Palliative chemotherapy: harms and benefits weighed in new study – Medical News

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Palliative chemotherapy: harms and benefits weighed in new study

Palliative chemotherapy is treatment designed for terminal cancer patients to prolong survival and ease symptoms but not cure disease. Now, researchers have found that the therapy comes with certain harms, which they say need to be addressed.

The researchers, from the Weill Cornell Medical College, Dana-Farber Cancer Institute and Harvard Medical School, have published their results in the BMJ.

They say their findings uncover a discrepancy between what type of care cancer patients want and what they actually receive.

Overall, the team found that terminal cancer patients who receive chemotherapy during the last months of their lives are less likely to die where they wish and are more likely to undergo invasive medical procedures – including CPR and mechanical ventilation – than patients who did not receive the therapy.

Dr. Holly Prigerson, of Weill Cornell Medical College, says that the reasons for the link are complicated, but they may originate in misunderstanding of the purpose and consequences of palliative chemotherapy.

For the study, investigators assessed data from 386 patients in a federally funded study, called Coping with Cancer.

This 6-year study followed terminally ill people and their caregivers until the patients died, and the researchers looked at how psychosocial factors influenced patient care.

After asking the caregivers to rate their patient’s care, quality of life and where the patient would have wanted to die, the researchers reviewed patient medical charts to determine the type of care they actually received during their last week.

Chemotherapy patients less likely to die where they want

The researchers found that patients receiving palliative chemotherapy were less likely to talk to their oncologists about the type of care they wanted to receive, to complete Do-Not-Resuscitate orders or to even acknowledge they were terminally ill.

The findings reveal that 68% of patients receiving palliative chemotherapy died where they wanted, compared with 80% of those not receiving the therapy.

In detail, 47% of patients who received the therapy died at home, compared with 66% of patients who did not receive the palliative care. Additionally, 11% of patients receiving the chemotherapy died in an intensive care unit, versus only 2% of patients not receiving the therapy.

Dr. Prigerson says:

“It’s hard to see in these data much of a silver lining to palliative chemotherapy for patients in the terminal stage of their cancer. Until now, there hasn’t been evidence of harmful effects of palliative chemotherapy in the last few months of life.”

“This study is a first step in proving evidence that specifically demonstrates what negative outcomes may result,” she adds.

The team also found that patients receiving palliative chemotherapy were more likely to be referred to hospice care much later than those not receiving the therapy.

Hospice care is a place that provides comfort and emotional support for terminal patients, and 54% of the patients receiving chemotherapy were referred to hospice late, compared with 37% of the patients not receiving the drugs.

‘Potential need for oncology practice changes’

The team notes that 56% of the patients from the study were receiving palliative chemotherapy in their final months, and they say this majority of use emphasizes the potential need for changes in oncology practice at academic medical centers.

Dr. Alexi Wright, assistant professor and medical oncologist at Dana-Farber, says:

“We often wait until patients stop chemotherapy before asking them about where and how they want to die, but this study shows we need to ask patients about their preferences while they are receiving chemotherapy to ensure they receive the kind of care they want near death.”

But Dr. Wright adds that their findings should not be interpreted that patients should be denied or not offered palliative chemotherapy:

“The vast majority of patients in this study wanted palliative chemotherapy if it might increase their survival by as little as a week. This study is a step towards understanding some of the human costs and benefits of palliative chemotherapy.”

“Additional studies are needed to confirm these troubling findings,” concludes Dr. Prigerson.





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Welcome to Burswood Lodge Motel Apartments:

Burswood Lodge Motel Apartments is the ideal choice for your accommodation needs when in Perth, offering great location, value, comfort and service. We are family owned business proudly operating for 12 years, providing you with well presented self-contained apartments that are light, airy, clean and fresh.

Our motel is superbly located just five kilometres from both the domestic airport and the Perth CBD with regular buses to the city and airport a stones throw away. The Belmont Forum Shopping Centre is five minutes drive and the Cannington Carousel and Morley Galleria Shopping Centres are both 15 minutes drive.

We are close by to Victoria Park and Northbridge that are packed full of restaurants, cafes, espresso bars and nightlife. One kilometre away is the world class Crown Perth resort where you can enjoy the casino, high rollers rooms, restaurants, entertainment and the beautiful parklands by the Swan River.

Our location is also a great base from which to explore tourist attractions such as Swan River wine criuises, majestic Kings Park, the Perth Mint, the historic port of Fremantle, magic Rottnest Island, the Swan Valley, wildflower tours, Caversham Wildlife Park, Araluen Botanic Park, the mystical Pinnacles Desert, New Norcia s Benedictine Abbey and much more.

Our comfortable and spacious apartments are serviced daily, and feature a fully equipped kitchen, reverse-cycle air conditiong, flat screen TV s, separate lounge and bedroom, leather sofa, wool carpets, big bathrooms and outdoor seating areas. As an added bonus you get 10 free Foxtel channels that include three sports channels, four movie channels and three documentary channels.

The motel is set back 200 metres from the Great Eastern Highway two minutes from a relaxing, shady walkway along the Swan River. We are directly opposite the handy Eastgate Commercial Centre that includes an IGA, ATMs, a 24 hour gym, barber, salon, chiropactor, dentist, deli, Subway, Red Rooster, pizza bar, chinese and indian.

Give our friendly staff a call on 9472 3411 or book direct on our apartments page. We look forward to seeing you soon!

Check our live availability make a secure booking online today!





