Monday, December 31, 2012

Choctaw family devastated in Miss. SUV wreck

JACKSON, Miss. (AP) ? The Mississippi Band of Choctaw Indians was dealing Sunday with the devastating loss of five young siblings and an adult killed when their SUV plunged into a rain-swollen creek.

Neshoba County Sheriff Tommy Waddell said the victims appear to have drowned after their Dodge Durango left a county road 20 miles southeast of Philadelphia just after midnight Saturday.

"It's always sad to hear of the death of a tribal member, but today our tribe experienced a great tragedy with the loss of six beautiful Choctaw souls. I cannot begin to imagine what the friends, relatives and loved ones are feeling," Tribal Chief Phyliss J. Anderson said in a statement.

Deputy County Coroner Marshall Prince identified the five children who died as 9-year-old Dasyanna John, 8-year-old Duane John, 7-year-old Bobby John, 4-year-old Quinton John, and 18-month-old Kekaimeas John. Family friend Diane Chickaway, 37, also died. The sheriff said all were members of the Mississippi Band of Choctaw Indians and lived in the Pearl River community east of Philadelphia, where the tribe operates a large casino complex.

The father of the children, Dewayne John, escaped the vehicle and remains hospitalized for hypothermia and water inhalation. The children's mother, Deanna Jim, and Chickaway's husband, Dale Chickaway, also survived. The group was traveling to Conehatta, another Choctaw community, with Dewayne John driving. Waddell said he has been tested to see if he was under the influence of alcohol, though he said official results aren't in. If officials decide to file charges, Waddell said they probably wouldn't act until Wednesday.

It appears none of the nine occupants of the vehicle were wearing seat belts or were in child restraints, the sheriff said.

The crash happened on County Road 107, in a rural area near the Neshoba-Newton county line. Heavy rains have hit the area in recent days, raising the water level of what Waddell described as a normally small creek. The SUV ran off the left side of the road into the creek near the Kitchner community.

The sheriff said it wasn't raining and there was no ice on the road. "This accident is not weather-related at all," he said.

Divers from the Philadelphia fire department had to be called to find the submerged vehicle. Prince said the vehicle was pulled from the water after 3 a.m. Besides the 30 emergency workers, about 20 Choctaw tribal members gathered at the site, he said.

"It looked like he has just run off the road and went into the water," Prince said. "It was deep and swift. The vehicle was completely submerged."

Waddell said the bodies have been sent to Jackson for autopsies. The Mississippi Highway Patrol will reconstruct the accident starting Sunday to learn more.

Tribal spokeswoman Misty Dreifuss said funeral arrangements would likely be made Sunday and the children were expected to be buried together. Dreifuss said word of the deaths spread quickly through the 10,000-member tribe and that members "definitely have been hit pretty hard."

Waddell said that he can't recall a deadlier accident in the county in his 26 years of law enforcement.

___

Follow Jeff Amy at: http://twitter.com/jeffamy

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/386c25518f464186bf7a2ac026580ce7/Article_2012-12-30-Mississippi%20Deadly%20Crash/id-f5c700db6cfa444a8dc6f8ca50e72c0c

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Sunday, December 30, 2012

Obama: GOP's insistence on halting tax hikes for the wealthy is stopping fiscal cliff deal

In an exclusive interview with Meet the Press, President Barack Obama tells David Gregory he's optimistic the fiscal cliff can be averted, lays out the goals for his second term, and also discusses the Benghazi attack and how it was handled by the administration and those on Capitol Hill.

By Carrie Dann, NBC News

President Barack Obama on Sunday said congressional Republicans and their?insistence on preventing tax increases for the very wealthy are standing in the way of a deal to avoid the so-called fiscal cliff.

In an exclusive?interview on NBC's?"Meet the Press," the president chided House Republicans as the clock continued to run out on a potential agreement.

"They say that their biggest priority is making sure that we deal with the deficit in a serious way, but the way they're behaving is that their only priority is making sure that tax breaks for the wealthiest Americans are protected," Obama said. "That seems to be their only overriding, unifying theme."

President Barack Obama says he negotiated with House Speaker Boehner in good faith and moved more than halfway in order to achieve a grand bargain.

With?a little more than one day remaining?before the nation faces automatic spending cuts and tax hikes that could impact an already-wobbling American economy, the president implied that there has been little progress in recent days to justify hopes of a last-minute deal to prevent going over the fiscal cliff at year's end.

