吉林包皮手术去那里好(吉林去哪家医院切包皮切的权威) (今日更新中)

A 19-year-old died after inhaling deodorant spray to get high, according to a new case report, and doctors who treated the man in the Netherlands are using the case to highlight the fatal consequences of inhaling chemicals.Such cases are "very rare," according to Dr. Kelvin Harvey Kramp of Maasstad Hospital's intensive care unit in Rotterdam.Kramp explained that because deaths from deodorant inhalation are not common among the general population, the "consequences aren't really known," causing people to continue this dangerous behavior.The patient, who had a history of psychotic symptoms, had been admitted to a rehabilitation center for cannabis and ketamine abuse and was taking antipsychotic drugs.During a relapse in July, he placed a towel over his head and inhaled deodorant spray to get high, according to the report, published Thursday in the BMJ. He became hyperactive, jumping up and down, before blood flow stopped suddenly, causing him to go into cardiac arrest and collapse, the report says. He was admitted to the hospital and placed in a medically induced coma when staff failed to revive him.The "patient did not had enough brain function to sustain life," Kramp said. Nine days after he was admitted, doctors withdrew care, and the man died.There are three theories about what caused the cardiac arrest, Kramp said: The inhalant could have oversensitized the patient's heart, which can make any subsequent stress, like getting caught by a parent, cause cardiac arrest. Also, inhalants decrease the strength of contraction of the heart muscle. Another possibility is that inhalants can cause spasm of the coronary arteries.The patient's hyperactivity could mean he was experiencing a "scary hallucination," Kramp said, adding that if that was the case, the first theory would be applicable.Solvent abuse is not a new phenomenon, the report points out, and is primarily found in "young and vulnerable people," according to Kramp.The group most affected by solvent abuse is 15- to 19-year-olds, studies show. People in rehabilitation centers or prisons are more likely to abuse household products, the report added, meaning there could be a greater risk of cardiac deaths in these environments.In these secure environments, people have less access to other substances, and household products are easily available, explained Roz Gittins, director of pharmacy at the British drug charity Addaction, who was not involved in the report.The toxic chemical butane, often used in sprayable household products, has a similar effect to alcohol, Kramp said. "The intention of abusers is to experience feelings of euphoria and disinhibition."Other health effects of inhalants include liver and kidney damage, hearing loss, delayed behavioral development and brain damage.Chemicals like butane have a very quick and short-acting effect, which can make people want to take more, Gittins said.The report's authors hope increased awareness will help reduce further inhalant-related deaths, through education in schools around the fatal consequences of solvent abuse."To stop the abuse, we can only try to increase awareness about the possible dramatic consequences of inhalant abuse among youngsters, parents, medical personnel," Kramp said.Up to 125 deaths are caused by inhalant abuse every year in the United States, according to the report.Stephen Ream, director of UK-based charity Re-solv, said that in 2016, "there were 64 deaths associated with these products," with butane gas accounting for at least a third of those."The breakdown by product is more difficult to establish, but we would suspect that about four or five deaths a year are associated with aerosol products," he said."Solvent abuse is also more of a problem in the northern regions of the UK, with rates particularly higher in Scotland and the North East of England."According UK drug advice organization Talk to Frank, more 10- to 15-year-olds were killed from abusing glues, gases and aerosols than from illegal drugs combined between 2000 and 2008. 4074

