Guest guest Posted November 12, 2003 Report Share Posted November 12, 2003 MedStudent MedPulse® www.medscape.com/medstudentshome MedPulse is a weekly index of key news and features on Medscape's specialty sites compiled by Medscape's Editors. WHY PAY for CME when Medscape CME is credible, convenient and FREE? Click here ALSO IN THIS ISSUE:NEWSMEMBER NEWSUSER SUPPORT NEW FEATURES THIS WEEK Instant Poll - Advance Directives In a Medscape Instant Poll that launched Oct. 31, 80% of respondents said they are now more likely to recommend that patients have an advance directive or living will given the recent controversy over Terri Schiavo. But 17% said they won't make any change in the level of advice. As of Nov. 6, a total of 1,092 respondents had taken part in this poll. To view the full results of the poll, which ends on Nov. 8, click on the title above.Medscape 2003 Pediatric CT Scanning: State-of-the-Art Is this child afflicted with metastatic disease, adrenal adenomas, or adrenal hemorrhage? CT is us 4(9) 2003 ECG of the Week Which disease could cause the abnormalities in the electrocardiogram?Medscape Cardiology 7(2) 2003 Imaging the "Acute Abdomen": A New Gold Standard The differential diagnosis in this case includes cancer, Crohn's disease, and appendicitis. Can you characterize the nature of this patient's disease on the basis of this study?CT is us 4(9) 2003 Hepatoma or Aneurysm? Can you postulate a diagnosis on the basis of these arterial phase CT scans? Another in the series of teaching quiz cases for referring physicians from the files of Elliot Fishman, s Hopkins...CT is us 4(9) 2003 Metastatic Disease or Giant Cell Tumor This case spotlights the imaging evaluation of a 60-year-old man who reports pain symptoms to his primary care physician. CT is us 4(9) 2003 Normal or Abnormal Study? Can you make the diagnostic call on the basis of the state-or-the art CT scans in this case? Does this protocol depict an abnormal study or are these normal postoperative findings?CT is us 4(9) 2003 A Pancreatic Emergency A 47-year-old, previously healthy woman presents to the emergency department with epigastric pain that started 2 hours earlier and has been gradually increasing in severity. Medscape General Medicine 5(3) 2003 PET Case Cavalcade, Case XIII: Assessing Postoperative Oncology Patients The use of FDG-PET scanning in this case allowed the oncology team to tailor a definitive therapeutic approach that culminated in a favorable outcome.Medscape Radiology 4(2) 2003 LATE-BREAKING TRIALS FROM THE ESC CONGRESS 2003 Shepherd, MD, comments on the CHARM, EUROPA, and SPORTIF III studies, as well as the effects of combination therapy and the pleiotropic properties of statins. Read "Tales From The Vienna Congress - Late-Breaking Clinical Trials and Other Considerations." NEW in the "Focus On" section of the Hyperlipidemia Resource Center. NEWS Cannabis Has Mixed Effect on Multiple Sclerosis Symptoms In a randomized trial, the objective measure of spasticity was not improved, but patients subjectively reported less pain and improved mobility.Medscape Medical News 2003 Women Lead Applications to U.S. Medical Schools More people are applying to medical schools in the United States, and women outnumber men for the first time, according to a report issued on Tuesday.Reuters Health Information 2003 Overhaul of Medical System Should Focus on Risk Assessment, Prevention Duke University plans to test a model that creates personal health plans aimed at detecting and preventing chronic disease. Medscape Medical News 2003 U.S. Lawmakers Propose to Suspend Approval of Abortion Pill A day after President Bush signed into law the first-ever federal ban on a specific abortion procedure, more than 50 U.S. House members unveiled a bill to temporarily ban the abortion pill RU486 (mifepristone).Reuters Health Information 2003 Warfarin Safe, Effective for Thrombosis Prophylaxis in Children In the first published study of its kind, warfarin effectively prevented central venous access device-related thrombosis in children receiving chronic total parenteral nutrition.Medscape Medical News 2003 AAP Reverses Guidance on Ipecac for Poisoning Newly issued guidelines from the pediatrician group urge parents to stop using syrup of ipecac.Medscape Medical News 2003 FDA to Revisit Cloned Food Safety Data Amid Concerns The U.S. Food and Drug Administration will revisit its preliminary determination that food from cloned animals is safe for consumers after several independent science advisers raised questions about the finding, a senior agency official told Reuters on Wednesday.Reuters Health Information 2003 New Form of Severe Combined Immunodeficiency Identified Canadian researchers have identified a new form of severe combined immunodeficiency (SCID) that is due to a mutation in the CD3delta gene, which codes for a chain found in the T-cell receptor complex.Reuters Health Information 2003 Federal Judge Blocks New Abortion Law for Some Doctors A federal judge in Nebraska on Wednesday blocked a new anti-abortion law from being enforced against some physicians and their affiliates, minutes after it was signed by President Bush.Reuters Health Information 2003 Low Blood Levels of Vitamin C Linked to Mortality In a study