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  Week in Review - Medscape Today MedPulse

                    www.medscape.com/medscapetodayhome

 MedPulse is a weekly index of key news and features on Medscape's

 specialty sites compiled by Medscape's Editors.

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 ____________________________ FROM THE EDITOR ___________________________

 Vaccine-related autism claims are currently inundating the US

 government's tax-based National Vaccine Injury Compensation Program.

 Will fears related to thimerosal in immunizations produce a second

 flood? The lead author of a recent study which finds that

 mercury-containing inoculations are safe talks to Medscape.

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSSW0AR

 For technical concerns, contact this address: mpmailings@webmd.net.

 Email the editor with comments: weekinrevieweditor@webmd.net.

 Mindy Hung

 Editor, Medscape Today

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 ________________________ NEW FEATURES THIS WEEK ________________________

                                 This Week

 Mercury in Vaccines: A Newsmaker Interview With Michael E. Pichichero,

 MD Blood levels of mercury were safe in infants exposed to vaccines

 containing thimerosal, and mercury half-life was much shorter than

 expected.

 Medscape Medical News2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSSW0AR

                        Allergy/Clinical Immunology

 Recent Developments in Latex Allergy

 Immediate allergic reactions to natural rubber latex proteins have

 been recognized for about 20 years as an important medical and

 occupational health problem. Curr Opin Allergy Clin Immunol 2(5) 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYU0AV

                                Cardiology

 Success and Predictors of Blood Pressure Control in Diverse North

 American Settings: ALLHAT The first look at these major hypertensive

 trial results reveals that the poor global blood pressure control

 rates could be brought into compliance in at least two thirds of a

 multiethnic hypertensive population, using as few as 2 of the

 currently available classes of antihypertensive medication.

 J Clin Hypertens 4(6) 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYV0AW

 Plus...

 Life After LIFE

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSN30Ak

 Red Wine for the Heart: Sour Grapes or Sound Medical Advice?

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSN60An

                                Dermatology

 Macerated, Smelly Feet

 When this 20-year-old takes off his shoes, his roommates complain

 about the smell. What is your diagnosis? Medscape Dermatology 3(2)

 2002 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYW0AX

 Plus...

 Flu Vaccination for Psoriasis Patients

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYX0AY

                         Diabetes & Endocrinology

 The Role of Growth Hormone Therapy in Short Children Born Small for

 Gestational Age What are the psychosocial and physiologic consequences

 of SGA in children who do not achieve catch-up growth? What do we know

 about growth hormone therapy for these infants?

 Medscape, 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FR2s0AL

 Plus...

 Diagnosing Diabetic Autonomic Neuropathy

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYY0AZ

                              Family Medicine

 Use of Clinical Indicators to Evaluate COPC Projects

 Outcomes measurement legitimizes COPC interventions and provides a

 value-added component to resident education and clinical activities J

 Am Board Fam Pract 15(5) 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYZ0Aa

                             Gastroenterology

 Conference Coverage - American Association for the Study of Liver

 Diseases Leading authorities provide clinically focused and

 comprehensive updates on topical issues in liver disease.

 Medscape, 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYa0Ah

 Plus...

 Journal Scan

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYb0Ai

 Chronic Pancreatitis

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYc0Aj

                                 HIV/AIDS

 Conference Report - HIV/AIDS-Related Research at the 40th IDSA New

 data of interest included exploration of the risk of CVD, options for

 treating hyperlipidemia, multiple PIs as salvage therapy, resistance

 testing in naive patients, and chronic renal failure. Medscape

 HIV/AIDS 8(2) 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYd0Ak

 Plus...

 Use T-20 as Single New Agent for Experienced Patients?

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYe0Al

 The Clinical Relevance of NNRTI Hypersusceptibility

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYf0Am

                            Hematology-Oncology

 Gene Therapy in Cancer Patients

 Is there any benefit from gene therapy in patients with lung cancer,

 head and neck cancer, glioblastoma, breast cancer, or prostate cancer?

 Medscape General Medicine 4(4) 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSTZ0AV

 Plus...

 Hematologic and Cytogenetic Responses to Imatinib Mesylate in Chronic

 Myelogenous Leukemia

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYg0An

                            Infectious Diseases

 Molecular Epidemiology of Tuberculosis in a Sentinel Surveillance

 Population Since 1990, characterization of Mycobacterium tuberculosis

 isolates by molecular methods has been useful in confirming suspected

 laboratory contamination and as an adjunct to epidemiology-based

 contact investigation.

 Emerg Infect Dis 8(11) 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYh0Ao

                             Internal Medicine

 Use of Sublingual Nifedipine in Hypertensive Urgency/Emergency I would

 like to inquire about the use of the sublingual nifedipine for

 patients with hypertensive urgency or emergency. Medscape Internal

 Medicine 4(2) 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYi0Ap

                               Med Students

 Bitter Pills to Swallow

 A patient's attempt to con an intern garners mixed results. Medscape

 Med Students 4(2) 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYj0Aq

                            Molecular Medicine

 Quality Assessment of Mycobacterium tuberculosis Genotyping in a Large

 Laboratory Network A proposed standard methodology for Mycobacterium

 tuberculosis genotyping was published in 1993.

 Emerg Infect Dis 8(11) 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYk0Ar

 Plus...

 How Useful Are CBC and Reticulocyte Reports to Clinicians?

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYl0As

                             Money & Medicine

 Paying for Performance

 Physician incentive plans reward those who practice quality medicine.

 Healthplan 43(5) 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYm0At

 Plus...

