MEDSCAPE's Pediatrics MedPulse(R) May 30, 2002

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MedPulse is a weekly index of key news and features on Medscape's specialty sites compiled by Medscape's Editors. _______________________________________________________________________

___________________ NEW FEATURE ARTICLES THIS WEEK ____________________

POLYSACCHARIDE VACCINES FOR PREVENTION OF ENCAPSULATED BACTERIAL

INFECTIONS: PART 2

Combination vaccines with an Hib conjugate offer continued protection to infants and young children. Infect Med 19(4) 2002 http://www.medscape.com/viewarticle/433131?srcmp=ped-052402

<a href="http://www.medscape.com/viewarticle/433131?srcmp=ped-052402">

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NASOPHARYNGEAL CARRIAGE OF STREPTOCOCCUS PNEUMONIAE IN HEALTHY CHILDREN: IMPLICATIONS FOR THE USE OF HEPTAVALENT PNEUMOCOCCAL CONJUGATE VACCINE Most isolated strains are covered by the heptavalent conjugate vaccine, especially in the first years of life. Emerg Infect Dis 8(5) 2002 http://www.medscape.com/viewarticle/432528?srcmp=ped-052402

<a href="http://www.medscape.com/viewarticle/432528?srcmp=ped-052402">

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EVALUATION OF SURVIVAL AND PHARMACODYNAMIC RELATIONSHIPS FOR FIVE FLUOROQUINOLONES IN A NEUTROPENIC MURINE MODEL OF PNEUMOCOCCAL LUNG INFECTION The antistreptococcal activity of 5 fluoroqunolones is compared. Pharmacotherapy 22(4) 2002 http://www.medscape.com/viewarticle/432393?srcmp=ped-052402

<a href="http://www.medscape.com/viewarticle/432393?srcmp=ped-052402">

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THERAPEUTIC USE OF LEVOCLOPERASTINE AS AN ANTITUSSIVE AGENT Learn more about a highly selective therapy for cough that avoids adverse effects such as sedation. Clin Drug Invest 22(4) 2002 http://www.medscape.com/viewarticle/432995?srcmp=ped-052402

<a href="http://www.medscape.com/viewarticle/432995?srcmp=ped-052402">

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WRAPAROUND: AN EVOLVING MODEL OF CARE FOR CHILDREN'S MENTAL HEALTH Wraparound is a philosophy of care, a process, a modality and an intervention. Brown University Child and Adolescent Behavior Letter 18(5) 2002 http://www.medscape.com/viewarticle/433092?srcmp=ped-052402

<a href="http://www.medscape.com/viewarticle/433092?srcmp=ped-052402">

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___________________________________ NEWS ______________________________

 

--Fetal, Neonatal, and Infant Health--

GAMETE AGE NOT LINKED TO DOWN SYNDROME, BIRTH DEFECTS

Timing of intercourse relative to ovulation is unimportant. MedscapeWire 2002 http://www.medscape.com/viewarticle/433629?srcmp=ped-052402

<a href="http://www.medscape.com/viewarticle/433629?srcmp=ped-052402">

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FETAL ALCOHOL SYNDROME CONTINUES TO BE A MAJOR PUBLIC HEALTH CONCERN Many US children continue to be born with birth defects and developmental disabilities associated with maternal alcohol use during pregnancy. Reuters Health Information 2002 http://www.medscape.com/viewarticle/434107?srcmp=ped-052402

<a href="http://www.medscape.com/viewarticle/434107?srcmp=ped-052402">

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MATERNAL MULTIVITAMIN MAY LOWER OMPHALOCELE RISK

Women who use multivitamins around the time of conception are less likely to have an infant with omphalocele than women who do not use them during this time period. Reuters Health Information 2002 http://www.medscape.com/viewarticle/433816?srcmp=ped-052402

<a href="http://www.medscape.com/viewarticle/433816?srcmp=ped-052402">

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BREAST-FEEDING MAY PROTECT AGAINST SIDS

Infants who are exclusively breast-fed for at least 16 weeks are at lower risk for sudden infant death syndrome (SIDS) than infants breast-fed for shorter periods of time. Reuters Health Information 2002 http://www.medscape.com/viewarticle/434041?srcmp=ped-052402

<a href="http://www.medscape.com/viewarticle/434041?srcmp=ped-052402">

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HIV-1 PHENOTYPE LINKED TO MOTHER-TO-CHILD HIV-1 TRANSMISSION The presence of the nonsyncytium-inducing HIV-1 phenotype and a high viral load significantly increase the risk of mother-to-child transmission of HIV-1. Reuters Health Information 2002 http://www.medscape.com/viewarticle/433885?srcmp=ped-052402