Dads hormones change, too, during pregnancy #baby, #fathers, #daddy, #lance, #hormones, #son,


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Lance Somerfeld, 36, right, who started NYC Dads Group, holds son Jake, 2, as friends Craig Fitzpatrick, 33, holds son Henry, 14 months, and Larry Price, 45, holds son Jonah, 6 months, in Central Park. Men undergo chemical, neurological and emotional changes as they become fathers.

By Jennifer S. Altman, for USA TODAY

By Liz Szabo, USA TODAY

As Lance Somerfeld learned, babies are excellent teachers.

His son provided round-the-clock on-the-job training, free of charge.

Within days of becoming a father, the 36-year-old New York City resident learned how to soothe a fussy baby. How to burp him, feed him and swaddle him.

Yet in some ways, Somerfeld’s son began shaping him into a father even before delivery.

Although men may not be aware of it, they actually undergo hormonal changes as they prepare for fatherhood, says neuropsychiatrist Louann Brizendine. author of The Male Brain (Broadway Books, $24.99), released in March.

At first, those hormones tell them to panic, or at least pay attention.

Levels of a stress hormone called cortisol the same ancient chemical that instructs men to fight or take flight tend to spike about four to six weeks after men learn they’re going to be fathers, subsiding as the mother’s pregnancy progresses, Brizendine says.

“It is a cortisol surge that wakes our brains up every morning,” Brizendine says. “So this surge may put the father-to-be’s brain on alert and in a sense wake him up to the impending reality of a new baby’s coming, and alert him that he’d better get things ready.”

Philip Andrew, who organizes a fathers’ group in Lincoln, Neb. says he tried to channel his pre-baby anxiety into educating himself about infants. Concerned that he was unprepared to handle a baby, he and his wife signed up for childbirth and parenting classes at the hospital. Learning about what to expect helped ease his mind and allowed him to remain calm on the big day, Andrew says.

About three weeks before the baby arrives, levels of testosterone sometimes called the “male hormone,” associated with competitiveness, aggression and sex drive fall by roughly a third, Brizendine says.

That may have helped the species to survive, she says. A human baby needs two full-time caregivers maybe more. So a baby is more likely to survive if Dad is at home to help, rather than out looking for new romantic conquests, she says.

Bill Stratbucker, 40, was surprised at the things he did after his twins were born such as going out to buy nipple shields for his wife, which help babies nurse. “Some part of me felt like I wanted to hold on to the way I was before kids,” says Stratbucker, a pediatrician in Grand Rapids, Mich. whose twins are now 6 years old. “You just change and mature a lot.”

Reacting to Mom

Even the male brain changes, Brizendine says.

Tests show that men actually get better at hearing a baby’s cry zeroing in on the sound and responding to it as the due date of their own child approaches.

Other hormonal changes are a head-scratcher, she says.

At the same time that testosterone is falling, a man’s supply of prolactin a hormone that helps mothers make milk rises more than 20%, Brizendine says.

“We still don’t know what prolactin is doing in dads,” she says.

Male hormones begin to readjust when the baby is 6 weeks old, returning to pre-fatherhood levels by about the time the baby is walking, Brizendine says.

Scientists can’t completely explain why men’s hormones fluctuate, Brizendine says. It’s possible that men are reacting to women’s pheromones, airborne chemical messengers secreted by their skin and sweat glands, she says. Scientists think these chemicals may trigger a man’s brain to “begin making the hormonal changes necessary for paternal behavior,” she says.

These pheromones appear to work both ways, at least in animals. In a study of mice, the males released their own pheromones. That triggered the female mice to make more prolactin, which also stimulates the growth of maternal brain circuits, Brizendine says.

Through these unconscious chemical signals, she says, mothers and fathers may be spurring more loving, nurturing behavior in each other, increasing the odds their babies will survive.

It’s possible, Brizendine says, that “the baby is actually in control from before birth in just this very way: The baby is controlling the hormones of the mother, and she is controlling the hormones of the father-to-be.”

Babies exert long-term effects on their fathers. Studies show that dads who are more involved in child care have lower testosterone levels than uninvolved fathers. But do lower testosterone levels really make men more nurturing? Or does nurturing change a man’s hormones? Scientists don’t yet know.

Scientists have more solid answers when it comes to the ways that babies affect the brain.

Looking at a baby’s face with its pudgy cheeks and big eyes causes the brain’s “parental-instinct” area to light up within one-seventh of a second.

A baby’s smile activates the same brain circuits involved with falling in love, Brizendine says.

As if practice makes perfect, Brizendine says, “the more a man holds and cares for his child, the more connections his brain makes for paternal behavior.”

Parents say they need that fierce devotion to power through the tough times, waking every two hours to feed a hungry newborn or pacing the halls with a colicky 3-month-old.

Rahul Parikh says even his training as a pediatrician didn’t adequately prepare him for those first few months of fatherhood. Unlike medical interns, who take turns working 24-hour shifts, parents never get a night off.

“I was a ghost of myself for a little while,” says Parikh, 38, of Walnut Creek, Calif. who has a 2 -year-old daughter and another baby due in August. “Even starting medical school and becoming a doctor wasn’t like that. At home, when the baby screams, it’s all on you.”

Parikh says he’s not surprised by new research suggesting that 14% of new dads develop postpartum depression about the same rate seen in new moms. Yet even the most involved fathers often notice that their wives experience parenthood differently.

Many mothers find themselves consumed by the demands of their infants not to mention their own health needs, as they recover from childbirth. In spite of their willingness to pitch in, Andrew says some dads tell him that they feel a bit peripheral or even ignored.

