, comments on the podcast, section and EBM in general are very welcome by email to info.adc@bmj.com or on twitter @ADC_BMJ.

July 2014’s ADC highlights

Mark Beattie discusses his picks from July's ADC.For all the content from the issues, see http://adc.bmj.com/content/99/7.toc

July 2014’s Archimedes podcast

In this month's Archimedes update, Dr Bob Phillips wonders about when toact, when to stop acting, and when to do nothing at all - in the contextof diagnostic testing - and summarises two Archimedes reports; one onwhether or not to apply splints to neonates you've cannulated, the otheron the need for septic screens in neonates with soft tissue infections.The full papers can be found here: Splints - http://adc.bmj.com/content/99/7/694.1.extractSeptic Screens - http://adc.bmj.com/content/99/7/695.extractDiagnostic Thresholds - http://adc.bmj.com/content/99/7/694.2.extractHe also encourages you to get in touch by email to info.adc@bmj.comor on twitter @ADC_BMJ.

Aetiology and management of malnutrition in HIV-positive children

Managing even uncomplicated HIV infection is a major undertaking. When compounded by nutritional compromise, as it so often is, it becomes many times more complex. When the two co-exist, mortality rises exponentially so awareness, prevention, early identification and aggressive management are essential.In this podcast, ADC's global health editor Nick Brown talks to Anna Rose, UCL, about her recent paper which examines both the HIV/ malnutrition relationship and the multiple spokes, social and medical required to tackle this global problem.Read the full paper here: http://goo.gl/ojCTxO