<a href="http://www.medscape.com/viewarticle/433885?srcmp=ped-052402">

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COMPLEX ANTI-HIV THERAPY REDUCES VERTICAL TRANSMISSION RISK

The longer and more complex the prenatal antiretroviral therapy, the more likely it is to prevent mother-to-child HIV-1 transmission. Reuters Health Information 2002 http://www.medscape.com/viewarticle/433821?srcmp=ped-052402

<a href="http://www.medscape.com/viewarticle/433821?srcmp=ped-052402">

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--Childhood Health--

NUTRITION MORE EFFECTIVE THAN STEROIDS IN CHILDREN WITH CROHN'S DISEASE Proper nutrition allows healing and delays or avoids steroid use. MedscapeWire 2002 http://www.medscape.com/viewarticle/433854?srcmp=ped-052402

<a href="http://www.medscape.com/viewarticle/433854?srcmp=ped-052402">

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ATOPY, ASTHMA INVERSELY ASSOCIATED WITH RISK OF TYPE 1 DIABETES Predisposition to atopic symptoms to inhaled antigens may protect against type 1 diabetes in children. Reuters Health Information 2002 http://www.medscape.com/viewarticle/434095?srcmp=ped-052402

<a href="http://www.medscape.com/viewarticle/434095?srcmp=ped-052402">

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LEFT VENTRICULAR HYPERTROPHY COMMON AMONG CHILDREN WITH HYPERTENSION A substantial proportion of hypertensive children have left ventricular hypertrophy (LVH). Reuters Health Information 2002 http://www.medscape.com/viewarticle/433903?srcmp=ped-052402

<a href="http://www.medscape.com/viewarticle/433903?srcmp=ped-052402">

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MIDDLE EAST CRISIS TAKES TOLL ON CHILDREN'S MENTAL HEALTH

Many children develop symptoms of post-traumatic stress or anxiety as a consequence of the ongoing conflict in Israel, whether or not they have been directly exposed to violence. Reuters Health Information 2002 http://www.medscape.com/viewarticle/434091?srcmp=ped-052402

<a href="http://www.medscape.com/viewarticle/434091?srcmp=ped-052402">

Read it Here</a>

SCHIZOPHRENIFORM DISORDER PRECEDED BY DEVELOPMENTAL IMPAIRMENT IN CHILDHOOD Neuromotor, language, and cognitive developmental impairments that begin in early childhood predict symptoms of schizophreniform disorder in childhood and adulthood. Reuters Health Information 2002 http://www.medscape.com/viewarticle/434098?srcmp=ped-052402

<a href="http://www.medscape.com/viewarticle/434098?srcmp=ped-052402">

Read it Here</a>

LEARNING DISABILITY COMMON IN CHILDREN WITH ADHD

About half of children diagnosed with attention-deficit/hyperactivity disorder (ADHD) also have a learning disability. Reuters Health Information 2002 http://www.medscape.com/viewarticle/433957?srcmp=ped-052402

<a href="http://www.medscape.com/viewarticle/433957?srcmp=ped-052402">

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--Adolescent Health--

PETS INCREASE THE RISK OF ASTHMA AMONG ADOLESCENTS

Having furry pets in the house increases the risk of developing asthma among adolescents. Reuters Health Information 2002 http://www.medscape.com/viewarticle/433801?srcmp=ped-052402

<a href="http://www.medscape.com/viewarticle/433801?srcmp=ped-052402">

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NEW HOPE FOR MORBID OBESITY

Bariatric surgery is safe in adolescents; intragastric balloon may obviate surgery. MedscapeWire 2002 http://www.medscape.com/viewarticle/434000?srcmp=ped-052402

<a href="http://www.medscape.com/viewarticle/434000?srcmp=ped-052402">

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MALE ADOLESCENTS WITH ANOREXIA ARE AT INCREASED RISK FOR OSTEOPENIA Male adolescents who have anorexia for at least 12 months are at high risk for osteopenia. Reuters Health Information 2002 http://www.medscape.com/viewarticle/433882?srcmp=ped-052402

<a href="http://www.medscape.com/viewarticle/433882?srcmp=ped-052402">

Read it Here</a>

LONG-TERM ANTI-EPILEPTIC THERAPY A RISK FACTOR FOR LOW BONE DENSITY Long-term therapy with anti-epileptic drugs is associated with low bone mineral density, regardless of vitamin D levels. Reuters Health Information 2002 http://www.medscape.com/viewarticle/434122?srcmp=ped-052402

<a href="http://www.medscape.com/viewarticle/434122?srcmp=ped-052402">

Read it Here</a>

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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.