“I wasn’t the be-all and end-all for my wife anymore,” says Josh Hornick, 51, a father of two from Amherst, Mass. who trains life coaches. “And that’s as it should be. If I could choose whether to have my wife be more attentive to me or to our children, I would want her to be more attentive to my children. But it’s still a shock.”

By maintaining a little emotional distance or a least a broader perspective Andrew says fathers can help keep a household running. While moms focus on essentials such as breast-feeding, dads can keep the rest of the household from falling apart by doing housework, driving older kids to school or making sure that bills get paid.

“The dad has a bigger picture on things, instead of that laserlike focus on the baby,” says Andrew, 39, whose children are 6, 8 and 13. “It works as a balance.”

Matt Schneider, whose sons are 5 and almost 2, decided to stay home full time after his first son was born. He’s enjoying fatherhood more than he ever imagined.

“It’s fun to see to see them developing into real people and see their personalities grow and develop, and to see yourself in them,” says Schneider, 35, a former schoolteacher who organizes the NYC Dads Group for active fathers with Somerfeld. “I was planning to stay out of the workforce a year. Now it’s been almost five years.”


Current Mortgage Rates in IN – Indiana FHA Mortgage #indiana, #mortgages, #in,


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Current mortgage rates in Indiana: HSH.com s FHA/VA Showcase

Choose from Refinance lenders in Indiana for FHA 30-year mortgage rates

The mortgage products on HSH.com are from companies from which QuinStreet may receive compensation. Compensation may impact where products appear on HSH.com (including the order in which they appear). QuinStreet does not include all mortgage companies or all types of products available in the marketplace.

Indiana Mortgages

FHA Loans are government insured loans from the Federal Housing Administration and are an attractive option for homebuyers who want to refinance.

For Indiana, 88 counties have an FHA loan limit at $271,050 and the remaining 4 counties at $365,700.

As of January 1, 2014, HUD approves new lower loan limits to take effect for FHA single-family loans. The current standard loan limit for areas where housing costs are relatively low will remain unchanged at $271,050. The new national-ceiling loan limit for the very highest cost areas will be reduced from $729,750 to $625,500. See the chart below for loan limits in your county.


Emergency Chiropractic #emergency #chiropractic, #work #injuries, #auto #accident #injuries, #phoenix #auto #accidents,


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Who We Are

Our practice is limited to the treatment of Auto and Work Injuries only. Over the past 40 years we have treated thousands of auto and motorcycle accident victims. We offer new patient appointments seven days a week including all holidays with no after hour charges. Don t suffer with pain, call today and we will see you today. No hassle!

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Most auto accident policies and worker s compensation insurance cover 100% of the cost of care. Based upon qualifying auto insurance, we treat most auto accidents and work injuries with no deductibles, no co-pays and no out of pocket cost. And we will gladly wait for payment from the responsible insurance company or your attorney. Free Initial Consultation!

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The best way to limit auto accident injury and protect against ejection in a collision is with the use of a safety belt. Research has shown that lap shoulder belts when used properly, reduce the risk of injury to front seat passenger car occupants by:

Make an Appointment Today.

Same Day Appointments available. 8:00 A.M. to 6:00 P.M. Saturday, Sunday, Evenings, and Holiday Appointments Gladly Accepted at No Additional Cost! With 14 Valley Locations, we are close to you. All Patients are seen by Appointments only. Call Today, be seen Today! To make an appointment, click below to find the nearest Office to you.

Shuttle Service Available

Emergency Chiropractic offers shuttle service. We can coordinate transportation to and from our offices, if your car is in the repair shop following an auto accident. Our staff will arrange to have you picked up for your appointment and returned home after your care. Now there is no need to delay getting the care you need, just because your car is in the shop following an auto accident. Just let us know when you come in for your first appointment and we will coordinate transportation for future appointments. For more details, please click on the video to the left.

Our Patients Speak

I felt as though the Doctor was my friend, so much that I continue to send patients. I will miss the whole entire staff now that my medical problems are completed!
Patient of Dr. Ellis Chiropractic Physician Northwest Clinic Director

Dr. Bernard is special, makes you feel comfortable, cares about you as a person, not just a patient. He brightens your day with Humor!
Patient of Dr. Bernard Chiropractic Physician Midtown Clinic Director


Twin Cities Calendar #calendar,now,today,day,week,month,january,february,march,april,may,june,july,august,september,october,november,december,minneapolis,st #paul,saint #paul,twin #cities,twin #cities #calendar,twin #cities #directory,twin #cities


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Minneapolis – St. Paul prime places for Creative Odd Performances

Minneapolis – St. Paul prime places for Science History

History Center – St. Paul – more depth than Lake Superior or a list of dates (see history list below)
Science Museum of Minnesota – St. Paul – galleries feature the human body and other fossils (IMAX-2D )

Sea Life Aquarium – Bloomington – Mall of America – formerly Underwater World (coupons at Subway Cub)
Mysteries of the Rainforest – caiman crocodiles, poison dart frogs, piranha, tortoises
Wabasha Street Caves – storied histories of the seedier days of St. Paul and Castle Royal

