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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 ____________________

WHEN DISASTER STRIKES: PERSPECTIVES ON PHYSICAL TRAUMA AT THE WORLD

TRADE CENTER

A trauma expert discusses the physical injuries and sequelae related to

the World Trade Center disaster.

Medscape Neurology, 2001

http://pediatrics.medscape.com/42886.rhtml?srcmp=ped-092101

ANGELS IN OUR MIDST - TAKING HEALTHCARE TO SCHOOL

The best way to provide healthcare to adolescents may be to bring it to

them.

Medscape Infectious Disease, 2001

http://pediatrics.medscape.com/42905.rhtml?srcmp=ped-092101

ISOTRETINOIN: IMPROVING PATIENT EDUCATION AND REDUCING RISK

Isotretinoin has become a mainstay in the management of severe

recalcitrant acne.

Pediatric Pharmacotherapy (7)7, 2001

http://pediatrics.medscape.com/42862.rhtml?srcmp=ped-092101

SEPSIS AND SEPTIC SHOCK: EARLY RECOGNITION AND MULTIPRONGED APPROACH TO MANAGEMENT PARAMOUNT IN CHILDREN

Sepsis and septic shock present serious risk to neonates and children,

with high rates of mortality.

Drug & Ther Perspect 17(16):8-13, 2001

http://pediatrics.medscape.com/42856.rhtml?srcmp=ped-092101

HISTORY OF HYDROCEPHALUS AND ITS TREATMENTS

Hydrocephalus has amazed and challenged clinicians throughout the history of medicine.

Neurosurg Focus 11(2), 2001

http://pediatrics.medscape.com/42857.rhtml?srcmp=ped-092101

ENVIRONMENTAL TOBACCO SMOKE EXPOSURE DURING CHILDHOOD IS ASSOCIATED WITH INCREASED PREVALENCE OF ASTHMA IN ADULTS

Childhood exposure to ETS is associated with an increased prevalence of asthma among adult never-smokers, especially in nonatopic subjects.

CHEST 120(3):711-717, 2001

http://pediatrics.medscape.com/42890.rhtml?srcmp=ped-092101

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_______________________INSTANT POLL RESULTS____________________________

Do you favor or oppose the decriminalization of marijuana for medicinal purposes (palliative care in HIV/AIDS, cancer, glaucoma, etc)?

Of 3976 respondents, 81% (3233) of you favor the decriminalization of marijuana for medicinal purposes, and 19% (743) of you oppose it.

This poll was posted on Medscape in all specialty areas from August 1-8, 2001.

To see these and other instant poll results, click here: <a

href="http://www.medscape.com/pollresults/medmarijuana">http://www.medscape.com/pollresults/medmarijuana</a>

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___________________________________ NEWS ______________________________

NOTE OF CAUTION SOUNDED ON TRAUMA COUNSELING

Mental health experts warn colleagues that some interventions may do more harm than good.

http://pediatrics.medscape.com/42885.rhtml?srcmp=ped-092101

UNICEF REPORTS ON STATE OF THE WORLD'S CHILDREN

Although the special UN General Assembly session planned for next week in New York has been postponed owing to the recent events that have shaken the city, the UN Children's Fund has released its annual report on the global status of children.

http://pediatrics.medscape.com/42721.rhtml?srcmp=ped-092101

HYPERCHOLESTEROLEMIA EVIDENT IN CHILDREN TREATED WITH PROTEASE

INHIBITORS

Many HIV-infected children being treated with a protease inhibitor develop elevated levels of total cholesterol.

http://pediatrics.medscape.com/42707.rhtml?srcmp=ped-092101

CATHETER USE IN HEMOPHILIACS LINKED WITH BLOOD CLOT RISK

Children with hemophilia may be at increased risk of developing blood clots as a consequence of long-term catheter use.

http://pediatrics.medscape.com/42745.rhtml?srcmp=ped-092101

ETHNICITY APPEARS TO AFFECT SUSCEPTIBILITY TO ASTHMA

In a study of 314 families from diverse ethnic backgrounds, African Americans had reduced lung function and a higher rate of reactivity to cockroach allergens compared with Hispanics and Caucasians.

http://pediatrics.medscape.com/42943.rhtml?srcmp=ped-092101

MORE EU COUNTRIES WILL USE MENINGITIS C VACCINE

Vaccine manufacturers predict that more European Union countries will start using Neisseria meningitidis type C vaccines following the UK's success in reducing disease-related morbidity and mortality rates.

http://pediatrics.medscape.com/42760.rhtml?srcmp=ped-092101

IMMUNIZATION DAYS IN INDIA OFFER OPPORTUNITY TO SCREEN, TREAT VITAMIN-A DEFICIENCY

A study from India reports that screening children during the country's National Immunization Days is an effective strategy to detect and treat vitamin-A deficiency.

http://pediatrics.medscape.com/42723.rhtml?srcmp=ped-092101

SIMPLER FLUID MANAGEMENT IMPROVES DIABETIC KETOACIDOSIS THERAPY IN

CHILDREN

A simplified version of the traditional protocol for managing diabetic ketoacidosis in children improves recovery and reduces healthcare costs without increasing the rate of serious side effects.

http://pediatrics.medscape.com/42822.rhtml?srcmp=ped-092101

GOVERNMENT REPORT DOWNPLAYS STIMULANT ABUSE IN SCHOOLS

Steep increases in the use of stimulant drugs to treat attention-deficit/hyperactivity disorder (ADHD) in children have not translated into abuse problems in America's schools.

http://pediatrics.medscape.com/42848.rhtml?srcmp=ped-092101

URINARY ALBUMIN HELPS DELINEATE SURGICAL STRESS IN CHILDREN

The ratio of microalbuminuria to urinary creatinine, as a measure of glomerular permeability, shows a significant correlation with measures of the severity of surgical stress in children.

http://pediatrics.medscape.com/42741.rhtml?srcmp=ped-092101

MELANOMA MODEL DEMONSTRATES DAMAGE FROM EARLY SUNBURN

In transgenic mice that are similar to humans in their susceptibility to melanoma, one skin-reddening exposure to ultraviolet light during the neonatal period results in tumors in early adulthood.

http://pediatrics.medscape.com/42852.rhtml?srcmp=ped-092101

MATRIA CLAIMS PREGNANCY MANAGEMENT SAVED HEALTH PLANS $45 MILLION IN 4 YEARS

Disease management firm Matria Healthcare on Thursday released figures showing that its program for management of high-risk pregnancies yielded about $45 million in neonatal intensive care unit (NICU) savings between 1997 and 2000.

http://pediatrics.medscape.com/42947.rhtml?srcmp=ped-092101

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ORGASM INDUCED ASTHMA?      

Believe it or not, it is possible. Listen to what CBS Healthwatch's

expert has to say on this and several other Asthma related issues.      

http://www.medscape.com/mp/AE/orgasmasthma      

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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.