"I was modestly optimistic yesterday, but we don't yet see an agreement," he said in the interview, taped on Saturday at the White House. "And now the pressure's on Congress to produce."

Read the full transcript

The president?appeared open to eliminating at least some of the scheduled automatic spending cuts if Republicans agree to tax increases for the wealthy. Those cuts are slated to impact defense spending and non-entitlement discretionary spending beginning on Jan. 1.?

"If we have raised some revenue by the wealthy paying a little bit more, that would be sufficient to turn off what's called the sequester, these automatic spending cuts, and that also would have a better outcome for our economy long-term," he said.?

The president challenged Republicans to vote on legislation that he said should be introduced by the Democrat-controlled Senate to prevent taxes on the "middle class" from being increased.

But he did not specify what income level he would be willing to accept as a dividing line between those who retain Bush-era tax rates and those whose rates would increase. The president has consistently supported increasing taxes on families making over $250,000 a year, but that figure has been a major bargaining chip in negotiations.

Wherever the line on tax increases ends up, Obama urged a vote in both houses on a final Senate bill if a broader agreement cannot be reached.

Pete Souza / White House Photo

President Barack Obama is interviewed by David Gregory of NBC's "Meet The Press" in the Blue Room of the White House, Dec. 29, 2012.

"Everybody should have a right to vote on that," he said. "If Republicans don't like it, they can vote no. But I actually think that there's a majority support for making sure that middle class families are held harmless."

"So far, at least, Congress has not been able to get this stuff done," he added. "Not because Democrats in Congress don't want to go ahead and cooperate, but because I think it's been very hard for Speaker Boehner and Republican Leader McConnell to accept the fact that taxes on the wealthiest Americans should go up a little bit, as part of an overall deficit reduction package."

Dismissing the notion that the Democratic Party is as compromise-averse as the GOP, the president said Democrats? -- "warts and all" -- have more consistently agreed to components of bipartisan deals.?

"What I'm arguing for are maintaining tax cuts for 98 percent of Americans. I don't think anybody would consider that some liberal left-wing agenda. That used to be considered a pretty mainstream Republican agenda," he said. "And it's something that we can accomplish today if we simply allow for a vote in the Senate and in the House to get it done. The fact that it's not happening is an indication of how far certain factions inside the Republican Party have gone where they can't even accept what used to be considered centrist, mainstream positions on these issues."

The president offered no new suggestions of compromise measures that may be more palatable to Republicans, although he acknowledged that some Democrats oppose entitlement adjustments and some of the spending cuts that he's put forward during negotiations.?

The president games out different scenarios of how he thinks the fiscal cliff negotiations will be resolved.?

"The offers that?I've?made to [Republicans] have been so fair that a lot of Democrats get mad at me," he said, noting that his acceptance of Chained CPI, a measure that would change the way Social Security payments are determined, has caused particular rancor within his own party.

"Highly unpopular among Democrats," he said of the proposed change. "Not something supported by AARP. But in pursuit of strengthening Social Security for the long-term I'm willing to make those decisions."

If an impasse remains in place, Obama warned, Republicans' rejection of his version of deficit reduction plans would be enough to send financial markets skidding.?

"What's been holding us back is the dysfunction here in Washington," he said. "And if people start seeing that on January 1st this problem still hasn't been solved, that we haven't seen the kind of deficit reduction that we could have had had the Republicans been willing to take the deal that I gave them, if they say that people's taxes have gone up, which means consumer spending is going to be depressed, then obviously that's going to have an adverse reaction in the markets."

?

Source: http://pheedo.msnbc.msn.com/click.phdo?i=cb973bfcd0536647aea808ac87c17389

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AP Source: McCoy, Hicks suspended by Texas

Texas has sent home backup quarterback Case McCoy and injured linebacker Jordan Hicks on the eve of the Alamo Bowl in San Antonio for violating team rules, a person with knowledge of the suspensions told The Associated Press.

The person spoke to the AP on condition of anonymity Friday because the school wasn't releasing the names of the suspended players. The person said the players violated curfew.

Coach Mack Brown addressed the situation during a previously schedule news conference Friday and referred to a KENS-TV report (http://tinyurl.com/cw8dcj3) that police were investigating two unidentified Texas players in an alleged sexual assault at a San Antonio hotel.

"This has been reported: We had a couple young men that broke team rules last night. They have been suspended from the team and they will be sent home," Brown said at a previously scheduled news conference in San Antonio. "They will not be available for the game and I will not address any more questions in that matter."