Minneapolis – St. Paul prime places for Culture

Native American
Mendota Mdewakanton Dakota Tribe. 340 River Road, Mendota, MN 55150 651-452-4141
Mille Lacs Band of Ojibwe. Mille Lacs Band Gov’t Center, 43408 Oodena Drive, Onamia, MN 56359 320-532-4181
Minneapolis American Indian Center. 1530 E Franklin Av, Minneapoli,s MN 55404 612-879-5913
Prairie Island Mdewakanton Dakota. 5636 Sturgeon Lake Road, Welch, MN 55089
Saint Paul American Indian Magnet School. 1075 3rd Street E, St Paul, MN 55106 651-778-3100
Shakopee Mdewakanton Tribe. 2330 Sioux Trail NW, Prior Lake, MN 55372 952-445-8900
Winona Dakota Unity Alliance. Box 393, Winona, MN 55987

Hmong ( MN history )
Hmong Academy Charter School. 1515 Brewster St, St Paul, MN 55108 651-209-8002
Hmong American Partnership. 1075 Arcade Street, St Paul, MN 55106 651-495-9160
Hmong Archives. 343 Michigan Street, St Paul, MN 55102 651-621-5469
Hmong Cultural Center. 995 University Av W #214, St Paul, MN 55104 651-917-9937
Hmong Freedom Celebration – J4, Lao Family Community of MN, 320 University Av W, St Paul 55103 651-221-0069
Hmong Times. Box 9068, St. Paul, MN 55109 651-224-9395
Hmong Today (Xov-Xwm Hmoob), 1552 White Bear Av, St Paul, MN 55106 651-489-0021
Hmong Village (market, food court, shopping mall), 1001 Johnson Parkway, Saint Paul, MN 55106 651-771-7886

Somali( MN history )
Confederation of Somali Community. 420 15th Av S, Minneapolis, MN 55454 612-605-3222
Ka Joog (artists), at The Southern Theater, 1420 Washington Av S, Minneapolis, MN 55454 612-460-5628
St. Cloud Somali Radio (KVSC 88.1FM), 720 – 4th Av S, 27 Stewart Hall, SCSU, St. Cloud, MN 56301 320-308-4748
Somali Action Alliance. 2525 Franklin Av E #100, Minneapolis, MN 55406 612-455-2185
Somali Artifact Cultural Museum. 1516 E Lake St, Minneapolis, MN 55407 612-998-1166
Somali Senior Center. 3015 Ceder Av S, Minneapolis, MN 55407 612-208-0636
Suuqa Karmel Somali Mall (shopping), 2936-2944 Pillsbury Av S, Minneapolis, MN 55408 612-722-1480

Minneapolis – St. Paul media

Minneapolis – St. Paul best coupons (printable coupons – no signups, no installations)

Events in Minnesota History

January 5 – Walter Mondale born in Ceylon, MN in 1928
January 19 – Tippi Hedren born in New Ulm in 1931
January 21 – Largest protest (Women’s March) in 2017
February 2 – Record cold -60 in 1996
February 7 – Sinclair Lewis born in Sauk Centre in 1885
February 24 – Mitch Hedberg born in St. Paul in 1968
March 1 – 1st MN Capitol burned in 1881
March 3 – MN becomes a territory in 1849
March 3 – Jessica Biel born in Ely in 1982
March 18 – Peter Graves born in Minneapolis in 1926
March 24 – Louis Anderson born in Minneapolis in 1953
April 20 – Jessica Lange born in Cloquet, MN in 1949
April 21 – Prince died in 2016
April 23 – John Dillinger shootout in Hastings in 1934
May 11 – MN becomes 32nd state in 1858
May 24 – Bob Dylan born in Duluth in 1941
May 28 – Latest snow in 1965
June 7 – Prince born in Minneapolis in 1958
June 13 – Mick Jagger met Jimmy Hutmaker in Excelsior who said, “You can’t always get what you want,” in 1964
July 6 – Prairie Home Companion – 1st live broadcast in 1974
July 6 – Philando Castile was killed by a police officer in 2016
July 10 – Edward Lowe, inventor of Kitty Litter, born in 1920
July 15 – Jesse Ventura born in Minneapolis in 1951
July 23 – Snowman built in North St Paul in 1974
August 1 – I-35W bridge collapses over Mississippi River in 2007
August 5 – Loni Anderson born in St Paul in 1945
August 7 – Garrison Keiller born in 1942
August 11 – Mall of America opens in 1992
September 1 – Fire burned the pine forests of Hinckley in 1894
September 2 – 1st open heart surgery at UofMN in 1952
September 2 – VP Teddy Roosevelt gives Speak Softly speech at MN State Fair in 1902
September 6 – Robert Pirsig born in Minneapolis in 1928
September 7 – Jesse James gang attempts to rob Northfield bank in 1876
September 15 – Earliest snow in 1916
September 19 – Mary Tyler Moore show 1st airs in 1970
September 24 – F Scott Fitzgerald born in St Paul in 1896
September 24 – Kevin Sorbo born in Mound, MN in 1958
September 25 – Cheryl Tiegs born in Breckenridge, MN in 1947
September 30 – Mayo Clinic opens in 1889 (as St Mary’s)
October 2 – 1st Peanuts comic strip in 1950
October 4 – Rachael Leigh Cook born in Minneapolis in 1979
October 6 – 1st indoor shopping mall – Southdale – opens in 1956
October 25 – Marion Ross born in Watertown in 1928
October 25 – MN Twins win World Series in 1987
October 25 – Senator Paul Wellstone dies in 2002
October 29 – Winona Ryder born in Olmsted County in 1971
October 31 – 21 inches of snow in 24 hours in 1991
November 13 – Steve Zahn born in Marshall, MN in 1967

November 24 – Mystery Science Theater airs on KTMA in 1988
November 26 – Charles Schultz born in Minneapolis in 1922
December 26 – Dakota executions in Mankato in 1862

September seems the busiest month in Minnesota history. I don’t know why.


