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ARTICLES

MedPulse selection - sommaire  o SIDA________________________________________________________

OPTIMIZING ANTIRETROVIRAL THERAPY: STRATEGIES AND REGIMENS

Steven G. Deeks, MD, provides a comprehensive review of state-of-the-art strategies for first-line and salvage antiretroviral therapy, including detailed discussion of the roles of specific agents.

HIV/AIDS Clinical Management - (C) 2000 Medscape, Inc.

http://hiv.medscape.com/1619.rhtml  nouveau !

SUMMARY REPORT - CONFERENCE ON NUTRITION IN HIV INFECTION

Donald P. Kotler, MD, and Ellen S. Engelson, EdD, report from the annual Cannes meeting on nutritional aspects of HIV, including discussion of fat redistribution and metabolic abnormalities.Medscape HIV/AIDS 5(2), 1999

http://hiv.medscape.com/4188.rhtml  

JOURNAL SCAN - HIV/AIDS 2(5)

Clinical summaries and highlights from AIDS, Ann Intern Med, J AIDS, J Infect Dis, Lancet, NEJM and JAMA, compiled by Medscape's HIV Program Director.

http://www.medscape.com/4019.rhtml

Plus...

Linear Gingival Erythema in an HIV-Seropositive Man

http://www.medscape.com/4040.rhtml 

MedPulse selection - sommaire  Cardiologie__________________________________________________

Characteristics and Prognosis of Myocardial Infarction in Patients With Normal Coronary Arteries

http://www.medscape.com/20366.rhtml  nouveau !

Mortality From Primary Pulmonary Hypertension in the United States, 1979-1996

http://www.medscape.com/20385.rhtml  nouveau !

<http://www.medscape.com/Medscape/public/MP/98/0731.html#02>

- Quantification of the Aortic Valve Area in Three-Dimensional Echocardiographic Data Sets

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Three-dimensional echocardiography can be used for aortic valve area planimetry with excellent reproducibility, and also allows for the objective visualization and quantification of cardiac structures. [Am Heart J 135(6):995-1003, 1998]

PLUS...

- Diversity of Myocardial Involvement in Systemic Sclerosis: An 8-Year Study of 95 Japanese Patients

- Relation Between Single Tomographic Intravascular Ultrasound Image Parameters and Intracoronary Doppler Flow Velocity in Patients with Intermediately Severe Coronary Stenoses

- Correlation of Myocardial Histologic Changes in Hibernating Myocardium with Dobutamine Stress Echocardiographic Findings

- ECG of the Week - Three Channel Rhythm Strips

MedPulse selection - sommaire  o Endocrinologie - Diabétologie_________________________________

Etiology and Pathogenesis of Obesity

http://www.medscape.com/20391.rhtml nouveau !

ENDOCRINOLOGY CLINICAL MANAGEMENT - DIABETIC POLYNEUROPATHY

Dr. Stuart Apfel presents a comprehensive overview of the risk factors, clinical presentation, and management plan of this insidious and debilitating effect of diabetes. Diabetes & Endocrinology Clinical Management - Volume 1. (C) 1999 Medscape,Inc.

http://www.medscape.com/4178.rhtml  

WHAT IS YOUR DIAGNOSIS?

This diagnosis is the result of an obstructive disease of the lymphatic system, causing progressive enlargement, coarsening, corrugation, and fissuring of the skin and subcutaneous tissue. What is the diagnosis? Wounds 11(1):2-4, 1999

http://www.medscape.com/4038.rhtml 

Plus...

Journal Scan - Diabetes & Endocrinology 1(5)

http://www.medscape.com/4045.rhtml 

MedPulse selection - sommaire  o Gastro-entérologie____________________________________________

Pharmacological Treatment of Portal Hypertension: An Evidence-Based Approach

http://www.medscape.com/20370.rhtml nouveau !

HISTORICAL DEVELOPMENT OF BALSALAZIDE (COLAZIDE(R)) Balsalazide is a new drug designed to deliver 5-aminosalicylic acid to the large intestine. It produces fewer side effects than sulfasalazine with comparable clinical effects. Research and Clinical Forums 20(3):75-83, 1998.

http://www.medscape.com/4172.rhtml

Plus...

