_______________________________________________________________________
>>> MEDSCAPE's
Pediatrics MedPulse(R)
<<<
http://pediatrics.medscape.com
_______________________________________________________________________
ADVERTISEMENT
This message is intended for US residents only.
Does your asthma prevent you from participating in
activities you love? You're doing
something you enjoy, and then you find yourself wheezing. Your chest is
tight. You can't catch you breath. And out comes your rescue inhaler. If you refill your rescue inhaler more than 2
times a year, your asthma is not as well controlled as it could be. For more information, visit http://medscape.com/sponsor/asthmawas1
_______________________________________________________________________
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
____________________
ASK THE EXPERTS - VACCINATION AGAINST TYPHOID AFTER
NATURAL DISEASE
Do you need to be vaccinated against typhoid after
contracting the disease?
http://pediatrics.medscape.com/41707.rhtml?srcmp=ped-081701
BOOK REVIEW - FAUST'S GOLD: INSIDE THE EAST GERMAN
DOPING MACHINE
Steven Ungerleider's book examines steps taken by GDR
officials in order to produce winning athletes.
MedGenMed, August 14, 2001
http://pediatrics.medscape.com/41714.rhtml?srcmp=ped-081701
TEMPORAL VARIATIONS IN SCHOOL-ASSOCIATED STUDENT
HOMICIDE AND SUICIDE EVENTS --- UNITED STATES, 19 but1999
Student homicide event rates are usually highest near
the start of the fall and spring semesters, and suicide event rates are highest
during the spring semester.
MMWR 50(31):657-660, 2001. Centers for Disease Control
http://pediatrics.medscape.com/41616.rhtml?srcmp=ped-081701
EFFECTIVENESS OF A MIDDLE SCHOOL VACCINATION LAW ---
CALIFORNIA, 1999--2001
When school entrance requirements are enforced, high
vaccination coverage can be achieved.
MMWR 50(31):660-663, 2001. Centers for Disease Control
http://pediatrics.medscape.com/41617.rhtml?srcmp=ped-081701
EFFECTIVENESS OF SCHOOL-BASED PROGRAMS AS A COMPONENT
OF A STATEWIDE TOBACCO CONTROL INITIATIVE --- OREGON, 1999--2000
Comprehensive school-based programs can be an effective
component of statewide antitobacco efforts.
MMWR 50(31):663-666, 2001. Centers for Disease Control
http://pediatrics.medscape.com/41618.rhtml?srcmp=ped-081701
TYMPANOCENTESIS IN THE DIAGNOSIS AND TREATMENT OF
OTITIS MEDIA
Tympanocentesis allows for the identification of
pathogens, distinguishes between viral and bacterial infections, and drains the
effusion or abscess.
Infect Med 18(7):363-366, 2001
http://pediatrics.medscape.com/41697.rhtml?srcmp=ped-081701
CEREBELLAR FITS IN CHILDREN WITH CHIARI I MALFORMATION
Cerebellar fits may mimic other disorders such as
cardiogenic syncope and epileptic seizures.
Neurosurg Focus 11(1), 2001
http://pediatrics.medscape.com/41698.rhtml?srcmp=ped-081701
KNEE FLEXION CONTRACTURES: SOFT TISSUE CORRECTION WITH
MONOLATERAL EXTERNAL FIXATION
Severe flexion contracture involving the knee is a
major impediment to functional weight-bearing and ambulation.