Craig J #stock #market #quotes, #online #quotes, #stock #market, #stock #market #quote,


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Business Leaders

Craig J. Duchossois, MBA

Mr. Craig J. Duchossois is Independent Director at Churchill Downs, Inc. Chairman & Chief Executive Officer at Trinity Rail Group LLC, Chief Executive Officer & Director at The Duchossois Group, Inc. a Principal at Duchossois Technology Partners LLC, Chief Executive Officer at TCMC, Inc. a Member at World Presidents’ Organization, a Member at Economic Club of Chicago, Chairman at The Chamberlain Group, Inc. a Principal at Duchossois Capital Partners LLC, Managing Member at HeathCo LLC, and a Member at Chief Executive Officers’ Club of Boston.

He is on the Board of Directors at Churchill Downs, Inc. The Duchossois Group, Inc. World Business Chicago, The Culver Educational Foundation, The University of Chicago, The University of Chicago Medical Center, Illinois Institute of Technology, Northwestern University, The Executives Club of Chicago, AMX Corp. Milestone AV Technologies, Inc. The Chicago Council on Global Affairs, AMX UK Ltd. Marine Corps Scholarship Foundation, AMX LLC, Amsted Industries, Inc. and Kellogg School of Management.

Mr. Duchossois was previously employed as Independent Director by Levy Acquisition Corp. a Board Member by LaSalle National Bank, Chairman by United States Naval Academy, and a Principal by United States Marine Corps.

He also served on the board at Platinum Entertainment, Inc. Blue Rhino Corp. and Trinity Industries, Inc.

He received his undergraduate degree from Southern Methodist University and an MBA from Southern Methodist University.

Current positions of Craig J. Duchossois, MBA

Chief Executive Officer

The Chamberlain Group, Inc.

Duchossois Capital Management LLC

Amsted Industries, Inc.

The Duchossois Group, Inc.

Chief Executive Officer & Director

Milestone AV Technologies, Inc.

The University of Chicago Medical Center

Illinois Institute of Technology

The University of Chicago

World Business Chicago

The Executives Club of Chicago

The Chicago Council on Global Affairs

The Culver Educational Foundation

Edgewater Funds LP

Marine Corps Scholarship Foundation

Kellogg School of Management

Duchossois Technology Partners LLC

World Presidents’ Organization

Economic Club of Chicago

Duchossois Capital Partners LLC

Chief Executive Officers’ Club of Boston

Holdings of Craig J. Duchossois, MBA

Craig J. Duchossois, MBA: Personal Network

Churchill Downs, Inc.
Duchossois Capital Partners LLC
The Duchossois Group, Inc.
Milestone AV Technologies, Inc.
TCMC, Inc.
The Chamberlain Group, Inc.

Churchill Downs, Inc.
The Duchossois Group, Inc.
Milestone AV Technologies, Inc.
AMX LLC
The Executives Club of Chicago
Duchossois Technology Partners LLC
The Chamberlain Group, Inc.
Economic Club of Chicago
AMX Corp.

Kellogg School of Management
Northwestern University
The Executives Club of Chicago
The Chicago Council on Global Affairs
Economic Club of Chicago

The Chicago Council on Global Affairs
Northwestern University
Kellogg School of Management
Economic Club of Chicago
The Executives Club of Chicago

The Chicago Council on Global Affairs
World Business Chicago
Economic Club of Chicago
The Executives Club of Chicago

The Chicago Council on Global Affairs
The Executives Club of Chicago
World Business Chicago
Economic Club of Chicago

The Chicago Council on Global Affairs
World Business Chicago
The Executives Club of Chicago
Economic Club of Chicago

Economic Club of Chicago
World Business Chicago
The Executives Club of Chicago
The University of Chicago

The Duchossois Group, Inc.
AMX Corp.
The Culver Educational Foundation

Economic Club of Chicago
World Business Chicago
World Presidents’ Organization
The University of Chicago
The Executives Club of Chicago


Quotestream – Streaming Market Data – Desktop or Wireless #free #quote #today


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CEO of QuoteMedia, Ltd.

Quotestream is a registered trademark of QuoteMedia, Inc
All contents are copyright 2015 QuoteMedia, Inc.


Atlanta Car Accident Lawyer #atlanta #car #accident #attorney, #call #(404)-814-8949 #today #for


Atlanta Car Accident Lawyer

Hurt in an Auto Accident? An Atlanta Car Accident Lawyer at Sammons Carpenter can help. Call us today at (404) 814-8949 for a free, no obligation consultation. We have recovered millions in compensation for our clients due to the following types of automobile accidents:

Atlanta, Georgia Car Accident Statistics

We hope you never need an Atlanta Car Accident Attorney, but statistics show at some point you probably will. Ranging from the relatively harmless fender bender to the thirty-car pile-up on the interstate, chances are you will eventually be involved in some form of a motor vehicle collision. In fact, in Georgia alone, from 1996 to 2003, the latest years for which complete statistics have been compiled by the Georgia Department of Motor Vehicle Safety (GDMVS), there were nearly two and a half million crashes involving over 4.7 million drivers. Overall, over 6.6 million people whether drivers, passengers, pedestrians, bicyclists, or others were involved in a car accident during those seven years in the state of Georgia.