Sgt. Javier Salazar, a San Antonio police spokesman, said only that detectives are in the early stages of investigating a case of alleged sexual assault in the downtown area. Investigators are interviewing witnesses and collecting forensic evidence, he said.

"It's a very meticulous process," Salazar said. "As far as these investigations go, it's very early."

A heavily-redacted police report says a 21-year-old woman told police she believed she was assaulted around 2 a.m. Friday after inviting two men to her hotel room. The report shows only that the men are students and that one is 21 and the other is 20. The woman told police that she had had several drinks when she invited the men to her hotel.

The woman said one of the men assaulted her while the other "just stood there and watched," the report said. Police said they observed bruises on the woman's right knee and left bicep.

After talking to police, the woman was taken to a San Antonio hospital, where she was seen by a sexual assault nurse examiner, according to the report. The two suspects also were taken to the hospital and examined by the nurse, the report says.

Ben Turner, acting general manager at the Holiday Inn on San Antonio's Riverwalk, said police were summoned to the hotel between 2 and 3 a.m. Friday to investigate an alleged sexual assault. He said hotel staff was cooperating with police.

McCoy, the brother of former Texas star and current Browns quarterback Colt McCoy, has played eight games this season, including one start. He has thrown for 722 yards and six touchdowns.

Hicks was a starter but hasn't played since the third game of the season because of a hip injury.

Texas (8-4) plays Oregon State (9-3) in Saturday's game at the Alamodome. The Longhorns' walk-through at the stadium Friday afternoon was closed to the media.

Source: http://news.yahoo.com/ap-source-mccoy-hicks-suspended-texas-015205931--spt.html

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Saturday, December 29, 2012

India gang-rape victim dies in hospital

Piyal Adhikary / EPA

A young woman, one hand covered in fake blood, takes part in a protest Friday in Calcutta against the gang rape of a student.

By NBC News and wire services

SINGAPORE ? A 23-year-old Indian woman who was gang-raped and severely beaten on a bus in New Delhi died Saturday at a Singapore hospital, after her horrific ordeal galvanized Indians to demand greater protection from sexual violence that impacts thousands of women daily, but often goes unreported.

The victim who has not been identified,?"passed away peacefully" with her family and officials of the Indian embassy by her side," said Kelvin Loh, the chief executive of Mount Elizabeth hospital where she had been treated since Thursday. "The Mount Elizabeth Hospital team of doctors, nurses and staff join her family in mourning her loss," he said in a statement.


The woman and a male friend were traveling in a public bus after watching a film on the evening of Dec. 16 when they were attacked by six men who took turns raping her. They also beat the couple and inserted an iron rod into her body resulting in severe organ damage. Both of them were then stripped and thrown off the bus, according to police.

?

The woman was airlifted to Singapore on Dec. 26 for specialist treatment, but she had remained in extremely critical condition, Loh said.

The victim had already undergone three abdominal operations before arriving in Singapore, where her condition on Thursday was described as "extremely critical."

Photos: Police try to temper outrage over gang rape

"Despite all efforts by a team of eight specialists in Mount Elizabeth Hospital to keep her stable, her condition continued to deteriorate over these two days," said Loh on Saturday. "She had suffered from severe organ failure following serious injuries to her body and brain. She was courageous in fighting for her life for so long against the odds but the trauma to her body was too severe for her to overcome."

Related video:

Rape ignites outrage
Protesters call for execution

The attack triggered nationwide protest?over the lack of safety for women, culminating last weekend in pitched battles between police and protesters in the heart of the capital.

New Delhi has the highest number of sex crimes among India's major cities, with a rape reported on average every 18 hours, according to police figures. Government data show the number of reported rape cases in the country rose by nearly 17 percent between 2007 and 2011.

The incident?caught Prime Minister Manmohan Singh's government off guard and triggered a blame game between politicians and the police.

"We share the anguish and anger with the country over this heinous crime," Singh told reporters on Friday. "Our prayers are with the brave young girl and best possible medical care is being provided to her."

?

Protests continued across New Delhi, India, where around 500 people marched in response to the recent gang rape of a young woman. NBCNews.com's Dara Brown reports.

?

Reuters and The Associated Press contributed to this report.

More world stories from NBC News:

Follow World News from NBCNews.com on Twitter and Facebook

?

Source: http://worldnews.nbcnews.com/_news/2012/12/28/16212322-india-gang-rape-victim-dies-in-hospital?lite

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Oil prices rise ahead of US fiscal-cliff talks

BANGKOK (AP) ? The price of crude rose Friday, following stock markets in Asia higher hours ahead of a last-ditch effort in Washington for political leaders to strike a budget deal before the year-end deadline.

