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MEDSCAPE Ophthalmology MedPulse® www.medscape.com/ophthalmologyhome MedPulse is a weekly index of key news and features on Medscape's specialty sites compiled by Medscape's Editors.

Medscape CME: Over 200 activities available now in our CME Center:Click here for the CME in your specialty: CME Center

FROM THE EDITOR

This month's Journal Scan features a discussion of a possible alternative treatment to corticosteroids for acute uveitis, among others. click here In other articles, read about the fairly common eyelid condition blepharitis, and look to solve the diagnosis of an infant with an orbital mass.Medscape is pleased to announce that we have fully resolved a technical issue that has been reported by several subscribers in the past few months. If you have had difficulty following links from this e-mail message into Medscape, please try again this week. You should find that you can now access our site without difficulty. If you do not remember your password, you can write to us from this page: click here and we will send it to you right away. If you have continued difficulty, please contact us at mpmailings@... . Otherwise, welcome back!Charlotte WarrenEditor, Medscape OphthalmologyOphthalmologyeditor@...

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Journal Scan - Ophthalmology, January 2003 This month's Journal Scan discusses findings in the treatment of uveitis, complications following cataract surgery, and occlusion therapy for amblyopia, among others.Medscape Ophthalmology 4(1) 2003Blepharitis and Proper Eyelid Hygiene Blepharitis is a chronic condition in which the eyelid margins are inflamed. US Pharmacist 27(12) 2002Infant With Orbital Mass A 9-month-old male presents with orbital mass. What is the diagnosis?Appl Radiol Online 1(3) 2002Literature Monitor Undergoing cataract surgery may help an older driver avoid motor vehicle crashes, suggest the findings of a prospective cohort study based in Alabama.Clinician Reviews 12(11) 2002Bilateral Phakic Cystoid Macular Edema Associated With Crohn's Disease Crohn's disease is a disorder of unknown cause usually affecting young adults.South Med J 95(9) 2002INSTANT POLL Coordinated or Fragmented Healthcare? In a Medscape Instant Poll that launched Jan. 9, 50% of you said that the recent trend toward care by both physician and nonphysicians represents better coordination of care. But 49% said they think it represented increased fragmentation of care. As of Jan. 9, a total of 157 respondents had taken part in this poll. To take part in the poll or view the results, click on the title above. The poll ends Jan. 16.

PATIENT SAFETY: CALIFORNIA'S PROPOSED NURSE-PATIENT RATIOSTake a closer look at California's proposed nurse-patient ratiosand possible implications for patient care. Review the original Medscape article "California Attacks Nurse Staffing Shortage," NEW in the Patient Safety Resource Center.

NEWS

Intimate Examinations Under Anesthesia: A Newsmaker Interview With Clive , MD, FRCP, ILTM When it comes to getting informed consent for pelvic or rectal exams as a teaching tool, we need to follow written guidelines to bring medical ethics into the 21st century.Medscape Medical News 2003Increased Utilization of Nonphysician Clinicians: A Newsmaker Interview With G. Druss, MD, MPH For most patients, this supplements care by physicians, which can be a benefit provided care is coordinated rather than fragmented.Medscape Medical News 2003ACE Inhibitor Therapy Does Not Slow Progression of Diabetic Retinopathy Although the renin angiotensin system has been implicated in the pathogenesis of diabetic retinopathy, treatment with ACE inhibitors does not appear to stop the disorder from progressing from moderate to severe in type 2 diabetics, according to a recent report.Reuters Health Information 2003Increase in Nonphysician Care Has Not Decreased Physician Visits in US From 1987 to 1997, the proportion of patients in the US who were treated by nonphysician clinicians increased. Despite this increase, patient visits to traditional physicians did not decrease during this time period, according to new study findings.Reuters Health Information 2003Bill Introduced to Ban Human Cloning Legislation could hinder the development of new therapies.Medscape Medical News 2003Drug Firms Plead Case for Therapy Amid Cloning Debate Drug companies pioneering the use of stem cells to treat incurable diseases are pleading the case for cloning research amid a furor over claims by the Raelian UFO sect to have created two cloned infants.Reuters Health Information 2003HHS Appoints Members of Human Research Protection Committee The US Department of Health and Human Services (HHS) said on Friday that Secretary Tommy has named 11 doctors, scientists, and health experts to his Advisory Committee on Human Research Protection.Reuters Health Information 2003Racism Should Be a Public Health Issue Antiracism initiatives are needed, but the need is slow to be recognized, say officials.Medscape Medical News 2003

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Dermatology MedPulse®

www.medscape.com/dermatologyhome

MedPulse is a weekly index of key news and features on Medscape's specialty sites compiled by Medscape's Editors.

