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>>> MEDSCAPE's Pediatrics MedPulse(R) <<<

http://www.medscape.com/pediatricshome

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Over the past few weeks, thousands of Medscape physician members like

you have been visiting Medscape's REDESIGNED CME CENTER.

What they have found is OVER 100 ONLINE CME activities that offer: *INSTANT CERTIFICATES of CME credit,

*the convenience of 24/7 AVAILABILITY,

*all for FREE.

If you haven't visited our CME Center lately, we welcome you to

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MedPulse is a weekly index of key news and features on Medscape's specialty sites compiled by Medscape's Editors. _______________________________________________________________________

Welcome to Medscape's Pediatrics Medpulse. Since you last visited

Medscape, we've posted a number of new CME activities that you may find

of interest, including:

INFECTION PREVENTION IN THE ICU

Preventing infections is an important part of reducing intensive care unit complications, as discussed at the 31st International Educational and Scientific Symposium of the Society of Critical Care Medicine. http://www.medscape.com/viewarticle/427182?srcmp=ped-040502

<a href="http://www.medscape.com/viewarticle/427182?srcmp=ped-040502">

Read it Here</a>

PREDICTING EPILEPTIC SEIZURES: A QUANTITATIVE APPROACH

The new and developing field of predicting seizures and analysis of the preictal state was the theme of the Presidential Symposium at the annual American Epilepsy Society meeting this year. http://www.medscape.com/viewarticle/423302?srcmp=ped-040502

<a href="http://www.medscape.com/viewarticle/423302?srcmp=ped-040502">

Read it Here</a>

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MedPulse is a weekly index of key news and features on Medscape's specialty sites compiled by Medscape's Editors. _______________________________________________________________________

___________________ NEW FEATURE ARTICLES THIS WEEK ____________________

MANAGING PAIN IN TEENAGERS WITH SICKLE CELL DISEASE

How can we improve care for teenagers with SCD pain?

Topics in Advanced Practice Nursing eJournal 2(2) 2002 http://www.medscape.com/viewarticle/430536?srcmp=ped-040502

<a href="http://www.medscape.com/viewarticle/430536?srcmp=ped-040502">

Read it Here</a>

ADOLESCENT ACNE: A STEPWISE APPROACH TO MANAGEMENT

Review the etiology and pathology of teenage acne, including over-the-counter (OTC) and prescription medications. Topics in Advanced Practice Nursing eJournal 2(2) 2002 http://www.medscape.com/viewarticle/430534?srcmp=ped-040502

<a href="http://www.medscape.com/viewarticle/430534?srcmp=ped-040502">

Read it Here</a>

ISSUES IN PROVIDING HEALTH MAINTENANCE TO ADOLESCENTS

Review strategies for communicating with teens and providing advice to parents of adolescents. Topics in Advanced Practice Nursing eJournal 2(2) 2002 http://www.medscape.com/viewarticle/430530?srcmp=ped-040502

<a href="http://www.medscape.com/viewarticle/430530?srcmp=ped-040502">

Read it Here</a>

ENURESIS

The need for medical intervention is based on the emotional and social stigma associated with bedwetting. South Med J 95(2) 2002 http://www.medscape.com/viewarticle/429533?srcmp=ped-040502

<a href="http://www.medscape.com/viewarticle/429533?srcmp=ped-040502">

Read it Here</a>

LIVER ENZYMES AS PREDICTORS OF LIVER DAMAGE DUE TO BLUNT ABDOMINAL TRAUMA IN CHILDREN Initial evaluation of enzyme levels may be useful in determining the need for computed tomography for certain patients. South Med J 95(2) 2002 http://www.medscape.com/viewarticle/429535?srcmp=ped-040502

<a href="http://www.medscape.com/viewarticle/429535?srcmp=ped-040502">

Read it Here</a>

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ROLE OF CORPECTOMY FOR MANAGING CERVICAL SPONDYLOSIS

Surgical advances have expanded the role of corpectomy for managing

cervical spondylosis. Review indications, techniques, complications,

and outcomes in "Role of Corpectomy in Cervical Spondylosis," a new

article in the Medscape Spine Disorders Resource Center at

http://www.medscape.com/mp/rc/spine

 

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___________________________________ NEWS ______________________________

 

--HIV/AIDS--

GOOD RESPONSE TO HAART SUSTAINED BY HIV-INFECTED CHILDREN FOR 2 YEARS HIV-infected children who are treated with highly active antiretroviral therapy (HAART) for 2 or more years often achieve optimal clinical, virologic, and immunologic responses. Reuters Health Information 2002 http://www.medscape.com/viewarticle/431227?srcmp=ped-040502

<a href="http://www.medscape.com/viewarticle/431227?srcmp=ped-040502">

Read it Here</a>

RESISTANCE TESTING IN HIV-INFECTED CHILDREN PREDICTS NELFINAVIR RESPONSE Resistance testing in heavily pretreated children infected with HIV-1 predicts their response to nelfinavir as salvage for ritonavir-based therapy. Reuters Health Information 2002 http://www.medscape.com/viewarticle/431219?srcmp=ped-040502

