miércoles 14 de noviembre de 2007

Guidelines Issued for Pediatric Use of Automated External Defibrillators

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A 7-Year Old Boy with Disruptive Behavior and Difficulty Participating in Group Activities
Learn to identify the tool that best measures quality of life in children with ADHD now at the ADHD Resource Center. You will also assess current management strategies that may improve quality of life for children with ADHD and their families.

Top Stories
New Directions in Pediatric Liver Disease
Prophylactic Antimicrobials Linked to Recurrent UTIs in Children?
A Global Perspective on Newborn Screening for Cystic Fibrosis
CME/CE Guidelines for the Diagnosis and Management of Asthma -- Part 1: Introduction -- Diagnosing Asthma
Feature Articles
Featured CME of the Week
Guidelines for the Diagnosis and Management of Asthma -- Part 1: Introduction -- Diagnosing Asthma
With a new focus on monitoring asthma control as the goal for asthma therapy, this section helps practitioners define and diagnose asthma severity.

Guidelines for the Diagnosis and Management of Asthma -- Part 2 - Managing Asthma Long Term
Achieving and maintaining asthma control requires 4 components of care. This section presents the new guidelines/recommendations for these 4 components.

Guidelines for the Diagnosis and Management of Asthma -- Part 3: Medications
This section presents the new guidelines for selecting the appropriate medications and treatment regimes for asthma.

Guidelines for the Diagnosis and Management of Asthma -- Part 4: Managing Special Situations and Exacerbations
This section discusses the management of special situations, including surgery, pregnancy, and others, as well as the management of exacerbations of asthma.


Science and Sensibility: An Interview With Professor Rolf M. Zinkernagel, Nobel Prize Winner for Medicine 1996
Prof. Rolf Zinkernagel, immunologist and Nobel Prize winner, was interviewed after his lecture on "Why Do We Not Have a Vaccine Against TB or HIV (Yet)?"
Medscape General Medicine 9(4) 2007

Comparing Healthcare Systems: Outcomes, Ethical Principles, and Social Values
The value of using outcome measures is critically scrutinized in an examination of the debate between rights-oriented and commodity-oriented approaches to healthcare delivery.
Medscape General Medicine 9(4) 2007

Editorial: Reforms for Rating Media: Disclosure, Not Censorship
Kimberly M. Thompson, ScD, Associate Professor and Director, Kids Risk Project, Harvard School of Public Health, explains how we can improve media ratings.
Medscape General Medicine 9(4) 2007

Editorial: Integrative Medicine: Sorting Fact From Fiction
Kenneth R. Pelletier, MD, PhD, Clinical Professor of Medicine at the University of Arizona School of Medicine and the University of California School of Medicine, describes evidence-based CAM.
Medscape General Medicine 9(4) 2007

Viewpoint
Prophylactic Antimicrobials Linked to Recurrent UTIs in Children?
A study published July, 2007 in JAMA looks at 5 years of data from a 3-state primary care research network in the Northeast.
Medscape Pediatrics 2007

Conference Coverage
New Directions in Pediatric Liver Disease
What's the latest thinking regarding treatment of the pediatric patient with liver disease? William Balistreri, MD, explores the issues, based on selected sessions at AASLD 2007.
Medscape Gastroenterology 2007

Opinion Poll
Influenza Vaccine Immunization
More than 130 million influenza vaccine doses will be available in the United States this year, a record amount. However, many patients who need it refrain from getting the vaccine for reasons such as fear of side effect or believing it doesn't work. How strongly will you encourage such patients to receive the influenza vaccine this fall? To vote or view results of the poll, click on the title above.