Benchmark crude for February delivery rose 13 cents at late afternoon Bangkok time to $91 per barrel in electronic trading on the New York Mercantile Exchange.

The contract fell Thursday following a reported drop in U.S. consumer confidence and growing pessimism that President Barack Obama and Republican lawmakers will reach a compromise on ways to avoid the so-called fiscal cliff ? hundreds of billions of dollars in government spending cuts and tax increases that take effect automatically in 2013 unless lawmakers act.

Hopes that a compromise might be reached were raised after Obama, who cut his Hawaii vacation short, invited congressional leaders to the White House for talks Friday.

In other energy futures trading:

? Wholesale gasoline fell 0.5 cents to $2.8166 a gallon.

? Brent crude, used to price various kinds of foreign oil, fell 12 cents to $110.68 per barrel in London.

? Heating oil fell 0.7 cent to $3.0417 a gallon.

? Natural gas lost 3.6 cents to $3.376 per 1,000 cubic feet.

Source: http://news.yahoo.com/oil-prices-rise-ahead-us-fiscal-cliff-talks-065138232--finance.html

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Regis Jesuit's new baseball coach Anderson a former Nebraska skipper

Nebraska coach Mike Anderson (Sue Ogrocki, Associated Press file)

Regis Jesuit has hired former University of Nebraska coach Mike Anderson to lead its baseball program, according to the high school.

Anderson is filling big shoes, namely those of Walt Weiss, who was hired by the Rockies as their manager in November. Weiss was head coach at Regis for one season, guiding the Raiders to a 20-6 record.

Anderson was 337-196-2 at Nebraska and coached the Huskers to the College World Series in 2005. He was named the Big 12 Conference coach of the year in 2003 and 2005 but was fired by Nebraska after a 2011 season in which his team went 30-25 overall, 9-17 in the Big 12.

Anderson, a graduate of Eaton, was an All-Colorado selection as a shortstop. He played baseball at Northern Colorado from 1983-86 and was later in the California Angels' organization.

Regis Jesuit returns its top two hitters: senior Brody Weiss (Walt's son) and junior Max George. The Raiders' pitching staff will take a hit with the graduation of ace Peter Bayer, but junior David Peterson should slip into that role nicely.

Source: http://feedproxy.google.com/~r/dp-sports/~3/WQ883yjVFnc/regis-jesuits-new-baseball-coach-mike-anderson-is

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Friday, December 28, 2012

Judge approves Toyota's settlement

53 min.

SAN FRANCISCO --?A U.S. judge granted preliminary approval on Friday to Toyota Motor Corp's $1.1 billion settlement of a class-action lawsuit brought by consumers who lost value on their cars due to sudden, unintended acceleration.

U.S. District Judge James Selna in Santa Ana, California, scheduled a hearing in June for final approval of the deal, which was announced this week. It provides $500 million in cash for plaintiffs, plus installation of break override systems and a customer support program valued at about $600 million combined.

"Settlement will likely serve the interests of the class members better than litigation," Selna wrote.

Plaintiff lawyer Steve Berman said he was pleased with the favorable comments in Selna's order. Toyota spokeswoman Julie Hamp said the company was gratified by Selna's approval of the settlement, "which will provide value to our customers and provides an extra measure of confidence in their vehicles."

About 16 million Toyota, Lexus and Scion vehicles sold in the United States spanning the model years 1998 to 2010 are covered by the settlement. Company officials have maintained that the electronic throttle control system was not at fault, instead blaming ill-fitting floor mats and sticky gas pedals.

A study by federal safety officials at the National Highway Traffic Safety Administration and NASA found no link between reports of unintended acceleration and Toyota's electronic throttle control system.

Toyota, the No. 3 automaker in the U.S. market, admitted no fault in proposing the settlement, one of the largest U.S. mass class-action litigations in the automotive sector. One plaintiff's law firm called it the largest settlement in U.S. history involving auto defects.

However, the deal does not cover wrongful death or injury lawsuits, believed to total more than 300 according to a Toyota filing in June.

Toyota's recall of its vehicles between 2009 and 2011 relating to the unintended acceleration issue hurt its reputation for reliability and safety.

But the automaker's sales were up almost 29 percent in 2012 through November, compared with a 14 percent increase in the industry, and Toyota's share of the U.S. market has risen to 14.4 percent from 12.7 percent in 2011.

