SMOKING ISSUE IS HEATING UP CUSTODY SUITS

PEDIATRICS ◽  
1993 ◽  
Vol 92 (4) ◽  
pp. A78-A78
Author(s):  
B. H.

Parental concern about secondhand smoke is adding a new wrinkle to some custody and divorce battles. Estranged spouses are taking an increasingly aggressive court stance when a child is exposed to cigarette smoke of one parent. Secondhand smoke has become a point of contention in custody cases in more than a dozen states, almost all involving children with respiratory ailments such as asthma and allergies. And smoking may become an issue in many more custody cases, according to some lawyers. Recent medical reports have cited the heightened likelihood of respiratory disease and middle-ear infection even in healthy children exposed to secondhand smoke. In at least one case a judge has been asked to rule that exposing a child with medical problems to cigarette smoke constitutes child abuse.

PEDIATRICS ◽  
1994 ◽  
Vol 94 (2) ◽  
pp. 255-255
Author(s):  
Martin I. Sachs

Since 1986 an increasing awareness of the harmful effects of secondhand smoke has caused parents to smoke fewer cigarettes in the presence of their asthmatic children. This has been associated with a marked reduction in asthma severity of the smokers' children.


Author(s):  
M. Ujair Hoble

Health is a crucial part of human lives. Nowadays, healthcare is becoming vital each day, as there are lots of diseases that emerge around us. Technology is transforming the medical sector by massively impacting almost all practices and processes of medical professionals. Despite this, many of the people and medical staff still dealing with paper-based medical records and prescriptions while conducting treatment. When a patient wants to appoint any hospital or clinic, to carry previous medical reports or past prescriptions is becoming essential for them. It is necessary because the doctor gets an idea about the patient’s health status by referring to their previous medical histories, helping for better treatments and medications. However, patients cannot maintain every medical documentary for years. Conventionally, the doctor asks patients about their previous diseases, prescription, or medicine details orally, nevertheless it becomes difficult to get exact information from the patient. Sometimes, it becomes more important for the doctor to know about the medical history of a person so that they can provide suitable treatment with better clarity of that person’s health. Focussing on this, a smart medical assistant system is designed where doctors can record all prescriptions, treatment, or medical details of the patient on software instead of writing on a paper. All these records are stored in the central cloud and made visible to doctors as well as patients. Each patient has assigned a unique authentication card for maintaining the privacy of their medical history account. Doctors can access and update a patient’s medical history anytime and anywhere by logging into their account through a smartcard swipe. The system can avoid overdue to treatment decisions. Likewise, the system helps to keep transparency about medicines and treatment.


2017 ◽  
Vol 131 (4) ◽  
pp. 1055-1059 ◽  
Author(s):  
Katharina Janßen ◽  
Dominik Greif ◽  
Markus A. Rothschild ◽  
Sibylle Banaschak

Cytokine ◽  
2012 ◽  
Vol 60 (1) ◽  
pp. 34-37 ◽  
Author(s):  
Karen M. Wilson ◽  
Sarah C. Wesgate ◽  
Jennifer Pier ◽  
Emily Weis ◽  
Tanzy Love ◽  
...  

BMJ ◽  
1989 ◽  
Vol 299 (6699) ◽  
pp. 616-617 ◽  
Author(s):  
R. Meadow ◽  
B. Mitchels
Keyword(s):  

2020 ◽  
Vol 127 (Suppl_1) ◽  
Author(s):  
Poonam Rao ◽  
Pooneh Nabavizadeh Rafsanjani ◽  
Daniel Han ◽  
Suzaynn Schick ◽  
Matthew Springer

Introduction: Exposure to tobacco and marijuana smoke impairs vascular endothelial function. While the particulate phase of smoke is heavily implicated, the role of volatile constituents is unclear. Smoke contains aldehydes, which are known to cause endothelial dysfunction. We explored whether two aldehydes found in smoke, acrolein and acetaldehyde, can induce endothelial dysfunction. Hypothesis: Aldehydes in smoke impair endothelial function. Methods: We exposed 4 groups of anesthetized rats to 3 ppm acrolein and 10-11.5 ppm acetaldehyde gases (concentrations relevant to levels in secondhand smoke), Marlboro Red cigarette sidestream smoke at modest levels (600 μg/m 3 PM2.5) as a positive control, and clean air through the gas generation system as a negative control. Exposure was continuous for 10 minutes. Endothelial function (flow-mediated dilation; FMD) was quantified pre- and post-exposure by measuring femoral artery diameter with ultrasound before and after 5 min of transient ischemia and expressed as % vasodilation. Results: Impairment of FMD was observed for acrolein (10.8±1.7(SD)% vs. 5.8±2.9%, p=.001), acetaldehyde (8.8±2.0% vs. 6.0±2.5%, p=.001), and cigarette smoke (9.4±2.9% vs. 5.8±2.0%, p=.002), but not for air (7.9±2.0% vs. 9±3.2%, p=.44) (figure; each colored line denotes a rat pre- and post-exposure; bars denote means). Conclusions: Acrolein and acetaldehyde at levels found in secondhand smoke impair endothelial function. Our results suggest that despite a potential role of particles, volatile aldehydes may mediate part of the endothelial dysfunction caused by exposure to smoke.


