GIDEON update # 94.3 (September 1, 1994)

Software Improvements

 Therapy
The therapy module now includes vaccines and immune globulin preparations: indication, dosage, timing, trade names, toxicity and contraindications. Key strokes are similar to those used for other drugs in this module.

 Diagnosis
The Diagnosis module has been expanded to permit specification of animals implicated in patient infection. A list of mammals, birds, ticks, marine animals, etc. is accessed by indicating + or 'Yes' for 'Animal injury / contact.

 References
A list of references used in creating and updating GIDEON has been added to the program. You may access the list though the main menu (Help module) or by pressing Ctrl-R.
	
Diagnosis

 Clinical database updated
Angiostrongyliasis, Bacillary angiomatosis, Dengue, Kyasanur Forrest disease, Norwalk agent gastroenteritis, Penicilliosis

Epidemiology

 Global distribution updated
Clonorchiasis, Dengue, Fascioliasis, Mediterranean spotted fever, Typhus - endemic

 Notes expanded or added:
All countries            - Leprosy
Albania                  - Diphtheria, Mumps, Pertussis, Tetanus
Algeria                  - Q fever
Angola                   - Mediterranean spotted fever, Q fever
Americas & Carribean     - Dengue
Argentina                - Lymphocytic choreomeningitis
Austria                  - Brucellosis, Chancroid, Gonorrhea, Hapatitis A, Hepatitis B, Leptospirosis, Meningitis - bacterial, Ornithosis, Pertussis, Tularemia, Typhoid
Bulgaria                 - Hepatitis A, Hepatitis B, Measles, Mumps, Pertussis, Rubella, Tetanus
Burkina Faso             - Mediterranean spotted fever, Q fever
Cape Verde               - Mediterranean spotted fever, Typhus - endemic
Central African Republic - Mediterranean spotted fever, Q fever, Typhus - endemic
Comoros                  - Q fever
Congo                    - Q fever
Czechoslovakia           - Hepatitis B, Measles, Mumps, Pertussis, Rubella, Tetanus
Chad                     - Dracunculiasis
China                    - Clonorchiasis, Cutaneous leishmaniasis, Hepatitis A, Hepatitis B, Hepatitis C, Hepatitis E, Melioidosis, Poliomyelitis, Schistosomiasis - japonicum
Colombia                 - Trypanosomiasis - American, Visceral leishmaniasis
Denmark                  - Toxoplasmosis
Egypt                    - Poliomyelitis, Typhus - endemic
Ethiopia                 - Echinococcosis - granulosis, Toxoplasmosis, Typhus - endemic
France                   - Legionellosis, Leptospirosis, Measles, Mediterranean spotted fever
French Polynesia         - Leptospirosis
Ghana                    - Dracunculiasis
Guam                     - All reportable diseases for first half of 1994
Guinea Bissau            - Mediterranean spotted fever, Typhus - endemic
Hong Kong                - Clonorchiasis, Hepatitis A
Hungary                  - Hepatitis B, Measles, Mumps, Pertussis, Rubella, Tetanus
India                    - Histoplasmosis, Poliomyelitis
Indonesia                - Poliomyelitis
Ivory Coast              - Mediterranean spotted fever, Q fever, Typhus - endemic
Jordan                   - Brucellosis, Measles, Mumps, Pertussis, Rubella, Scarlet fever, Tetanus, Typhoid, Varicella
Japan                    - Clonorchiasis, Leprosy
Korea                    - Clonorchiasis, Hepatitis B
Madagascar               - Plague
Malaysia                 - Measles, Tetanus, Typhoid
Mali                     - Mediterranean spotted fever, Q fever, Typhus - endemic
Mauritania               - Rift Valley fever
Mexico                   - Amebiasis
Morocco                  - Mediterranean spotted fever, Q fever, Typhus - endemic
Netherlands              - Necrotizing faciitis, Septicemia - bacterial
New Caledonia            - Leptospirosis
Nigeria                  - Dracunculiasis, Q fever
Northern Marianas        - Gonorrhea, Measles
Norway                   - Chlamydia trachomatis infection, Gonorrhea
Oman                     - Amebiasis, Mumps, Shigellosis, Trachoma, Varicella
Pakistan                 - Poliomyelitis
Papua New Guinea         - Hepatitis B
Peru                     - Plague
Philippines              - Diphtheria, Filariasis - bancroftian, Gonorrhea, Measles, Pertussis, Schistosomiasis- japonicum, Syphilis, Typhoid
Poland                   - Diphtheria, Hepatitis B, Measles, Mumps, Pertussis, Rubella, Tetanus
Portugal                 - Mediterranean spotted fever
Puerto Rico              - All reportable disease for first half of 1994
Reunion                  - Leptospirosis
Romania                  - Hepatitis A, Hepatitis B, Measles, Mumps, Pertussis, Poliomyelitis, Rubella, Tetanus
Russia                   - Crimean Congo hemorrhagic fever, Diphtheria, Hepatitis A, Hepatitis B, Measles, Mumps, Pertussis, Poliomyelitis, Rubella, Shigellosis, Tetamus, Trichinosis, Typhoid
Singapore                - Dengue, Measles, Typhoid, Varicella
South Africa             - Diphtheria, Measles, Rheumatic fever, Tetanus, Trachoma, Typhoid
Sudan                    - Poliomyelitis
Sweden                   - European tick encephalitis, Lyme disease
Switzerland              - Tetanus
Taiwan                   - Angiostrongyliasis, Clonorchiasis, Japanese encephalitis
Tanzania                 - Q fever
Tunisia                  - Q fever
United Kingdom           - Echinococcosis, Hepatitis A, Hepatitis B, Legionellosis, Listeriosis, Measles, Meningitis - bacterial, Mumps, Necrotizing faciitis, Rubella, Salmonellosis
United States            - All reportable diseases for first half of 1994; Ameba - free living, California encephalitis, Cryptosporidiosis, Dengue, Eastern equine encephalitis, Ehrlichiosis - E. chaffeensis, Escherichia coli diarrhea, Leptospirosis, Nectotizing faciitis, Plague,  St. Louis encephalitis, Toxoplasmosis, Typhus - endemic, Western equine encephalitis
Venezuela                - Toxoplasmosis
Viet Nam                 - Clonorchiasis, Poliomyelitis
Yugoslavia               - Diphtheria, Pertussis, Poliomyelitis, Tetanus
Zimbabwe                 - Mediterranean spotted fever, Q fever