(KGTV) -- Two recently filed civil lawsuits claim the government is not providing adequate medical care to some U.S. citizens in its custody.The lawsuits allege that dozens of individuals’ medical needs were deliberately ignored by Department of Homeland Security (DHS) agents, and Americans were forced to undergo life-threatening and torturous detox in temporary holding cells at the border.10News spoke with several people who blamed an overwhelmed system, saying Customs and Border Protection doesn’t have the resources to deal with the demand. They say rather than taking people they arrest who are addicted to drugs or alcohol to a hospital or nearby medical facility they were put in holding cells and ignored."If they keep this up there's a good chance that they are going to put someone in the basement [who] is not going to make it through,” said San Diego attorney Brody McBride.McBride represents a U.S. citizen named Marc Oliver Lewis.According to court documents, Lewis was arrested at the San Ysidro Land Port of Entry in February, accused of trying to bring a non-U.S. citizen into the United States illegally.Two months after his arrest, Lewis sued the government claiming he repeatedly told the defendants (unknown agents of the U.S. Department of Homeland Security) he had been using high doses of alcohol and heroin. The lawsuit states, “even though Mr. Lewis began experiencing objectively severe symptoms of detox and withdrawal from alcohol and heroin, Defendants never provided Mr. Lewis with the medical care required to treat his serious medical needs while Mr. Lewis was in Defendants custody.”McBride said within several hours of his arrest, Lewis started experiencing the beginning effects of alcohol and heroin withdrawal including restlessness, headache, and muscle pains, among other symptoms. He said DHS officials transported Lewis to the Metropolitan Correction Center (MCC), a Federal Bureau of Prisons facility, but officials there rejected Lewis and recommended he be taken to a hospital for immediate medical attention. DHS instead returned Lewis to a DHS holding facility at or near the San Ysidro Land Port of Entry.“They put him in a holding cell with up to 20 other individuals and just basically ignored him,” McBride said.According to his lawsuit, Lewis started to experience severe detox and withdrawal symptoms, including difficulty breathing, chest tightness, racing heart, nausea, vomiting and diarrhea."He was in so much pain he couldn't get up to use the bathroom unassisted, you know he ended up vomiting on himself, defecating on himself,” McBride said. “Meanwhile the officers provided no treatment.”McBride said Lewis was transferred to an isolation cell, but was left in his soiled clothes without a bed, shower or medical attention for four days at which time he was eventually transferred to MCC.Team 10 obtained transcripts for a federal court hearing related to Lewis’ criminal case. According to the transcripts, after listening to the alleged conditions of Lewis’ detention, Chief Judge Hon. Larry Alan Burns said, “It seems to me these are things that, you know, reasonable people, whether prosecutors, defense attorneys, or judges or officers for that matter would say, yeah, we don’t want somebody sitting around in clothing in which they’ve defecated. We’re not going to do that. That’s not a humane thing. This is not some third world country where we treat prisoners like that. So, we’ll get them a change of clothes, we’ll let them shower.”Burns also said, “I think some adjustments need to be made in the case of people that are coming down from narcotics withdrawal.” He added, “I think the government is in a position where they’re vulnerable probably to civil claims that they have – if they don’t do that to civil liability for being indifferent to somebody’s medical needs under the circumstances.”According to the transcript, Burns said he didn’t believe he was authorized to issue orders that would create change, but did suggest that he agrees there’s a problem that can be fixed.McBride said it isn’t just one person being treated badly. He also represents a woman by the name of Amanda Sams who is suing the government.According to federal documents, Sams was also accused of trying to bring a non-U.S. citizen into the United States illegally.After her arrest, Sams told agents she was an alcoholic and an addict, McBride said.Her complaint against the government alleges the night she was arrested, Sams began experiencing the initial effects of detox and withdrawal. It states officials tried to transport her to MCC but, “given Ms. Sams’ obviously unstable medical condition, MCC officials rejected Sams and recommended that she be taken to a hospital for immediate medical attention.”McBride said officers instead “took her back to this facility at the border where they put her in a cell in the basement and left her there for four days.”Sams was not seen by a doctor, nurse, or other medical provider to treat her life-threatening detox and withdrawal symptoms, McBride said.According to her lawsuit, “At several points, defendants even closed the small window to her cell to silence Ms. Sams’ continued pleas for medical attention. Defendants told Ms. Sams, ‘You’re not our problem.’”"They are entitled to a base standard of medical care if the government is going to arrest them and hold them in custody,” McBride said.More people detoxing at the border?Documents obtained by Team 10 show more than just the two people suing the government have gone through detox at the San Ysidro Land Port of Entry.Team 10 obtained what’s known as the “No Body Active List” or “Federal Defender No Body Report.”According to court filings “By 9:00 a.m. each day, the Government shall provide a list to the duty Magistrate Judge and Federal Defender of all persons arrested before 6:00 a.m. that day, but who will not be arraigned that day. The Government shall also provide the reasons for the delay and the location of the defendants. The Government is therefore required to provide the No Body Active List by order of the Court.”A No Body Active List from March of this year shows two additional people involuntarily detoxing from heroin were kept at the San Ysidro Port. Team 10 investigator Adam Racusin has also seen other No Body Active Lists from different dates showing other people marked as detoxing at the San Ysidro Port of Entry.Team 10 tried to get all No Body Active Lists from the start of this year, but so far, the United States Attorney's Office has not turned them over, saying they aren't public documents. Government ResponseA spokesperson for Customs and Border Protection (CBP) tells Team 10 “CBP cannot comment on matters that are currently under litigation.”The spokesperson sent 10News an agency-wide policy that describes nationwide standards, which govern CBP’s interaction with detained individuals. While officials wouldn’t comment, transcripts from a hearing related to Lewis’ criminal case describe some of the conditions and protocols at the San Ysidro Land Port of Entry.According to the transcript, a supervisory enforcement officer over the criminal enforcement unit testified that detainees are observed every 15 to 20 minutes, but the welfare check does not involve checking vitals, such as blood pressure or heart rate.The supervisor testified that there are medical personnel at the port including physician assistants. When asked roughly how many hours of the day are covered by a physician assistant, the supervisor testified “it varies from day-to-day depending on their schedule, but I know they are there for a majority about 16 to probably 20 hours a day.” She also noted there is a physician they report to who is either on-site or they’re able to contact by email or call.When asked by the court if there is any different protocol followed by personnel at the port once someone is returned from the MCC, rejected for medical reasons, the supervisor answered: “Our normal protocol is that we then immediately ask for space at API (Alvarado Parkway Institute). We try not to hold them at the port. We hold them at the port for the minimum amount of time that we can.” The judge then asked “In this case, I was told there was no space” to which the supervisor responded. “Correct.”ChangeIn court for a different criminal case where a detainee has alleged a lack of medical treatment, an attorney for the government told a judge that procedures have been changed.She said now, people who are brought back to the port are seen by a physician assistant every shift, which is every six to eight hours.Team 10 spoke with an addiction specialist who said people suffering from withdrawal should be checked and monitored more than that. 8757