Instant Certificates: Medscape's CME Certificates are delivered on-line when you complete the activity

Click Here: Medscape CME Center

FROM THE EDITOR

Medscape CME

Have you taken advantage of Medscape's online CME programs? They are an efficient way to update your knowledge and earn CME credits right at your office or home computer. I invite you to explore our CME Dermatology offerings, including a CME Circle program on onychomycosis by K. Scher, MD, FACP, past president of the American Academy of Dermatology, and a Medscape Clinical Update on topical retinoids by Diane Berson, MD.

Best regards,

Editor, Medscape Dermatology

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Dermatology

In this issue: prescription sequence symmetry analysis of isotretinoin; permethrin-resistant head lice; curettage prior to Mohs surgery for BCCs, and more. Medscape Dermatology 4(2) 2003

CME FOCUS

Progression and Recurrence of Onychomycosis

Explore the pathophysiologic features of onychomycosis, appropriate diagnostic procedures, and effective treatment modalities.

Topical Retinoids in Primary Care Practice

Review the history of the development of topical retinoids, and explore how a new generation of compounds can offer efficacy without excessive irritation.

NEW JOURNAL ARTICLES

Combination TL01 Ultraviolet B Phototherapy and Topical Calcipotriol for Psoriasis: A Prospective Randomized Placebo-Controlled Clinical Trial

Both ultraviolet (UV) B phototherapy and topical calcipotriol are established treatment modalities for psoriasis.Br J Dermatol 149(1) 2003

Long-Term Dermoscopic Follow-Up of Melanocytic Naevi: Clinical Outcome and Patient Compliance

Recently, the clinical efficacy of short-term follow-up of melanocytic naevi (MN) using digital dermoscopy was demonstrated.Br J Dermatol 149(1) 2003

Imiquimod and the Treatment of Cutaneous T-Cell Proliferative Diseases: At the Threshold

Every medical student knows, as does most of the lay public, that cancer is treated best by eliminating the diseased tissue as early as possible, yet the recommended management schemes for cutaneous T-cell lymphoma (CTCL) rely heavily on suppression, rather than elimination, of the disease.SKINmed 2(5) 2003

In the Pipeline: FDA Advisory Committee Reviews

Raptiva is approved. AdComm Bulletin 1(9) 2003

Update on Juvenile Dermatomyositis: New Advances in Understanding Its Etiopathogenesis

Juvenile dermatomyositis (JDM) is the most common of the idiopathic inflammatory myopathies in children, accounting for 85% of the pediatric inflammatory myopathy group.Curr Opin Rheumatol 15(5) 2003

INDUSTRY TO HHS: HIPAA GUIDANCE IS INCOMPLETE

HHS's guidance document attempts to walk a fine line between

urging compliance for all covered entities by the impending

deadline and creating some needed flexibility for those who

will be unable to conduct all transactions electronically.

Read more about this controversy in the "Latest from the

Literature" section of the HIPAA Compliance Resource Center.

LATEST CONFERENCE COVERAGE ON GENITAL HERPES

Important new data from 2 herpes studies were among the findings presented at the International Society for Sexually Transmitted Disease Research Congress. Read "Epidemiologic and Therapeutic Data Point to Opportunities for Improved STD Control." NEW in the "Focus On" section of the Genital Herpes Resource Center.

NEWS

Selenium May Raise Risk of Squamous Cell Skin Cancer in at-Risk Individuals

In patients with a history of nonmelanoma skin cancer, selenium use does not prevent basal cell cancer and may actually raise the risk of squamous cell cancer, new research suggests.

Physicians Not Immune From Anti-Fat Bias: A Newsmaker Interview With Schwartz, PhD

Even health professionals specializing in obesity exhibit an automatic anti-fat bias, although the level of bias is lower than in the general community.Medscape Medical News 2003

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Medscape DrugInfo provides clinical information on drug indications, adverse effects, interactions, and other cautionary guidance, as well as handouts for your patients. Click DrugInfo from the top of any page, or search by drug name.

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