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       >>>    Week in Review-Today on Medscape MedPulse(R)   <<<
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                                  AIDS

NEUTROPHIL-RICH ANAPLASTIC LARGE CELL LYMPHOMA OF T-CELL LINEAGE: A
REPORT OF TWO CASES ARISING IN HIV-POSITIVE PATIENTS
While cutaneous ALCL is a well-defined entity, its manifestations and
morphologic features may be variable, particularly in HIV-positive
patients.
Am J of Clin Pathology 114(3):478-482, 2000.
http://www.medscape.com/29450.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29450.rhtml?srcmp=ms-110300">Read it
Here</a>

Plus...
Correlates of Heterosexual HIV Transmission
http://www.medscape.com/29434.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29434.rhtml?srcmp=ms-110300">Read it
Here</a>

                               Cardiology

JOURNAL SCAN - CARDIOLOGY 3(5)
Highlights include massive pulmonary embolism, and impact of smoking on
health-related quality of life after percutaneous coronary
revascularization.
Medscape Cardiology 3(5), 2000.
http://www.medscape.com/29525.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29525.rhtml?srcmp=ms-110300">Read it
Here</a>

Plus...
Traumatic Asphyxia Complicated By Unwitnessed Cardiac Arrest
http://www.medscape.com/29440.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29440.rhtml?srcmp=ms-110300">Read it
Here</a>

Accreditation of Hospitals for Percutaneous Coronary Intervention on the
Basis of Volume or Clinical Outcome Using MEDPAR Data Sets: Effect on
Patient Mortality, Cost and Treatment Accessibility
http://www.medscape.com/29505.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29505.rhtml?srcmp=ms-110300">Read it
Here</a>

                              Dermatology

PYODERMA GANGRENOSUM AND MYELODYSPLASTIC SYNDROME
Patients with PG and anemia should be considered for early bone marrow
biopsy if there is no apparent cause of anemia.
South Med J 93(9):923-925, 2000
http://www.medscape.com/29452.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29452.rhtml?srcmp=ms-110300">Read it
Here</a>

Plus...
Hazardous Hedgehogs
http://www.medscape.com/29508.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29508.rhtml?srcmp=ms-110300">Read it
Here</a>

                       Diabetes & Endocrinology

RESOURCE CENTER - DIABETES COMPLICATIONS
The United Kingdom Prospective Diabetes Study (UKPDS) and the Diabetes
Control and Complications Trial (DCCT) have emphasized the importance of
tight blood glucose control for decreasing the risk of diabetic
complications.
Medscape Diabetes & Endocrinology, 2000
http://www.medscape.com/29457.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29457.rhtml?srcmp=ms-110300">Read it
Here</a>

Plus...
MEDLINE Abstracts - Diabetes and Cardiovascular Disease
http://www.medscape.com/29538.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29538.rhtml?srcmp=ms-110300">Read it
Here</a>

                            Family Medicine

USE OF NITROGLYCERIN SPRAY IN UTERINE INVERSION
The short duration of action makes nitroglycerin hemodynamically
advantageous over tocolytics for managing uterine inversion.
J Am Board Fam Pract 13(5):374-375, 2000
http://www.medscape.com/29454.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29454.rhtml?srcmp=ms-110300">Read it
Here</a>

Plus...
National Diabetes Awareness Month --- November 2000
http://www.medscape.com/29380.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29380.rhtml?srcmp=ms-110300">Read it
Here</a>

                            Gastroenterology

MANAGEMENT ISSUES IN GASTROESOPHAGEAL REFLUX DISEASE
Philip O. Katz, MD, and Donald O. Castell, MD, address the latest
thinking about antisecretory therapy.
Gastroenterology Treatment Updates - (C) 2000 Medscape, Inc.
http://www.medscape.com/29458.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29458.rhtml?srcmp=ms-110300">Read it
Here</a>

Plus...
American College of Gastroenterology 65th Annual Scientific Meeting
http://www.medscape.com/conferences/ACG2000
<a href="http://www.medscape.com/conferences/ACG2000">Read it Here</a>

                          Infectious Diseases

PEDIATRIC ID UPDATE: FALL HIGHLIGHTS
>From the divine to the pediculous...
Medscape Infectious Diseases, 2000. (C) 2000 Medscape, Inc.
http://id.medscape.com/29519.rhtml?srcmp=id-110300
<a href="http://id.medscape.com/29519.rhtml?srcmp=id-110300"> Read it
Here</a>

Plus...
Trichinella pseudospiralis Outbreak in France
http://www.medscape.com/29456.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29456.rhtml?srcmp=ms-110300">Read it
Here</a>

Toxin Gene Expression by Shiga Toxin-Producing Escherichia coli: the
Role of Antibiotics and the Bacterial SOS Response
http://www.medscape.com/29504.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29504.rhtml?srcmp=ms-110300">Read it
Here</a>

                              Managed Care

JOURNAL SCAN - MANAGED CARE 1(9)
Highlights include the JAMA study on quality of medical care delivered
to medicare beneficiaries and how the 'new' Aetna and Kaiser will face
the future.
Medscape, 2000.
http://www.medscape.com/29523.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29523.rhtml?srcmp=ms-110300">Read it
Here</a>