Crohn's Disease: Costs to Society in Crohn's Disease

http://www.medscape.com/4023.rhtml 

Crohn's Disease: Budesonide Therapy for Remission

http://www.medscape.com/4199.rhtml

Ulcerative Colitis: Current Medical Treatment Possibilities

http://www.medscape.com/4043.rhtml

MedPulse selection - sommaire  o Maladies infectieuses_________________________________________

JOURNAL SCAN - INFECTIOUS DISEASES 2(5)

Clinical summaries and highlights from J Infect Dis, Clin Infect Dis, Ann Intern Med, The New England Journal of Medicine, and JAMA compiled by Medscape editors.

http://www.medscape.com/4002.rhtml

Plus...

AIDS Bulletin - Resistant HIV: Should We Test?

http://www.medscape.com/4004.rhtml

MedPulse selection - sommaire  o Médecine interne______________________________________________

CONTEMPORARY SMOKING CESSATION

Which self-help treatments, behavioral interventions, and pharmacotherapies are effective?

Cancer Control; JMCC 7(1):56-62, 2000

http://www.medscape.com/20367.rhtml nouveau !

BILATERAL CYSTIC LYMPHANGIOMA OF THE ADRENAL GLAND

Review a case report of a 22-year old woman with a large, bilateral lymphangiomatous cyst originating from the adrenal glands. South Med J 92(4):424-427, 1999

http://www.medscape.com/4024.rhtml

MedPulse selection - sommaire  o Santé publique________________________________________________

NCQA'S NEW HEDIS MEASUREMENTS FOR HYPERTENSION: AN ANALYSIS

Preview the new HEDIS measurements for hypertension and a pilot study applying these new standards in a managed care setting. Drug Benefit Trends 11(4):30-32, 37, 1999

http://www.medscape.com/4170.rhtml

- Practical Aspects of Using Personal Computers for Decision Analytic Modeling

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Decision analysis is a technique commonly applied to the process of making medical decisions. Although there are limitations, it can provide a useful framework for complex decisions. [Drug Benefit Trends 10(7):33-36, 1998]

PLUS...

- Managed Care Matters - Pharmacy Benefits: Subplots and Ironical Knots

http://www.medscape.com/Medscape/public/MP/98/0731.html#04

MedPulse selection - sommaire  o Pratique médicale____________________________________________

<http://www.medscape.com/Medscape/public/MP/98/0731.html#05>

- How To Select a Practice Site and Practice Type

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National surveys indicate that 50% of all physicians will leave their first practice position between years 1 and 3. In this article, Dr. Richards presents a strategy to help you avoid being a statistic and make your first practice decision your last. [Medscape Orthopedics & Sports Medicine 2(4), 1998]

PLUS... 

- Forgiveness

- Medicine on the Net - Anti-Immunization on the Web

MedPulse selection - sommaire  o Biologie - Médecine moléculaire__________________________________________

<http://www.medscape.com/Medscape/public/MP/98/0731.html#06>

- Multiple Resistant Enterococci: The Nature of the Problem and an Agenda for the Future

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Effective control of MDR enterococci requires a better understanding of the interaction between the bacteria and the hospital environment, as well as prudent antibiotic use, better contact isolation in hospitals, and improved surveillance. The development of additional drugs that are less vulnerable to bacteria resistance would also help. [Emerging Infectious Diseases 4(2), 1998]

MedPulse selection - sommaire  o Oncologie____________________________________________________

JOURNAL SCAN - ONCOLOGY 2(3)

Journal Scan is the clinician's guide to the latest clinical research findings in JAMA, The New England Journal of Medicine, Blood, and Journal of Clinical Oncology.

http://www.medscape.com/3271.rhtml nouveau !

- Ten Best Readings on Multiple Myeloma and Plasma Cell Dyscrasias

These articles, such as "Anemia in Multiple Myeloma and Its Management" and "Biologic Basis for Interleukin-1 in Disease" are recommended by the H. Lee Moffitt Cancer Center and Research Institute as the best available in current medical literature. [Cancer Control: JMCC 5(3):257-258, 1998]

http://www.medscape.com/Medscape/public/MP/98/0731.html#07

MedPulse selection - sommaire  o Orthopédie_________________________________________________

MEDLINE ABSTRACTS - UNCOMMON FRACTURE PATTERNS IN CHILDREN

What are uncommon presentations of fractures in children? Find out in this easy-to-navigate collection of recent MEDLINE abstracts compiled by the editors at Medscape Orthopedics & Sports Medicine. Medscape Orthopedics & Sports Medicine 3(3), 1999

http://www.medscape.com/3985.rhtml nouveau !

Plus...

