Week in Review - One Year Later: Medicine After September 11

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NEW FEATURES THIS WEEK

ONE YEAR LATER: MEDICINE AFTER SEPTEMBER 11

How has the practice of medicine changed since the attacks? How have healthcare professionals reacted and adapted and what questions remain to be answered?Medscape, 2002

ALLERGY/CLINICAL IMMUNOLOGY

JOURNAL SCAN

Does "silent" or low-dose chronic allergen exposure induce airway inflammation even with regular treatment of inhaled steroids? More in our look at the literature.

Medscape Allergy & Clinical Immunology 2(2) 2002

ACETAMINOPHEN (PARACETAMOL)-INDUCED ANAPHYLACTIC SHOCK

Does this agent cause anaphylaxis?

CARDIOLOGY

HRT, WOMEN, AND HEART DISEASE

The risks of heart disease among women are heavily prevalent and under-recognized. Read how to increase awareness.Medscape Cardiology 6(2) 2002

CONFERENCE COVERAGE - XXIVTH CONGRESS OF THE EUROPEAN SOCIETY OF CARDIOLOGY

Highlights include results of late breaking clinical trials, including GRACIA, PRAGUE-2, OPTIMAAL, GIPS, RITA-3, OCTAVE, and more.

CRITICAL CARE

QUALITY IMPROVEMENT PROGRAM ON WEANING FROM MECHANICAL VENTILATION

Changes in the process of weaning patients from mechanical ventilation may reduce the length of hospital stay and costs.

Crit Care Med 30(6) 2002

DERMATOLOGY

A LINGERING FACIAL RASH

A 23-year-old man has had a rash on his face for the past 18 months. What is your diagnosis? Medscape Dermatology 3(2) 2002

ERYTHEMA NODOSUM

Erythema nodosum is the most frequent clinico-pathological variant of the septal panniculitides.

CRANIOFACIAL HYPERHIDROSIS SUCCESSFULLY TREATED WITH TOPCIAL GLYCOPYRROLATE

How does this agent work?

DIABETES & ENDOCRINOLOGY

LEPTIN AND PUBERTAL DEVELOPMENT

Does leptin serve as a triggering signal for timing the onset of puberty, or is it merely a permissive modulator?Semin Reprod Med 20(2) 2002

FAMILY MEDICINE

RAPID STREP TESTING IN PATIENTS WHO HAVE HAD RECENT STREPTOCOCCAL PHARYNGITIS

Does the false-positive rate increase in patients with streptococcal pharyngitis because of presumed antigen persistence?J Am Board Fam Pract 15(4) 2002

GASTROENTEROLOGY

JOURNAL SCAN

Highlights include prevalence of BE in asymptomatic patients and diagnostic utility of serum AFP for HCV-related HCC.Medscape Gastroenterology 4(2) 2002

NEW INSIGHTS INTO THE MECHANISMS OF ANEMIA DURING INTERFERON ALFA/RIBAVIRIN THERAPY

Examine the mechanisms of anemia related to interferon alfa/ribavirin therapy.

BROADENING THE APPLICATIONS OF COX-2 SPECIFIC INHIBITION IN GASTROENTEROLOGY

Examine supporting data for the potential applications of COX-2 specific inhibitors for chemoprevention and in the treatment of specific malignancies.

HIV/AIDS

NEW DEVELOPMENTS IN THE MANAGEMENT OF HEPATITIS B VIRUS/HIV COINFECTION

Ray Chung, MD, reviews HBV-related liver disease and the role of current and forthcoming antiviral medications.Medscape HIV/AIDS eJournal 8(5) 2002

SERUM LDH LEVEL AS A CLUE TO THE DIAGNOSIS OF HISTOPLASMOSIS

Could a serum LDH level be used as an adjunct clinical marker to differentiate between histoplasmosis and PCP?

SIGNIFICANCE OF HIV/HTLV COINFECTION?

What is the significance of a positive screen for HTLV-1 or HTLV-2 in an HIV-infected individual?

HEMATOLOGY-ONCOLOGY

TREATMENT OPTIONS FOR SQUAMOUS CELL CARCINOMA OF THE BREAST?

A 41-year-old patient underwent a modified radical mastectomy for a high-grade squamous cell carcinoma of the breast.Medscape Hematology-Oncology 5(2) 2002

THE MRNA EXPRESSION OF COX-2 AND VEGF IN HUMAN BREAST CANCER

There is growing evidence that COX-2 plays an important role in carcinogenesis and angiogenesis of human tumors.

TREATING ISOLATED BILATERAL AXILLARY LYMPH NODE POSITIVITY?

What would you recommend for a 44-year-old woman with bilateral axillary lymph node positivity?

INFECTIOUS DISEASES

PFIESTERIA COMPLEX ORGANISMS AND HUMAN ILLNESS

Evaluate the threat that PCOs pose to human health and clarify misconceptions concerning these organisms. South Med J 95(7) 2002

MED STUDENTS

ACGME SETS NEW DUTY-HOURS STANDARDS FOR ALL RESIDENTS

Effective July 2003, all specialties will be limited to 80 hours weekly.Medscape Medical News 2002

ECHO CASE OF THE WEEK

A 64-year-old male presents with syncope and fatigue.

MOLECULAR MEDICINE

PATHOLOGIC DIAGNOSIS OF NEEDLE CORE BIOPSIES OF BREAST

Review the differential diagnosis of lesions on needle core biopsies and guidelines for the pathologic reporting of these specimens.

Am J Clin Pathol 118(1) 2002

THERAPEUTIC CANCER VACCINES

Immunotherapy for cancer is in a transition state.

