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PubMed1991

"Fortress Europe" and the moral debt burden: immigration from the "South" to the European Economic Community.

In light of the opening of the borders within the EC, scheduled for January 1993, this article "discusses the prospects in Europe concerning immigration from third [world] countries in relation to the internal market, the border control issue and the general policies towards non-EC nationals living within the community. The paper will concentrate on immigration from the 'South', discussing the preconditions for various forms of influx from poor countries in the Third World to the European Community. Attention will also be paid to the conception of the problem in the West, and to the prevailing policy proposals at national and European level. It is contended that development aid will not be a sufficient medicine to curb the immigration pressure in the future."

Demography↗
PubMed1993

AIDS 2000.

Explore the source record for details and available documents.

Acquired Immunodeficiency Syndrome↗
PubMed1993

On opulence driven poverty traps.

"We opt in this study to endogenize the growth rate of the population in such a way that it stresses the empirically supported negative relation between fertility and per capita income. Fertility declines as per capita income rises." The authors conclude that "the less developed economy can get stuck in a variant of the 'Malthusian trap', also called the poverty trap. The only way out of the poverty trap is through an injection of capital (a large transfer) from abroad. Our model therefore, supports...[the] view that aid from the developed countries to the less developed countries has to be increased dramatically...to overcome the poverty trap...."

Birth Rate↗
PubMedDate not supplied

The choking child: what happens before the ambulance arrives?

OBJECTIVE: To compare pre-EMS intervention (bystander intervention) with EMS intervention (performed by fire department/EMS personnel) in the management of airway foreign bodies in children. METHODS: First-responding paramedic run reports for 1994 in the metropolitan area (city and county fire departments) pertaining to acute foreign body airway obstruction in children (aged 0-15 years) were reviewed. Data regarding age, gender, type of foreign body, method by which the airway was cleared, and mode of transportation were extracted. RESULTS: There were 103 runs with an age distribution as follows: 0-11 months 39.8%; 1-5 years 50.5%; and >6 years 9.7%. Fifty-eight (56.3%) involved males and 45 (43.7%) involved females. Eighty-five percent of the airways were cleared before EMS arrival. Thirty-eight percent were self-cleared by the child. The chance of airway clearance before EMS arrival increased with increasing age: 78% of the children aged 0-11 months, 88.5% of the children 1-5 years of age, and 100% of the children aged 6 years or older had their airways cleared before EMS arrival. Forty-four percent of the children were not transported, and 27% were transported by private vehicle. Coins and food were the two most common foreign bodies. CONCLUSION: The majority of airway foreign bodies were cleared before EMS arrival, especially in older children. This supports CPR training of new parents and the general population and has training implications for the EMS provider in managing the pediatric airway.

Adolescent↗
PubMed2001

Heimlich trauma: a violent maneuver.

The Heimlich maneuver is a life-saving technique for dislodging foreign material from the respiratory tract. This report illustrates intraabdominal injuries, including a large mesenteric laceration, mesenteric contusions, and intraperitoneal hemorrhage, that occurred in a recipient of a vigorously applied Heimlich maneuver. The potential for confusing such injuries with homicidally inflicted injuries is emphasized.

Airway Obstruction↗
PubMedDate not supplied

An interesting complication of the Heimlich manoeuvre.

The removal of inhaled foreign bodies using the Heimlich manoeuvre is recommended as part of the immediate management of the choking child. We report on a case of witnessed laryngeal obstruction by a foreign body in which repeated Heimlich manoeuvres failed to expel the foreign body, but temporarily relieved the obstruction. The repeated Heimlich manoeuvres dislodged the foreign body into the trachea and may have contributed to the rapid development of extensive surgical emphysema, pneumomediastinum and pneumopericardium. The purpose of this report is to demonstrate that the Heimlich manoeuvre was effective in relieving the airway obstruction, but was associated with potentially severe complications.

Airway Obstruction↗