More Features this Week
A Global Perspective on Newborn Screening for Cystic Fibrosis
Cystic fibrosis screening in newborns is occurring in an increasing number of countries. What are the current protocols and recommendations?
Curr Opin Pulm Med 13(6) 2007

CYP2B6 Genetic Variants Are Associated With Nevirapine Pharmacokinetics and Clinical Response in HIV-1-infected Children
Nevirapine-containing HAART response varies by CYP2B6-G516T genotype in children, which becomes an important consideration in clinical response for young patients with HIV/AIDS.
AIDS 21(16) 2007

Evidence-based Assessment, Intervention and Psychosocial Care in Pediatric Oncology: A Blueprint for Comprehensive Services Across Treatment
Two decades of research reveal interesting findings about psychology in pediatric oncology.
J Pediatr Psychol 32(9) 2007

Sulfonylurea Improves CNS Function in a Case of Intermediate DEND Syndrome Caused by a Mutation in KCNJ11
In this Case Study, the authors describe how sulfonylurea therapy not only restored glucose homeostasis but also ameliorated some of the neurological symptoms in a patient with intermediate DEND syndrome.
Nat Clin Pract Neurol 3(11) 2007

Monthly Summaries of Nursing Research: September 2007
Research summaries include the use of supplemental nurses, ICUs and end-of-life care, school nurses, menopause, and falls in elderly women.
Medscape Nurses 2007

Controversies in Drug Substitution
When is it appropriate for pharmacists to substitute less costly equivalent drugs for prescribed medications?
Medscape Pharmacists 2007

News

CME Guidelines Address Proper Screening and Treatment of Lead-Related Disease in Children
The Advisory Committee on Childhood Lead Poisoning Prevention has issued recommendations that discuss treatment of children's blood lead levels less than 10 micrograms per deciliter.
Medscape Medical News 2007

CME Guidelines Issued for Pediatric Use of Automated External Defibrillators
The American Academy of Pediatrics issued recommendations and an accompanying technical report to assist pediatricians in use of automated external defibrillators in children.
Medscape Medical News 2007

CME Study Identifies Multiple Risk Factors for Hyperbilirubinemia
Newborns should be screened for all risk factors for hyperbilirubinemia and kernicterus within 48 hours of hospital discharge.
Medscape Medical News 2007

CME Maternal Alcohol Drinking During Pregnancy Linked to Conduct Problems in Children
A longitudinal survey shows that maternal alcohol drinking during pregnancy seems to be associated with conduct problems in children.
Medscape Medical News 2007

CME Fluoxetine May Not Reduce Substance Use or Conduct Disorder Symptoms in Certain Teens
Fluoxetine and cognitive behavior therapy were more effective vs placebo and cognitive behavior therapy on only 1 depression measure in teens with major depression and conduct disorders.
Medscape Medical News 2007

Prevention in the News
MMR Vaccination Safe in Patients With Juvenile Idiopathic Arthritis
The measles, mumps, and rubella (MMR) booster vaccination administered to 8- to 9-year-old children has no effect on the course of juvenile idiopathic arthritis (JIA), according to study findings published in the October issue of the Annals of the Rheumatic Diseases.
Reuters Health Information 2007

Long-Lasting Immunity Found for Some Vaccines
The smallpox vaccine protects for a lifetime, and so does an actual infection of measles or mumps, according to the first long-term study of immunity to childhood diseases.
Reuters Health Information 2007

International News
International Approvals: Nexavar, Elaprase, Aranesp
Europe has approved a new indication for sorafenib tosylate tablets (Nexavar) and an expanded indication for darbepoetin alfa (Aranesp); Japan has approved idursulfase solution (Elaprase).
Medscape Medical News 2007

More News this Week
Mental Illness in Parents Tied to Increased Risk of SIDS
The risk of sudden infant death syndrome (SIDS) is elevated in families where parents have been hospitalized for treatment of psychiatric illness or substance-abuse disorders, according to a national cohort study.
Reuters Health Information 2007

Older Age at Diagnosis a Risk Factor for Mortality in Childhood-Onset Diabetes
The risk of dying among patients with childhood-onset diabetes is highest for those diagnosed "at the threshold of adulthood," according to findings published in the October issue of Diabetes Care.
Reuters Health Information 2007

