South Dakota medicine : the journal of the South Dakota State Medical Association
-
Comparative Study
The outpatient use of atypical antipsychotics with Alzheimer's disease.
-
(1) Cash payments should not be accepted from any health-related industry, which might create a conflict of interest, unless it is payment for legitimate research purposes, and the cash is not for purposes of marketing. (2) Marketing gifts, which benefit the patient, are acceptable as long as they are not of substantial value...like equal or less than $100. (3) Conferences (including a "mo dest" meal) sponsored by industry are acceptable when they serve a genuine educational function, and promote objective and scientific activity. (4) Professional people should understand and appreciate the marketing forces, which are endeavoring to influence our behavior. To interact with marketing people is appropriate, not unethical. However we must not be influenced in any way that would disadvantage our patients.
-
Sudden Infant Death Syndrome (SIDS) has dramatically declined nationally and in South Dakota since the beginning of the "Back to Sleep Campaign" in 1994. Nonetheless, in spite of data showing that the majority of babies now are placed on their backs, data from the US and South Dakota show that racial disparities, the safety of infants' sleep environment, and child care are issues requiring attention as strategies are developed to prevent sudden unexpected infant deaths. Data from the Regional Infant and Child Mortality Review Committee that reviews deaths of infants and children in southeastern South Dakota show that among 37 cases, nearly half of all unexpected deaths of infants between 1997 and 2006 occurred in out-of-home child care settings, considerably higher than what would be expected with census data predictions. Fewer (82%) of the out-of-home deaths, versus in-home deaths (100%), were associated with risks of being put to sleep in a non-supine position or in the presence of other sleeping hazards.