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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 ____________________
PREGNANCY AND VARICELLA
VACCINE
Should a pregnant woman be
immunized with varicella vaccine if she has not had varicella?
http://pediatrics.medscape.com/46355.rhtml?srcmp=ped-122101
<a
href="http://pediatrics.medscape.com/46355.rhtml?srcmp=ped-122101">
Read
it Here</a>
VARICELLA VACCINE FOR
SUSCEPTIBLE CHILD WITH SUSCEPTIBLE PREGNANT WOMAN
Should the child of a
susceptible pregnant woman be immunized against
varicella?
http://pediatrics.medscape.com/46239.rhtml?srcmp=ped-122101
<a
href="http://pediatrics.medscape.com/46239.rhtml?srcmp=ped-122101">
Read
it Here</a>
CHRONIC ASPIRIN THERAPY AND
VARICELLA VACCINE
Is it contraindicated to
give the varicella vaccine to a child on
maintenance aspirin therapy
given for shunt preservation?
http://pediatrics.medscape.com/46354.rhtml?srcmp=ped-122101
<a
href="http://pediatrics.medscape.com/46354.rhtml?srcmp=ped-122101">
Read
it Here</a>
PREVENTION OF ZOSTER AND
VARICELLA VACCINE
Should people over 50 years
old be given varicella vaccine to prevent zoster?
http://pediatrics.medscape.com/46240.rhtml?srcmp=ped-122101
<a
href="http://pediatrics.medscape.com/46240.rhtml?srcmp=ped-122101">
Read
it Here</a>
A CROSS-NATIONAL STUDY OF
ACUTE OTITIS MEDIA: RISK FACTORS, SEVERITY, AND TREATMENT AT INITIAL VISIT.
REPORT FROM THE INTERNATIONAL PRIMARY CARE NETWORK (IPCN) AND THE AMBULATORY
SENTINEL PRACTICE NETWORK (ASPN)
Comparing the prevalence of
risk factors for AOM and evaluating their
association with severity of
attacks and of severity with antimicrobial
treatment.
J Am Board Fam Pract
14(6):406-417, 2001
http://pediatrics.medscape.com/46341.rhtml?srcmp=ped-122101
<a href="http://pediatrics.medscape.com/46341.rhtml?srcmp=ped-122101">
Read
it Here</a>
PREVENTING VIOLENCE THROUGH
FAMILY CONNECTION
While school shootings are a
genuinely rare occurrence, they have come to represent something that we take
to be a growing insidious decay at the heart of our society.
Brown Univ Child and Adol
Behav Ltr 17(12):1, 3-4, 2001
http://pediatrics.medscape.com/46238.rhtml?srcmp=ped-122101
<a
href="http://pediatrics.medscape.com/46238.rhtml?srcmp=ped-122101">
Read
it Here</a>
THE SPRAINED ANKLE
The sprained ankle is the
most common musculoskeletal injury seen by
physicians caring for active
youngsters and adults.
Clinical Cornerstone
3(5):38-49, 2001
http://pediatrics.medscape.com/46400.rhtml?srcmp=ped-122101
<a href="http://pediatrics.medscape.com/46400.rhtml?srcmp=ped-122101">
Read
it Here</a>
FLU SEASON UPDATE!
The remaining supply of flu
vaccine is being made available in December,
and itís not too late for
patients to get their flu shots. Get the
latest flu facts, vaccine
supply news, CDC weekly surveillance reports,
and treatment and management
information, free online from Medscape.
http://www.medscape.com/mp/rc/influenzone
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___________________________________
NEWS ______________________________
MOST CHILDREN WITH A
NEGATIVE OR UNKNOWN VARICELLA HISTORY ARE IMMUNE
Contrary to widely held
beliefs, most 10-year-old children with negative or unknown chickenpox
histories are actually immune to varicella.