While automobile manufacturers continue to innovate and install enhanced safety devices in modern vehicles, the fact is, there are many more drivers on the road and more of those drivers are putting more miles on their vehicles. Given Georgia s current population of just over 9.8 million residents, it is easy to see that, at one time or another, nearly every Georgia resident will be involved in a car accident. Each year, according to GDMVS, 873,800 individuals, or the equivalent of 9% of Georgia s total population, become involved in a motor vehicle accident in Georgia, either as a driver, passenger, or pedestrian. Any time you step into a vehicle and get on the road, the risk of experiencing an accident is very real.

While many crashes involve either no injuries or minor injuries, the unfortunate reality is that some car accidents have serious and even fatal results. From 1996 to 2003, nearly 31 individuals were killed every week in a car accident. In 2010, there were a total of 1,317 fatalities, or an average of 25 fatal accidents per week. That s equal to one person dying every seven hours as a result of a car accident in Georgia.

Yet even a non-fatal car accident can result in injuries that may be just as devastating, both to the injured parties themselves and to their family members, if the injury is one which entails months of recovery, or where the injury causes a permanent disability. To put this in stark perspective:

  • From 1996 to 2003, 368 people were injured from car crashes each day in Georgia, compared to 60 people injured as a result of an aggravated assault;
  • Over that same period, the number of individuals killed in motor vehicle crash was three times higher than the number of murder victims in Georgia;
  • From 2000 to 2006, 42,337 people suffered severe injuries such as traumatic head injuries or paralysis from car crashes in Georgia,;
  • Motor vehicle accidents are the leading cause of head injuries, which can result in death or serious long-term incapacitation.

When an injury is serious, full recovery can take weeks or even months, or, as stated above, where the injury is to the brain or spine, it may lead to a permanent disability. Car accident injuries can cause an individual to incur expensive emergency care, surgery, extended hospital stays, create a need for medical devices and recuperative therapy, and require in-home care from professional care-givers. Other damages may include lost income, lost employment, impaired ability to perform jobs, and so on.

Obtaining Recovery for Atlanta Car Accident Injuries
Under Georgia law, the victim of a car accident caused by another s negligence may recover all the costs associated with their medical treatment and rehabilitation, the amount of lost wages they incurred both actual and prospective, as well as damages for pain and suffering. In addition, Georgia allows some victims to recover punitive damages under certain circumstances, such as if the driver at fault was intoxicated, or otherwise acted in reckless and callous disregard for the safety of others.

When you become injured in an Atlanta automobile accident through no fault of your own, do not make the mistake, as many people do, of assuming that your claim will be covered by an insurance company simply because Georgia law requires all drivers to carry accident liability insurance for every vehicle they own. In Georgia, the law only requires drivers to carry a minimum of $25,000 per person for bodily injury, $50,000 per accident for bodily injury to two or more people, and only $25,000 per accident for any property damage. While this may be adequate for minor accidents, it is severely inadequate for claims that involve serious injury.

Even if there is sufficient insurance coverage, some insurance companies are not always prompt and willing to settle even the most legitimate claims. When an insurance company willingly covers the maximum allowable under a policy, an injured party may still not obtain full recovery unless they pursue a claim against the at-fault party personally or against their own insurance company under an underinsured/uninsured provision, if available. The Atlanta car accident attorneys at Sammons Carpenter can not only handle all the dealings with the insurance company on your behalf, but investigate whether any other resources of recovery are available to you.

You should also be aware that statistics compiled by the Georgia Department of Transportation showed that, in one typical year, one out of every ten drivers involved in a car accident in Georgia had a driver s license from another state or country, and that the proportion was even higher for fatal vehicle crashes. Consequently, in some instances, Georgia s insurance requirements may not apply in your accident: some accident victims in Georgia may have no recourse to insurance.

If you’ve been in a car accident in Atlanta, it is critically important to make sure that you understand your legal rights. Georgia law on car accidents is complex, and the statute of limitations for filing a claim can be short. You need to recognize that, the longer you wait, the more likely it is that important rights may be forfeited, and critical evidence may be forgotten by witnesses, or damaged or destroyed as time elapses. Further, it is often prudent to retain an attorney before you talk to an insurance representative and/or other officials, to make sure that they are not using your own statements as evidence that will ultimately be used against your interests.

Getting Help From an Atlanta Car Accident Lawyer
If you or a loved one have been involved in a car accident, call one of the qualified Atlanta Car Accident Lawyers at Sammons Carpenter, P.C. right away, at 404-814-8949, or use our confidential online case evaluation form here on this site. Your consultation is free, and, if we agree to take your case, we will not charge you a dime until we recover damages for you. With every consultation, your information is kept confidential, and there is no obligation on your part to retain our firm. If you need help, contact us, and put some of your burdens in our care.

Also, be sure to visit our Georgia Learning Center Page where we have assembled a number Articles and Videos specific to Car Accident Claims such as:

Copyright 2014 by Sammons Carpenter, P.C.

