Posts made in April, 2014

Citalopram (Celexa) side effects

Posted by on Apr 17, 2014 in Antidepressant Side Effects | 1 comment

Celexa is the brand name for the antidepressant medication citalopram hydrobromide, which was originally developed by H. Lundbeck A/S  based in Denmark and marketed there under the brand name Cipramil in 1989. Celexa is marketed by drug marketer and seller Forest Laboratories in the US under an agreement with Lundbeck with approval from the Food and Drug Administration (FDA) given in July 1998.

Citalopram is one of a class of drugs known as a selective serotonin reuptake inhibitor (SSRI), which acts on neurotransmitters to reduce the uptake of serotonin (necessary to terminate its effects), allowing more serotonin to remain longer in the body and control the balance of neurotransmitters to reduce depression. Citalopram is considered to be a better option in terms of SSRIs because it is well-tolerated, has fewer withdrawal symptoms and drug interactions as well as fewer side-effects. However, citalopram is still associated with many of the side effects that plague those who are on SSRIs.

One of the most common Celexa side effects is sexual dysfunction. This includes loss of libido, difficulty in achieving orgasm (anorgasmia) or ejaculation, and decreased reaction to sexual stimuli (genital anesthesia). In some subjects, the effect is permanent following cessation of taking the drug (post SSRI sexual dysfunction). There is evidence that citalopram may also increase suicidal tendencies in younger patients, and need to be closely monitored for any undesirable changes in behavior.

Other common citalopram side effects include dry mouth, weight gain, nausea, excessive yawning, drowsiness, increased sweating, trembling, nightmares, insomnia, diarrhea or constipation, frequent urination, and fatigue. Some people also develop a habit of teeth grinding (bruxism), cardiac arrhythmia, anxiety, blood pressure changes, mood swings, headache, dilated pupils, and dizziness. Still others but quite rarely experience hallucinations, convulsions, and photosensitivity.

Citalopram-induced side effects manifest in about 20% of patients, and withdrawal symptoms such as irritability, tingling sensations and dizziness may also be experienced. Patients who experience extreme levels of any side effect should consult with a physician at once.

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Affirmative Action and Sex-based Discrimination

Posted by on Apr 14, 2014 in Employment Discrimination | 1 comment

Recent cases have addressed the issue of affirmative action in employment, which is essentially reverse discrimination based on sex or gender, race, or ethnicity. Affirmative action was an attempt by the government to right a wrong that had been in practice up to the late 1960s, when African Americans and women were not given equal opportunities in employment as everybody else.

Affirmative action was first used in the 1930s as a way to prevent discrimination against the hiring of unionized workers, and had nothing to do with gender or race. It was under the Civil Rights Act of 1964 (CRA), specifically Title VII, that the term “affirmative action” was used to mean as it is currently understood today, that is ensuring that minorities and women are given every leeway to get benefits, positions and wages that have been denied them prior to this law.

Early critics of the law alleged that the government was attempting to control how companies did business by imposing a quota in their hiring, and for government contractors this is partly true. But private companies are not required under the law to hire people based on anything save ability and capability.  That is primarily the purpose of Title the CRA, and all related laws including the Equal Pay Act, Americans with Disabilities Act, Age Discrimination in Employment Act of 1967, and most recently the Genetic Information Nondiscrimination Act of 2008.

However, when affirmative action is carried too far, it can result in discrimination against non-minorities. In sex-based discrimination, this could take the form of the promotion of a woman over a more competent man for a position because of his gender. This may be considered a form of sex-based discrimination, and the basis for a complaint with the Equal Employment Opportunity Commission and compensation.  Consult with a sex-based discrimination lawyer to find out if your particular case merits legal action.

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Signs of Nursing Home Abuse

Posted by on Apr 11, 2014 in Nursing Homes | 1 comment

As of 2008 (the most recent report), there are 3.2 million of the elderly in the US who are in long-term care, or nursing homes. In general, nursing homes who receive Medicare or Medicaid payments are subject to strict rules and regulations designed to ensure the safety of their residents. However, it is estimated that one-third of all nursing homes have incidents of nursing home abuse.

There are various signs of incipient nursing home abuse, ranging from active sexual, physical, emotional, or financial abuse to passive neglect that equally have a significant impact on the well-being of the resident. As pointed out in the website of law firm Habush Habush & Rottier S.C., there are a lot of ways in which the elderly can be victimized. The warning signs differ for each type of abuse.