Supracondylar and Lateral Condyle Fractures of the Humerus in Children

http://www.medscape.com/3987.rhtml nouveau !

Avascular Necrosis of the Patella Due to Patellar Dislocation

http://www.medscape.com/4003.rhtml nouveau !

Osteoarthritis: Nonpharmacologic Therapy

http://www.medscape.com/4044.rhtml

Surgical Technique for Unicondylar Knee Arthroplasty

http://www.medscape.com/4054.rhtml

MedPulse selection - sommaire  o Pédiatrie__________________________________________________

JOURNAL SCAN - PEDIATRICS 2(5)

Journal Scan is the clinician's guide to the latest clinical research findings in Pediatrics, The Journal of Pediatrics, Archives of Pediatrics and Adolescent Medicine, Pediatric Infectious Disease Journal.

http://www.medscape.com/4009.rhtml

MedPulse selection - sommaire  o Pharmacothérapie____________________________________________

CAPTOPRIL AND DELAPRIL, IN MYOCARDIAL INFARCTION

Captopril and Delapril seem to produce similar pharmacodynamic effects in patients with anterior AMI. Clin. Drug. Invest. 17(5):347-355, 1999

http://www.medscape.com/4270.rhtml nouveau !

- High Patient Satisfaction Achieved with Patient-Controlled Analgesia

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Patient-controlled analgesia (PCA) is a well tolerated and effective method of pain control, especially in the postoperative period. It compares favorably with traditional "as required" intramuscular analgesia. PCA also offers flexibility in dose size and dose intervals for individual patients. [Drugs & Ther Perspect 11(12):10-13, 1998]

PLUS...

- Lowering High Cholesterol

- The Role of Transdermal Fentanyl in Palliative Care

http://www.medscape.com/Medscape/public/MP/98/0731.html#10>

MedPulse selection - sommaire  o Premiers soins________________________________________________

ENDOCRINOLOGY CLINICAL MANAGEMENT - DIABETIC POLYNEUROPATHY

Dr. Stuart Apfel presents a comprehensive overview of the risk factors, clinical presentation, and management plan of this insidious and debilitating effect of diabetes. Diabetes & Endocrinology Clinical Management - Volume 1. (C) 1999 Medscape, Inc.

http://www.medscape.com/4178.rhtml nouveau !

- Waist Circumference as a Clinical Assessment of Visceral Obesity, A Risk Factor For Type 2 Diabetes and Cardiovascular Disease

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Regardless of a patient's body weight, more attention should be given to potential changes in waist circumference among abdominally obese patients with metabolic complications. Increased waist circumference may correlate with a worsening cardiovascular system and an increased probability of developing diabetes mellitus. [CJDC 22(2):32-37, 1998]

PLUS...

- Image of the Week - DermaDiagnosis

http://www.medscape.com/Medscape/public/MP/98/0731.html#11

MedPulse selection - sommaire  o Neurologie__________________________________________________

PAIN AND SYRINGOMYELIA: A REVIEW

Chronic pain is a prominent feature in up to 90% of patients with this disease, which remains poorly understood. Neurosurg Focus 8(3), 2000

http://www.medscape.com/20372.rhtml  nouveau !

Plus...

The UK Migraine Patient Survey: Quality of Life and Treatment

http://www.medscape.com/20373.rhtml  nouveau !

Progressive Multifocal Leukoencephalopathy

http://www.medscape.com/20387.rhtml nouveau !

MedPulse selection - sommaire  o Psychiatrie__________________________________________________

NIH PUBLISHES SCIENCE-BASED GUIDE TO DRUG ADDICTION TREATMENT

Thirty years of research forms the basis of a new publication outlining the components of drug addiction and the principles behind effective treatment. Drug Benefit Trends 12(2):9-10 BH, 2000

http://www.medscape.com/20353.rhtml nouveau !

SEVERITY-BASED CLASSIFICATION OF MOOD AND ANXIETY SYMPTOMS

The rate of detection of mental health disorders in the primary care setting is low. This may be due in part to the use of traditional DSM classifications. J Am Board Fam Pract 12(1):21-31, 1999

http://www.medscape.com/4171.rhtml 

- Translating Research Into Practice: The Schizophrenia Patient Outcomes Research Team (PORT) Treatment Recommendations

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The recommendations of PORT address the use of antipsychotic agents, adjunctive pharmacotherapies, electroconvulsive therapy, psychological interventions, family interventions, vocational rehabilitation, assertive community treatment, and intensive case management. The recommendations provide a basis for evidence-based practice and identify the strengths and limitations of the current knowledge base. [Schizophrenia Bulletin 24(1):1-10, 1998]

PLUS...

