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Rebecca Riley
Rebecca Jeanne Riley (April 11, 2002 – December 13, 2006) was a four-year-old girl from Massachusetts. In December 2006, Riley's parents gave Riley—who had been diagnosed with attention-deficit hyperactivity disorder and pediatric bipolar disorder between two and three years old—a lethal dose of clonidine. Her death sparked significant controversy over diagnosis of psychiatric conditions and subsequent prescription of psychotropic medication in children. Background Rebecca Jeanne Riley was born on April 11, 2002, in Springfield, Massachusetts, to Carolyn (née DiSalvo) and Michael Riley. Riley lived with two older siblings, Gerard and Kaitlynne. She also had an older half-sister Ashley, who Carolyn had surrendered in an open adoption at two years old. Most of the Riley family had been diagnosed with mental illness. Michael, who had unmedicated bipolar disorder and "intermittent rage disorder", had reportedly been arrested for assault and battery in 1998. Carolyn took med ...
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Brackets
A bracket is either of two tall fore- or back-facing punctuation marks commonly used to isolate a segment of text or data from its surroundings. Typically deployed in symmetric pairs, an individual bracket may be identified as a 'left' or 'right' bracket or, alternatively, an "opening bracket" or "closing bracket", respectively, depending on the Writing system#Directionality, directionality of the context. Specific forms of the mark include parentheses (also called "rounded brackets"), square brackets, curly brackets (also called 'braces'), and angle brackets (also called 'chevrons'), as well as various less common pairs of symbols. As well as signifying the overall class of punctuation, the word "bracket" is commonly used to refer to a specific form of bracket, which varies from region to region. In most English-speaking countries, an unqualified word "bracket" refers to the parenthesis (round bracket); in the United States, the square bracket. Glossary of mathematical sym ...
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Preschool
A preschool, also known as nursery school, pre-primary school, or play school or creche, is an educational establishment or learning space offering early childhood education to children before they begin compulsory education at primary school. It may be publicly or privately operated, and may be subsidized from public funds. Information Terminology varies by country. In some European countries the term "kindergarten" refers to formal education of children classified as '' ISCED level 0'' – with one or several years of such education being compulsory – before children start primary school at ''ISCED level 1''. The following terms may be used for educational institutions for this age group: *Pre-Primary or Creche from 6 weeks old to 6 years old- is an educational childcare service a parent can enroll their child(ren) in before primary school. This can also be used to define services for children younger than kindergarten age, especially in countries where kindergarten is ...
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Toxicology
Toxicology is a scientific discipline, overlapping with biology, chemistry, pharmacology, and medicine, that involves the study of the adverse effects of chemical substances on living organisms and the practice of diagnosing and treating exposures to toxins and toxicants. The relationship between dose and its effects on the exposed organism is of high significance in toxicology. Factors that influence chemical toxicity include the dosage, duration of exposure (whether it is acute or chronic), route of exposure, species, age, sex, and environment. Toxicologists are experts on poisons and poisoning. There is a movement for evidence-based toxicology as part of the larger movement towards evidence-based practices. Toxicology is currently contributing to the field of cancer research, since some toxins can be used as drugs for killing tumor cells. One prime example of this is ribosome-inactivating proteins, tested in the treatment of leukemia. The word ''toxicology'' () is a neocla ...
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Autopsy
An autopsy (post-mortem examination, obduction, necropsy, or autopsia cadaverum) is a surgical procedure that consists of a thorough examination of a corpse by dissection to determine the cause, mode, and manner of death or to evaluate any disease or injury that may be present for research or educational purposes. (The term "necropsy" is generally reserved for non-human animals). Autopsies are usually performed by a specialized medical doctor called a pathologist. In most cases, a medical examiner or coroner can determine the cause of death. However, only a small portion of deaths require an autopsy to be performed, under certain circumstances. Purposes of performance Autopsies are performed for either legal or medical purposes. Autopsies can be performed when any of the following information is desired: * Determine if death was natural or unnatural * Injury source and extent on the corpse * Manner of death must be determined * Post mortem interval * Determining the deceas ...
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Cremation
Cremation is a method of Disposal of human corpses, final disposition of a Cadaver, dead body through Combustion, burning. Cremation may serve as a funeral or post-funeral rite and as an alternative to burial. In some countries, including India and Nepal, cremation on an Pyre, open-air pyre is an ancient tradition. Starting in the 19th century, cremation was introduced or reintroduced into other parts of the world. In modern times, cremation is commonly carried out with a Crematorium, closed furnace (cremator), at a crematorium. Cremation leaves behind an average of 2.4 kg (5.3 lbs) of remains known as "ashes" or "cremains". This is not all ash but includes unburnt fragments of bone mineral, which are commonly ground into powder. They do not constitute a health risk and may be buried, interred in a memorial site, retained by relatives or scattered in various ways. History Ancient Cremation dates from at least 17,000 years ago in the archaeological record, with the ...
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Hemoptysis
Hemoptysis is the coughing up of blood or blood-stained mucus from the bronchi, larynx, trachea, or lungs. In other words, it is the airway bleeding. This can occur with lung cancer, infections such as tuberculosis, bronchitis, or pneumonia, and certain cardiovascular conditions. Hemoptysis is considered massive at . In such cases, there are always severe injuries. The primary danger comes from choking, rather than blood loss. Diagnosis * Past history, history of present illness, family history ** history of tuberculosis, bronchiectasis, chronic bronchitis, mitral stenosis, etc. ** history of cigarette smoking, occupational diseases by exposure to silica dust, etc. * Blood ** duration, frequency, amount ** Amounts of blood: large amounts of blood, or is there blood-streaked sputum ** Probable source of bleeding: Is the blood coughed up, or vomited? * Bloody sputum ** color, characters: blood-streaked, fresh blood, frothy pink, bloody gelatinous. * Accompanying symptoms ** feve ...
