For Your Info Clinical
May 17, 1999

For Your Info Clinical            
              Information of Interest to Clinicians
                 Bob Smithing, MSN, FNP, Editor
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FOR YOUR CLINICAL INFORMATION LAUNCHES: May 17, 1999 is the first issue
 of the weekly ezine "For Your Information Clinical" (FYI Clinical).
 This first issue is being distributed across several email lists to make 
 you aware of it's availability. It will consist of 3 to 10 brief stories
 and will mail weekly on Mondays. There is no charge for a subscription.
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 Redistribution of complete issues of FYI is permitted. Comments, suggestions,
 and other prose can be sent to

 Health Care Financing Administration published a technical correction 
 notice relating to the physician fee schedule final rule issued 
 November 2, 1998 which included the regulations implementing direct Part B 
 billing for NPs.  Sec, 64 Fed. Reg. 25456 (1999).  In the notice, HCFA 
 establishes that the effective date for the qualifications required for 
 NPs to be eligible for Part B payment as January 1, 2000, rather than 
 January 1, 1999.  While this change may seem negligible, it is in fact 
 *critical* and directly responds to concerns the American College of 
 Nurse Practitioners (ACNP) raised about the potential for fraud allegations 
 to be lodged against NPs who bill the program after 1/1/99, but who did 
 not meet the educational requirements set forth in the final rule.  
 Equally important, the change in date provides time to modify the 
 qualification criteria before the year 2000 implementation and signals 
 that HCFA has heeded the comments by ACNP and the nursing community 
 about the considerable impact the qualifications, as currently drafted, 
 will have on NPs and patient care.  
   From the American College of Nurse Practitioners.

 night in a bedroom with a light on may be at higher risk for nearsightedness
 later in childhood. A collaborative study by researchers at the University of
 Pennsylvania Medical Center and The Children's Hospital of Philadelphia found
 that children who slept with either a room light or night light on until age 2
 were more likely to later develop myopia (nearsightedness), compared to
 children who slept in darkness. Graham E. Quinn, M.D., a pediatric
 ophthalmologist at Children's Hospital, and Richard A. Stone, M.D., of Penn's
 Scheie Eye Institute, announced their findings in the May 13, 1999 issue of Nature. 
  From The Children's Hospital of Philadelphia 
  Additional information at

 vaccine groups are once again questioning the safety of hepatitis B vaccine. On
 Tuesday, May 18, 1999, at 10 a.m. (EST) there will be a congressional hearing
 before the Criminal Justice, Drug Policy and Human Resources Committee to discuss
 the safety of the hepatitis B vaccine. The presentations are expected to be heavily
 anti-hepatitis B.   

 Here's what YOU can do. Contact members of the subcommittee (see web page) regarding
 your position on hepatitis B vaccine use or safety or the importance of providing
 this vaccination to infants, children, and teenagers to prevent people from this
 potentially life-threatening illness. Subcommittee members need information that
 will provide balance to the stories of those who report that they or their children
 have had adverse reactions to the vaccine. If you have information about hepatitis B
 infected children, case reports describing how serious this disease can be, the lack
 of effective treatment modalities, or descriptions of people who suffered or are
 suffering from chronic hepatitis B infection, your voice is needed.
   From Deborah L. Wexler, MD, Executive Director, Immunization Action Coalition
   Additional information is available at

"AIDS TREATMENT GOES SUBURBAN": Baltimore Sun (05/13/99) P. 1B; Apperson, Jay
 In a move acknowledging the spread of HIV throughout Maryland, Chase Brexton Health
 Services, Johns Hopkins' medical system AIDS clinic, is expanding its coverage
 from the city into suburban locales.  In addition, some public clinics on the
 Eastern Shore and in the western part of the state are now treating their first
 cases of HIV or AIDS.  Moving clinics to the suburbs allows patients to seek
 treatment closer to home, away from the city, in a more discreet way.  In the
 past two decades, 19,000 Marylanders have been diagnosed with AIDS and over
 2,300 HIV infections were diagnosed last year.
  From the CDC HIV/STD/TB Prevention News Update Thursday, May 13, 1999

 is voluntarily recalling an additional nineteen lots of PLAS+SD (15 of which are expired)
 based on the results of additional testing for parvovirus B19. There has been no evidence
 of clinical disease typical of parvovirus B19 associated with the transfusion of the
 above lots of PLAS+SD. Parvovirus B19 most seriously affects pregnant women or
 immunocompromised individuals. Voluntary recall of these lots is intended to reduce
 risk from parvovirus B19 infection.
  From MedWatch
  Additional information is available at

HEALTHY HUMOR: According to Chris Craig, he was listening to the BBC the other night. There
 was a Pun Writing Championship being held in Bath. Well, someone in Wales decided to
 submit ten puns, which he thought were very good, in hopes of winning a prize.
 Well no pun in ten did. You can always count on Chris to be punny!
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Last updated: May 17, 1999