(KGTV) - The Tesla vehicle involved in a deadly California crash last week was operating in "Autopilot" mode, the company confirmed Friday.The vehicle is now the latest accident involving an autonomous vehicle in the last month.The fatal crash on March 23 occurred in Mountain View, Calif. The vehicle had been engaged in Autopilot and alerted the driver with "several" visual and audible "hands-on" warnings, Tesla said in a release.The driver, identified as 38-year-old Walter Huang, did not have his hands on the wheel in the six seconds leading up to the fiery crash, according to the drive logs Tesla recovered."The driver had about five seconds and 150 meters of unobstructed view of the concrete divider with the crushed crash attenuator, but the vehicle logs show that no action was taken," according to Tesla.Tesla said the force of the crash was so severe the highway safety barrier designed to reduce impact into the concrete lane divider had been crushed."We have never seen this level of damage to a Model X in any other crash," Tesla said.Officials from Tesla said they are working with investigators to understand what led to the crash.The company maintained, however, that drivers using Autopilot are 3.7 times less likely to be involved in a fatal crash."No one knows about the accidents that didn’t happen, only the ones that did. The consequences of the public not using Autopilot, because of an inaccurate belief that it is less safe, would be extremely severe," Tesla said.In March, a self-driving Uber vehicle hit and killed a pedestrian in Arizona. That crash had also been utilizing a self-driving system. Dashboard video showed the driver appeared to not have his hands on the wheel at the time of the collision. 1770

(KGTV) -- The U.S. Geological Survey says a pair of earthquakes struck Costa Rica's Pacific Coast Friday evening, including magnitude 6.0 temblor. There were no immediate reports of damage.The first quake was reported at 11:22 p.m. and was centered in the port town of Golfito on the southern Pacific Coast, according to USGS.The jolt was followed by a smaller but strong magnitude 4.9 quake centered in San Vito, about 40 miles east of Golfito.  That quake struck about 27 minutes after the quake in Golfito.Stay with 10News for updates to this story.  606

.@CALFIRESANDIEGO is at scene of Donovan Prison for an event involving multiple patients. Significant augmentation of resources. #DonovanIC— CAL FIRE/SAN DIEGO COUNTY FIRE (@CALFIRESANDIEGO) August 24, 2019 220

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