2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S554-S555
Author(s):  
Meghna Sharma ◽  
Alexandra Espinel ◽  
Emily Ansusinha ◽  
Rana F Hamdy

Abstract Background The microbiology of pathogens causing orbital cellulitis in children is evolving over time, with studies from around 10 years ago describing MRSA as responsible for anywhere from 0 to 13% of cases of orbital cellulitis. However, the prevalence of community-acquired MRSA infections has declined over the past decade. A current understanding of the bacteria most commonly found to be responsible for orbital cellulitis would be important to inform the empiric antibiotic regimens for cases of orbital cellulitis in which no microbiologic data are available. Methods This is a single-center retrospective cohort study of children ≤18 years hospitalized with orbital cellulitis at Children’s National Medical Center between January 1, 2017 and July 31, 2018. We excluded children with immunocompromising conditions, cystic fibrosis, underlying craniofacial abnormality, or recent craniofacial or otolaryngologic surgery. Baseline clinical characteristics, microbiologic data, clinical outcomes, and antibiotic treatment data were abstracted through structured chart review and summarized with descriptive statistics. Results We identified 68 children that met inclusion criteria, with an average age of 8.2 years; 66.2% were male, 48.5% were African American, and 14.7% were Hispanic. Most (67.6%) had no underlying medical problems, 14.7% had asthma, and 22.1% had allergic rhinitis. The median duration of symptoms prior to presentation was 4 days. An abscess or phlegmon was identified in 41 of the 68 (60.3%). Three patients (4.4%) developed intracranial complications. About one-quarter (27.9%) of all patients in the cohort underwent surgical drainage. The most commonly identified pathogens were viridans group streptococci (7/19, 36.8%), followed by Staphylococcus aureus (4/19, 21.1%). Anti-MRSA therapy was provided empirically in almost all (95.6%) of patients. Conclusion One-quarter of all patients hospitalized for orbital cellulitis underwent surgical drainage, and viridans group streptococci and S. aureus were the most commonly isolated pathogens. While MRSA was isolated in only one patient (5.2%), almost all received empiric anti-MRSA therapy. Disclosures All authors: No reported disclosures.


1876 ◽  
Vol 22 (97) ◽  
pp. 18-42
Author(s):  
John M. Diarmid

In 1843 the subcutaneous injection of morphia was introduced into this country by Dr. Alex. Wood, of Edinburgh, as a means of treating nervous disease. He found it remarkably efficacious in relieving neuralgia, but believed its action to be almost, if not entirely, local. His results as to the relief of pain have received almost universal confirmation; but subsequent experiments have shown that the drug acts on the nerve-centres, and thus indirectly soothes the pain of an irritated nerve, and not by causing direct anæsthesia of the seat of pain. To Dr. C. Hunter is due the credit of having first demonstrated that local injection is not necessary for the relief of local pain. He employed the hypodermic injection of morphia very successfully in controlling the spasms of chorea, in subduing the excitement and overcoming the sleeplessness of Delirium Tremens and Acute Mania, and in alleviating the restless wakefulness of traumatic inflammation. (His experiments were published in the “Med. Times and Gazette,” for 1859.) Two years later, in 1861, Dr. W. C. McIntosh, now Superintendent of the Perth District Asylum, then Assistant Physician of Murray's Royal Asylum, Perth, employed morphia, subcutaneously, in almost all forms of insanity, and found it, to use his own words, “a sedative to the furious, a calmative to the depressed and despairing.” His observations were published in the “Journal of Mental Science” for 1861; and although this mode of using morphia rapidly became known, employed, and esteemed in many asylums, and by many alienists, the results, so far as I am aware, were published only as isolated notes till Dr. J. B. Ward's paper appeared in the “West Biding Asylum Medical Reports” for 1871.


2018 ◽  
Vol 35 (5-6) ◽  
pp. 113-7
Author(s):  
Sudiyanto Sudiyanto

Child neglect refers to failure to provide children's fundamental needs. In contrast to child abuse, which implies active negative conduct, child neglect means something passive. Child neglect may take a variety of forms including medical, physical, safety, sexual, educational, and emotional neglects. The neglects may manifest themselves as conditions reflecting the improper provision of child's needs. It should always borne in mind that child neglect is almost invariably resulted from complex process which has been influenced by family history, individual characteristics of the parents and children, social and environmental circumstances, and medical problems. Its management, therefore, should be thoroughly administered, and should involve many aspects and all parties in a team effort. The prevention of child neglect should include formal and informal education of the rights of the child.


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