<a href="http://www.medscape.com/viewarticle/431219?srcmp=ped-040502">

Read it Here</a>

FOUR-DRUG REGIMEN SUPERIOR FOR PEDIATRIC HIV-1 INFECTION

A four-drug regimen including nucleoside reverse transcriptase inhibitors plus nevirapine and nelfinavir offers more durable suppression of HIV-1 viremia in children than does a variety of three-drug regimens. Reuters Health Information 2002 http://www.medscape.com/viewarticle/431179?srcmp=ped-040502

<a href="http://www.medscape.com/viewarticle/431179?srcmp=ped-040502">

Read it Here</a>

SHORT-COURSE ZIDOVUDINE DOES NOT ADVERSELY AFFECT MATERNAL HIV STATUS A short-course of zidovudine given late in gestation to prevent mother-to-child transmission of HIV-1 has no adverse effects on a woman's health and does not produce zidovudine resistance mutations. Reuters Health Information 2002 http://www.medscape.com/viewarticle/431159?srcmp=ped-040502

<a href="http://www.medscape.com/viewarticle/431159?srcmp=ped-040502">

Read it Here</a>

 

--Respiratory Disorders--

IV SALBUTAMOL SHORTENS RECOVERY TIME FOR CHILDREN WITH SEVERE ACUTE ASTHMA Compared with inhaled ipratropium bromide, intravenous infusion of salbutamol (albuterol) shortens recovery time and hospital stay in children with severe acute asthma. Reuters Health Information 2002 http://www.medscape.com/viewarticle/430865?srcmp=ped-040502

<a href="http://www.medscape.com/viewarticle/430865?srcmp=ped-040502">

Read it Here</a>

MANY ASTHMATIC CHILDREN EXPOSED TO TRIGGERS AT HOME

Asthmatic children are often subjected to environmental asthma triggers such as tobacco smoke and pet allergens and parents may not be aware of the effects of such indoor exposures. Reuters Health Information 2002 http://www.medscape.com/viewarticle/431032?srcmp=ped-040502

<a href="http://www.medscape.com/viewarticle/431032?srcmp=ped-040502">

Read it Here</a>

STEROID COURSE DOES NOT INFLUENCE LONG-TERM OUTCOME IN PRETERM BABIES In preterm babies at risk for chronic lung disease, the dexamethasone course used, pulsed or reducing, does not influence long-term respiratory, growth, cardiovascular, or developmental outcomes. Reuters Health Information 2002 http://www.medscape.com/viewarticle/430871?srcmp=ped-040502

<a href="http://www.medscape.com/viewarticle/430871?srcmp=ped-040502">

Read it Here</a>

 

--Sleep-related Disorders--

'BACK TO SLEEP' CAMPAIGN REDUCED SIDS DEATHS WITHOUT RISE IN ASPIRATION Since the American Academy of Pediatrics recommended placement of infants in the supine position to sleep almost 9 years ago, the rate of deaths due to sudden infant death syndrome (SIDS) has declined. Reuters Health Information 2002 http://www.medscape.com/viewarticle/430939?srcmp=ped-040502

<a href="http://www.medscape.com/viewarticle/430939?srcmp=ped-040502">

Read it Here</a>

PEDIATRICIANS ADVISED TO SCREEN CHILDREN FOR SNORING, SLEEP APNEA For the first time, the American Academy of Pediatrics is recommending that physicians screen all children for snoring to determine if they might be at risk of obstructive sleep apnea. Reuters Health Information 2002 http://www.medscape.com/viewarticle/431228?srcmp=ped-040502

<a href="http://www.medscape.com/viewarticle/431228?srcmp=ped-040502">

Read it Here</a>

 

--Miscellaneous Pediatric Issues--

HOME ENVIRONMENT AFFECTS COGNITION OF CHILDREN WITH FRAGILE X SYNDROME An enriched, structured home environment is even more important to the cognitive development of children with fragile X syndrome than it is to unaffected siblings. Reuters Health Information 2002 http://www.medscape.com/viewarticle/430879?srcmp=ped-040502

<a href="http://www.medscape.com/viewarticle/430879?srcmp=ped-040502">

Read it Here</a>

INFECTION RISK AFTER PEDIATRIC STEM CELL TRANSPLANTATION HIGHEST IN FIRST MONTH The results of a retrospective study of stem cell transplantation in children reveal that infections within 30 days of transplantation are increased, regardless of type of transplantation. Reuters Health Information 2002 http://www.medscape.com/viewarticle/431180?srcmp=ped-040502

<a href="http://www.medscape.com/viewarticle/431180?srcmp=ped-040502">

Read it Here</a>

BRITISH DOCTORS MAY FAIL TO WARN EPILEPTIC WOMEN OF ADVERSE DRUG EFFECTS British women with epilepsy are not being informed by their doctors that anti-epileptic drugs can lower the efficacy of oral contraceptives and potentially cause birth defects in their infants. Reuters Health Information 2002 http://www.medscape.com/viewarticle/431161?srcmp=ped-040502

<a href="http://www.medscape.com/viewarticle/431161?srcmp=ped-040502">

Read it Here</a>

 

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