Week in Review - Smallpox Response?

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FROM THE EDITORThis week, Medscape features an interview with one of the architects of the CDC's smallpox response plan. Also, a state epidemiologist with the Florida Department of Health answers questions about West Nile Virus and organ transplants.

And check out our coverage of the World Congress of Psychiatry click here

For technical concerns, contact this address mpmailings@.... Comments? Questions? Email the editor weekinrevieweditor@....

Mindy Hung

Editor, Medscape Today

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NEW FEATURES THIS WEEK

Newsmaker Interview - Updated Smallpox Response Plan

Joanne Cono, MD, answers questions about the guidelines offered by the CDC as a blueprint for mass vaccination plans.Medscape Medical News2002

Newsmaker Interview - West Nile Virus Linked to Organ Transplants and Blood Transfusions

A state epidemiologist with the Florida Department of Health says that fear of WNV should not cause patients to forgo necessary procedures.

ALLERGY/CLINICAL IMMUNOLOGY

Steroid-Unresponsive Asthma

Find out more about the mechanisms of and treatment strategies for steroid-unresponsive asthma. Semin Respir Crit Care Med 23(4) 2002

CARDIOLOGY

ECG of the Week - Inferior Infarct?

Test your electrocardiogram diagnostic knowledge.Medscape Cardiology 6(2) 2002

Perceptions of Chest Pain Differ by Race

Differences in chest pain perceptions may adversely affect diagnostic and therapeutic approaches.

Journal Scan - Advances in European Research

Review findings on the effects of ACE inhibitors, the use of anticoagulants with direct-current cardioversion of AF, and a strategy to prevent deep-vein thrombosis after leg injury.

FAMILY MEDICINE

Isolated Traumatic Rupture of the Subscapularis Tendon

Read the first reported case that describes this condition in a woman with anterior shoulder dislocation.J Am Board Fam Pract 15(4) 2002

Clinical Management of Bipolar Disorder

E. Keck, Jr, MD, reviews the many facets of treatment of bipolar disorder.

GASTROENTEROLOGY

Update on Hepatitis B Treatment

o J. Firpi, MD, and , MD, discuss the latest in treatment strategies for this viral entity.Medscape Gastroenterology eJournal 4(5) 2002

HIV/AIDS

Mitochondrial Toxicity

Chronic toxicities induced by NRTI agents appear to represent the consequences of mitochondrial dysfunction.HIV/AIDS Update 20022002

Management of Morphologic Changes During Antiretroviral Therapy

Removel of protease inhibitors from the regimen can provide modest benefits in some patients.

Clinical Role of HIV Replication Capacity Assay?

It is now possible to obtain information on the replicative capacity of patient virus, but how should we use this information when making treatment decisions?

HEMATOLOGY-ONCOLOGY

Conference Report - Central European Lung Cancer Conference

More care being diagnosed in many Eastern European countriesand rates are increasing in women across Europe.Medscape Hematology-Oncology eJournal 5(5) 2002

Treatment of CML: Thoughts After ASCO 2002

Dr. Talpaz discusses the latest advances in targeted treatment of CML as well as new therapeutic options, and proposes a treatment algorithm for CML.

Supportive Care of Cancer Patients: Hematopoietic Growth Factors

Dr. Ozer summarizes the results obtained in the management of anemia in cancer patients and discusses the ASCO recommendations for the use of G-CSF and GM-CSF.

INFECTIOUS DISEASES

Pandrug-Resistant Acinetobacter baumannii Causing Nosocomial Infections

Increasing use of carbapenems and ciprofloxacin and clonal dissemination might have contributed to spread.Emerg Infect Dis 8(8) 2002

Serologic Evidence of H1 Swine Influenza Virus Infection in Swine Farm Residents and Employees

Swine farmers may be an important sentinel population to evaluate emergence of new pandemic strains.

INTERNAL MEDICINE

Isoniazid for a Patient With a History of a Positive PPD?

The patient is currently taking 9 drugs in the following amounts for a variety of conditions.Medscape Internal Medicine 4(2) 2002

MONEY & MEDICINE

Journal Scan

Examine insurance coverage and IVF outcomes, OTC smoking cessation aids, and factors that lead to adverse drug events.Medscape Money & Medicine 3(2) 2002

HIPAA Privacy Regulations Will Require Changes in Practice

Providers will have to reconcile the differences between the HIPAA regulations and the existing federal confidentiality regulations that apply to addiction treatment.

Joint Commission Streamlines Requirements for Patients Safety

The JCAHO has decided that it will score the facilities it evaluates only on a select list of safety recommendations.

NEUROLOGY & NEUROSURGERY

Book Review - Pain: The Fifth Vital Sign

Marni 's new book looks at the science, the culture, and the meaning of pain.Medscape General Medicine 4(3) 2002

NURSING

Journal Scan

What drives nurses out of nursing? Read about the gap that persists between what nurses can do and what they are employed to do.Medscape Nurses 4(2) 2002

How Can I Expand My Practice to Include "Telehealth"?

Can I expand my practice by counseling via email and telephone and charge for these services?