http://pediatrics.medscape.com/46200.rhtml?srcmp=ped-122101
<a
href="http://pediatrics.medscape.com/46200.rhtml?srcmp=ped-122101">
Read
it Here</a>
LOW VARICELLA VACCINE
EFFECTIVENESS IDENTIFIED AT DAY CARE CENTER
New study findings indicate
that, at least among one group of children, the varicella vaccine is much less
effective than previously reported.
http://pediatrics.medscape.com/46369.rhtml?srcmp=ped-122101
<a
href="http://pediatrics.medscape.com/46369.rhtml?srcmp=ped-122101">
Read
it Here</a>
CHILDHOOD VACCINATIONS ARE
NOT ASSOCIATED WITH RISK OF TYPE 1 DIABETES
There is no association
between routinely recommended childhood vaccines and an increased risk of type
1 diabetes.
http://pediatrics.medscape.com/46267.rhtml?srcmp=ped-122101
<a
href="http://pediatrics.medscape.com/46267.rhtml?srcmp=ped-122101">
Read
it Here</a>
DOSE-DEPENDENT IMMUNE
INTERFERENCE IDENTIFIED WITH COMBINATION VACCINE USE
A weakened immune response
to Haemophilus influenza type b (Hib) has been noted in children after
immunization with a Hib/diphtheria-tetanus
toxoids-acellular pertussis
(DTaP) combination vaccine.
http://pediatrics.medscape.com/46360.rhtml?srcmp=ped-122101
<a
href="http://pediatrics.medscape.com/46360.rhtml?srcmp=ped-122101">
Read
it Here</a>
VACCINATING CHILDREN AGAINST
HEPATITIS A REDUCES DISEASE RATE IN COMMUNITY
Results of a community-based
demonstration project show that hepatitis A vaccination of children
significantly reduces the rate of infection among both children and adults.
http://pediatrics.medscape.com/46378.rhtml?srcmp=ped-122101
<a
href="http://pediatrics.medscape.com/46378.rhtml?srcmp=ped-122101">
Read
it Here</a>
KAPOSI'S SARCOMA-ASSOCIATED
HERPESVIRUS MAY BE VERTICALLY TRANSMITTED
New findings suggest that
Kaposi's sarcoma-associated herpesvirus can be transmitted from mother to
child, adding new fuel to a long-standing debate on the routes of transmission
of this virus.
http://pediatrics.medscape.com/46296.rhtml?srcmp=ped-122101
<a
href="http://pediatrics.medscape.com/46296.rhtml?srcmp=ped-122101">
Read
it Here</a>
EARLY DATA SUGGEST LOW
TERATOGENIC POTENTIAL OF ANTIRETROVIRAL DRUGS
While it may take several
years to accumulate enough data to reach
definitive conclusions,
early data from the antiretroviral pregnancy
registry (APR) suggest that
antiretroviral drug use during pregnancy does not increase the risk of birth
defects.
http://pediatrics.medscape.com/46309.rhtml?srcmp=ped-122101
<a
href="http://pediatrics.medscape.com/46309.rhtml?srcmp=ped-122101">
Read
it Here</a>
ANTIRETROVIRALS PLUS PCP
PROPHYLAXIS INCREASE RISK FOR CONGENITAL DEFECTS
Among HIV-positive women,
exposure to the combination of folate antagonists for Pneumocystis carinii
pneumonia (PCP) prophylaxis and antiretroviral drugs during the first trimester
increases the risk of congenital abnormalities in their offspring.
http://pediatrics.medscape.com/46410.rhtml?srcmp=ped-122101
<a
href="http://pediatrics.medscape.com/46410.rhtml?srcmp=ped-122101">
Read
it Here</a>
OMALIZUMAB DECREASES
SYMPTOMS IN PATIENTS WITH ALLERGIC RHINITIS
Omalizumab, a recombinant
humanized monoclonal anti-IgE antibody,
significantly reduces
symptoms of seasonal allergic rhinitis, an effect
that is associated with a
reduction in serum-free IgE.
http://pediatrics.medscape.com/46305.rhtml?srcmp=ped-122101
<a
href="http://pediatrics.medscape.com/46305.rhtml?srcmp=ped-122101">
Read
it Here</a>
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