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MedPulse is a weekly index of key news and features on
Medscape's
specialty sites compiled by Medscape's Editors.
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___________________ NEW FEATURE ARTICLES THIS WEEK
____________________
EXPERT COLUMN - PEDIATRIC ID UPDATE: AN ITCH IN
TIME... PRACTICAL
TREATMENT OF TINEA CAPITIS
It is important for healthcare professionals to give
parents reliable information concerning the transmission of tinea capitis.
Medscape Infectious Disease, 2001
http://pediatrics.medscape.com/41405.rhtml?srcmp=ped-081001
NATIONAL, STATE, AND URBAN AREA VACCINATION COVERAGE
LEVELS AMONG
CHILDREN AGED 19-35 MONTHS --- UNITED STATES, 2000
The slight declines in coverage with certain vaccines
from 1999 to 2000 do not pose a major public health risk; however, should
vaccine-preventable diseases be introduced into low coverage geographic areas,
the accumulation of susceptible persons might serve as a reservoir to
disseminate diseases.
MMWR 50(30):637-641, 2001. Centers for Disease Control
http://pediatrics.medscape.com/41439.rhtml?srcmp=ped-081001
SURGICAL TREATMENT OF CHIARI I MALFORMATION:
INDICATIONS AND APPROACHES
Chiari I malformation is a well-described entity
characterized by hindbrain herniation through the foramen magnum. Neurosurg
Focus 11(1), 2001
http://pediatrics.medscape.com/41431.rhtml?srcmp=ped-081001
TREATMENT OF CHIARI TYPE I MALFORMATION IN PATIENTS
WITH AND WITHOUT SYRINGOMYELIA: A CONSECUTIVE SERIES OF 66 CASES
Report of a standard posterior craniovertebral
decompression and placement, if indicated, of a syringosubarachnoid shunt for
the treatment of patients with Chiari I malformation with and without syringomyelia.
Neurosurg Focus 11(1), 2001
http://pediatrics.medscape.com/41504.rhtml?srcmp=ped-081001
LIPODYSTROPHY SYNDROME IN CHILDREN INFECTED WITH HUMAN
IMMUNODEFICIENCY VIRUS
Lipodystrophy syndrome is a fat-wasting condition
associated with abnormalities of lipid metabolism and impaired glucose
tolerance. Pharmacotherapy 21(7):861-866, 2001
http://pediatrics.medscape.com/41505.rhtml?srcmp=ped-081001
POSSIBLE ROXITHROMYCIN-INDUCED FULMINANT HEPATIC
FAILURE IN A CHILD
After completing a 5-day course of roxithromycin,
laboratory results revealed acute hepatitis.
Pharmacotherapy 21(7):867-870, 2001
http://pediatrics.medscape.com/41432.rhtml?srcmp=ped-081001
PEDIATRIC EPIDIDYMITIS: PATHOPHYSIOLOGY, DIAGNOSIS,
AND MANAGEMENT
Epididymitis is an important consideration in the
differential diagnosis of the acute scrotum in children. Infect Urol
14(2):31-39, 2001
http://pediatrics.medscape.com/41492.rhtml?srcmp=ped-081001
<a href="http://pediatrics.medscape.com/41492.rhtml?srcmp=ped-081001">
Read it Here</a>
TODAY'S QUESTION --
TODAY'S ?? - ADHD PATHOPHYSIOLOGY
How are the neurotransmitters dopamine and
norepinephrine related to the pathophysiology of attention-deficit
hyperactivity disorder (ADHD)? http://pediatrics.medscape.com/41424.rhtml?srcmp=ped-081001
_______________________________________________________________________
_________________NEW EJOURNAL FOR TECHNOLOGY AND MEDICINE______________
TechMed eJournal Launches
Medscape editors are pleased to announce the debut of
TechMed, a new Medscape eJournal covering Technology in Medicine. This
interactive publication for physicians and healthcare professionals is the
premier source covering a broad range of issues and technology's impact on the
practice of medicine and healthcare delivery.
www.medscape.com/journal/Techmed
_______________________________________________________________________
___________________________________ NEWS
______________________________
WHITE GIRLS WITH EARLY PUBERTY MORE LIKELY TO BE
OVERWEIGHT THAN BLACKS
Being overweight has been found to be more closely
associated with white girls who experience puberty early than with black girls
who do so.
http://pediatrics.medscape.com/41386.rhtml?srcmp=ped-081001
BOYFRIENDS' ATTITUDE KEY TO ADOLESCENT GIRLS' DESIRE
FOR PREGNANCY
The strongest predictor of an adolescent girl's
attitude toward pregnancy appears to be whether or not her boyfriend wants a
baby.
http://pediatrics.medscape.com/41289.rhtml?srcmp=ped-081001
ADMISSION PARAMETERS CAN PREDICT RISK OF INVASIVE
INFECTION IN CHILDREN WITH CANCER
Five common clinical and laboratory admission
parameters can predict the likelihood that a child with cancer, neutropenia,
and fever will develop an invasive bacterial infection.