MONEY & MEDICINE

JOURNAL SCAN

This month's Journal Scan examines state prescription drug coverage plans for seniors, capitation, and more.Medscape Money & Medicine 3(2) 2002

PRACTICES FIND STAFF CUTBACKS A POOR SOLUTION

Reducing doctors' support also reduces revenue.

WHY IS THERE A QUALITY CHASM?

The barriers to good performance are more fundamental than the lack of organized systems.

NEUROLOGY & NEUROSURGERY

ALLOGRAFT VERSUS AUTOGRAFT IN INSTRUMENTED POSTOLATERAL LUMBAR SPINAL FUSION

Evaluate the clinical outcome respective of the type of bone graft used in patients undergoing lumbar spinal fusion.Spine 27(15) 2002

ALPHABET SOUP: APPROACH TO THE "ABCNR" DRUGS IN MULTIPLE SCLEROSIS

Read the author's practical suggestions for utilizing clinical trials of new drugs in the management of MS.

NURSING

WHAT SHOULD I KNOW ABOUT USING A SIGNATURE STAMP?

Can I use a signature stamp with or without a signature? What are the legal issues?Medscape Nurses 4(2) 2002

OPHTHALMOLOGY

JOURNAL SCAN

Highlights include 2 new studies on LASIK surgery, including results in patients with dry eye and a new complication.Medscape Ophthalmology 3(2) 2002

ORTHOPAEDICS

JOURNAL SCAN

In this issue: botulinum toxin for tennis elbow, repairing meniscal tears in the avascular zone, and more.Medscape Orthopaedics & Sports Medicine 6(2) 2002

PEDIATRICS

MENINGOCOCCUS SEROGROUP C CONJUGATE VACCINE

What is the immunologic memory after infant vaccination or response to a first dose at 4 years?Pediatr Infect Dis J 21(8) 2002

OUTBREAK OF MEASLES - VENEZUELA AND COLOMBIA, 2001-2002

Until global measles eradication is achieved, countries in the Americas are vulnerable to importations.

PHARMACIST

DIRECTLY OBSERVED ANTIRETROVIRAL THERAPY FOR INJECTION DRUG USERS WITH HIV INFECTION

What are the best methods of individualized therapy for IDUs?AIDS Read 12(7) 2002

TRAINING REQUIREMENTS AND OPPORTUNITIES IN PLANNING RESPONSES TO BIOTERRORISM

An effective response to a bioterroism attack requires prepared, well-trained, local responders.

PHARMACOTHERAPY

THE ROLE OF LOSARTAN IN COST-EFFECTIVE HYPERTENSION CONTROL

Inadequate control of hypertension in the USA has had significant consequences in terms of healthcare costs. Curr Med Res Opin 18(3) 2002

PRIMARY CARE

RECURRENT RASH RELATED TO MENSTRUAL CYCLE

After Norplant removal 1 year ago, my patient has had the same rash monthly at the start of her menstrual cycle.Medscape Primary Care 4(2) 2002

PULMONARY MEDICINE

VENTILATOR MANAGEMENT FOR NEUROMUSCULAR DISEASE

In many neuromuscular disorders, respiratory insufficiency is a major cause of morbidity and mortality.Semin Respir Crit Care Med 23(3) 2002

RHEUMATOLOGY

BIOLOGIC THERAPIES FOR RHEUMATOID ARTHRITIS

The ideal therapy for rheumatoid arthritis may be in the future, but inflammatory mediators, monotherapy and combination therapy show positive results for patients now. Copyright © 2002 Discovery International

POSITIVE ANA, DSDNA, AND ANCA IN MALIGNANCIES

Has the presence of positive ANA been investigated in malignancies and if so, what does the literature say?

SURGERY

JOURNAL SCAN

Is surgery getting safer? Read about this and more in this month's scan.Medscape Surgery 4(2) 2002

TRANSPLANTATION

JOURNAL SCAN

Improving the immunosuppressive regimens of high-risk AA patients could boost their allograft survival rates. More in this month's scan.Medscape Transplantation 3(2) 2002

COMPLICATIONS FOLLOWING SPLIT-LIVER TRANSPLANTATION: A PEDIATRIC CASE STUDY

Review this case of split-liver transplantation for hepatic failure and find out about treatments for complications.

POSTTRANSPLANT VIRAL SYNDROMES IN PEDIATRIC PATIENTS: A REVIEW

A case study shows the delicate balance of treating concomitant varicella infection at the time of transplantation.

UROLOGY

THE CHOICE OF ANTIHYPERTENSIVE DRUGS IN PATIENTS WITH ERECTILE DYSFUNCTION

It is well established that hypertension and the more traditional anti-hypertensive drugs are associated with erectile dysfunction.

Curr Med Res Opin 18(2) 2002

WOMEN'S HEALTH

CONTROVERSY RAGES OVER BREAST CANCER SCREENING: A NEWSMAKER INTERVIEW WITH MICHAEL BAUM, MD

The researcher and policy-maker provides a global perspective on the debate.Medscape Medical News 2002

GENETIC TESTING FOR BREAST AND OVARIAN CANCER: EVIDENCE ABOUT OCS

Can genetic testing provide useful information to women who are weighing contraceptive choice against hereditary risk?

IPRIFLAVONE SUPPLEMENTATION FOR OSTEOPOROSIS PREVENTION AND TREATMENT?

Is ipriflavone a safe and effective agent for prevention and treatment of osteoporosis in postmenopausal women?TREATMENT TARGETS FOR HYPERTENSION IN THE ELDERLY

Examine the role of toll-like receptors in the pathogenesis of sComorbid disease states pose special challenges when treating

hypertension. Review ?High Blood Pressure in the Geriatric

Population: Treatment Considerations,? NEW in the Chronic Kidney

Disease Resource Center.

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