J South Orthop Assoc 10(1):32-36, 2001
http://pediatrics.medscape.com/41765.rhtml?srcmp=ped-081701
_______________________________________________________________________
___________________________________ NEWS ______________________________
MMR VACCINE AND AUTISM: DISPELLING THE MYTH
Despite proof to the contrary, many people still
believe there is a link between MMR vaccine and autism.
http://pediatrics.medscape.com/41754.rhtml?srcmp=ped-081701
POOR FACE MASK SEAL REDUCES AEROSOL DOSE TO SMALL
CHILDREN
Poor face mask seals often lead to suboptimal dosing
of aerosolized asthma drugs when valved holding chambers are used with
metered-dose inhalers for infants and toddlers.
http://pediatrics.medscape.com/41561.rhtml?srcmp=ped-081701
EVEN SMALL AMOUNTS OF ALCOHOL HARMFUL DURING PREGNANCY
Children whose mothers consumed even a small amount of
alcohol during pregnancy seem to be at increased risk of behavioral problems
later in life.
http://pediatrics.medscape.com/41564.rhtml?srcmp=ped-081701
DEDICATED ASTHMA CENTERS IMPROVE QUALITY OF CARE IN
ASTHMATIC CHILDREN
Children with asthma who receive care at a
comprehensive pediatric asthma center fare much better than those who primarily
receive asthma care in the emergency department.
http://pediatrics.medscape.com/41585.rhtml?srcmp=ped-081701
LIPID PROFILE ABNORMALITIES IN CHILDREN ARE LINKED TO
PARENTAL ISCHEMIC HEART DISEASE
Lipid profile abnormalities are significantly more
common among the offspring of parents with ischemic heart disease.
http://pediatrics.medscape.com/41586.rhtml?srcmp=ped-081701
EARLY CHILDHOOD OBESITY LINKED TO PATERNAL
TRANSMISSION OF CLASS I INSULIN ALLELE
Children who inherit a paternal polymorphism
associated with insulin expression are at nearly twice the risk of early-onset
childhood obesity compared with their counterparts.
http://pediatrics.medscape.com/41602.rhtml?srcmp=ped-081701
POLYUNSATURATED FATTY ACIDS IN MATERNAL DIET MAY RAISE
ATOPY RISK
An excess of linoleic acid or a deficiency of
linolenic acid in the maternal diet may increase the risk of atopic disease in
breast-feeding infants.
http://pediatrics.medscape.com/41619.rhtml?srcmp=ped-081701
GASTRIC ASPIRATION DOES NOT REDUCE LIKELIHOOD OF
POST-TONSILLECTOMY VOMITING
Gastric aspiration does not decrease the incidence of
vomiting in children after tonsillectomy is performed, a finding that is
consistent with results obtained in gynecologic and general surgical patients.
http://pediatrics.medscape.com/41621.rhtml?srcmp=ped-081701
PNEUMOCOCCAL INFECTIONS RARELY FATAL IN PEDIATRIC
TRANSPLANT RECIPIENTS
Although bacterial infection is a major cause of
morbidity and mortality after bone marrow or solid organ transplant,
Streptococcus pneumoniae leads to death in only a small portion of children
after such procedures.
http://pediatrics.medscape.com/41623.rhtml?srcmp=ped-081701
NO SUBSTANTIAL TERATOGENICITY LINKED TO AMPICILLIN USE
DURING PREGNANCY
The use of ampicillin during pregnancy appears not to
pose any substantial risk for cardiovascular defects or other congenital abnormalities
in infants.
http://pediatrics.medscape.com/41630.rhtml?srcmp=ped-081701
ANTI-INFLAMMATORY AGENTS UNDERUSED IN US INNER-CITY
CHILDREN WITH ASTHMA
A large percentage of inner-city children, previously
hospitalized for asthma, have a persistent form of the disease -- yet most do
not receive anti-inflammatory agents as recommended by national asthma
guidelines.
http://pediatrics.medscape.com/41644.rhtml?srcmp=ped-081701
HIV-INFECTED CHILDREN CAN RESOLVE ACUTE ROTAVIRUS
INFECTIONS
Many HIV-infected children are able to clear an acute
rotavirus infection, suggesting that a rotavirus vaccine could be beneficial
and should be tested in HIV-infected infants.
http://pediatrics.medscape.com/41769.rhtml?srcmp=ped-081701
FOOD-ALLERGIC REACTIONS COMMON IN SCHOOLS,
PREPAREDNESS LACKING
It is common for children with food allergies to
experience allergic reactions when they are in school, but schools are often
not prepared to respond appropriately.
