ADC podcast

We’re never going to be satisfied with the search of direct randomised evidence in paediatrics - unless we’re working in the hallowed hills of 'paed oncology' of course - so how should we think about the weight of evidence to change things?

There’s a classic lack of direct, trial data when it comes to considering when to give vaccines after TNF-alfa treatments in pregnancy [https://adc.bmj.com/content/107/1/93.1] but what is out there can be digested and considered and given as a pithy conclusion … as can the consideration of radiotherapy for a non-malignant condition … (something we’ve tended to shy away from after treating - effectively - ringworm with scalp focussed zapping and accidentally creating meningiomas where there was only an annoying fungal infection before) … should you block or blast in Grave’s disease? [https://adc.bmj.com/content/107/1/97]

Enjoy, tell us what you think, and submit your own following the instructions on the website and you too could be subject to this sort of internet delight [https://adc.bmj.com/content/106/11/1135.2].

Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, brings you the monthly Atoms - the highlights of the January 2022 issue.

Read it on the Archives of Disease in Childhood website:

https://adc.bmj.com/content/107/1/i

We visit the land of diagnostics in our thinking again this month, deciding when a test can really help us by pressing on to make, or exclude, a diagnosis, and when it simply nudges us a bit one way or another (YOU’LL NEED TO FIND LINK - STARTS There’s something unnerving about getting a test result. And is title is ‘Spins and snouts’)

But then we leap away from it, like a young gazelle or enthusiastic neutrophil, to ask the question “Should all infants with delayed cord separation be investigated for leucocyte adhesion deficiency?” [https://adc.bmj.com/content/106/12/1233] You might already guess the answer - nothing in medicine is an all or nothing - except when it is - but it’s an excellent interview and explanation. The other topic takes in the land of spinal surgery and asks if it can help lung function in (some) kids with cerebral palsy…[https://adc.bmj.com/content/106/12/1231.1]

Enjoy, tell us what you think, and submit your own following the instructions on the website and you too may have an interview on Her Majesty’s Own Internet to share with your Aunties.

Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, brings you the monthly Atoms - the highlights of the December 2021 issue.

Read it on the Archives of Disease in Childhood website:

https://adc.bmj.com/content/106/12/i

ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the November 2021 issue. The Fantoms article: https://fn.bmj.com/content/106/6/571

Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

Other related material mentioned in the podcast:

https://soundcloud.com/bmjpodcasts/perinatal-management-of-extreme-preterm-birth-before-27-weeks-of-gestation-a-framework-for-practice

ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the September 2021 issue. The Fantoms article: https://fn.bmj.com/content/106/5/457

Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

Other related papers mentioned in the podcast:

https://jamanetwork.com/journals/jamapediatrics/fullarticle/2780513

Extracting urine has been the subject of Archimedes in the past, but this month wee (geddit?) have questions relating to when you’ve found a UTI. Could you treat a wee one with oral rather than IV antibiotics? (Full answer here: https://adc.bmj.com/content/106/11/1135.1) Should you make all the little ones with UTI to bend around and take a few mls of CSF from them? (Read on … https://adc.bmj.com/content/106/11/1138). Good questions - and more are possible too - keep sending them.

We also consider how things can be subject to our alternative ways of thinking about new and old things, and that, for almost everything to be honest, there’s not a level playing field. And we could do with understanding and working on that (https://adc.bmj.com/content/106/11/1135.2).

Enjoy, feedback, and submit (following the instructions on the website though. No one wants to waste time and have to go back and rewrite things over and over again do they?).

Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, brings you the monthly Atoms - the highlights of the November 2021 issue.

Read it on the Archives of Disease in Childhood website:

https://adc.bmj.com/content/106/11/i

Have you ever had a question you thought … “OOOO! That’s an Archimedes in waiting that is!”. Well, join in the footsteps of those who have climbed the craggy path through submission, review, Editorial Board and onwards to the sunny pastures of ‘Online First’ and eventually the Paper Journal (where, like one of our colleagues, your Gran can try and order one from the newsagents because she’s so proud of you).

The Grannies being delighted this month will be able to learn all about if their migrainous adolescent grandchildren will benefit from magnesium to reduce their headache frequency of severity (https://adc.bmj.com/content/106/10/1027), and far from benign taught to suck eggs they may have their perception of weaning foods challenged when it comes to egg introduction to the diet of four month olds (https://adc.bmj.com/content/106/10/1024.1). Their wisdom will be already full of the knowledge that just because something’s always been this way doesn’t make it right, but they may like to hear about how we think momentum and inertia apply in medicine too (and here’s the ship-related podcast that’s mentioned: https://timharford.com/2019/11/cautionary-tales-ep-1-danger-rocks-ahead/)

https://adc.bmj.com/content/106/10#Archimedes

https://adc.bmj.com/content/106/10/1024.2

Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, brings you the monthly Atoms - the highlights of the October 2021 issue.

Read it on the Archives of Disease in Childhood website:

https://adc.bmj.com/content/106/10/i