In his order on Friday, Selna said the settlement is fair, given the risks of further litigation and the complicated legal rulings he has issued throughout the case.

"Some of these rulings have been favorable to plaintiffs, some have been favorable to Toyota," Selna wrote. "Were the parties to proceed to a fully litigated result, virtually any outcome would face the risk of uncertainty upon appellate review of these rulings."

Selna also approved up to $200 million in attorneys' fees, saying the amount falls within 25 percent of the total settlement which is the benchmark established by appellate law.

The case is In re: Toyota Motor Corp. Unintended Acceleration Marketing, Sales Practices and Products Liability Litigation, U.S. District Court, Central District of California, No. 10-ml-02151.?

Source: http://www.nbcnews.com/business/judge-oks-toyota-settlement-over-sudden-acceleration-1C7753062

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Gun owner map ricochet: Blogger publishes journalists' personal data

A newspaper published names and addresses of thousands of legal handgun owners, generating widespread criticism. In retaliation, a blogger mapped the names and addresses of the journalists.

By Brad Knickerbocker,?Staff writer / December 27, 2012

Hand guns that were turned in by their owners in a trash bin at a gun buyback held by the Los Angeles Police Department. People can anonymously trade in their guns, no questions asked, for $200 grocery store gift cards for automatic weapons and $100 gift cards for shotguns, handguns and rifles.

David McNew/REUTERS

Enlarge

The flap over the newspaper that published information about handgun owners in two New York counties has ricocheted back toward the news organization.

Skip to next paragraph

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Thousands of critics ? including some journalism professionals ? have weighed in. And at least one blogger has retaliated by publishing the names and addresses of editors and executives at the Journal News, the publication headquartered in White Plains, N.Y., north of New York City and part of the Gannett organization.

Still, the Journal News is not backing down. Editors say they?ll publish information on handgun owners in a third county (Putnam) once county officials have responded to the Freedom of Information Act (FOIA) request that resulted in tens of thousands of names and addresses in Westchester and Rockland Counties.

The controversy began over the weekend when the Journal News ran a story on some 44,000 registered handgun owners in?the two counties, including names and addresses showing exactly where those gun owners live using Google Maps. ?The gun owner next door: What you don't know about the weapons in your neighborhood,? read the headline.

In the wake of the Newtown, Conn., school massacre that killed 20 first-graders and six school employees, quickly followed by a raging debate over gun control and Second Amendment rights, it?s not surprising that journalists would look for fresh and provocative angles to cover the story.

David Gregory, host of NBC?s ?Meet the Press,? has taken flak for showing an ammunition magazine in his interview with National Rifle Association CEO Wayne LaPierre last Sunday. Such large-capacity magazines are banned in the District of Columbia, where the show was taped.

The online magazine Slate has partnered with the anonymous creator of?the Twitter feed @GunDeaths to craft what it calls ?an interactive, crowdsourced tally of the toll firearms have taken since Dec. 14? ? the day when 20-year-old Adam Lanza, armed with an assault-style rifle, two handguns, and hundreds of rounds of ammunition in large-capacity magazines, forced his way into the Sandy Hook grade school in Newtown.

The Slate map details 206 gunshot deaths in the United States since Sandy Hook, including 21 teens and children.

But publishing the names and addresses of legitimate handgun owners is seen as very different from tallying gun deaths or discussing aspects of weaponry. (The Journal News report does not include ?long guns? ? shotguns and rifles, including assault-style rifles ? which do not require licenses.)

Source: http://rss.csmonitor.com/~r/feeds/csm/~3/KoZ8_n-ciWo/Gun-owner-map-ricochet-Blogger-publishes-journalists-personal-data

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Tumor boards linked to little association with effects on cancer care

Tumor boards linked to little association with effects on cancer care [ Back to EurekAlert! ] Public release date: 28-Dec-2012
[ | E-mail | Share Share ]

Contact: Zachary Rathner
Zachary.Rathner@oup.com
301-841-1286
Journal of the National Cancer Institute

There is little association of multidisciplinary tumor boards with measures of use, quality, or survival, and measuring only the presence of tumor boards may not be adequate in determining their effects on cancer care, according to a study published December 28 in the Journal of the National Cancer Institute.

Tumor board reviews offer a multidisciplinary approach to treatment planning, which encompasses doctors from many specialties reviewing and discussing the medical condition and the treatment of patients. Even though the use of tumor boards is widespread, there is little data on how it affects cancer care.