http://pediatrics.medscape.com/41772.rhtml?srcmp=ped-081701
CYSTIC FIBROSIS PATIENTS ARE SUSCEPTIBLE TO
PSEUDOMONAS CROSS-INFECTION
CF patients are often chronically colonised with
Pseudomonas aeruginosa, but cross-infection of these individuals with
transmissible strains of the bacteria has not been reported.
http://pediatrics.medscape.com/41776.rhtml?srcmp=ped-081701
COURT ORDER TO ENFORCE AZT PROPHYLAXIS, BOTTLE FEEDING
FOR INFANT CAN BE ETHICAL
Physicians are faced with difficult decisions when
parents refuse to cooperate in reducing the risk of postnatal mother-to-child
HIV transmission.
http://pediatrics.medscape.com/41783.rhtml?srcmp=ped-081701
SMALL INCREASE IN ADVERSE BIRTH OUTCOMES LINKED TO
LANDFILL SITES
Thousands of women who live near landfill sites in the
UK could be at increased risk of having an infant with a congenital anomaly.
http://pediatrics.medscape.com/41790.rhtml?srcmp=ped-081701
______________________________________________________________________
_______________________________ MEMBER NEWS
___________________________
NEW CUSTOMER SUPPORT INFORMATION
If you have any questions about your Medscape
Membership or need help finding information, please go to
http://www.medscape.com/Home/Help/Tech/MedPulse.html
.
SIDE EFFECTS OF CHEMOTHERAPY: ANEMIA RESOURCE
CENTER
Medscape's 'Side Effects of Chemotherapy: Anemia'
Resource Center is a one stop source for the latest medical news and
information on the prevention, diagnosis and therapy of chemotherapy-associated
anemia. Get news, conference summaries, articles, editorials, journal scans, CME-accredited
programs, MEDLINE Abstracts, Links to government and professional
organizations, Practice Guidelines, and more. Visit today at
http://www.medscape.com/mp/rc/usmd/anemia
http://www.medscape.com/mp/rc/anemia
FREE--DAILY MEDICAL NEWS ON YOUR HANDHELD
Mdirect puts Medscape's up-to-date, specialty specific
content directly to your Palm OS handheld.
Download Mdirect for free and receive articles, journal scans, and
conference summaries daily as you sync your handheld.
http://www.medscape.com/mobile36
MORE THAN 30 EDITIONS OF MEDPULSE NOW AVAILABLE
Medscape offers MedPulse in more than 30 editions so
you can stay up-to-date with the latest clinical information faster and easier.
Subscribe for free to as many editions as you like. There are very specialized
condition editions like Medscape's HIV/AIDS MedPulse and broader topics like
Women's Health MedPulse. To add or change your subscription preferences, point
your browser to the link below and edit your profile.
http://www.medscape.com/Home/registration/profile/Profile.html
_______________________________________________________________________
_____________________________ USER SUPPORT
____________________________
Unsubscribe or subscribe to MedPulse: http://www.medscape.com/profile
Forgot your login info?: http://www.medscape.com/password
Need additional support?: http://www.medscape.com/help/tech
ALL
INFORMATION, DATA, AND MATERIAL CONTAINED, PRESENTED, OR PROVIDED HERE IS FOR
GENERAL INFORMATION PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REFLECTING THE
KNOWLEDGE OR OPINIONS OF THE PUBLISHER, AND IS NOT TO BE CONSTRUED OR INTENDED
AS PROVIDING MEDICAL OR LEGAL ADVICE. THE DECISION WHETHER OR NOT TO
VACCINATE IS AN IMPORTANT AND COMPLEX ISSUE AND SHOULD BE MADE BY YOU, AND YOU
ALONE, IN CONSULTATION WITH YOUR HEALTH CARE PROVIDER.