  • Obtaining Compensation for Pre-Existing Injuries After an Atlanta Accident When you sustain injuries as a result of an accident that someone causes as a result of negligence or as a result of wrongdoing, you are entitled to
  • Buying a Used Car Could Put You at Increased Risk of Atlanta Accidents Many consumers throughout Georgia purchase used vehicles when it comes time to buy a car. Purchasing a used vehicle can be a smart financial choice
  • Scientists Explore New Test for Atlanta Whiplash Sufferers Whiplash is one of the most common injuries that occurs in motor vehicle accidents, and especially rear-end crashes. Many victims of whiplash
  • Common Atlanta Car Accident Injuries Car accidents are a leading cause of injuries and a leading cause of injury-related fatalities. When a motorist is involved in a car accident, it is
  • Distracted Driving Awareness Month Focuses on Car Accident Risks April is distracted driving awareness month, and unfortunately the public safety activities during this month are more important than ever because a
  • Five Kinds of Evidence That Could Help You Get Atlanta Car Accident Compensation If you have become involved in a car accident in Atlanta, you may be facing substantial financial losses due to the collision. If you got hurt, you

How to Determine Car Accident Fault #car #accidents #in #oklahoma #today


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How Police Reports Establish Fault for a Car Accident

If you’ve been involved in an automobile accident, it’s in your best interests to call the police and have them come to the scene so that the incident is documented in a police report — no matter who you think is at fault for the crash.

If fault lies with the other driver, the police report can be very useful as leverage in negotiations or in guiding a court to find in your favor. If you are at fault, the report will set the scope for your liability and help define the extent of the damage.

How Police Reports are Prepared and Used

When an officer comes to the scene of an accident, he or she does a few standard things. If medical attention is needed, the officer will call it in, but assuming that there is no such need, the officer’s first job is to try to get the cars out of traffic. The officer will also take pictures of the accident scene and of damage to the vehicles. If there are skid marks leading up to the impact, the officer will measure those. Finally, the officer will try to get official statements from the drivers involved, and from any witnesses.

From the testimony of the drivers and witnesses, the physical evidence at the scene of the accident, the officer’s experience in investigating accidents, and any special training that the officer has, he or she will prepare a report that details how the accident happened. This report will likely include the officer’s opinion as to the cause of the accident — who was at fault.

How a Police Report Can Sway a Case

While the police officer’s conclusions as to who caused the accident may result in a ticket for the at-fault driver, the report is not necessarily a final determination of liability. But the report will carry a lot of weight during settlement negotiations with an insurance company, and in any personal injury lawsuit. If you’re on the right side of any fault finding, and the officer stated that the other driver caused the accident, the report is a huge asset.

But what if the report points the finger squarely at you? The other driver’s insurance company may try to bully you with the report. If the officer decided that you were at fault and included that determination in his or her report, the insurance company has a potent weapon to try to claim that it is hopeless for you to hold out and that you better settle right now — for a dollar amount of their choosing. If you find yourself in this position, it may be an uphill battle, as courts tend to reflexively trust the police.

An attorney may be able to help you with that battle. There are still ways to attack the findings of a police report. Always ask what sort of information the officer received. and from whom. Does the report say that you were travelling 55 miles in a 35 zone just because that’s what the other driver said, even though you know that is not true? Was the officer relying on a witness who said the light was red, when that witness may not have been in a position to see the traffic signal? (Learn more about How to Amend a Police Report After the Fact .)

Another potential avenue of attack is to measure the officer’s training against his or her findings in the report. Perhaps the best example of this is skid mark analysis. While 10 feet of skid marks leading to the point of impact can probably indicate that the driver did not start breaking until 10 feet before the point of impact, the same cannot be said for estimating a vehicle’s speed from the length of the skid marks. It is possible to do this with some accuracy, but it requires special training that is not standard for most police departments. Because this determination requires special knowledge or training beyond the experience of normal people, courts require a showing of such knowledge or training before this kind of determination can be admissible. The same concept can be applied to other special measurements and conjectures.

Watch What You Say at the Scene

Much like the version of the Miranda rights you hear so often on TV, anything you say to an officer that makes it into the report can, and probably will, be used against you later on in the insurance claim or lawsuit process. Much as you should not admit liability to the other driver, you must watch what you tell the police and what you sign. (More tips: Be Careful What You Say at the Scene of Your Car Accident .)

When you are in a car accident and the police have been called, any police report that’s prepared can make your case impenetrable, or blow holes into it that you may not be able to shore up. The best way to protect yourself may be to consult an experienced personal injury attorney.

Get the compensation you deserve.


Palliative chemotherapy: harms and benefits weighed in new study – Medical News

#palliative chemotherapy

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Palliative chemotherapy: harms and benefits weighed in new study

Palliative chemotherapy is treatment designed for terminal cancer patients to prolong survival and ease symptoms but not cure disease. Now, researchers have found that the therapy comes with certain harms, which they say need to be addressed.

The researchers, from the Weill Cornell Medical College, Dana-Farber Cancer Institute and Harvard Medical School, have published their results in the BMJ.

They say their findings uncover a discrepancy between what type of care cancer patients want and what they actually receive.

Overall, the team found that terminal cancer patients who receive chemotherapy during the last months of their lives are less likely to die where they wish and are more likely to undergo invasive medical procedures – including CPR and mechanical ventilation – than patients who did not receive the therapy.

Dr. Holly Prigerson, of Weill Cornell Medical College, says that the reasons for the link are complicated, but they may originate in misunderstanding of the purpose and consequences of palliative chemotherapy.

For the study, investigators assessed data from 386 patients in a federally funded study, called Coping with Cancer.

This 6-year study followed terminally ill people and their caregivers until the patients died, and the researchers looked at how psychosocial factors influenced patient care.

After asking the caregivers to rate their patient’s care, quality of life and where the patient would have wanted to die, the researchers reviewed patient medical charts to determine the type of care they actually received during their last week.