 High-impact global diseases:
AIDS            - All countries
Cholera         - Angola, Argentina, Belize, Benin, Bolivia, Brazil, Burundi, Costa Rica, Ecuador, El Salvador, Ghana, Guatemala, Guinea, Honduras, Hong Kong, Ivory Coast, Kenya, India, Japan, Laos, Malawi, Mexico, Mozambique, Nepal, Netherlands, Nicaragua, Peru, Philippines, Poland, Russia, Rwanda, Singapore, Somalia, Sweden, Uganda, United Kingdom, United States, Zaire, Zimbabwe
Malaria         - Malaysia, Myanmar, Russia, Singapore, South Africa, Thailand, United States
Tuberculosis    - Albania, Austria, Bulgaria, Czechoslovakia, Guam, Hungary, Japan, Malaysia, Philippines, Poland, Romania, Russia, Singapore, South Africa, Thailand, United States, Yugoslavia
Yellow fever    - Brazil, Ghana, Kenya

Therapy

 Pharmacology            - Dideoxycytidine, Dideoxyinosine
 Spectrum updated        - Lomefloxacin
 Drugs added             - Stavudine
 Toxicity                - Acyclovir, Ciprofloxacin, Clofazimine, Dideoxycytidine, Ethambutol, Flucytosine, Foscarnet, Ofloxacin, Pyrimethamine, Rifabutin, Rifampin, Sulfamethoxaxole/trimethoprim, Ziduvidine
 Interactions            - Isoniazide, Zidovidine
 Interactions database   - Verapamil
	
Microbiology

 New taxa added                - CDC group 3, CDC group 5, Mycobacterium intermedium, Mycobacterium interjectum, Nocardia nova
 Pnenotypic database expanded  - Acinetobacter genospecies 3, Acinetobacter haemolyticus, Acinetobacter johnsonii, Acinetobacter junii, Agrobacterium tumefaciens, Arcanobacterium haemolyticum, Ochrobacterium anthropi, Mycobacterium kansasii, Rothia dentocariosa
 Name changed                  - CDC group B renamed Brevibacterium casei, CDC group D-2 renamed Corynebacterium urealyticum, Pseudomonas cepacia renamed Burkholderia cepacia

If you have any additional information which you would like to see added to your GIDEON program, please let us know (forward relevant documentation, photocopy or reprint).


Notes:
As of October 1, users in the United States will be able to contact our American agent:
	MDC Associates, 15 Oak Street, Suite 1, Beverly Farms, MA 01915.
	Tel 1-800-316-8585. Fax:(508)927-1308