Glutamine Supplementation May Protect Very Low-Birth-Weight Infants From Atopic Dermatitis
In a randomized controlled trial, early supplementation with glutamine lowered the risk for atopic dermatitis by 87% in low-birth-weight infants.
Medscape Medical News 2007

Children With Atopic Dermatitis Show Hypersensory Profile
Responses to a sensory profile questionnaire indicate that children with atopic dermatitis (AD) have hypersensory sensitivity, according to Israeli researchers.
Reuters Health Information 2007

Inhaled Budesonide Use by Asthmatic Nursing Mothers Safe for Infants
Infants breastfed by mothers using inhaled budesonide (Pulmicort Turbuhaler, AstraZeneca) for asthma are not exposed to any important level of the drug, according to Swedish researchers.
Reuters Health Information 2007

Antireflux Medications Overprescribed for Infants With Regurgitation
Many infants with regurgitation but without any other symptoms of gastroesophageal reflux disease (GERD) are being prescribed antireflux medications unnecessarily, physicians in New Orleans report in the November issue of Pediatrics.
Reuters Health Information 2007

Caffeine Therapy Reduces Neurodevelopmental Disability in Preterm Infants
Caffeine therapy for apnea of prematurity in very low birth weight infants improves survival without neurodevelopmental disability, a new study suggests.
Medscape Medical News 2007

Prenatal Marijuana and Nicotine Exposure Linked to Teen Neurologic Deficits
In 2 studies of teens, prenatal marijuana exposure predicted behavior and cognitive deficits, and prenatal nicotine exposure was linked to attention deficits.
Medscape Medical News 2007

Diabetes Personal Trainers Improve Self-Management by Teenagers
A "personal trainer" can enhance an adolescent's motivation and capability for diabetes self-management, according to a randomized trial sponsored by the National Institutes of Health.
Reuters Health Information 2007

RSV604 Inhibits Replication of Respiratory Syncytial Virus
RSV604, a novel benzodiazepine, inhibits replication of respiratory syncytial virus (RSV), the most important respiratory pathogen in infants and young children, according to a recent report.
Reuters Health Information 2007

Antibiotics, Insecticide-Treated Bednets Prevent Malaria in HIV-Infected Children
Prophylaxis with trimethoprim-sulfamethoxazole (TMP/SMX) and insecticide-treated bednets (ITN) significantly reduces the incidence of malaria in Ugandan children infected with HIV, according to a report in the October 1st issue of AIDS.
Reuters Health Information 2007

High Lisdexamfetamine Effect Size in Children with ADHD Is Not a Study Artifact
Artifacts were ruled out as causing the large effect size in a study of lisdexamfetamine for ADHD in children; another study reported efficacy in adults.
Medscape Medical News 2007

Girls With ADHD Are at Increased Risk for Eating Disorders and Depression
Compared with controls, girls with ADHD were more likely to develop an eating disorder or to develop major depression, according to 2 recent studies.
Medscape Medical News 2007

Government in the News
U.S. Senate Approves Children's Health Bill
The U.S. Senate approved legislation on Thursday expanding a popular children's health-care program, setting the stage for a fresh showdown with President George W. Bush, who vowed to veto the bill that would also raise tobacco taxes.
Reuters Health Information 2007

News and Approvals from the FDA
CME FDA Approvals: Combigan and Tasigna
The FDA has approved brimonidine tartrate/timolol 0.2%/0.5% ophthalmic solution (Combigan) and nilotinib capsules (Tasigna).
Medscape Medical News 2007

CME FDA Safety Changes: Evista and EstroGel
The FDA has approved revisions to the safety labeling for raloxifene HCl tablets (Evista) and estradiol gel (EstroGel).
Medscape Medical News 2007

Bristol: FDA OK's Abilify to Treat Schizophrenia in Ages 13-17
Bristol-Myers Squibb Co and Japan's Otsuka Pharmaceutical Co Ltd said U.S. health regulators approved their schizophrenia drug Abilify for ages 13 to 17.
Reuters Health Information 2007