Chemotherapy patients less likely to die where they want

The researchers found that patients receiving palliative chemotherapy were less likely to talk to their oncologists about the type of care they wanted to receive, to complete Do-Not-Resuscitate orders or to even acknowledge they were terminally ill.

The findings reveal that 68% of patients receiving palliative chemotherapy died where they wanted, compared with 80% of those not receiving the therapy.

In detail, 47% of patients who received the therapy died at home, compared with 66% of patients who did not receive the palliative care. Additionally, 11% of patients receiving the chemotherapy died in an intensive care unit, versus only 2% of patients not receiving the therapy.

Dr. Prigerson says:

“It’s hard to see in these data much of a silver lining to palliative chemotherapy for patients in the terminal stage of their cancer. Until now, there hasn’t been evidence of harmful effects of palliative chemotherapy in the last few months of life.”

“This study is a first step in proving evidence that specifically demonstrates what negative outcomes may result,” she adds.

The team also found that patients receiving palliative chemotherapy were more likely to be referred to hospice care much later than those not receiving the therapy.

Hospice care is a place that provides comfort and emotional support for terminal patients, and 54% of the patients receiving chemotherapy were referred to hospice late, compared with 37% of the patients not receiving the drugs.

‘Potential need for oncology practice changes’

The team notes that 56% of the patients from the study were receiving palliative chemotherapy in their final months, and they say this majority of use emphasizes the potential need for changes in oncology practice at academic medical centers.

Dr. Alexi Wright, assistant professor and medical oncologist at Dana-Farber, says:

“We often wait until patients stop chemotherapy before asking them about where and how they want to die, but this study shows we need to ask patients about their preferences while they are receiving chemotherapy to ensure they receive the kind of care they want near death.”

But Dr. Wright adds that their findings should not be interpreted that patients should be denied or not offered palliative chemotherapy:

“The vast majority of patients in this study wanted palliative chemotherapy if it might increase their survival by as little as a week. This study is a step towards understanding some of the human costs and benefits of palliative chemotherapy.”

“Additional studies are needed to confirm these troubling findings,” concludes Dr. Prigerson.





Palliative chemotherapy: harms and benefits weighed in new study – Medical News

#palliative chemotherapy

#

Palliative chemotherapy: harms and benefits weighed in new study

Palliative chemotherapy is treatment designed for terminal cancer patients to prolong survival and ease symptoms but not cure disease. Now, researchers have found that the therapy comes with certain harms, which they say need to be addressed.

The researchers, from the Weill Cornell Medical College, Dana-Farber Cancer Institute and Harvard Medical School, have published their results in the BMJ.

They say their findings uncover a discrepancy between what type of care cancer patients want and what they actually receive.

Overall, the team found that terminal cancer patients who receive chemotherapy during the last months of their lives are less likely to die where they wish and are more likely to undergo invasive medical procedures – including CPR and mechanical ventilation – than patients who did not receive the therapy.

Dr. Holly Prigerson, of Weill Cornell Medical College, says that the reasons for the link are complicated, but they may originate in misunderstanding of the purpose and consequences of palliative chemotherapy.

For the study, investigators assessed data from 386 patients in a federally funded study, called Coping with Cancer.

This 6-year study followed terminally ill people and their caregivers until the patients died, and the researchers looked at how psychosocial factors influenced patient care.

After asking the caregivers to rate their patient’s care, quality of life and where the patient would have wanted to die, the researchers reviewed patient medical charts to determine the type of care they actually received during their last week.

Chemotherapy patients less likely to die where they want

The researchers found that patients receiving palliative chemotherapy were less likely to talk to their oncologists about the type of care they wanted to receive, to complete Do-Not-Resuscitate orders or to even acknowledge they were terminally ill.

The findings reveal that 68% of patients receiving palliative chemotherapy died where they wanted, compared with 80% of those not receiving the therapy.

In detail, 47% of patients who received the therapy died at home, compared with 66% of patients who did not receive the palliative care. Additionally, 11% of patients receiving the chemotherapy died in an intensive care unit, versus only 2% of patients not receiving the therapy.

Dr. Prigerson says:

“It’s hard to see in these data much of a silver lining to palliative chemotherapy for patients in the terminal stage of their cancer. Until now, there hasn’t been evidence of harmful effects of palliative chemotherapy in the last few months of life.”

“This study is a first step in proving evidence that specifically demonstrates what negative outcomes may result,” she adds.

The team also found that patients receiving palliative chemotherapy were more likely to be referred to hospice care much later than those not receiving the therapy.

Hospice care is a place that provides comfort and emotional support for terminal patients, and 54% of the patients receiving chemotherapy were referred to hospice late, compared with 37% of the patients not receiving the drugs.

‘Potential need for oncology practice changes’

The team notes that 56% of the patients from the study were receiving palliative chemotherapy in their final months, and they say this majority of use emphasizes the potential need for changes in oncology practice at academic medical centers.

Dr. Alexi Wright, assistant professor and medical oncologist at Dana-Farber, says:

“We often wait until patients stop chemotherapy before asking them about where and how they want to die, but this study shows we need to ask patients about their preferences while they are receiving chemotherapy to ensure they receive the kind of care they want near death.”

But Dr. Wright adds that their findings should not be interpreted that patients should be denied or not offered palliative chemotherapy:

“The vast majority of patients in this study wanted palliative chemotherapy if it might increase their survival by as little as a week. This study is a step towards understanding some of the human costs and benefits of palliative chemotherapy.”

“Additional studies are needed to confirm these troubling findings,” concludes Dr. Prigerson.