- A Comparative Survey of Antidepressant Drug Prescribing Habits of General Practitioners and Psychiatrists

- Performance of the Continuous Performance Test Among Community Samples

http://www.medscape.com/Medscape/public/MP/98/0731.html#12

MedPulse selection - sommaire  o Pneumologie____________________________________________

IMAGES IN RESPIRATORY CARE - PATIENT WITH HEMOPTYSIS

Can you describe the findings on this chest radiograph? Medscape Respiratory Care 3(3), 1999

http://www.medscape.com/4036.rhtml 

Plus...

Pneumonia in the Pregnant Patient: A Synopsis

http://www.medscape.com/4061.rhtml

MEDLINE Abstracts - Pneumonia in Pregnancy

http://www.medscape.com/4062.rhtml  nouveau !

- Mycobacterium tuberculosis Infection as a Zoonotic Disease: Evidence of Possible Transmission Between Humans and Elephants

An epidemiologic investigation indicates possible zoonotic transmission of M. tuberculosis from elephants to humans as evidenced by DNA fingerprinting. [Emerging Infectious Diseases 4(2), 1998]

http://www.medscape.com/Medscape/public/MP/98/0731.html#13

MedPulse selection - sommaire  o Chirurgie_____________________________________________________

<http://www.medscape.com/Medscape/public/MP/98/0731.html#14>

- Noninvasive Assessment of Transplant-Associated Arteriosclerosis

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Noninvasive testing, such as exercise ECG, radionuclide scintigraphy, stress ECG, and positron emission tomography could replace angiography as the screening process for transplant coronary disease. [Am Heart J 135(6):980-987, 1998]

PLUS...

- Approaches to Treating Graft-Versus-Host Disease

MedPulse selection - sommaire  o Urologie_____________________________________________________

<http://www.medscape.com/Medscape/public/MP/98/0731.html#15>

- A Laparoscopic Approach to Renal Surgery in Adults

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The laparoscopic approach to renal surgery has not gained wide acceptance because of its technical difficulty. Simplification of the technique could allow for routine use and decrease the associated morbidity. [Infect Urol 11(4):114-122, 1998]

MedPulse selection - sommaire  o Gynécologie_____________________________________________________

EVALUATING AND MANAGING PREMENSTRUAL SYNDROME

Medical therapies are available for the treatment of premenstrual syndrome (PMS) but should be initiated only after behavioral measures have failed. The physician must weigh the severity of symptoms against the potential for adverse effects of treatment. Medscape Women's Health 5(2), 2000

http://www.medscape.com/20484.rhtml nouveau !

SPONTANEOUS ABORTION IN FIRST TRIMESTER OF PREGNANCY

Management of this condition is safe and effective for many afebrile patients whose blood pressure and heart rate are stable and who have no excess bleeding. J Am Board Fam Pract 12(1):55-64, 1999

http://www.medscape.com/4200.rhtml

JOURNAL SCAN - WOMEN'S HEALTH 2(5)

Highlights from Obstetrics & Gynecology , American Journal of Obstetrics & Gynecology, JAMA, and The New England Journal of Medicine.

http://www.medscape.com/3834.rhtml

- The Role of Specialized Genetic Counseling for the Patient at High Risk for Breast Cancer

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The potential benefits of genetic testing include enhanced screening and earlier detection, prevention and avoidance of medication, lifestyle changes, and prophylactic surgery. However, there may not be a clear benefit for every patient. [Cancer Control: JMCC 5(3s):19-20, 1998]

http://www.medscape.com/Medscape/public/MP/98/0731.html#16

==========================

MedPulse selection - sommaire  o Questions

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Testez vos connaissances cliniques

http://www.medscape.com/Medscape/public/MP/98/0731.html#17

MedPulse selection - sommaire  o Images - DermaDiagnosis

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Can you diagnose this dermatologic condition based solely on the case presentation, history, and your own physical examination? Test your expertise in dermatology using this real-life example. [Clinician Reviews 8(3):111-112, 1998]

<http://www.medscape.com/Medscape/public/MP/98/0501.html#20>

MedPulse selection - sommaire  o Définitions - Denial * HMO * Podiatry * Sponylitis * Ebonation * Eccritic

<http://www.medscape.com/Medscape/leisure/DeFUNitions/DICTIONARY.CFM>


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