In order to determine the effects tumor boards have on cancer care, Nancy L. Keating, M.D., M.P.H., Department of Health Care Policy, Harvard Medical School, and colleagues gathered information about tumor boards from 138 Veterans Affairs (VA) medical centers and linked cancer registry and administrative data to gauge receipt of stage-specific recommended care, survival, or use for patients with colorectal, lung, prostate, hematologic, and breast cancers diagnosed during 2001-2004 and followed through to 2005.

The researchers found only a modest association between the presence of tumor boards and the types of treatments that patients received. Most types of care for lung, prostate, hematologic, and breast cancers were unaffected by the presence or types of tumor boards. For seven measures, the rates of some types of care were higher (lung cancer and prostate cancer) whereas others were lower (lymphoma and palliative care). "This could mean that tumor boards did not, in fact, influence quality of cancer care in the VA setting," the authors write. "Additional research is needed to understand the structure and format of tumor boards that lead to the highest quality care."

In an accompanying editorial, Douglas W. Blayney, M.D., Stanford Cancer Institute, Stanford School of Medicine, notes that tumor boards may not influence quality in a large, integrated health system such as the VA as much as they might in smaller centers and writes that measures of adherence and survival are difficult to track and therefore while it is tough to determine the overall efficacy of tumor boards, they "have too long a history for them to be easily abandoned," adding that, "until there is carefully constructed public reporting of process adherence and outcome, we are left to hope that cancer doctors, their leaders, and the systems that they build will use recognized measures of structure and process and work toward superior outcomes."

###

Contact Info:

Article: Nancy L. Keating, M.D., M.P.H., Keating@hcp.med.harvard.edu

Editorial: James Larkin, jlarkin@stanfordmed.org


[ Back to EurekAlert! ] [ | E-mail | Share Share ]

?


AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


Tumor boards linked to little association with effects on cancer care [ Back to EurekAlert! ] Public release date: 28-Dec-2012
[ | E-mail | Share Share ]

Contact: Zachary Rathner
Zachary.Rathner@oup.com
301-841-1286
Journal of the National Cancer Institute

There is little association of multidisciplinary tumor boards with measures of use, quality, or survival, and measuring only the presence of tumor boards may not be adequate in determining their effects on cancer care, according to a study published December 28 in the Journal of the National Cancer Institute.

Tumor board reviews offer a multidisciplinary approach to treatment planning, which encompasses doctors from many specialties reviewing and discussing the medical condition and the treatment of patients. Even though the use of tumor boards is widespread, there is little data on how it affects cancer care.

In order to determine the effects tumor boards have on cancer care, Nancy L. Keating, M.D., M.P.H., Department of Health Care Policy, Harvard Medical School, and colleagues gathered information about tumor boards from 138 Veterans Affairs (VA) medical centers and linked cancer registry and administrative data to gauge receipt of stage-specific recommended care, survival, or use for patients with colorectal, lung, prostate, hematologic, and breast cancers diagnosed during 2001-2004 and followed through to 2005.

The researchers found only a modest association between the presence of tumor boards and the types of treatments that patients received. Most types of care for lung, prostate, hematologic, and breast cancers were unaffected by the presence or types of tumor boards. For seven measures, the rates of some types of care were higher (lung cancer and prostate cancer) whereas others were lower (lymphoma and palliative care). "This could mean that tumor boards did not, in fact, influence quality of cancer care in the VA setting," the authors write. "Additional research is needed to understand the structure and format of tumor boards that lead to the highest quality care."

In an accompanying editorial, Douglas W. Blayney, M.D., Stanford Cancer Institute, Stanford School of Medicine, notes that tumor boards may not influence quality in a large, integrated health system such as the VA as much as they might in smaller centers and writes that measures of adherence and survival are difficult to track and therefore while it is tough to determine the overall efficacy of tumor boards, they "have too long a history for them to be easily abandoned," adding that, "until there is carefully constructed public reporting of process adherence and outcome, we are left to hope that cancer doctors, their leaders, and the systems that they build will use recognized measures of structure and process and work toward superior outcomes."

###

Contact Info:

Article: Nancy L. Keating, M.D., M.P.H., Keating@hcp.med.harvard.edu

Editorial: James Larkin, jlarkin@stanfordmed.org


[ Back to EurekAlert! ] [ | E-mail | Share Share ]

?


AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


Source: http://www.eurekalert.org/pub_releases/2012-12/jotn-tbl122012.php

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Thursday, December 27, 2012

5 stores with great return policies

2 hrs.