 Federal and State Laws and Regulations Affecting Managed Care

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYn0Au

                         Neurology & Neurosurgery

 Noninvasive Carbon Dioxide Monitoring During Neurosurgical Procedures

 in Adults There is a paucity of reports directly comparing these

 techniques during intraoperative anesthetic care in adults.

 South Med J 95(8) 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYo0Av

                                  Nursing

 Nurses Shorten the Duration of Weaning Neonates from Mechanical

 Ventilation Weaning neonates from mechanical ventilation and

 extubating them has traditionally been the responsibility of medical

 staff in the UK, the onus being on junior medical staff who are

 frequently new to the specialty.

 PCCM 3(4) 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYp0Aw

 Plus...

 Mindfulness Meditation in Pediatric Clinical Practice

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYq0Ax

                         Ob/Gyn and Women's Health

 Prescribing Menopausal Hormone Therapy in Diabetic Women Menopausal HT

 should be prescribed with caution, if at all, in diabetic women.

 Medscape Ob/Gyn & Women's Health 7(2) 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYr0Ay

 Plus...

 Journal Scan - Lifestyle

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYs0Az

                               Ophthalmology

 Journal Scan

 The progression of glaucoma and prophylactic antibiotic use before

 cataract surgery are among the findings discussed in this month's

 Journal Scan. Medscape Ophthalmology 3(2) 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYt0A1

                               Orthopaedics

 Conference Report - Orthopaedic Trauma Association

 Read about innovations in fracture repair, presented at the 18th

 Annual Meeting of the Orthopaedic Trauma Association. Medscape

 Orthopaedics & Sports Medicine 6(2) 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYu0A2

                                Pediatrics

 Identifying the Sources of Tuberculosis in Young Children

 A study looks at potential differences in the characteristics of

 source patients who transmitted TB to young children as compared to

 source patients who transmitted to adolescent and adult patients Emerg

 Infect Dis 8(11) 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYv0A3

                                Pharmacist

 Genetic Basis of Drug Metabolism

 Pharmacogenetics has elucidated the genetic basis for interindividual

 variability in drug response and will continue to play a key role in

 defining strategies to optimize drug therapy. Am J Health-Syst Pharm

 59(21) 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYw0A4

                              Pharmacotherapy

 The Use of Antihistamines in Safety-Critical Jobs

 The use of sedating agents by aircrew and those with safety-critical

 occupations has raised serious concern and has been extensively

 debated for several years. Curr Med Res Opin 18(6) 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYx0A5

                               Primary Care

 Growth Hormone Level in a Full-term Newborn

 Is there any rationale for measuring the growth hormone level in a

 full-term healthy newborn, ie, at age 5 days? Medscape Primary Care

 4(2) 2002 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYy0A6

                                Psychiatry

 Prisons as New Asylums

 Studies on the development of psychiatric care in different countries

 increasingly report negative accompanying effects and trends,

 including the situation of mentally ill prisoners. Curr Opin

 Psychiatry 15(6) 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSYz0A7

 Plus...

 The Appraisal of Violence Risk

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSY10At

                            Pulmonary Medicine

 Magnetic Resonance Imaging and Nuclear Imaging in Sarcoidosis

 Neurosarcoidosis is the area of sarcoidosis in which MRI has been most

 extensively used. Curr Opin Pulm Med 8(5) 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSY20Au

 Plus...

 Epidemiology of Sarcoidosis: New Frontiers to Explore

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSY30Av

 Anaphylactoid Reaction to Enoxaparin in a Patient With DVT

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSY40Aw

                                 Radiology

 Radioimmunotherapy: A New Option for Managing Indolent NHL

 Radioimmunotherapy, a newly available technique, holds great promise

 for the effective management of indolent non-Hodgkin's lymphoma.

 Medscape, 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSY50Ax

 Plus...

 Conference Coverage - Radiological Society of North America Meeting

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSCZ0AE

 Interventional Perspectives: Case II

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSY60Ay

                               Rheumatology

 SLE: A Blissless Disease of Too Much BLyS Protein

 BLyS protein very likely plays an important contributory role in SLE

 pathogenesis in at least a subset of such patients. Curr Opin

 Rheumatol 14(5) 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSY70Az

                                  Surgery

 Historical Perspectives in Surgery: Famous Patients, Famous

 Operations, Part 6 She was born the illegitimate child of destitute

 farmers and died at the age of 33. After her death, her entire country

 went into mourning. Who is this patient?

 Medscape Surgery 4(2) 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSY80A1

                              Transplantation

 Transplant Recipient With Diabetic Autonomic Diarrhea?

 Which immunosuppressive agents are recommended in this case? Medscape

 Transplantation 3(2) 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSZA0AC

 Plus...

 Transplant Patients With Latent Syphilis?

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSZB0AD

 Posters and Abstracts: Effectively Managing Patients With Renal

 Disease

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSZC0AE

                                  Urology

 Urinary Tract Infection as a Possible Marker for Teenage Sex In

 pediatric patients, UTIs are viewed as markers for anatomic

 abnormalities, resulting from urinary obstruction or vesicoureteral

 reflux. South Med J 95(8) 2002

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSZD0AF

 Plus...

 Squamous Cell Carcinoma of the Penis

 http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FSZE0AG

 FOCUS ON ADHD

 Attention-deficit/hyperactivity disorder affects 3% to 5% of all

 children and often continues into adolescence and adulthood. Medscape

 has created the ADHD Resource Center, which contains a collection of

 the latest medical news and clinical articles on the topic, to promote

 better understanding and treatment of this

 disorder.    http://mp.medscape.com/cgi-bin1/flo?y=eZZM0Fkitc0Dyr0FRrw0AT

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Vaccination News Home Page

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.