For physical abuse, it is often signaled by weight loss, evident malnutrition, bruises, restraint marks, broken bones or fall injuries, and overmedication.  Neglect may also be manifested through these symptoms, and in addition the resident may develop bed sores and presents a generally disheveled or dirty appearance. For abuse of a sexual nature, it could be apparent from bruising or bleeding in the genital area, torn undergarments, or even contraction of diseases that are sexually transmitted.

A resident may be being abused emotionally if they display fear or anxiety around a specific person, such as a staff member or another resident. They may be depressed or angry, or exhibit symptoms of false dementia such as mumbling, thumb sucking, or rocking. Financial abuse will yield documentary evidence such as unexplained bank withdrawals at frequent intervals, loss of jewelry and other personal property with intrinsic value, the appearance of new loans or revisions to trust funds and wills.

If you are a friend or a family member and suspect some form of abuse, you may be required by state law to report it to the proper authorities. You may also be eligible to sue the nursing home for abuse. Consult with a personal injury lawyer with knowledge of applicable laws and experience in handling such cases.

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Defining Child Neglect

Posted by on Apr 8, 2014 in Childcare | 1 comment

Children and the elderly often have special protection under the law because they are in most instances helpless and incapable of protecting themselves. They are also often the victims of abuse, and even if it is not active malevolence, they suffer neglect, which is also a form of abuse. Children who are neglected deserve the same protection under the law as the elderly, but it is often very difficult to detect.

Adults who may have a personal or professional interest in a particular case may suspect child neglect, but there must be proof to support any allegation made. The burden of proof differs from state to state. In North Carolina, for example, a “neglected juvenile” is any person under the age of 18 who is not given the appropriate supervision, discipline and care by the primary custodian such as a parent or guardian. According to the website of law firm Marshall & Taylor, P.C. in Raleigh, if the child is found to be living in an unhealthy environment, the child may be taken away until improvements can be made in the situation.

But because of each individual’s civil rights, it is hard to get any substantive proof of neglect unless the juvenile shows obvious signs of neglect, a relative or friend witnessed the neglect first hand, or the juvenile asks for help. While it is the right and responsible thing to report suspected neglect of a child to the proper authorities, one should also be careful about making such accusations as it can ruin a person’s reputation.

If you have been unjustly accused of child neglect, you will not only have your reputation ruined, but will most likely have your child/children removed from your care. If you are unable to respond properly to the charges, you can permanently lose custody of and parental rights over your child/children. You will need the help of a competent lawyer with extensive experience in handling family law cases to avoid this and get your children back.

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Liability for Above Ground Pool Dangers

Posted by on Apr 5, 2014 in Childcare, Pools | 1 comment

It is often difficult to come up with ways to keep very young children occupied, especially when it is a nice day with the sun shining, the birds singing, and the neighbor’s pool shimmering invitingly. You may not think twice about letting your child play with the other kids in water, unaware of the above ground pool dangers that may be lurking, especially for the very young. But the fact is, pools are probably one of the most dangerous areas for a child, and above ground pools are particularly risky.

Every day, approximately 10 people die somewhere in the US from unintentional drowning, and 2 of these are children under the age of 14. Unintentional drowning is one of the leading causes of death second only to birth defects for children between the ages of 1 and 4, and most of these drowning occur in residential swimming pools.

Above ground swimming pools are particularly dangerous to small children because it is difficult for them to climb out if they fall in by accident, especially when they are unsupervised. Owners have to make sure that their pools are secured against the unauthorized use by children because even if the children were trespassing, they are still liable in most states for any harm that befalls children if they are 10 years old and younger.  Above ground pools should have their ladders removed, the water drained, and the pool itself covered when not in use.

An article on the website of Ritter & Associates, a San Diego law firm, states that above ground pools are also more likely to result in a fall, which can lead to broken bones, head and neck injuries, and lacerations. Owners should be aware of their responsibilities in ensuring the safety of the people they invite to use their pools.

If you or a family member was harmed from the unsafe conditions of an above ground pool, you may be able to get compensation for our injury. Consult with a competent Greenfield personal injury lawyer steeped in premises liability law in the state and get an assessment of your case.

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