Neonatal Lupus Erythematosus

Neonatal lupus erythematosus (NLE) was likely first reported in 1928 in two siblings with congenital heart block (CHB) born to a mother with Sjogren's syndrome (Aylward, 1928).

OB/GYN AND WOMEN'S HEALTH

Effects of Estrogens and SERMs on Cardiovascular Health in Postmenopausal Women

There has been an explosion of interest in potential clinical uses of selective estrogen receptor modulators, in part because of the limitations of conventional HRT regimens.Medscape Women's Health eJournal 7(5) 2002

Journal Scan - Lifestyle

Obesity, milk avoidance, vitamin A, selenium, alcohol consumption, and the "Western" diet are featured in this review of current literature.

Preconception Sex Selection

For centuries there has been an interest in trying to determine factors that affect the sex of offspring.

OPHTHALMOLOGY

MEDLINE Abstracts: Diabetic Retinopathy

What's new concerning treatment for diabetic retinopathy and macular edema?Medscape Ophthalmology 3(2) 2002

ORTHOPAEDICS

Adolescent Idiopathic Scoliosis

There are a number of treatment options for adolescent idiopathic scoliosis; which would be appropriate in this patient?Medscape Orthopaedics & Sports Medicine 6(2) 2002

PEDIATRICS

How Safe Is Methylphenidate in Preschoolers?

Follow the latest investigations to discover if this agent is safe for this population.The Brown University Psychopharmacology Update 13(9) 2002

PHARMACIST

Propofol Anesthesia Using Target-Controlled Infusion

Is a standard regimen of desflurane more cost-effective than TCI propofol for anesthesia maintenance?Am J Health-Syst Pharm 59(14) 2002

FDA Approvals - September 2002

The first in a series of monthly columns discussing recent Food and Drug Administration approvals.

PHARMACOTHERAPY

Air Travel and Venous Thrombosis: How Much Help Might Aspirin Be?

Are there potential benefits to taking aspirin before a trip?Medscape General Medicine 4(3) 2002

PRIMARY CARE

Treatment of Isolated Systemic Hypertension and Dyspnea in the Elderly

What is the best drug regimen to use for treatment? Medscape Primary Care 4(2) 2002

PSYCHIATRY

Conference Coverage - XII World Congress of Psychiatry

Participants discussed the broadening of the concept of bipolar syndromes, early interventions for schizophrenia, and more.

Copyright © 2002 Medscape

Are Two Monoamines Better Than One for Depression?

There are a small subset of studies, particularly involving inpatients with severe depression, that suggest such patients respond better to TCAs.

Adherence Issues and Solutions With Antipsychotic Therapy

Despite our ever-expanding and successful psychopharmacologic interventions, the majority of chronically ill patients do not take medications on a continuous long-term basis.

PULMONARY MEDICINE

Elevated End-Tidal Carbon Dioxide During Thoracoscopy

Read a case report that highlights a rare complication during thoracoscopy for biopsy and diagnosis.Medscape General Medicine 4(3) 2002

RADIOLOGY

Conference Coverage - Society of Nuclear Medicine

Experts survey milestones in PET scanning, new cancer therapies, molecular medicine, nuclear cardiology, and much more from SNM 2002. Copyright © 2002 Medscape

CT for Lung Cancer Screening

With the advent of helical computed tomography the possibility of accurate mass screening of at-risk populations has been revisited.

RHEUMATOLOGY

Treatment With NSAIDs for the Pain of Osteoarthritis

Patients and GPs appear to be united in their concern at the GI risks of NSAID treatments. Curr Med Res Opin 18(2) 2002

SURGERY

One-Stage Procedure for Complicated Diverticulitis?

In a situation of complicated diverticulitis (Hinchey stages I-IV), is it feasible to perform an emergency 1-stage procedure?Medscape Surgery 4(2) 2002

Treatment of Pseudomyxoma Peritonei?

Is there a role for chemotherapy in the patient with a CT scan and cytology suggestive of pseudomyxoma peritonei?

Quality of Complication Reporting in the Surgical Literature

Variability of accrual, display, and analysis of morbidity data argue for standardization of complication reporting.

TRANSPLANTATION

Conference Report - International Congress of The Transplantation Society

Evidence was presented at this meeting that delayed graft function, increased serum creatinine, and decreased GFR in the early posttransplant period are predictive of poor graft outcome.Medscape Transplantation 3(2) 2002

UROLOGY

Journal Scan

Penson, MD, highlights key findings from recent publications in urology, featuring the topics of prostate cancer and BPH.Medscape Urology 4(2) 2002

Ureteral Fibroepithelial Polyps

Several diagnostic options allow differentiation of these lesions from urteral malignancies.

Side Effects of Trimix Therapy

What are the concerns with side effects, such as scarring and fibrosis, for trimix therapy for erectile dysfunction?LATE-LIFE DEPRESSION: A 6-YEAR PROSPECTIVE STUDY

Examine the correlation between subthreshold depression in the

elderly and clinical outcomes. Review "The Natural History of

Late-Life Depression," featured in an original Medscape Journal Scan. NEW in the Depression Resource Center.

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