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MEDSCAPE's Pediatrics MedPulse(R)
medscape.com/pediatricshome
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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 ____________________
PRESCRIBING PATTERNS AND RETREATMENT RATES IN PATIENTS WITH OTITIS MEDIA
Should careful observation without antibiotic prescription be used as the
primary treatment for OM?
Clin Drug Invest 22(5) 2002
medscape.com/viewarticle/434084?srcmp=ped-061402
CDC STUDY CONFIRMS ADHD/LEARNING DISABILITY LINK
Half of the 1.6 million elementary school-aged children with ADHD also have a
learning disability.
Mental Health Weekly 12(21) 2002
medscape.com/viewarticle/434240?srcmp=ped-061402
ACHIEVING ADHERENCE WITH ANTIRETROVIRAL MEDICATIONS FOR PEDIATRIC HIV DISEASE
Adherence strategies depend heavily on family support and resolution of
disclosure issues in the household.
AIDS Read 12(4) 2002
medscape.com/viewarticle/434009?srcmp=ped-061402
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ADVANCES IN SPINAL SURGERY: INSIGHTS AND CLINICAL APPLICATIONS
Minimally invasive spinal surgery techniques and other advances
are featured in Medscape coverage based on selected sessions at
the 70th Annual Meeting of the American Association of
Neurological Surgeons. NEW in the Spine Disorders Resource Center:
medscape.com/mp/rc/spine
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___________________________________ NEWS ______________________________
--HIV/AIDS--
FOUR- OR FIVE-DRUG ANTI-HIV-1 REGIMEN EFFECTIVE IN CHILDREN
An antiretroviral regimen containing four or five drugs is effective and well
tolerated by children infected with HIV-1, according to a report in the June
issue of the Archives of Pediatric and Adolescent Medicine.
Reuters Health Information 2002
medscape.com/viewarticle/436585?srcmp=ped-061402
PERIPHERAL BLOOD HIV-1 DNA A POSSIBLE MARKER OF FURTHER VIRAL SUPPRESSION
Children on long-term, highly active antiretroviral therapy (HAART) continue to
have detectable levels of HIV-1 DNA in peripheral blood, despite prolonged
suppression of plasma HIV-1 RNA.
Reuters Health Information 2002
medscape.com/viewarticle/436271?srcmp=ped-061402
ESOPHAGEAL CANDIDIASIS PERSISTS IN HIV+ CHILDREN WHO RESPOND POORLY TO HAART
The incidence of esophageal candidiasis in HIV-infected adults has declined
since the advent of highly active antiretroviral therapy (HAART) and results of
a new study show a similar trend in HIV-infected children, with one caveat.
Reuters Health Information 2002
medscape.com/viewarticle/436367?srcmp=ped-061402
--Respiratory Disorders--
CANADIAN RESEARCHERS IDENTIFY NEW INFANT LUNG DISEASE
A group of Canadian researchers have identified a unique and extremely rare lung
disease that can affect infants in the first month of life and can have fatal
outcomes.
Reuters Health Information 2002
medscape.com/viewarticle/436440?srcmp=ped-061402
UPPER AIRWAY RANTES LEVELS PREDICT RECURRENT WHEEZING AFTER RSV INFECTION
Increased nasal secretion of the eosinophil chemoattractant and activator RANTES
during acute respiratory syncytial virus (RSV) bronchiolitis correlate with
recurrent wheezing 1 year later.
Reuters Health Information 2002
medscape.com/viewarticle/436431?srcmp=ped-061402
SERIAL P. AERUGINOSA SEROLOGY MAY IMPROVE OUTCOME IN CYSTIC FIBROSIS
In children diagnosed with cystic fibrosis (CF) at birth, a rise in Pseudomonas
aeruginosa antibody titers, indicative of initial infection, occurs 6 to 12
months before the organism is isolated in respiratory secretions.
Reuters Health Information 2002
medscape.com/viewarticle/436439?srcmp=ped-061402
EARLY POSTNATAL DEXAMETHASONE TREATMENT DOES NOT COMPROMISE OUTCOMES
Preterm infants who are at high risk of chronic lung disease, and who receive
early treatment with dexamethasone, do not appear to have treatment-related
impairments in physical or neurodevelopmental outcomes at 3 years.
Reuters Health Information 2002
medscape.com/viewarticle/436279?srcmp=ped-061402
LOW BIRTH WEIGHT ASSOCIATED WITH ASTHMA IN AFRICAN AMERICANS
Low birth weight may account for about a third of the increased prevalence of
asthma found in African Americans.
Reuters Health Information 2002
medscape.com/viewarticle/436260?srcmp=ped-061402
SURGERY FOR OBSTRUCTIVE SLEEP DISORDER IMPROVES CHILD'S QUALITY OF LIFE
Adenotonsillectomy improves the quality of life in children with obstructive
sleep disorder.
Reuters Health Information 2002
medscape.com/viewarticle/436435?srcmp=ped-061402
--Rheumatologic Disorders--
NITROUS OXIDE ANALGESIA IS SAFE, EFFECTIVE DURING INTRA-ARTICULAR INJECTION IN
CHILDREN
Pain associated with intra-articular injection in children with juvenile
idiopathic arthritis is markedly reduced with inhalation of nitrous
oxide-oxygen.
Reuters Health Information 2002
medscape.com/viewarticle/436429?srcmp=ped-061402
ANTIBODIES IDENTIFY FETAL HEART BLOCK RISK IN EXPECTANT MOTHERS WITH LUPUS
A specific serologic marker appears to be useful in predicting the risk of
congenital heart block in fetuses of certain expectant mothers with Sjogren's
syndrome or systemic lupus erythematosus.
Reuters Health Information 2002
medscape.com/viewarticle/436562?srcmp=ped-061402
--Obstetric and Gynecologic Disorders--
EXCESS PREGNANCY COMPLICATION RATES SEEN AMONG ADOLESCENTS
Researchers report that pregnant adolescents are more likely than women at least
20 years old to have a preterm delivery and more than twice as likely to develop
eclampsia as older women.
Reuters Health Information 2002
medscape.com/viewarticle/436482?srcmp=ped-061402
COMBINATION OCS EFFECTIVE FOR POLYCYSTIC OVARY SYNDROME IN ADOLESCENT GIRLS
Two oral contraceptives, both containing estrogen but different progestogen
components, are comparably effective and safe for treating polycystic ovary
syndrome (PCOS) in adolescent girls.
Reuters Health Information 2002
medscape.com/viewarticle/436500?srcmp=ped-061402
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worldwide. Review latest clinical resources on diagnosis,
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