Plus...
Genomics and Managed Care: Preparing for the Revolution
http://www.medscape.com/29446.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29446.rhtml?srcmp=ms-110300">Read it
Here</a>

Cancer Economics: The Role of Medical Evidence in Managed Care Decisions

http://www.medscape.com/29512.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29512.rhtml?srcmp=ms-110300">Read it
Here</a>

                           Med Students

MILLENNIUM SERIES - ADVOCACY AND COMMUNITY: THE SOCIAL ROLES OF
PHYSICIANS IN THE LAST 1000 YEARS. PART I IN A 3-PART SERIES.
medical history and the millennium series
MedGenMed, October 30, 2000
http://primarycare.medscape.com/29521.rhtml?srcmp=pc-110300
<a href="http://primarycare.medscape.com/29521.rhtml?srcmp=pc-110300">
Read it Here</a>

                           Money & Medicine

CONTROVERSY OVER PAYERS' USE OF GUIDELINES REMAINS STRONG
A new report underscores what many doctors have long believed - that
some treatment guidelines are overly aggressive and could have a
negative effect on patient care. But that doesn't mean that doctors can
ignore the issue of appropriate, cost-effective care.
Medscape Money & Medicine, 2000. (C) 2000 Medscape, Inc.
http://www.medscape.com/29207.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29207.rhtml?srcmp=ms-110300">Read it
Here</a>

Plus...
Cost Analysis of Therapeutic Interchange of Calcium Channel Blockers for
the Treatment of Hypertension: Unexpected Results From a Conversion
Program
http://www.medscape.com/29444.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29444.rhtml?srcmp=ms-110300">Read it
Here</a>

Demographics and the Cost of Pharmaceuticals in a Private Third-Party
Prescription Program
http://www.medscape.com/29506.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29506.rhtml?srcmp=ms-110300">Read it
Here</a>

                               Neurology & Neurosurgery

RESOURCE CENTER - ALZHEIMER'S DISEASE
As the baby boom generation ages, Alzheimer's disease is likely to
become an even greater public health issue over the next 20 years.
Medscape Neurology & Neurosurgery, 2000
http://www.medscape.com/29499.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29499.rhtml?srcmp=ms-110300">Read it
Here</a>

Plus...
Notice to Readers: National Epilepsy Month --- November 2000
http://www.medscape.com/29384.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29384.rhtml?srcmp=ms-110300">Read it
Here</a>

MEDLINE Abstracts - Deep Brain Stimulation (DBS)
http://www.medscape.com/29520.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29520.rhtml?srcmp=ms-110300">Read it
Here</a>

                                 Nurses

AMERICAN COLLEGE OF NURSE PRACTITIONERS NATIONAL CLINICAL SYMPOSIUM
This symposium offered practical advice on many clinical topics.
Medscape authors highlight innovations in the care of the elderly,
describe new roles for NPs, and offer an update on issues related to
death, grieving, and suicide.
Medscape Nursing, 2000
http://www.medscape.com/conferences/ESMO2000
<a href="http://www.medscape.com/conferences/ESMO2000">Read it Here</a>

Plus...
Notifying Survivors About Sudden, Unexpected Deaths
This important commentary can help professionals learn effective
techniques for consoling survivors, and not just 'breaking the bad
news.'
http://www.medscape.com/29195.rhtml
<a href="http://www.medscape.com/29195.rhtml">Read it Here</a>

Overcoming Families' Fears and Concerns in the Donation Discussion
http://nurses.medscape.com/29214.rhtml?srcmp=nurs-102700
<a href="http://nurses.medscape.com/29214.rhtml?srcmp=nurs-102700"> Read
it Here</a>

                      Hematology-Oncology

25TH CONGRESS OF THE EUROPEAN SOCIETY FOR MEDICAL  ONCOLOGY
Highlights include screening for prostate cancer, chemoprevention of
breast cancer and improving treatment of upper gastrointestinal tumors.
Medscape Hematology-Oncology, 2000
http://www.medscape.com/conferences/ESMO2000
<a href="http://www.medscape.com/conferences/ESMO2000">Read it Here</a>

Plus...
New Directions in Systemic Therapy of Pancreatic Cancer
http://www.medscape.com/29442.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29442.rhtml?srcmp=ms-110300">Read it
Here</a>

Treatment of Resectable and Locally Advanced Pancreatic Cancer
http://www.medscape.com/29511.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29511.rhtml?srcmp=ms-110300">Read it
Here</a>

                              Orthopaedics

JOURNAL SCAN - ORTHOPAEDICS 3(10)
Highlights include arthroscopic treatment for localized pigmented
villonodular synovitis of the knee and total knee arthroplasty after
high tibial osteotomy.
Medscape Orthopaedics, 2000
http://www.medscape.com/29537.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29537.rhtml?srcmp=ms-110300">Read it
Here</a>

Plus...
Transcutaneous Lumbar Diskectomy for Internal Disk Derangement: A New
Indication
http://www.medscape.com/29507.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29507.rhtml?srcmp=ms-110300">Read it
Here</a>