http://pediatrics.medscape.com/41296.rhtml?srcmp=ped-081001
ANTIBIOTICS OFFER LIMITED BENEFIT FOR CHILDREN WITH
ACUTE OTITIS MEDIA
Most uncomplicated cases of acute otitis media in
children resolve spontaneously without complications, according to a review of
literature published between 1966 and 1999.
http://pediatrics.medscape.com/41312.rhtml?srcmp=ped-081001
UK FACES MUMPS OUTBREAK AS PARENTS SHUN MMR VACCINE
A mumps outbreak is 'spreading alarmingly' across the
UK as parents shun the measles, mumps and rubella (MMR) vaccine for children.
http://pediatrics.medscape.com/41338.rhtml?srcmp=ped-081001
COPING SKILLS INTERVENTION WORTHWHILE FOR PARENTS WITH
AIDS AND THEIR
CHILDREN
A 12-week intervention focusing on coping skills can
improve the behavioral and mental health outcomes of parents with AIDS and
their children.
http://pediatrics.medscape.com/41350.rhtml?srcmp=ped-081001
THERAPEUTIC DOSE RANGE OF INHALED FLUTICASONE CLARIFIED
FOR ASTHMA
In adolescents and adults with asthma, most of the
beneficial effects of inhaled fluticasone are achieved at a daily dose of 100
to 250 mcg, with a maximum effect achieved at a dose of about 500 mcg/day.
http://pediatrics.medscape.com/41358.rhtml?srcmp=ped-081001
COMORBIDITIES INCREASE HEALTHCARE USE BY ASTHMATIC
CHILDREN
The substantial use of healthcare services by children
with asthma is further increased by the presence of other conditions, such as
sinusitis.
http://pediatrics.medscape.com/41361.rhtml?srcmp=ped-081001
ADOLESCENTS AND YOUNG ADULTS IN US CONFIRMED TO BE AT
HIGH RISK OF
MENINGITIS
College freshmen who live in dormitories are more than
three times as likely as other college students to develop meningococcal
disease.
http://pediatrics.medscape.com/41362.rhtml?srcmp=ped-081001
SUICIDE ATTEMPTS MORE COMMON AMONG ADOPTED TEENS
Adolescents who live with adoptive parents may be more
likely than their peers who live with biological parents to attempt suicide.
http://pediatrics.medscape.com/41367.rhtml?srcmp=ped-081001
MATERNAL MAGNESIUM SULFATE USE LINKED TO LOWERED
CEREBRAL PERFUSION IN PRETERM INFANTS
Antenatal maternal use of magnesium sulfate, but not
ritodrine, is associated with reduced brain-blood flow perfusion in preterm
infants.
http://pediatrics.medscape.com/41453.rhtml?srcmp=ped-081001
TWO-DOSE HBV VACCINATION COST EFFECTIVE COMPARED WITH
THREE DOSES
In public schools and private-sector settings, a
two-dose hepatitis B virus (HBV) vaccination regimen for adolescents is cost
effective compared with the currently used three-dose regimen.
http://pediatrics.medscape.com/41454.rhtml?srcmp=ped-081001
UK OFFICIALS INVESTIGATE FIRST TYPHOID OUTBREAK IN
NINE YEARS
Health officials are investigating the first outbreak
of typhoid fever in the UK in 9 years after three teenagers were taken to
hospital with the disease.
http://pediatrics.medscape.com/41458.rhtml?srcmp=ped-081001
HEALTH GROUP SAYS MANY UNINSURED CHILDREN CAN GET
COVERAGE
One in five parents of children who lack health
insurance have been forced to delay or forgo needed medical treatment for their
child within the last year.
http://pediatrics.medscape.com/41461.rhtml?srcmp=ped-081001
WOMEN ABUSED IN CHILDHOOD AT INCREASED RISK OF
REVICTIMISATION AS ADULTS
Women who were physically or sexually abused as
children have a substantially increased risk of revictimisation in adulthood.
http://pediatrics.medscape.com/41509.rhtml?srcmp=ped-081001
BIRTHWEIGHT LINKED TO IQ EVEN AMONG CHILDREN OF NORMAL
BIRTHWEIGHT
Similar to the findings reported for children with low
birthweight, IQ is also directly linked to birthweight among children with
normal birthweights.
http://pediatrics.medscape.com/41511.rhtml?srcmp=ped-081001
BONE MARROW TRANSPLANTATION FROM UNRELATED DONORS
GIVES NO DISADVANTAGE IN CHILDHOOD ALL
In children with acute lymphoblastic leukemia in
second remission, transplantation from matched unrelated bone marrow donors
appears to be at least as effective as transplantation from matched sibling
donors.
http://pediatrics.medscape.com/41512.rhtml?srcmp=ped-081001
<a
href="http://pediatrics.medscape.com/41512.rhtml?srcmp=ped-081001">
Read it Here</a>
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