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Copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
The report on the use of e-mail to teach emergency medicine to pediatric residents1 included an example question regarding the appropriate administration of rabies immune globulin for postexposure prophylaxis following a bat bite. The answer to the example question as stated in the report is incorrect. In January 1998 the Advisory Committee on Immunizations Practices of the Centers for Disease Control and Prevention published new recommendations that as much as possible of the full dose (20 IU/kg of body weight) of rabies immune globulin should be infiltrated into and around the wound(s), and any remaining volume should be administered intramuscularly at an anatomical site distant from vaccine inoculation.2 These recommendations were detailed more completely in January 1999, 3 and updated in the 1994 source cited in the example questions.4
Rather than being seen as a flaw in an otherwise excellent report, this is a timely example of the largely untapped potential use of e-mail to disseminate new and updated information quickly to a targeted audience. This advantage is especially applicable for disseminating notification of new information such as these particular recommendations, which initially were not prominently or widely publicized in conventional print publications. Teaching programs incorporating e-mail as an adjunct could emphasize examples highlighting new or updated practice recommendations.
E-mail is reaching almost universal availability, has lower cost compared with distribution of printed materials, provides immediate distribution, overcomes geographic barriers, and has the capability to include illustrations and other multimedia formats. All of these advantages indicate that e-mail communication and Web-based resources should be seriously considered for appropriate use in postgraduate and continuing medical education, and be viewed as a standard resource for practicing pediatricians.5
Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature
Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal
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