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

Over the years, you've come to trust THE LITTLE BLUE BOOK as the accurate, pocket-sized directory of local Physician and Pharmacy Phone Numbers, HMO Affiliations, UPINs and much more. For added convenience, get the 2003-04 edition online at www.thelittlebluebook.com.

ALSO IN THIS ISSUE:NEWSMEMBER NEWSUSER SUPPORT

NEW FEATURES THIS WEEK

ECG of Week

Which electrolyte problem does this tracing strongly suggest?Medscape Cardiology 7(2) 2003

Hysterectomy vs Uterine Fibroid Embolization: A Matter of Ethics

I want answers, apologies, and action. References to research like this should be removed from MEDLINE, or researchers will be referencing a study that purports to be randomized but in fact is not.Medscape Radiology 4(2) 2003

Left Hand Numbness

A 50-year-old woman with a history of diabetes and hypertension presents with a chief complaint of left hand numbness. Test your neuroimaging acumen to diagnose this patient.Medscape Neurology & Neurosurgery 5(2) 2003

Remembering September 11, 2001: A Global Critical Care Community Reaches Out

A look back at one critical care Internet community's reaction to disaster.Medscape General Medicine 5(3) 2003

QUALITY-OF-LIFE MEASUREMENTS IN JUVENILE RHEUMATOID ARTHRITIS

A striking positive effect of etanercept therapy was observed on

physical activity and perceived energy level in patients with JRA.

Read all about this excitiing discovery in "Quality-of-Life

Measurements in Juvenile Rheumatoid Patients Treated With

Etanercept," NEW in the Focus On section of the Rheumatoid

Arthritis Resource Center.

NEWS

Heart Autotransplant: A Newsmaker Interview With S. Gammie, MD

In the first procedure of its kind in the US, surgeons removed and reconstructed a woman's heart to treat and prevent recurrence of atrial myxoma associated with Carney's syndrome.Medscape Medical News 2003

Diuretic Recommended Over Alpha-Blocker as First-Line Antihypertensive Therapy

Complete information from the ALLHAT study reinforces the benefit of thiazide-type diuretics over doxazosin, and probably other alpha-blockers, for the treatment of hypertension in patients at risk for cardiovascular disease (CVD) events.Reuters Health Information 2003

WTC Fires Spewed Toxic Gases for Weeks

The burning ruins of the World Trade Center spewed toxic gases "like a chemical factory" for at least 6 weeks after the September 11, 2001, attacks despite government assurances the air was safe, according to a study released on Wednesday.Reuters Health Information 2003

"Safety-Net" Antibiotic Appropriate in Acute Otitis Media

When used in addition to observation and pain relief, this approach can safely reduce the use of antibiotics.Medscape Medical News 2003

High Dietary Fiber Intake Can Reduce Coronary Heart Disease Risk

Results of a study published in the September 8th issue of the Archives of Internal Medicine suggest that a high intake of dietary fiber, especially water-soluble fiber, is associated with a reduction in coronary heart disease (CHD) risk.Reuters Health Information 2003

FDA Launches Hormone Therapy Campaign

The U.S. Food and Drug Administration launched an education campaign about hormone replacement therapy (HRT) on Tuesday, saying women are confused about recent warnings showing HRT should be used in the lowest possible doses for the shortest possible time.Reuters Health Information 2003

Bedside HIV-1 Testing During Labor Yields Quick and Accurate Results

Rapid HIV-1 testing performed at the bedside in labor and delivery rooms by nonlaboratory obstetric staff yields accurate results much faster than laboratory testing, facilitating prompt administration of intrapartum and neonatal antiretroviral therapy, measures proven to reduce perinatal HIV transmission.Reuters Health Information 2003

Moderate Intensity Exercise Effective for Weight Loss

In a randomized trial, it was as good as vigorous exercise for reducing weight in sedentary women.Medscape Medical News 2003

Millions in U.S. Have Smoking-Related Diseases

At least 8.6 million Americans have chronic bronchitis, emphysema and other serious smoking-related illnesses, according to a new study that paints a dark picture of the health risks of tobacco.Reuters Health Information 2003

Silent Heart Disease Should Be Considered in Stroke Patients

All patients with ischemic stroke or transient ischemic attacks should have their cardiovascular risk determined, according to a statement released on Monday by the American Heart Association (AHA) and the American Stroke Association. Silent cardiac ischemia is seen in up to 40% of such patients.Reuters Health Information 2003

Food Pyramid Redesigned to Slim U.S. Waistline

The U.S. government will refashion its Food Guide Pyramid to help pear-shaped Americans eat less and exercise more, according to a proposal released on Wednesday.Reuters Health Information 2003

Modest Physical Exercise Protects Against Breast Cancer

Even modest levels of physical activity may decrease the risk of breast cancer, and coupled with reduced calorie intake, can also help women lose weight, according to the findings of two new studies published in the September 10th issue of the Journal of the American Medical Association.Reuters Health Information 2003

Physician Group to Release Online Pain Management Text

US medical students will soon have access to a free, comprehensive Internet-based textbook on pain management under a plan by a physicians group announced on Monday.Reuters Health Information 2003

MRI Allows Earlier Diagnosis, Treatment of Multiple Sclerosis

New AAN guidelines point out that characteristic magnetic resonance imaging abnormalities may be sufficient for early diagnosis, without requiring evidence of dissemination over time.Medscape Medical News 2003

SARS May Have Resurfaced in Singapore

Singapore became the first country to report a possible return of SARS on Monday, as tests showed that one man might be infected hours after the WHO warned the virus could reappear.Reuters Health Information 2003

Neurologic Events Common During Neurocardiogenic Syncope

This diagnosis should be considered for unexplained seizure-like activity, based on the results of a study of tilt table testing.Medscape Medical News 2003

Rapid Test for SARS Antibodies Developed

Researchers in Singapore said on Friday they had developed a new SARS test kit capable of detecting antibodies to the respiratory virus in 15 minutes.Reuters Health Information 2003

Anti-Flu Therapy Cost-Effective in Older Adults

Empiric oseltamivir treatment is best for unvaccinated or high-risk vaccinated patients; use of oseltamivir if rapid testing is positive is best for vaccinated or low-risk patients.Medscape Medical News 2003

Muscle Training No Better Than Relaxation Training for Chronic Neck Pain

A randomized controlled trial of dynamic muscle training and relaxation training showed no significant difference between treatment groups.Medscape Medical News 2003

Calcium in Milk Inhibits E. coli-Induced Diarrhea

In a parallel, double-blind, placebo-controlled intervention study, dietary calcium enhanced human resistance to intestinal infection.Medscape Medical News 2003

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