Unwelcome patients: where can they find asylum?
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Chronic Disease↗
Biomedical subjects
L Margolin
Publications and source records attributed to L Margolin.
Oral lignocaine: its absorption and effectiveness in ventricular arrhythmia control.
A preliminary study suggests that the gastrointestinal absorption of lignocaine is predictable and that adequate antiarrhythmic blood concentrations are maintained for four to five hours when 500 mg. is taken with food and for two hours if the drug is taken without food. Ventricular arrhythmias were successfully treated with oral lignocaine in four patients.
Arrhythmias, Cardiac↗
Child abuse by mothers' boyfriends: why the overrepresentation?
This study showed that although mothers' boyfriends perform relatively little child care, they are responsible for substantially more child abuse than other nonparental caregivers. Using data drawn from interviews with single mothers and records of child abuse substantiated through child protection investigation, mothers' boyfriends' overrepresentation in child abuse was traced to five conditions: (a) the location of their child care in single parent families; (b) their gender; (c) the absence of genetic relationship between mothers' boyfriends and their partner's children; (d) mothers' boyfriends' perceived illegitimacy as caregivers and family members; and (e) mothers' boyfriends' rivalry with their partner's children. The limitations of these findings and implications for future research are discussed.
Adult↗
Sexual abuse by grandparents.
Using a sample of 95 case records of sexual abuse substantiated through child protection investigation, this study confirmed several findings from earlier studies of sexually abusive grandparents: (a) virtually all perpetrators are male, (b) the vast majority of victims are female, (c) a disproportionately large share of abusive grandfathers appear to also be sexually abusive fathers, and (d) stepgrandchildren appear to experience greater risk. Additionally, it was noted that stepgrandparent perpetrators were more threatening and physically violent. However, contrary to some earlier studies, evidence was provided that this form of abuse is inappropriately described as "gentle." Explicit threats and overt physical assault were noted in 14 cases. Moreover, the other tactics used to gain children's compliance, such as overpowering them, suddenly grabbing their genitals, and attacking them in their sleep, appeared to seriously compromise children's autonomy and personal integrity.
Child↗
Fatal child neglect.
This study examined the circumstances associated with fatal child neglect in one state to differentiate fatal child neglect from fatal physical abuse and from other types of neglect that are not life-threatening. The typical neglect fatality was a male child, younger than three, living with his mother and two or three siblings. The fatalities from physical abuse were characterized by deliberate, hostile acts on the part of a caregiver, but in the vast majority of fatalities from neglect, a caregiver was simply not there at a critical moment.
Adolescent↗