Week in Review - Aggression Management

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www.allheart.com FROM THE EDITORThis week, read about LIFE-ISH, CARMEN, new indications for exercise testing, and more with our in-depth coverage of the European Society of Cardiology Congress click here Also, check out the latest in aggression management from Medscape Psychiatry click here

Comments? Questions? Email weekinrevieweditor@... If your problem is of a technical nature, contact mpmailings@...

Mindy Hung

Editor, Medscape Today

ALSO IN THIS ISSUE:MEMBER NEWSUSER SUPPORT

NEW FEATURES THIS WEEK

ALLERGY/CLINICAL IMMUNOLOGY

Patient-Centered Approaches to Asthma Management

Review strategies for the outpatient treatment and management of asthma. South Med J 95(7) 2002

Bee Sting Allergy and Polymyalgia

Is there a relationship between bee sting allergy and polymyalgia?

Self-Reported Increase in Asthma Severity After the Sep 11 Attacks

Increased severity was more common among asthmatics reporting psychological distress associated with the attacks or difficulty breathing because of smoke and debris during the attacks.

CARDIOLOGY

Conference Coverage - ESC 2002 Highlights Session

Read about hypertension, imaging, arrhymthmias, ACS, intervetional cardiology, and more in our coverage of the European Society of Cardiology Congress.Medscape, 2002

Journal Scan - Advances in European Research

Findings include an examination of the dangers of ventricular arrhythmias in athletes.

DERMATOLOGY

Dapsone

Since the 1940s, dapsone has been the principal drug in a multidrug regimen recommended by the World Health Organization for the treatment of leprosy. Dermatol Online J 8(1) 2002

DIABETES & ENDOCRINOLOGY

A 33-Year-Old Man With Polyuria, Polydipsia, and a Scalp Lesion

Follow this man's case through evaluation, diagnosis, and treatment.Medscape Diabetes & Endocrinology 4(2) 2002

Readiness to Change and Clinical Success in a Diabetes Educational Program

Can a tool be used to tailor the most effective clinical diabetes interventions for patients?

Diabetes Contributes to Cholesterol Metabolism Regardless of Obesity

This study finds evidence that diabetes modulates cholesterol metabolism more than obesity alone.

FAMILY MEDICINE

September 11: Looking Back, Moving Forward

One year later, family physicians see improvements in patients struggling with the aftermath.Medscape Family Medicine 2(2) 2002

GASTROENTEROLOGY

Diagnosis and Management of Hepatitis C

Bernstein, MD, provides a state-of-the-art guide to the diagnosis and management of this disease entity. Copyright © 2002 Medscape

HIV/AIDS

Resistance: From Bench to Bedside

Interpretation now appears to be a crucial factor for clinical utility of both genotypic and phenotypic testing. HIV/AIDS Update 2002 2002

Local Arterial Infusion of Amphotericin B for Refractory Aspergillosis

Why is this 41-year-old man with HIV infection and cytomegalovirus retinitis complaining of a intractable headache?

Entry Inhibitors

Entry inhibitors hold significant promise, especially for patients who have experienced most currently available agents.

HEMATOLOGY-ONCOLOGY

Basosquamous Carcinoma of the Supraglottic Larynx With Sudden Death From Asphyxia

What should you be looking for? South Med J 95(7) 2002

Ovarian Ablation After Chemoradiation for Poorly Differentiated Ductal Carcinoma?

A 32-year-old woman underwent mastectomy for excision of a T3N1M0 poorly differentiated ductal carcinoma.

INFECTIOUS DISEASES

Journal Scan

This month's scan looks at new strains of bacteria and exacerbations of COPD, primary therapy for invasive aspergillosis, an elegant method for extracting bot-fly larvae, and much more.Medscape Infectious Diseases 4(2) 2002

Are We Prepared? Interviews With Leading Experts

We spoke with people involved in this field to find out how far we have come and how much further we need to go.

MOLECULAR MEDICINE

When Did Leptin Become a Reproductive Hormone?

Studies have shown leptin to be associated to metabolism, satiety, and energy metabolism, as well as reproduction.Semin Reprod Med 20(2) 2002

Dual Sampling of the Endocervix and Its Impact on AutoCyte Prep Endocervical Adequacy

Read about the adequacy of Autocyte Prep in detecting LSILs and HSILs in cervical smears.

Liver Biopsy in the Diagnosis of Hepatic Iron Overload

Does stainable iron in a liver biopsy represent hereditary hemochromatosis or some other form of hepatic iron overload?

MONEY & MEDICINE

Most Americans Recovering From 9/11 Stress Symptoms, Study Finds

Some groups, notably minorities, people in poor health, and New York City residents, are still struggling with stress.Medscape Money & Medicine 3(2) 2002

After 9-11 -- Interview With Roxane Cohen Silver, PhD

Coping strategies were the strongest predictive factor for persistent symptoms of PTSD.