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Shortness Of Breath
Shortness of breath (SOB), also medically known as dyspnea (in AmE) or dyspnoea (in BrE), is an uncomfortable feeling of not being able to breathe well enough. The American Thoracic Society defines it as "a subjective experience of breathing discomfort that consists of qualitatively distinct sensations that vary in intensity", and recommends evaluating dyspnea by assessing the intensity of its distinct sensations, the degree of distress and discomfort involved, and its burden or impact on the patient's activities of daily living. Distinct sensations include effort/work to breathe, chest tightness or pain, and "air hunger" (the feeling of not enough oxygen). The tripod position is often assumed to be a sign. Dyspnea is a normal symptom of heavy physical exertion but becomes pathological if it occurs in unexpected situations, when resting or during light exertion. In 85% of cases it is due to asthma, pneumonia, cardiac ischemia, interstitial lung disease, congestive heart failure, ...
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Chlorpheniramine
Chlorphenamine (CP, CPM), also known as chlorpheniramine, is an antihistamine used to treat the symptoms of allergic conditions such as allergic rhinitis (hay fever). It is taken by mouth. The medication takes effect within two hours and lasts for about 4-6. Common side effects include sleepiness, restlessness, and weakness. Other side effects may include dry mouth and wheeziness. It is a first-generation antihistamine and works by blocking the H1 receptor. Chlorpheniramine was patented in 1948 and came into medical use in 1949. It is available as a generic medication and over the counter. Medical uses Combination products Chlorphenamine is often combined with phenylpropanolamine to form an allergy medication with both antihistamine and decongestant properties, though phenylpropanolamine is no longer available in the US after studies showed it increased the risk of stroke in young women. Chlorphenamine remains available with no such risk. Chlorphenamine may be combined wi ...
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Dextromethorphan
Dextromethorphan (DXM) is a medication most often used as a cough suppressant in over-the-counter cold and cough medicines. It is sold in syrup, tablet, spray, and lozenge forms. In 2022, the FDA approved a formulation of it combined with bupropion named Auvelity to serve as a rapid acting antidepressant in patients with major depressive disorder. It is in the morphinan class of medications with sedative, dissociative, and stimulant properties (at lower doses). Dextromethorphan does not have a significant affinity for the mu-opioid receptor activity typical of morphinan compounds and exerts its therapeutic effects through several other receptors. In its pure form, dextromethorphan occurs as a white powder. Dextromethorphan is also used recreationally. When exceeding approved dosages, dextromethorphan acts as a dissociative hallucinogen. It has multiple mechanisms of action, including actions as a nonselective serotonin reuptake inhibitor and a sigma-1 receptor agonis ...
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Tylenol (brand)
Tylenol () is a brand of medication, advertised for reducing pain, reducing fever, and relieving the symptoms of allergies, cold, cough, headache, and influenza. The active ingredient of its original flagship product is paracetamol (known in the United States, Canada, and various other countries as ''acetaminophen''), an analgesic and antipyretic. Like the words ''paracetamol'' and ''acetaminophen'', the brand name ''Tylenol'' is derived from a chemical name for the compound, ''N''-acetyl-''para''-aminophenol (APAP). The brand name is owned by McNeil Consumer Healthcare, a subsidiary of Johnson & Johnson. Medical uses The active ingredient in Tylenol is paracetamol, a widely used over-the-counter analgesic (pain reliever) and antipyretic (fever reducer). Formulations with additional active ingredients intended to target specific applications are sold under the Tylenol brand. These can include codeine as co-codamol, dextromethorphan, methocarbamol, guaifenesin, pseudoephedrine, c ...
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Croup
Croup, also known as laryngotracheobronchitis, is a type of respiratory infection that is usually caused by a virus. The infection leads to swelling inside the trachea, which interferes with normal breathing and produces the classic symptoms of "barking/brassy" cough, inspiratory stridor and a hoarse voice. Fever and runny nose may also be present. These symptoms may be mild, moderate, or severe. Often it starts or is worse at night and normally lasts one to two days. Croup can be caused by a number of viruses including parainfluenza and influenza virus. Rarely is it due to a bacterial infection. Croup is typically diagnosed based on signs and symptoms after potentially more severe causes, such as epiglottitis or an airway foreign body, have been ruled out. Further investigations, such as blood tests, X-rays and cultures, are usually not needed. Many cases of croup are preventable by immunization for influenza and diphtheria. Most cases of croup are mild and the child can b ...
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Hull, Massachusetts
Hull is a town in Plymouth County, Massachusetts, United States, located on a peninsula at the southern edge of Boston Harbor. Its population was 10,072 at the 2020 census. Hull is the smallest town by land area in Plymouth County and the fourth smallest in the state. However, its population density is nearly four times that of Massachusetts as a whole. Hull is home to the popular resort community of Nantasket Beach and has been the summer home to several luminaries throughout the years, including Calvin Coolidge and former Boston mayor John F. Fitzgerald (also known as "Honey Fitz"), the father of Rose Kennedy and father-in-law of Joseph Kennedy Sr. History The Massachuset tribe called the area ''Nantasket'', meaning "at the strait" or "low-tide place". It is a series of islands connected by sandbars forming Nantasket Peninsula, on which the Plymouth Colony established a trading post in 1621 for trade with the Wampanoags. The town was first settled in 1622 and officia ...
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