What makes a great return policy?

Enough time to get that mistake back to the store? Recouping your money without having to dig through a pile of receipts? Receiving that return in whatever form is most convenient for you? And, if you're buying online, how about free return shipping?

These days, with a lot of merchants, you have to pick and choose which points are most important to you. When it comes to returns, very few retailers offer it all.

Some stores might give a full return within a certain window of time -- but you need a real receipt, not a gift receipt. Others have a very short time window but might not require much paperwork. And some are lenient on time but might limit you to a store gift card.

Don't forget that rules can also change depending on what you bought or how you paid for it. And a handful of stores also assess those pesky restocking fees.

It's enough to make even a veteran shopper dizzy.

During the holidays though, many of the major retailers will offer more liberal return policies, says Teri Gault, co-author of "Shop Smart, Save More."

Here, in no particular order, are five stores that are earning a reputation for making returns easy.

Nordstrom
The return policy is that there is no return policy, says Colin Johnson, spokesman for Nordstrom. "You won't find one posted at the cash register or on your receipt. We're just going to stand behind our merchandise. The bottom line is that we work with the customer."

The highlights to this kind of thinking for a consumer are that there's no time limit, no receipt required and no paperwork. And you get treated the same whether you have a gift receipt or purchase receipt.

If you bought online from Nordstrom.com, the store provides free return shipping, he says. Or you can take the item back to a local store.

"The way it works is we ask our people in the stores to use good judgment," Johnson says. "The ultimate objective is taking care of the customer. It really depends on the situation. You really can't have a rule book that takes into account every scenario."

The chain's discount store, Nordstrom Rack, operates a little differently with respect to returns because items come from closeouts and special purchases, says Johnson. There, you'll have 30 days to return items, and receipts and tags are preferred, he says.

Bottom line, Johnson says, is that employees "try to remove the clutter -- the policy-type stuff that can get in the way of taking care of the customer."

Zappos.com
You'd think an online shoe store would be a tough sell, since shoes are all about fit.

But Zappos.com has built a business around making returns easy so that customers can order several pairs, try them on and ship back the ones that don't work. As a result, the retailer is as famous for its return policy as it is for its shoes.

"The return policy for Zappos.com is if you're not 100 percent satisfied with your purchase, you can return it for a full refund," says Corey Schreiber, content developer for Zappos Insights.

The highlights to Zappos.com's policy are that you have one year to return merchandise. Because you're shopping online (and orders are tracked), you never need a receipt. Shipping is free for orders and returns. And for returns, you can print out shipping labels at the Zappos site, or the company will email or snail mail them to you, he says.

One cool feature is the company's "advanced exchange." If you need a different size or color, the company will ship it to you for free. All you have to do is send back the first item within the next two weeks, he says. All the shipping is free, and you don't have to worry about carrying two items on your credit or debit account.

"We use it as a 'wow' tool," says Schreiber.

L.L. Bean
Just what every consumer needs: No time limits and no receipts required.

If you bought online from L.L.Bean, you can return the merchandise to your local store, or you can send the item back using prepaid labels you can print from the site.

It's all part of the Maine-based retailer's "100 percent satisfaction guarantee," says Carolyn Beem, an L.L.Bean spokeswoman. "We are one of the few companies out there that lets the customer define what 'satisfaction' is," she says.

Return shipping is $6.50 (deducted from your refund) or free if you have an L.L.Bean credit card or are sending back the item because it's defective, she says.

During the lifetime of a product, if you find you're not happy, "We encourage you to return it for a refund, store credit or replacement," Beem says.

"It's a pretty simple policy," she says.

Costco
Membership club Costco is another retailer trying to make returns easy.

Shoppers are members who pay fees to join, so "We will refund in full at any time (if) a member is dissatisfied," says Franz Lazarus, an executive vice president with Costco. Members generally get the refund in the same form they paid, while nonmembers would likely get cash or store gift cards, he says.

With consumer electronics, which tend to have a shelf life, there is a 90-day window to return, he says. "That's the only exception."

And that's been the only change to the return policy over the years, says Lazarus. "We felt at one point several years ago that we had to initiate that because technology was changing so rapidly."

You also don't have to have a receipt, he says. "(While) we like for there to be a receipt because it makes the process easier, we would not refuse a refund because there was no receipt."

Buying online? "Anything that's purchased online can be returned to one of our locations," he says. And return shipping is free.

