Biomedical subjects
Publications and source records attributed to J L Uva.
The combination of pneumothoraces, pneumomediastinum, and pneumoperitoneum is a rare consequence of smoking crack cocaine. This is a report of this trilogy of findings in a 17-year-old girl who attempted suicide by smoking crack cocaine. This case is important to the emergency physician because the increase in crack cocaine use among the adolescent population.
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The main objectives of this study are to analyze the Massachusetts Health Maintenance Organizations (HMOs) in order to determine their standard definition of an emergency, the HMOs instructions for seeking emergency care, and distribution of such instructions for the pediatric population. A 15-question survey concerning pediatric emergency care policies and procedures was asked of each of the 20 HMOs contacted. Quarterly statements of each of the 20 HMOs were obtained from the Division of Insurance as well as the HMO's written materials distributed to the enrollees as member handbooks. Ninety percent of the HMOs had a definition of emergency care for the adult population, whereas 0% had a definition of emergency care specifically for the pediatric population. One hundred percent of the HMOs had instructions for emergency care, but 0% had specific provisions for pediatric emergency care. All 20 HMOs inform their enrollees about emergency policies through a member handbook. The results of this study reveal the lack of a standard definition of an emergency for HMOs. The current definitions of "urgent," "emergency," and "life-threatening emergency" care do not reflect the pediatric population, rather, these definitions are based on the adult population. The lack of specific pediatric guidelines could compromise the health of the children in HMOs.
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The purpose of this article is to define autoerotic asphyxia and present the enigma as a preventable problem. Articles published between 1856 and 1994 are identified through medline, referenced citations, and expert opinion. The literature selected were those most often cited and for which the methodological assumptions could be identified. Interventional strategies determined included legislation/regulation, technology, and education. Injury and death from autoerotic asphyxia can be controlled by pre-event, event, and post-event phase control. However, there are formidable barriers in the way.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.