MEDSCAPE's Pediatrics MedPulse 11-17-01

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>>> MEDSCAPE's Pediatrics MedPulse(R) <<<

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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 ____________________

ASK THE EXPERTS - DOSING SCHEDULE OF IPV FOLLOWING AN INVALID EARLY DOSE

An infant was given her first IPV vaccine at 3 months of age but then

was inadvertently given her second IPV only 2.5 weeks later. What would

be the best IPV dose schedule following this?

http://pediatrics.medscape.com/45140.rhtml?srcmp=ped-111601

Read it Here</a>

ASK THE EXPERTS - TIMING THE ADMINISTRATION OF IPV #3

Is there an immunologic advantage to waiting until after 12 months of

age to give IPV #3? Is it just as effective when given at the 6-month

visit, 4 weeks post-IPV #2?

http://pediatrics.medscape.com/45169.rhtml?srcmp=ped-111601

Read it Here</a>

ASK THE EXPERTS - THE NEONATE'S IMMUNE RESPONSE TO IMMUNIZATIONS

At what age is the neonate's immune system mature enough to mount an

efficacious antibody response to immunizations?

http://pediatrics.medscape.com/45168.rhtml?srcmp=ped-111601

Read it Here</a>

MEDSCAPE RESOURCE CENTER - DEPRESSION

According to the World Health Organization, major depression is the

leading cause of disability worldwide among persons aged 5 years and

older.

http://pediatrics.medscape.com/44930.rhtml?srcmp=ped-111601

Read it Here</a>

MEDSCAPE RESOURCE CENTER - ANTHRAX

Medscape's editors have collected the latest news, articles, and other

useful resources to keep you up to date on the spread, diagnosis, and

treatment of this organism.

http://pediatrics.medscape.com/44991.rhtml?srcmp=ped-111601

Read it Here</a>

BOOK REVIEW - SCOURGE: THE ONCE AND FUTURE THREAT OF SMALLPOX

A book written before September 11 examines the history of this disease,

and the vulnerability of 'fortress america.'

MedGenMed, November 13, 2001

http://pediatrics.medscape.com/45129.rhtml?srcmp=ped-111601

Read it Here</a>

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___________________________________ NEWS ______________________________

CDC OUTLINES ANTHRAX PROPHYLAXIS FOR CHILDREN AND BREASTFEEDING WOMEN

For postexposure anthrax prophylaxis in children and breastfeeding

mothers, amoxicillin may be an alternative to ciprofloxacin or

doxycycline.

http://pediatrics.medscape.com/45201.rhtml?srcmp=ped-111601

Read it Here</a>

MOST ZAMBIAN WOMEN WOULD SUPPORT MASS DISTRIBUTION OF NEVIRAPINE

A majority of pregnant women in Zambia would support universal provision

of nevirapine to prevent HIV transmission, rather than targeting

treatment to HIV-infected women, if this would make the drug available

to a larger percentage of women at risk.

http://pediatrics.medscape.com/44945.rhtml?srcmp=ped-111601

Read it Here</a>

DISTRESS INCREASES RISK OF PREGNANCY IN ADOLESCENTS

Teenage girls who are psychologically distressed are twice as likely to

become pregnant than their non-distressed peers.

http://pediatrics.medscape.com/44946.rhtml?srcmp=ped-111601

Read it Here</a>

SCREENING EMBRYOS FOR SERIOUS HEREDITARY DISORDERS BACKED IN BRITAIN

Screening embryos to help couples in families with serious genetic

disorders have healthy children is widely supported in Britain.

http://pediatrics.medscape.com/45203.rhtml?srcmp=ped-111601

Read it Here</a>

FETAL NASAL BONE EXAMINATION MAY IMPROVE DOWN'S SCREENING

Fetal nasal bone examination may improve the sensitivity of current

screening methods for Down's syndrome and reduce the need for invasive

tests.

http://pediatrics.medscape.com/45183.rhtml?srcmp=ped-111601

Read it Here</a>

SODIUM CHANNEL GENE MUTATIONS LINKED TO SIDS

Approximately 2% of infants who die of sudden infant death syndrome

(SIDS) have a mutation in the sodium channel gene SCN5A.

http://pediatrics.medscape.com/45058.rhtml?srcmp=ped-111601

Read it Here</a>

UK INFANTS BORN OUTSIDE MARRIAGE HAVE HIGHER 1-YEAR MORTALITY

Infants born out of wedlock in England and Wales are much more likely to

die before their first birthday than those born to married couples.

http://pediatrics.medscape.com/44953.rhtml?srcmp=ped-111601

Read it Here</a>

HIV-1 VIRAL PHENOTYPE AFFECTS NEW THYMOCYTE PRODUCTION IN CHILDREN

HIV-1-infected children with syncytium-inducing viral strains have lower

CD4+ T cell counts and thymic output than those with non-SI viral

strains, regardless of viral load.

http://pediatrics.medscape.com/44995.rhtml?srcmp=ped-111601

Read it Here</a>

CARDIOVASCULAR RISK FACTORS PREVALENT IN YOUNG ADULT SURVIVORS OF

CHILDHOOD ALL

Many young adult survivors of childhood acute lymphoblastic leukemia,

especially those treated with cranial irradiation, have cardiovascular

risk factors that may be related to their cancer treatment.

http://pediatrics.medscape.com/44996.rhtml?srcmp=ped-111601

Read it Here</a>

NONSTIMULATORY AGENT SHOWS PROMISE AS TREATMENT FOR ADHD

Atomoxetine is safe, well tolerated, and more effective than placebo in

reducing symptoms associated with attention-deficit/hyperactivity

disorder (ADHD).

http://pediatrics.medscape.com/45043.rhtml?srcmp=ped-111601

Read it Here</a>

DIETARY FAT RESTRICTION IN CHILDREN WITH HYPERLIPIDEMIA MAY BE

OVERZEALOUS

The parents of children diagnosed with hyperlipidemia may not allow

their children enough dietary fat, which can lead to growth and

developmental problems.

http://pediatrics.medscape.com/45080.rhtml?srcmp=ped-111601

Read it Here</a>

EFFECT OF SIBLINGS ON ALLERGIC SENSITIZATION MAY ORIGINATE IN UTERO

Cord blood IgE levels are reduced in higher-order pregnancies, which in

turn leads to a decrease in allergic sensitization during early

childhood.

http://pediatrics.medscape.com/45099.rhtml?srcmp=ped-111601

Read it Here</a>

FLUTICASONE HAS LESS EFFECT ON GROWTH VELOCITY THAN BECLOMETHASONE

In a 1-year study, children receiving fluticasone for asthma grew

significantly more rapidly than children receiving beclomethasone.

http://pediatrics.medscape.com/45182.rhtml?srcmp=ped-111601

Read it Here</a>

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_______________________________ MEMBER NEWS

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BIOTERRORISM RESOURCE CENTER: ARE WE PREPARED FOR A BIO-TERRORIST

ATTACK?

http://www.medscape.com/mp/rc/bioterrorism

ANTHRAX: WHAT EVERY CLINICIAN SHOULD KNOW

This recording of the live webcast from the CDC presents clinical

guidelines and procedures for the early recognition, diagnosis,

treatment, and reporting of anthrax exposure. A panel of experts from

the CDC provide an overview of clinical, laboratory and public health

preparedness for potential Bacillus anthracis incidence. Sponsored by

the American Hospital Assn., American Medical Assn., Public Health

Training Network, CDC, and the University of North Carolina School of

Public Health.

http://www.medscape.com/webcast/anthrax

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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.