Target
If you paid via credit card, debit card, gift card or check, the store can track your purchase and refund the full amount without a receipt, says Jessica Deede, spokeswoman for the retailer.

The store's return window is 90 days. The one exception is consumer electronics, which have a 30-day return window.

Target even offers shoppers a generous "gift" during holiday time. For holiday purchases (anything bought in November or before Dec. 24), that 30-day clock doesn't start until Dec. 26, she says. That way shoppers "don't have to hold off or wait," to buy, Deede says.

With the actual receipt (or searchable purchase record), you'll get all of your money back. If you have a gift receipt, you'll get a gift card or exchange, she says.

If you paid by check, consult a calendar. If it's been less than seven days, you could be offered cash or a gift card, says Deede. But if the store has had at least a week to clear the check, then you'll get a cash refund, she says.

Buying online? Most products can be returned to your local store, says Deede. (To be sure check the "shipping & returns" tab before you buy, she advises.)

And if you want (or need) to ship it back, shipping costs are deducted from your return, says Deede.

Source: http://www.nbcnews.com/business/5-stores-great-return-policies-1C7657748

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Enjoying the Small Things: CHRISTMAS

Writing posts at the end of the year, after precious days of close family moments, feels a bit like filling a time capsule with the last special things you want to remember before closing the cap. As Brett and I fulfilled our Christmas morning parent duties, satisfyingly smiling at their squeals of delight, there were seconds where we caught each other's eyes.? We didn't need to say anything; it was understood.? Did you see that?? Wasn't that precious? How funny is she?? Oh God, she's getting so big.?

My friend Colette expressed the perfect explanation to me earlier this year of why supporting Down syndrome cognition and memory research is so important to her?for her son,?Dex.? "All my memories--the things that make me laugh, moments with family, holidays, vacations--it's?a scrapbook in my brain, something I always have to go back to later in life," she explained.? "If I'm ever sad or want to?smile, I can remember?all those?times, like flipping through snapshots in a scrapbook.? I want Dex to have a scrapbook too."

Yeah, that.?

That's what these pictures are.? And what these stored images in my brain are that keep making me smile every time I think of them.

Those long swishy nightgowns that were perfectly too big enough to make?my girls?look smaller.

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And crayon-drawn letters with big spaces between them.? High pitched "How do you spell Santa?" pleas because it's probably the last year she'll ask.? And another year of reindeer food and watching the sky and staring at two sisters sound asleep together on the night before Christmas.

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Installing the Reindeer Runway
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Nella steals some of Santa's milk

Our Christmas Scrapbook:

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Brandyn fed Nella blueberries at the rate of one blueberry? per milisecond.? Any slower, she'd go nuts.

Late Christmas Eve, my dad and Gary installed this amazing fairy garden in our front landscaping. It is just as much a gift for me as it was for my girls. There's even a hand-painted castle with flags for each of my?babies.?

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And then morning. Being awakened by a soft little tap-tap-tap on my back. An excited whisper. Can we go see if Santa was here?? Lainey knows the Christmas drill now.? She waits patiently in bed with Daddy while I go turn on the tree lights and make a pot of coffee and turn on Nat King Cole and light candles and make just enough noise to wake Nella and Poppa, and?the boys quickly follow.

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North Pole money

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Boots on dogs?? Very funny.? Lainey fell on the ?floor laughing.? Latte gets weirded out and paddles her feet across the floor all frantic.? Thank you, Poppa.

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I love how teenage brotherly entertainment means random wrestling matches.? They both laugh while they pretend to beat the crap out of each other, out of nowhere.? Apparently, it's very funny.

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She spots the fairy garden.

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I'll share deets on fairy garden later. Gary's a horticulturist and has a nice list of plants that work good in fairy gardens as well as some resources where you can find materials to build your own.

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My favorite part of Christmas? When the morning spills over into complete calm. Everyone finds a different corner of the house, kids play with new toys, adults?rest on couches, the mess on the living room floor dissolves into the setting and everything is quiet and happy and good. I collapsed on the couch late morning, not intending to sleep, but I fell into one of those half awake naps where my eyes were closed and my brain was off duty but I was very aware that I was smiling and listening to the girls' chatter while they tested out new toys.?

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Likewise, the afternoon delivered with more grandparents and more love. More scrapbook pages.? And a honey baked ham.

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Two people are texting.? Can you find them?

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We're still in vacation mode. And feeling so thankful for family and home.

To?scrapbooks?being filled with much love.? Chin-Chin.

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Source: http://www.kellehampton.com/2012/12/christmas.html

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