MEDSCAPE's Pediatrics MedPulse

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

http://pediatrics.medscape.com

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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 - MULTIPLE VACCINATIONS IN ONE VISIT

Are there any vaccines that cannot be given together on the same day? Can one give a pneumococcal vaccine and DTP on the same day?

http://pediatrics.medscape.com/43159.rhtml?srcmp=ped-092801

BOOK REVIEW - TEXTBOOK OF RUNNING MEDICINE

Training, biomechanics, injury, and more, are examined in the latest tome devoted to one of America's most popular sports.

MedGenMed, September 25, 2001

http://pediatrics.medscape.com/43167.rhtml?srcmp=ped-092801

LANDMARK STUDY FINDS PAROXETINE EFFECTIVE TREATMENT FOR ADOLESCENT DEPRESSION

In a recently published study, paroxetine was shown to be effective and generally well tolerated for the treatment of major depression in adolescents.

Brown Univ Child & Adol Psychopharm 3(9):1-3, 2001

http://pediatrics.medscape.com/43171.rhtml?srcmp=ped-092801

MUNCHAUSEN SYNDROME BY PROXY: TALL TALES AND REAL HURTS

Munchausen syndrome by proxy is a form of child abuse in which a caretaker or parent, usually the mother, systematically fabricates information about a child's health or intentionally makes the child ill -- in order to assume the sick person's role by proxy.

Clinician Reviews 11(8):51-56, 2001.

http://pediatrics.medscape.com/43178.rhtml?srcmp=ped-092801

MANAGEMENT OF RESPIRATORY PSEUDOMONAL INFECTIONS IN CYSTIC FIBROSIS: MANY STRATEGIES TO CONSIDER

Two organisms account for most pseudomonal infections in patients with cystic fibrosis.

Drug & Ther Perspect 17(18):5-9, 2001

http://pediatrics.medscape.com/43193.rhtml?srcmp=ped-092801

STUDY: RESIDENTIAL TREATMENT IMPROVES PARENTAL BEHAVIOR

Drug-and alcohol-dependent women who are pregnant or have children significantly reduce their alcohol or drug use following residential substance abuse treatment.

Alcoholism & Drug Abuse Weekly 13(35):3, 2001

http://pediatrics.medscape.com/43195.rhtml?srcmp=ped-092801

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___________________________________ NEWS ______________________________

BRUISING RARE IN INFANTS SMOTHERED BY OVERLAYING

Infants who are accidentally smothered to death by overlaying – a sleeping parent rolling on top of them -- rarely suffer cuts or bruises, indicating that those who do may have been victims of child abuse.

http://pediatrics.medscape.com/43038.rhtml?srcmp=ped-092801

STEPWISE PROTOCOL PROPOSED FOR TREATMENT OF PEDIATRIC CHRONIC SINUSITIS

A stepwise protocol that includes intravenous antibiotic therapy with selective adenoidectomy is a safe and effective form of treatment for children and adolescents with chronic sinusitis.

http://pediatrics.medscape.com/43077.rhtml?srcmp=ped-092801

CAR POLLUTANTS DAMAGE ALVEOLAR MACROPHAGES IN CHILDREN

Car exhaust pollutants reduce the numbers of macrophage receptors that recognize and remove bacteria from the lungs of children.

http://pediatrics.medscape.com/43056.rhtml?srcmp=ped-092801

INSULIN RESISTANCE IN TEENAGE BOYS LINKED TO ELEVATED SYSTOLIC BLOOD

PRESSURE

In 15-year-old males, insulin resistance correlates with systolic blood pressure.

http://pediatrics.medscape.com/43055.rhtml?srcmp=ped-092801

LINK BETWEEN MMR VACCINE AND AUTISM, BOWEL DISEASE UNSUPPORTED

The fears that the measles, mumps and rubella (MMR) vaccine is associated with increased risk of inflammatory bowel disease or autism appear to be totally unjustified.

http://pediatrics.medscape.com/43063.rhtml?srcmp=ped-092801

LEAD SCREENING CALLED FOR IN CHILDREN WITH BEHAVIORAL PROBLEMS

Children with developmental and behavioral problems appear to have high blood concentrations of lead.

http://pediatrics.medscape.com/43052.rhtml?srcmp=ped-092801

INHALED TOBRAMYCIN CAN CLEAR P. AERUGINOSA FROM AIRWAYS OF CYSTIC

FIBROSIS PATIENTS

Long-term treatment with inhaled tobramycin in patients with cystic fibrosis appears to eradicate airways colonization by Pseudomonas aeruginosa.

http://pediatrics.medscape.com/43044.rhtml?srcmp=ped-092801

SPREADING WAVES OF GRAY MATTER LOSS OCCUR IN EARLY-ONSET SCHIZOPHRENIA

Patients with early-onset schizophrenia exhibit accelerated loss of gray matter that envelop increasing amounts of cortex throughout adolescence.

http://pediatrics.medscape.com/43066.rhtml?srcmp=ped-092801

PRECOCIOUS AGING OF IMMUNE SYSTEM PROBABLY OCCURS IN HIV-INFECTED

CHILDREN

The immune system of HIV-infected children appears to undergo accelerated aging.

http://pediatrics.medscape.com/43072.rhtml?srcmp=ped-092801

PERINATAL HIV-1 INFECTION DELAYS PUBERTY

Perinatal HIV-1 infection, as with other chronic diseases in childhood, appears to delay sexual maturation.

http://pediatrics.medscape.com/42974.rhtml?srcmp=ped-092801

IL-2 PRODUCTION LINKED TO BETTER HIV PROGNOSIS IN CHILDREN

HIV-specific interleukin-2 production is associated with lower mortality in children with mild and severe clinical disease.

http://pediatrics.medscape.com/43115.rhtml?srcmp=ped-092801

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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.