Week in Review - Medscape Today MedPulse
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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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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
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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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