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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 ____________________

 

TIMEBOMB: THE GLOBAL EPIDEMIC OF MULTI-DRUG-RESISTANT TUBERCULOSIS

A top TB specialist sounds the alarm.

Medscape General Medicine 4(1) 2002

http://www.medscape.com/viewarticle/423184

<a href="http://www.medscape.com/viewarticle/423184"> Read it Here</a>

 

SMOKING, RISK, PERCEPTION AND POLICY

A new book draws on psychology, economics, and advertising, to challenge popular belief about tobacco.

Medscape General Medicine 4(1) 2002

http://www.medscape.com/viewarticle/423367

<a href="http://www.medscape.com/viewarticle/423367"> Read it Here</a>

 

PSYCHOLOGICAL BENEFITS OF EXERCISE

Are there psychological benefits of exercise? Read the latest in this collection of recent MEDLINE abstracts.

Topics in Advanced Practice Nursing eJournal 2(1) 2002

http://www.medscape.com/viewarticle/424757

<a href="http://www.medscape.com/viewarticle/424757"> Read it Here</a>

 

AN IN-HOME SYNAGIS PROGRAM FOR RSV PREVENTION IN HIGH-RISK INFANTS

In-home administration appears to be cost effective compared with administration in other sites of care.

J Managed Care Pharm 7(6) 2001

http://www.medscape.com/viewarticle/421563

<a href="http://www.medscape.com/viewarticle/421563"> Read it Here</a>

 

ERADICATING MEASLES BY EFFECTIVE VACCINATION

Several million children and adolescents in the US fail to receive the full range of recommended vaccines.

US Pharmacist 27(1) 2002

http://www.medscape.com/viewarticle/424160

<a href="http://www.medscape.com/viewarticle/424160"> Read it Here</a>

 

CLUSTER OF SEROGROUP C MENINGOCOCCAL DISEASE ASSOCIATED WITH ATTENDANCE AT A PARTY

What risk factor do these adolescents share that might make them susceptible to meningococcal infection?

South Med J 94(12) 2001

http://www.medscape.com/viewarticle/423567

<a href="http://www.medscape.com/viewarticle/423567"> Read it Here</a>

 

SPONTANEOUS RESOLUTION OF PROFOUND HYPOGAMMAGLOBULINEMIA

Read the case report of a 3-month-old infant who was hospitalized with pneumonia and bronchiolitis.

South Med J 94(12) 2001

http://www.medscape.com/viewarticle/423572

<a href="http://www.medscape.com/viewarticle/423572"> Read it Here</a>

 

SECRETIN: WILL A NEW CONTROLLED STUDY PUT AN END TO THE HYPE?

Porcine secretin is no more effective than placebo in the treatment of autistic disorder.

Brown University Child and Adolescent Psychopharmacology Update 4(2) 2002

http://www.medscape.com/viewarticle/423203

<a href="http://www.medscape.com/viewarticle/423203"> Read it Here</a>

 

 

EARLY TREATMENT, DIAGNOSIS: CHALLENGES OF INFECTIOUS DISEASE

Does your clinical staff have a high index of suspicion for presentations that could signal onset of virulent infections?

Review ID management strategies, risk stratification, and more in

"Challenges in Infectious Disease: Pneumonia, Influenza, and

Biologic Weapons of Terror." Now available in the InfluenZone,

Medscapeís collection of clinical flu resources.

http://www.medscape.com/resource/flu

 

 

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___________________________________ NEWS ______________________________

 

--Asthma--

WEB-BASED MONITORING HELPFUL IN PEDIATRIC ASTHMA

The Health Buddy, an interactive Web-based device, appears effective in improving self-management and outcome in children with asthma.

Reuters Health Information  2002

http://www.medscape.com/viewarticle/427918

<a href="http://www.medscape.com/viewarticle/427918"> Read it Here</a>

 

ATOPY TIED TO PEDIATRIC ASTHMA SEVERITY

Although children with atopy appear to have a greater risk of severe asthma the relationship between the two conditions still remains hard to define.

Reuters Health Information  2002

http://www.medscape.com/viewarticle/426208

<a href="http://www.medscape.com/viewarticle/426208"> Read it Here</a>

 

ASTHMATIC CHILDREN MAY OFTEN BE UNDERMEDICATED

Anti-inflammatory medication is helpful in certain asthmatic children, but misclassification of symptom severity may lead to their being deprived of such treatment.