Guidelines for Handling Conflicts of Interest

Since it's impossible to eliminate all conflicts of interest, we must focus on ways to identify and resolve them.

NEUROLOGY & NEUROSURGERY

Bilateral Decompressive Surgery in Lumbar Spinal Stenosis Associated With Spondylolisthesis

Assess the feasibility and efficacy of treating spondylolisthesis-related spinal stenosis via unilateral approach bilateral decompression.

Neurosurg Focus 13(1) 2002

Maladies in Musicians

Certain medical ailments occur with increased frequency among musicians and can affect musicians of all ages and ability

Choosing the Right Dopamine Agonist for Patients With Parkinson's Disease

DAs are assuming an increasing importance in the treatment of both early and advanced symptoms of PD.

NURSING

Nursing in Israel: Life as a Kibbutz Nurse

In this email interview, learn about practicing as a nurse on a kibbutz.Medscape Nurses 4(2) 2002

ORTHOPAEDICS

Degenerative Disc Disease Treated With Combined Anterior and Posterior Arthrodesis and Posterior Instrumentation

Review the outcome of 58 patients diagnosed with severe low back pain secondary to degenerative disc disease.Spine 27(15) 2002

PEDIATRICS

Journal Scan

Compare strategies to prevent early-onset GBS disease in neonates, learn about risperidone for autism, maternal bone lead and fetal toxicity, and the effect of welfare reform on the health of young children.Medscape Pediatrics 4(2) 2002

Fluoroquinolones in Complicated Pediatric UTI

Review the information available on the use of this agent and its potential for management of complicated infections.

Angels on the Web: Free Flight for Patients in Need

Pilots donate time and money for free air travel on private aircraft for the poor or those too ill for regular flights.

PHARMACIST

Applying Human Factors in Improving Medication-Use Safety

By applying HF to existing systems, healthcare professionals can improve medication-use safety by reducing human errors.Am J Health-Syst Pharm 59(12) 2002

PHARMACOTHERAPY

Risk Markers for Thrombocytopenia in Critically Ill Patients: A Prospective Analysis

What are the specific diagnoses of patients with this disease?Pharmacotherapy 22(7) 2002

PRIMARY CARE

September 11 Commemoration: Comments From Medscape Readers

Readers tell us of the changes they've noticed in their lives and their practices since September 11.Medscape Primary Care 4(2) 2002

PSYCHIATRY

Aggression Management: Childhood to Old Age

Aggression and violence are particularly prevalent among those who are severely and persistently mentally ill. Copyright © 2002 Medscape

PTSD: The Trauma After the Trauma

One year after September 11, what have we learned about PTSD and the impact of the terrorist attacks? Medscape Psychiatry Editor Kennedy talks about what we know and what we still don't.

RADIOLOGY

Clinical Quiz

What is the diagnosis of a 20-year-old woman who presented with left mid-foot pain and swelling?Appl Radiol 31(6) 2002

SURGERY

Is the Lichtenstein Procedure Indicated in a Patient With Atrophic Right Testicle in the Superior Inguinal Pouch?

What are the best treatment options for an atrophic testicle in the superior inguinal pouch?Medscape Surgery 4(2) 2002

Major Bile Duct Injuries Associated With Laparoscopic Cholecystectomy: Effect of Surgical Repair on Quality of Life

Most surgically repaired patients will have a successful outcome by standard clinical parameters, but is their QOL impaired?

TRANSPLANTATION

Issues in Xenotransplantation: An Expert Interview With Platt, MD

Steady advances in the field are gratifying to researchers under fire by public-interest groups in favor of banning xenotransplantation.Medscape Medical News2002

Pediatric Kidney Transplantation: Growth, Development, and Nursing Implications

Explore the complex issues related to the growth and development of pediatric kidney transplant recipients.

Renal Transplantation in the Elderly?

Is a 69-year-old man with stable chronic renal insufficiency, on dialysis for 2 years, a kidney transplant candidate?

UROLOGY

Thin-Glomerular-Basement-Membrane Nephropathy: Is It a Benign Cause of Isolated Hematuria?

Histopathology is often unremarkable, except for diffuse thinning of the glomerular basement membrane.South Med J 95(7) 2002

WOMEN'S HEALTH

Management of Hypertensive Emergencies of Pregnancy by Hydralazine Bolus Injection vs Continuous Drip -- A Comparative Study

Bolus injection proves superior in this small study.Medscape Women's Health eJournal 7(5) 2002FIVE MILLION FAILING HEARTS, NEW THERAPEUTIC ADVANCES

"New Help for Failing Hearts" helps patients understand heart

failure, including new treatment options. From the physicians

at WebMD Health and featured in the "