                              Pediatrics

NATIONAL DIABETES AWARENESS MONTH --- NOVEMBER 2000
During November, CDC and others will highlight activities that increase
awareness of the need for persons with diabetes to receive influenza
vaccine and of the growing public health problem of type 2 diabetes in
children and adolescents.
MMWR 49(42):953, 2000. Centers for Disease Control
http://www.medscape.com/29380.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29380.rhtml?srcmp=ms-110300">Read it
Here</a>

                              Pharmacists

LEGAL MATTERS - NEW 'E-SIGN' LAW ENABLES ELECTRONIC PRESCRIPTIONS
The new law does not  require individuals to use or accept electronic
records or signatures, but gives them legal enforceability when used.
Drug Benefit Trends 12(9):23-24, 2000
http://www.medscape.com/29503.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29503.rhtml?srcmp=ms-110300">Read it
Here</a>

                              Primary Care

DERMADIAGNOSIS - SEPTEMBER 2000
Can you diagnose this 11-year-old boy presenting with a high degree of
pruritus and seasonal rhinitis?
Clinician Reviews 10(9):131-132, 2000
http://www.medscape.com/29453.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29453.rhtml?srcmp=ms-110300">Read it
Here</a>

                               Psychiatry & Mental Health

NEWER ANTIPSYCHOTICS PLAY AN IMPORTANT ROLE IN THE MANAGEMENT OF
LATE-ONSET SCHIZOPHRENIA
Explore the best method for treating a complex, aging population with
the currently available pharmacologic options.
Drug Ther & Perspec 16(8):7-12, 2000
http://www.medscape.com/29451.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29451.rhtml?srcmp=ms-110300">Read it
Here</a>

                               Radiology

MISSED BREAST CANCER: AVOIDING THIS PITFALL
Learn techniques that help to reduce the rate of false negatives in
mammography screening by improving perception and interpretation.
Applied Radiology, 2000
http://www.medscape.com/29543.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29543.rhtml?srcmp=ms-110300">Read it
Here</a>

                            Respiratory Care

THE PATHOPHYSIOLOGY AND TREATMENT OF SEPSIS: A REVIEW OF CURRENT
INFORMATION
New insights into the pathophysiology of sepsis will help clinicians to
better understand the condition.
Respiratory Care Treatment Updates - (C) 2000 Medscape,
Inc.http://www.medscape.com/29566.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29566.rhtml?srcmp=ms-110300">Read it
Here</a>

                              Rheumatology

SR PROTEINS AS AUTOANTIGENS IN SYSTEMIC LUPUS ERYTHEMATOSUS
New data identify SR proteins as a target of autoimmunity in SLE and the
anti-phospholipid syndrome.
Copyright (C) 1998, 1999, 2000 The McGraw-Hill Companies.
http://www.medscape.com/29509.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29509.rhtml?srcmp=ms-110300">Read it
Here</a>

Plus...
Letter: Functional Somatic Syndromes in Rheumatic Disorders - A
Patient's Response
http://www.medscape.com/29559.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29559.rhtml?srcmp=ms-110300">Read it
Here</a>

                            Transplantation

CONFERENCE REPORT - 4TH INTERNATIONAL CONGRESS ON LUNG TRANSPLANTATION
Despite remarkable successes in lung transplantation, long-term survival
rates for lung transplant recipients are considerably lower than those
observed in kidney, heart, and liver transplant recipients.
Medscape Transplantation, 2000
http://www.medscape.com/29561.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29561.rhtml?srcmp=ms-110300">Read it
Here</a>

Plus...
Teaching Patients About Kidney Transplantation: Documentation
http://www.medscape.com/29439.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29439.rhtml?srcmp=ms-110300">Read it
Here</a>

Hostility Toward Caregivers as a Selection Criterion for Transplantation

http://www.medscape.com/29516.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29516.rhtml?srcmp=ms-110300">Read it
Here</a>

                                Urology

REEMERGENCE OF SUCROSE NEPHROPATHY: ACUTE RENAL FAILURE CAUSED BY
HIGH-DOSE INTRAVENOUS IMMUNE GLOBULIN THERAPY
Clinicians should consider using sucrose-free IVIG preparations for
those patients at high risk for renal failure.
South Med J 93(9):901-904, 2000
http://www.medscape.com/29517.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29517.rhtml?srcmp=ms-110300">Read it
Here</a>

Plus...
Self-Assessment - Adrenocortical Carcinoma
http://www.medscape.com/29518.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29518.rhtml?srcmp=ms-110300">Read it
Here</a>

                             Women's Health

FOLATE STATUS IN WOMEN OF CHILDBEARING AGE --- UNITED STATES, 1999
There have been substantial increases in serum and RBC folate
concentrations among women of childbearing age.
MMWR 49(42):962-965, 2000. Centers for Disease Control
http://www.medscape.com/29383.rhtml?srcmp=ms-110300
<a href="http://www.medscape.com/29383.rhtml?srcmp=ms-110300">Read it
Here</a>

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Last modified: March 30, 2007