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Emergency physician warns against the use of "whippits" | News – Daily Hive

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An emergency physician at the Richmond Hospital as well as Vancouver Coastal Health (VCH) are speaking out about the potential dangers of inhaling nitrous oxide. N2O is most commonly used in medical procedures, typically for anesthesia, analgesia, and sedation.

Nitrous oxide is becoming more commonly used by teenagers and young adults, who inhale from small canisters called “whippits” to experience a brief high, VCH said in an emailed statement.

Dr. Matthew Kwok and the VCH warn that non-medical use to the drug can be extremely dangerous. He also notes that whippits, which are used in whipped cream dispensers, can be easily accessed with no restriction on age, medical history, or intended use.

“We’re seeing patients in the emergency department with drug-induced psychosis and neurological effects who’ve inhaled nitrous oxide,” says Dr. Kwok. “People become addicted to this drug.”

A first-hand experience that Dr. Kwok has encountered involved a 20-year-old woman who was experiencing visual and auditory hallucinations. The doctor wrote about the case in a recent issue of the BC Medical Journal, saying that the female “voiced concerns about a ‘transmitting’ device in her throat.’”

“She believed that this device was making her legs weak and affecting her walking,” reads Dr. Kwok’s report. “She also heard voices from the device telling her to kill herself. She had come to the emergency department because she was worried for her safety.”

The report notes that the woman had no history of psychiatric or medical illness; however, she admitted to using nitrous oxide daily and says that she increased her dosage to approximately 100 whippits per day.

A psychiatrist, neurologist, and an addiction medicine physician agreed after an assessment that the psychosis was a result of N2O misuse. Fortunately, her symptoms resolved and she was discharged without incident.

Dr. Kwok says that when he and his team tried to report the case, they were unable to find agencies that tracked nitrous oxide overdoses in Canada.

“This is a commercially available product that can cause serious adverse health effects, yet there isn’t a proper reporting mechanism that adequately reflects the magnitude of the potential toxicity,” says Dr. Kwok. “Our research shows very few reported cases, in part because the nitrous oxide comes from a product marketed for whipping cream and an adverse report would only be accepted if the canister itself was faulty.”

Dr. Kwok is calling for restrictive access, as well as having safeguards implemented to minimize harm. He also wants to see higher awareness in both medical staff and members of the public.

“When people present at the emergency department with unexplained neurological symptoms it’s important for clinicians to consider nitrous oxide as a possible cause,” says Dr. Kwok. “It’s also important for users to know that using this product outside a supervised medical setting can cause serious health effects.”

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Whooping cough is at a decade-high level in US

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MILWAUKEE (AP) — Whooping cough is at its highest level in a decade for this time of year, U.S. health officials reported Thursday.

There have been 18,506 cases of whooping cough reported so far, the Centers for Disease Control and Prevention said. That’s the most at this point in the year since 2014, when cases topped 21,800.

The increase is not unexpected — whooping cough peaks every three to five years, health experts said. And the numbers indicate a return to levels before the coronavirus pandemic, when whooping cough and other contagious illnesses plummeted.

Still, the tally has some state health officials concerned, including those in Wisconsin, where there have been about 1,000 cases so far this year, compared to a total of 51 last year.

Nationwide, CDC has reported that kindergarten vaccination rates dipped last year and vaccine exemptions are at an all-time high. Thursday, it released state figures, showing that about 86% of kindergartners in Wisconsin got the whooping cough vaccine, compared to more than 92% nationally.

Whooping cough, also called pertussis, usually starts out like a cold, with a runny nose and other common symptoms, before turning into a prolonged cough. It is treated with antibiotics. Whooping cough used to be very common until a vaccine was introduced in the 1950s, which is now part of routine childhood vaccinations. It is in a shot along with tetanus and diphtheria vaccines. The combo shot is recommended for adults every 10 years.

“They used to call it the 100-day cough because it literally lasts for 100 days,” said Joyce Knestrick, a family nurse practitioner in Wheeling, West Virginia.

Whooping cough is usually seen mostly in infants and young children, who can develop serious complications. That’s why the vaccine is recommended during pregnancy, to pass along protection to the newborn, and for those who spend a lot of time with infants.

But public health workers say outbreaks this year are hitting older kids and teens. In Pennsylvania, most outbreaks have been in middle school, high school and college settings, an official said. Nearly all the cases in Douglas County, Nebraska, are schoolkids and teens, said Justin Frederick, deputy director of the health department.

That includes his own teenage daughter.

“It’s a horrible disease. She still wakes up — after being treated with her antibiotics — in a panic because she’s coughing so much she can’t breathe,” he said.

It’s important to get tested and treated with antibiotics early, said Dr. Kris Bryant, who specializes in pediatric infectious diseases at Norton Children’s in Louisville, Kentucky. People exposed to the bacteria can also take antibiotics to stop the spread.

“Pertussis is worth preventing,” Bryant said. “The good news is that we have safe and effective vaccines.”

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AP data journalist Kasturi Pananjady contributed to this report.

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The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.

The Canadian Press. All rights reserved.

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Scientists show how sperm and egg come together like a key in a lock

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How a sperm and egg fuse together has long been a mystery.

New research by scientists in Austria provides tantalizing clues, showing fertilization works like a lock and key across the animal kingdom, from fish to people.

“We discovered this mechanism that’s really fundamental across all vertebrates as far as we can tell,” said co-author Andrea Pauli at the Research Institute of Molecular Pathology in Vienna.

The team found that three proteins on the sperm join to form a sort of key that unlocks the egg, allowing the sperm to attach. Their findings, drawn from studies in zebrafish, mice, and human cells, show how this process has persisted over millions of years of evolution. Results were published Thursday in the journal Cell.

Scientists had previously known about two proteins, one on the surface of the sperm and another on the egg’s membrane. Working with international collaborators, Pauli’s lab used Google DeepMind’s artificial intelligence tool AlphaFold — whose developers were awarded a Nobel Prize earlier this month — to help them identify a new protein that allows the first molecular connection between sperm and egg. They also demonstrated how it functions in living things.

It wasn’t previously known how the proteins “worked together as a team in order to allow sperm and egg to recognize each other,” Pauli said.

Scientists still don’t know how the sperm actually gets inside the egg after it attaches and hope to delve into that next.

Eventually, Pauli said, such work could help other scientists understand infertility better or develop new birth control methods.

The work provides targets for the development of male contraceptives in particular, said David Greenstein, a genetics and cell biology expert at the University of Minnesota who was not involved in the study.

The latest study “also underscores the importance of this year’s Nobel Prize in chemistry,” he said in an email.

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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

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Turn Your Wife Into Your Personal Sex Kitten

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