Reuters Health Information  2002

http://www.medscape.com/viewarticle/427117

<a href="http://www.medscape.com/viewarticle/427117"> Read it Here</a>

 

EXHALED AIR WARMS RAPIDLY IN ASTHMATICS, PERHAPS INDICATIVE OF INFLAMMATION

Asthmatic patients have a faster increase in exhaled air temperature during a single breath compared with normal subjects, which correlates with nitric oxide concentrations.

Reuters Health Information  2002

http://www.medscape.com/viewarticle/426264

<a href="http://www.medscape.com/viewarticle/426264"> Read it Here</a>

 

 

--Diet and Weight Loss--

PROTEIN-RESTRICTED DIET ESSENTIAL FOR PREGNANT WOMEN WITH PKU

Women diagnosed with phenylketonuria (PKU) need to watch their protein intake during pregnancy to prevent newborn birth defects.

Reuters Health Information  2002

http://www.medscape.com/viewarticle/426199

<a href="http://www.medscape.com/viewarticle/426199"> Read it Here</a>

 

OVERWEIGHT TEENS MAY GO TO EXTREMES TO SHED POUNDS

Nearly one in five adolescent girls who are very overweight may resort to extreme weight-control measures such as diet pills, laxatives, diuretics or vomiting.

Reuters Health Information  2002

http://www.medscape.com/viewarticle/426263

<a href="http://www.medscape.com/viewarticle/426263"> Read it Here</a>

 

 

--HIV/AIDS--

SOUTH AFRICA WILL NOT PROVIDE NEVIRAPINE TO ALL HIV-POSITIVE MOTHERS

South Africa will expand research into the use of nevirapine to limit vertical HIV transmission, but it will not make the drug universally available.

Reuters Health Information  2002

http://www.medscape.com/viewarticle/427886

<a href="http://www.medscape.com/viewarticle/427886"> Read it Here</a>

 

PERINATAL ANTIRETROVIRAL EXPOSURE LINKED TO EARLY FEBRILE SEIZURES

Children perinatally exposed to antiretroviral agents are significantly more likely to experience early febrile seizures than unexposed children.

Reuters Health Information  2002

http://www.medscape.com/viewarticle/426222

<a href="http://www.medscape.com/viewarticle/426222"> Read it Here</a>

 

 

--Smoking--

ONE THIRD OF EUROPEAN TEENS SMOKE; TOBACCO MARKETING BLAMED

Although some European countries have successfully cut tobacco use among adults, no headway has been made among the region's teenagers, one in three of whom smoke.

Reuters Health Information  2002

http://www.medscape.com/viewarticle/426201

<a href="http://www.medscape.com/viewarticle/426201"> Read it Here</a>

 

 

--Vaccinations--

INFLUENZA VACCINE ENCOURAGED FOR INFANTS 6 TO 23 MONTHS

The vaccine advisory committee of the US Centers for Disease Control and Prevention (CDC) is now encouraging parents to have children between the ages of 6 and 23 months old vaccinated for influenza next fall, at the start of the 2002/2003 flu season.

Reuters Health Information  2002

http://www.medscape.com/viewarticle/427882

<a href="http://www.medscape.com/viewarticle/427882"> Read it Here</a>

 

MOST CHILDREN ADOPTED FROM COUNTRIES OUTSIDE US LACK VACCINATION RECORDS

The majority of children adopted from other countries by US parents do not have written records of immunizations.

Reuters Health Information  2002

http://www.medscape.com/viewarticle/426177

<a href="http://www.medscape.com/viewarticle/426177"> Read it Here</a>

 

IOM REPORT FINDS MULTIPLE VACCINATIONS NOT INHERENTLY RISKY

Current childhood immunization standards recommending multiple shots for children under 2 years of age are not increasing the risk of diabetes or infectious diseases.

Reuters Health Information  2002

http://www.medscape.com/viewarticle/427108

<a href="http://www.medscape.com/viewarticle/427108"> Read it Here</a>

 

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OCULAR MANIFESTATIONS OF LYME DISEASE?

Posterior scleritis associated with Lyme disease?

Review the case of a 39-year-old man with a history of tick bites

and a presentation of eye pain. Available now in an original

Medscape Ophthalmology Journal Scan summary, at:

http://www.medscape.com/viewarticle/421512

 

 

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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.