of randomly selected British persons aged 74 to 84 years, low blood level of this antioxidant but not of other antioxidants was strongly predictive of mortality. Medscape Medical News 2003 ACE Inhibitor Therapy After MI Reduces Mortality in Diabetics In the year following an MI, diabetic patients treated with an ACE inhibitor are 53% less likely to die than their peers not treated with these drugs, new research shows. Moreover, diabetics appear to benefit more from such therapy than nondiabetics.Reuters Health Information 2003 World Health Body Says SARS Vaccine Will Take Time Trials of a SARS vaccine may start in January, but that will not be soon enough to produce a vaccine for use this winter if the virus returns to the northern hemisphere, the World Health Organization (WHO) said on Wednesday.Reuters Health Information 2003 Heart Disease Risks Should Be Addressed in Childhood Two studies confirm that childhood risk factors predispose to increased carotid intima-media thickness, a surrogate for early atherosclerosis.Medscape Medical News 2003 Single-Dose IM Dexamethasone Alone Effective for Acute Asthma Dexamethasone administered intramuscularly may be as effective as a 5-day course of prednisolone.Medscape Medical News 2003 Resistance Training Improves Glucose Disposal in Type 2 Diabetes In a randomized trial, this modality added to aerobic training reduced insulin resistance in postmenopausal obese women.Medscape Medical News 2003 Prodromal Symptoms of Myocardial Infarction May Be Atypical in Women Unusual fatigue may be a warning symptom preceding MI by up to one month, according to the results of a retrospective study in a predominantly white population.Medscape Medical News 2003 Women Diagnosed With Breast Cancer Should Stop HRT Withdrawal of HRT is associated with regression of ER-positive tumors as determined by changes in cytokines and other markers of cellular proliferation. Medscape Medical News 2003 CD4 Counts, HIV Level Can Be Measured in Dried Blood Whole blood applied to filter paper and dried can be used to measure CD4 lymphocyte counts and viral load of HIV-infected patients, new study findings suggest.Reuters Health Information 2003 Oral Prednisolone May Be Ineffective for Acute Wheezing in Children Based on a randomized controlled trial in outpatients aged 1 to 5 years, the investigators recommend changing the guidelines for steroid use in children with asthma.Medscape Medical News 2003 Pharmacotherapy for Alcohol Dependence: An Expert Interview With Bowden, MD New research with topiramate, an anti-epileptic, offers possibilities for the treatment of alcoholism. Medscape Medical News 2003 Pregnancy After Age 50 Poses Significant Risks to the Fetus Childbearing beyond maternal age 50 is associated with significantly increased risks for the fetus, suggest results of a study published Friday in the journal Obstetrics and Gynecology.Reuters Health Information 2003 BRCA1 Mutations Only Predict Poor Cancer Prognosis When Chemo Not Given In a study of Ashkenazi women with breast cancer, BRCA1 mutations were associated with reduced survival, but only among patients not treated with adjuvant chemotherapy.Reuters Health Information 2003 COPD Rates Rise Sharply Among US Women The relatively recent rise in death rates from COPD is almost entirely due to an increased prevalence of the disease in women, according to Dr. A. Buist of the Oregon Health & Science University, Portland.Reuters Health Information 2003 Estrogen Receptor Gene Variant Tied to Increased MI Risk People who are homozygous for a certain estrogen receptor allele are three times more likely than others to experience a myocardial infarction (MI), according to a report in the November 5th issue of the Journal of the American Medical Association.Reuters Health Information 2003 3D CT an Alternative to Catheterization in Neonatal Heart Defect Diagnosis The scan was a mean duration of 6 seconds, few of the infants required sedation, and none required intubation.Medscape Medical News 2003 Cervical Cancer Risk Remains High Over Time After Detection of HPV The risk of developing high-grade squamous intraepithelial cervical lesions (SILs) remains high over time after women become persistently infected with human papillomavirus (HPV), according to a report in the American Journal of Epidemiology for November 2nd.Reuters Health Information 2003 Infants' Platelet Serotonin Levels Unchanged After Exposure to Fluoxetine Despite marked declines in platelet serotonin uptake in mothers treated with fluoxetine for postpartum depression, there is little effect on their nursing infants, according to a study in the November issue of Pediatrics.Reuters Health Information 2003 MEMBER NEWS COMPREHENSIVE, PRINTABLE DRUG INFORMATION 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. Not a member? Click here to sign up for FREE Medscape membership. USER SUPPORT Unsubscribe from this newsletter. Subscribe to this newsletter. Forgot your login info? Cannot read this newsletter? Prefer the TEXT version? www.medscape.com/px/registration/updateemail Difficulty linking to a news story? Need additional support? .. Quote Link to comment Share on other sites More sharing options...
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